医学生

今天跟老伯伯医生去给两年级的医学生上课。

走进教室，头一晕。灯光明亮的教室里，年轻的医学生们精神饱满，目光如炬，最厉害的是，孩子们桌子上都是颜色各异的笔记本，有的手里还拿着PDA，这阵势不知道怎么让我想起以前看Legally Blonde里面法学院上课的情形。

看看自己，只带了一支笔，几份上课要用的paper，简直像一个上个世纪里跑出来的古董。

两个小时的课强度还是很大的，所幸上课的内容，都可以在内部网站上下载，让学生们在课后消化。不懂的地方还可以在网站上向教授提问。三个星期后结束就要考试。

美国医学生上课还是挺认真的，问问题很及时，可以看出来他们是在不停地思考，跟随讲师的思路的。因为是二年级的孩子，很多临床术语对他们还很陌生，屏幕上出现陌生的术语时，他们都会立即举手提问。一旦解释以后，接受起来很快。

走回医院的时候，忍不住回想自己在医学院两年级的时候，是什么情形，好像大多数时候，是和同桌说话，吃零食，还有打瞌睡。然后都是等到期末抱佛脚。不过那时候没有这么花样繁多的教学模式，就是薄膜投影，容易觉得枯燥。最重要的是，美国医学生入学不易，大多都背着巨额贷款，所以和我们当年的动力，真是天差地远。

[醉清风.]

落花, 好久不来了. 先问好, 并祝好。

今年为了做第二阶段longitudinal research， 参加了个同声传译大课程。主要目的是为了接触PARTICIPANTS，当然了再提高英文在专业场景下的有效而有力的表述也是另一个初衷。

我们翻译再第一年分两个方向：LEGAL—HEALTH。这两个都要修。
LEGAL还好，这HEALTH头就大了。
主要是TERMINOLOGY，太难记了。平时新闻传递的内容相关信息也有限。

请问有没有记医学词汇的巧法，除了词根，前后缀等。
最好是有有声教材，通过耳膜刺激，我才能把单词记得更牢。

谢谢

小墨水

[AppleFlower]

Thanks for the tips, LuoHua. Wow! You can check patients' vital from your PDA! I don't think we can do that here. Another difference between Canada and USA, we are not nearly as high tech here.

Internal medicine, that sounds very interesting. I used to think that's what I want to do, but I'm very much put off by all the overnight calls that's required. So, now, it's more like my choice #2 or #3.

[落花飘零]

Appleflower, thank you very much for the detailed answer.

The gap between US/Canada and Chinese medical education does exist, I clearly feel it even if i didn't attend the medical school here.

Just like you mentioned, evident based practice is a major focus of medical education here while in China we still lack a efficient system to build up reasonable data base.

I am currently in internal medicine residency, I love it because internal medicine is a broad spectrum practice and therefore very challenging. I feel like working as a detective to search for the clues and find out the hidden criminal. Lots of fun.

The program I am working now offers free PDA with epocrates installed. I don't think medical student needs this software yet because it's more for practicing physician.

Uptodate is an excellent reference website, hospital has full access to it and my pda can connect to hospital system. Also I use PDA to check my patient's vitals, labs and other stuff when I am in conference.

Thomson MicroMedex is a pharmacy PDA software that very useful for drug interaction check, epocrates is not as complete and efficient as this one. but again, i don't think as med students, you will really need it.

I also have the account of MD consult, which I don't appreciate it too much because it's inconvinience.

[AppleFlower]

Luo Hua,

I think PDAs become necessary for med students partly because there's a big push in Canada towards evidence based practice. In one of the teaching clinics at the university I'm in, the residents are required to read up about their patient's condition before reporting to the attending. UpToDate is the program that clinic has on their computer. The PDAs aren't required by the schools, but if all your classmates have one and you don't, you're definitely at a disadvantage. The culture of the medical profession here is very different from China, everyone here is extremely competitive. I was on an exchange program a year ago and spent a month in Fudan Medical School, everyone there is so much more relaxed than here.

The program everyone has on their PDAs in my school is UpToDate, in fact, we had a class order of that too. :) I also have the free version of Epocrates on mine. One of my preceptors has also recommended the 5 minutes consult and the Washington Manual. Any programs you recommend?

I'm currently a 医学生 in Canada. :) As for what specialty, that's the thing that's giving me the biggest headache right now. I sort of need to decide by next March, but I really can't decide. What about you? What residency program are you in?

Hope you're having a good Sunday.

[落花飘零]

thank you appleflower.;) I didn't know that. hehe.
why do you think PDA is mandatory for med student? just curious, what kind of software you usually use?
so you are in medical school now? cool! have you thought about what specialty to go yet?

[AppleFlower]

Luo Hua,

I think PDAs are almost mandatory for med students in North America. I don't even know any med students who still don't have a PDA in their 3rd and 4th year. My class actually made a class order when we were in 2nd year.

[落花飘零]

zhaoju好。。

有医学生的residency program，都有教学任务，对我们住院医生来说，一般就是平时一起查房值班，上课不是义务的，一般program挑几个住院医生给医学生们上体检，收集病史这类的小课。

给学生上课可以巩固自己的知识，而且有额外的收入，嘻嘻。

不过今天是正式的大课，只是给老伯伯作助手，纯粹义务。

[zhaoju2000]

落花，你在课堂上讲课还是给老伯伯当助手？是不是住院医师都有做助教的要求？