Who Has Seen a Blood Sugar?: Reflections on Medical Education

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Medicine is a powerful way of shaping the invisible world, and in that power lie both medicine's benefit and its limitation. Teaching and learning medicine are unusually complex, and present subtle changes. The 41 essays in Who Has Seen a Blood Sugar? are not directly concerned with teaching methods and techniques. Rather, each takes as its starting point some particularly critical or problematic element of medical education, develops new and different ways of thinking about it, and explores better ways to ...
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Overview

Medicine is a powerful way of shaping the invisible world, and in that power lie both medicine's benefit and its limitation. Teaching and learning medicine are unusually complex, and present subtle changes. The 41 essays in Who Has Seen a Blood Sugar? are not directly concerned with teaching methods and techniques. Rather, each takes as its starting point some particularly critical or problematic element of medical education, develops new and different ways of thinking about it, and explores better ways to approach it. Many of these insights come from sources outside medicine, from fields as diverse as mathematics, linguistics, poetry, music, philosophy, and literature. All essays are referenced, pointing readers to additional sources of background material and detail. In fact, the nearly 250 references may be of special interest and use to readers.

41 essays on problematic elements of medical education that explore better ways to approach them.

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Product Details

  • ISBN-13: 9780943126470
  • Publisher: American College of Physicians
  • Publication date: 6/1/1996
  • Edition number: 1
  • Pages: 232

Table of Contents

Preface
Foreword
Acknowledgments
Introduction
1 Teaching Files and Textbook Examples: The Case of the Classic Case 3
2 Information and Education: Filling in the Blanks 7
3 Music Lessons: The Learning of Medical Informatics 12
4 Is Basic Science Necessary? 18
5 The Voytovich Solution 24
6 Commitment for Change: A "Radioimmunoassay" for Continuing Medical Education 29
7 Lifelong Learning 34
8 The Gold Standard of Evidence: Archie Cochrane and Systematic Reviews 40
9 Curriculum Is the Answer. What Is the Question? 46
10 What Is a Curriculum? 51
11 Mirror, Mirror: Medicine Enters the Self-Assessment Era 58
12 The Dilemma of the Uninteresting Patient 65
13 Content Matters: A Relative Educational Value Scale Considered 70
14 Medical Interviewing: The Crucial Skill That Gets Short Shrift 76
15 Ideals and Motivations: Learning Retreats 81
16 Why Is Teaching Valued Less Than Research? 86
17 Mystery, Murder, and Medicine: Reading the Clues 91
18 Who Has Seen a Blood Sugar?: The Shaping of the Invisible World 96
19 Manners: Getting the Meta-Message 101
20 Quitting: May the Force Be with You 106
21 Bankers and Midwives: Reflections on Education and Training 113
22 Confidence Testing: How To Answer a Meta-Question 117
23 The Technologies of Education: Sizzle and Steak 123
24 The Right Hand of Claude: Reflections on Becoming an Expert 128
25 A Touch of Cancer: Teaching about Uncertainty 134
26 What Can Doctors Do?: Assessing Clinical Skills 140
27 Severity: The Missing Link Between Disease and Illness 146
28 Heart and Head: Feeling and Thought in the Teaching of Medicine 152
29 A Technology for Remembering: Aphorisms and Maxims 158
30 Does Continuing Medical Education Work? 165
31 Training To Competence: So Crazy It Might Just Work 170
32 In the Vanguard: Teaching Medicine in the Community 175
33 Guidelines and Continuing Medical Education 180
34 Continuing Medical Education: Wants and Needs 185
35 Managing Messes: Three Models of Continuing Medical Education 190
36 Continuing Medical Education and Health Care Reform 195
37 Units of Learning, Not Units of Teaching: Toward a Rational Continuing Medical Education Credit System 201
38 Education, Patients, and the Public 206
39 The Best of All Worlds: Medical Education in the Global Village 211
40 Push and Pull: Joining Recertification and Continuing Medical Education 217
41 Changing Times, Changing Careers: Transformation and Education 222
Index 227
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