The Efficient MD - Latest Comments in How Doctors Learn (and a Request for Help)

Re: How Doctors Learn (and a Request for Help)

Matt — Sun, 29 Mar 2009 16:51:29 -0000

One of the big things that is missing is the cycle of learning from past actions. Maybe it's there and lost among the mess of lines and arrows. This diagram seems to focus on a point in time and trys to account for every possible scenerio. It's almost as if your trying to turn a multi step process into one step and that is where the confusion comes from. In reality learning is done over time.... you give a BP meds and see the result in 2 weeks.... treat pneumonia with pneumonia see the result in 2 week. This is not the only source of leaning (at least it better not be if you want to be a decent practitioner) but it is sure an important one.

Re: How Doctors Learn (and a Request for Help)

Anonymous — Tue, 24 Mar 2009 17:20:46 -0000

Advice:

1. Get rid of Mind Manager

2. Take something for your OCD

3. Volatire: "The perfect is the enemy of the good"

Sorry to be so blunt, but you're making this all too complex.

Re: How Doctors Learn (and a Request for Help)

Leonard Kish — Tue, 24 Mar 2009 16:28:59 -0000

I'm not sure online tools belong in the "reviewing" area, as they are becoming collaborative, undirected, self-directed, treatment focused and didactic. In essence, these online communities are starting to mimic each of the "real world" areas, not just reviewing. Maybe they belong in an area of their own and broken down by the user experience/functionality of the tools online.

Oh, and be sure to include the www.syndicom.com communities. :-)

I love mind manger, and an avid user, but one of the issues is that you have to put everything in a hierarchy when the real world is a network.

Re: How Doctors Learn (and a Request for Help)

Joshua Schwimmer — Mon, 23 Mar 2009 20:47:32 -0000

Certainly, and thanks.

Re: How Doctors Learn (and a Request for Help)

Jen Shurley — Mon, 23 Mar 2009 16:20:45 -0000

I wonder if it would help to make the next iteration of your "How Doctors Learn" graphic conceptualization into hybrid flow chart- mind map. Bruce's "see one, do one, teach one" experience and Damjan's comment about how the weight of each learning medium figures into the overall learning process both suggest this. If the measure of learning you have in mind is whether one can use what has been learned in practice to good effect, a process-oriented diagram might help people reflect effectively on how their learning affects their practice.
(Btw, I'm an independent designer and social science researcher who reads your blog to help my orthopedist father improve his practice productivity. I find your work really helpful. Thanks!)

Re: How Doctors Learn (and a Request for Help)

Bruce — Mon, 23 Mar 2009 02:24:14 -0000

That does seem rather complicated, perhaps to the point of ceasing to be useful? I would have tended towards an initial division between knowledge acquisition ("knows how"), and the acquisition/ demonstration of practical/ procedural skills ("shows how"). Certainly the latter in my experience could be summarized as "see one, do one, teach one".

Re: How Doctors Learn (and a Request for Help)

Damjan DeNoble — Mon, 23 Mar 2009 01:10:54 -0000

also, could I include this on my blog carnival this Wednesday?

Re: How Doctors Learn (and a Request for Help)

Damjan DeNoble — Mon, 23 Mar 2009 01:06:51 -0000

I'd be interested to see you expand the chart and somehow include weights for each of these learning processes - so how much each process figures in the overall learning experience. Down the road, something like this would be awesome to have for doctors in different specialties; then one could use a tool like this to figure out how best to approach innovations among radiologists, which might, in the end, be a lot different than how one might approach innovation among cardiologists.

Re: How Doctors Learn (and a Request for Help)

Clinton — Sun, 22 Mar 2009 22:18:17 -0000

I'm not sure where it fits into your schema, but I would add in CME/Board Review Test Examinations somewhere. Reviewing? Self-directed learning?

I find reading textbooks and especially journal articles, are often too dry on the first run and when my mind is actively challenged with questions, I find the gaps in my learning. At my stage in the game (as an MS-3) there's a lot. :)

Re: How Doctors Learn (and a Request for Help)

kjell — Sun, 22 Mar 2009 22:11:24 -0000

simple or not, very cool schematic.