Depth And Breadth Of Knowledge Flashcards
Do you read and publications that are relevant to your interest in medicine? Tell us about an interesting article you read recently.
Journal of Current Ophthalmology
• use of noncorticosteroid systematic immunomodulatory therapy
• concluded little evidence for treatment used
• that doctors use experience based medicine
• interesting due to: EBM is the gold standard and research gap
British Journal for General Practitioners
• Polypharmacy (>4 drugs) not new, but more complex
• May be necessary for aging population, but may be iatrogenic harm
• side effect of evidence based medicine
Have you heard of any public health campaigns recently? What is your opinion on the role of them in medicine?
- Give HIV the finger
- Act FAST
- StopTober
- Various healthy eating
- Cost effective in prevention
- Healthier population
- Less strain on hospitals
- Save money for other NHS areas
Have you thought what you’d like to specialise in?
- Open minded
- Enjoyed aspects of all I’ve experienced
- Interest in people, so outpatients stand out (e.g. GP, Ophthalmology)
Have you read any interesting research recently?
BMJ
• overweight patients worse outcomes to rheumatoid arthritis treatment
- raise concerns whether to treat when it’s so ineffective, but may still cause side effects
- Whether patients on steroids should be on weight management plans
What have you learnt from doctors you’ve spoken to?
- Never stop caring
- Team work is very important in surviving
- Stress is part of the job, must be able to manage it
What do you think is the most exciting development in medicine recently?
The use of technology
• virtual GP clinics
• wearable technology (diabetes and obs)
Real-time diagnostics
• mass spec of tumour during cancer surgery
Utilisation of genomics and CRISPR editing
What do you think the most important developments in medicine have been?
Antibiotics - surgery and common illness
Vaccination - prevention is best
Discovery of risk of smoking - increased health
Human Genome project - huge amounts of info treat/cure/prevent
Stem cells - grow organs, shortage of organs 450 deaths/year and cost
Anti-VEGF injections for AMD, senses, prevent loneliness/depression in 600,000
Have you taken on any extracurricular projects that demonstrate your interest in medicine?
EPQ
Empathy exercises
Work experience
How important is evidence based medicine in medicine?
- Ensure patients are getting best care based on evidence
- Removed biased based on experience
- Gaps in research
- Patients in studies unlikely fully represent patient being treated
- Must be pre-equipped in emergency situations
- Sometimes there is no evidence
