QUOTE(StarGhazzer @ Mar 28 2009, 07:45 AM)
It's sad that they end up learning stuff that may not necessarily be clinically relevant.

However, during clinical years the amount of proper, structured teaching we receive is minimal (rotation dependent of course). What we end up doing most of the time if self-studying, like what one professor put it: "Write it down in the little book, read it up in the big book." Not that I'm whinging too much about it as we are supposed to cultivate the habit of self-learning; but more didactic teaching will always be appreciated. A balance is required of course, we don't want to end up like what happened to Faiz, the blogger, where they end up in classrooms all the time rather than the wards.
Like what my angmoh friend's sister (non-medical) said, "You bloody medical students, get an extra half an hour tute and you're happy... We would have complained about the overtime."
Anyway, nice blog for a Russian perspective... going to bookmark it

it used to be apprenticeship, in the old days, before formalised medical education.......but the basic principle remains...........students learn from the practices and live examples they see around them, during the clinical years.....that is what you are doing in the clinics, in spite of little structured teaching.......
in order to do that, a firm grasp of basic medical sciences is mandatory, and essential, otherwise one will be completely lost........
at graduation, you can only be as good as that level of healthcare standard you trained in......and no better.......because that is all the examples and experiences you know.......
msia is used to the british standards, being a colony before, and still conducting an education system very similar to the brits, including medical schools.......and that standard required a high level of competency from housemans.......ie basic core knowledge MUST be in place, eg like mentioned in the blog, interpreting acid-base balance, the basic ABC of resus, bacis ecg reading skills, able to take and present a coherent history and examination etc..........
unfortunately, many of these housemans do NOT have these basic skills, and senior doctors end up RETEACHING basic medical school stuffs.......when it should be at the next level, ie emphasis on therapeutics........
the problem now is russian/ukrainian, and possibly indonesia as well......in the past, it was india graduates......don't flame me, yes, the exact issues here of loose selection criteria, weak students and poor teaching has been around for a long time, and equally applies to some indian med schools, especially those unrecognised ones......