Showing posts with label video. Show all posts
Showing posts with label video. Show all posts

Friday, 6 January 2012

So this is the New Year


Aside from losing what little hair I have left over a project which developed a life of its own, broke out of the laboratory and terrified the local villagers, I've been listening to The Making of Modern Medicine, which was originally a series on BBC Radio 4 which follows the evolution of medicine from the time of Galen and the humours through to the mid-to-late twentieth century and high science.

Andrew Cunningham speaks eloquently and with good humour on a topic which I think too few medics have any notion about. In much the same way it behooves us to know how our own countries were born and a how they impacted the world, I think medics should know a bit about where medicine (as an art, as well as a science) comes from. The story has a very engaging narrative and includes, where appropriate, actual documents and notes made by doctors from the ages. Obviously it cannot cover absolutely everything, given that it covers several thousand years, but I think the editorial decisions made about which topics to focus on are well chosen.

For me, the biggest take home points for me were how we as modern medical students owe almost everything about the current teaching style to post-revolutionary France. "Little reading, much seeing and much doing" was the message from the teaching hospitals of Paris of the early 1800's - institutions which did not previously exist at a time when medicine was more about lectures and watching someone else dissect or perform examinations, rather than the student getting stuck in. The other resonant message was how medicine has moved from the times of Galen and Hippocrates when the patient would tell the doctor that they were unwell to the more modern, scientific world in which the doctor tells the patient when they are unwell - Indeed you cannot be unwell until a doctor says that you are unwell. I don't want to come off as reductionist about that point I can't help but feel that something has been lost there (as regards communication and relating to patients), something subtle but important.

Anyway, it's a great listen and very good value for money (6+ hours) - excellent gym fodder, when you want to take a break from the books and want something medical but light-hearted and engaging. And maybe someone else to read for you!

Amazon (UK) link: The Making of Modern Medicine
iTunes (UK) link: The Making of Modern Medicine

Friday, 4 November 2011

Friday, 8 July 2011

Because it's Friday...

And I'm a total sucker for a girl with a uke. Sue me:


She has, I think, one of the most tender voices. And if you can spare another 2 minutes:

Wednesday, 2 February 2011

The Checklist

Dr Steven Novella has just done a nice post on the importance of Checklists in general. I was introduced to the notion of the WHO's surgical checklist by one of my lecturers (I forget the main thrust of her lecture) who wanted to emphasise how lives are saved by double- and triple-checking aspects of care. When we did a mock OSCE on Tuesday one of the stations was drug administration, something I've been schooled in for quite a while and it gave me chance to share one of the checklist tools I was given in my nursing training:

The 5 rights of drug administration
Right patient
Right drug
Right time
Right route
Right dose

I've seen plenty of corners cut in my time on the wards, and how it was down to people doing extra work that there weren't serious complications. I hope I don't forget this when it's my turn to do either the right thing or the easy thing. I don't think they're often the same thing.