QUOTE(sjr @ Apr 25 2017, 09:19 PM)
Oh... now I understood.
It depends on what you mean by "hands-on". If your "hands-on" means history taking, examining patients, getting physical signs, figuring out basic investigations and
drafting treatment plans (perhaps a little difficult), yes, I agreed with that completely.
But if your
"hands-on" means procedures, I think should leave that till housemanship training.
Study hard, gives you knowledge.
The eyes can't see what the brain doesn't know.
Without knowledge, even there is an gross sign staring in front of you, you may also miss it.
Bring your brain, asks you think.
Without thinking, that's just something like monkey see, monkey do.
You saw something, you followed, but you didn't think. Eventually, you didn't really learn anything.
Bring your heart, ask you to have passion in this medical career, be both physical and mentally present.
Get your own initiative to see more patients, not to avoid difficult cases, that's how you learn.
The same applies to during housemanship, after becoming MOs or even speciality training. (sounds like cari pasal masa kerja)
Interesting points you mentioned there.
i definitely agree that plans are hard to make esp when youre worried of making a mistake.
But drafting a management plan should be part and parcel of medical school, at which it is the best time to practise what you have learnt into clinical practice. (since you will be supervised), especially in admission units where you will see and clerk the patients for the first time and the nurses will be chasing after you regarding management plans. The seniors will be busy seeing other patients as well so they have a level of expectations on you.
depends what you mean by hands on procedures as well, venepuncture, cannulation, catheter, iv lines, abgs are all necessary procedures to know and practise before you start imo. The faster you get better at them, the less time you spend doing them and your work doesnt pile up. (im struggling getting cannulas into frail old ladies in geris with thin veins which collapses easily and multiple needle puncture sites from daily bloods.

defo need more practice)
This post has been edited by Jckc: Apr 26 2017, 02:20 AM