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ACB-CLIN-CHEM-GEN  February 2008

ACB-CLIN-CHEM-GEN February 2008

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Subject:

Re: BBC NEWS | Health | Test confusion 'risk to patients'

From:

Robert Lord <[log in to unmask]>

Reply-To:

Robert Lord <[log in to unmask]>

Date:

Mon, 4 Feb 2008 21:05:51 +0000

Content-Type:

text/plain

Parts/Attachments:

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text/plain (127 lines)

Many thanks to Paul Masters for drawing my attention to 
the paper by Trevor Gray and Victoria Khromova. Doubly so 
in that I was able to access the paper and the 
accompanying editorial from Danielle Freedman directly 
from the net but unable to do so via my subscription to 
the Annals!

I suppose I have a special interest in the work carried 
out by Victoria and Trevor in that I am a Chemical 
Pathologist at a DGH that takes students from Sheffield 
Medical School and with my other hat on as Associate 
Director of Teaching at Rotherham have responsibility for 
the students that come to us. The paper raises several 
issues.

I agree with others that there has been a decline in the 
time allocated to basic sciences in the UK curriculum. 
However, I do think that an integrated type of curriculum 
is a move in the right direction. Please, let us not go 
back to the preclinical / clinical divide. I do have a 
problem with how all that time over the 5 yrs is spent 
though in particular the SSC components required by the 
GMC. If some of this SSC time could be used to get the 
students up to speed in ‘Investigations’ then I believe it 
would be time well spent. Clin Biochem is certainly not 
the only area that suffers at the moment. As far as I can 
see the students need a lot more of Haematology, 
Immunology, Microbiology, Histology, etc in lab based 
stuff as well as the Radiology / ECG / Lung Function Tests 
etc as well.

Who is teaching the students Clin Biochem? This is an area 
in which we have to be proactive and enthusiastic if we 
are to move forward. If we aren’t a formal part of the 
curriculum then we need to be an informal part! I’m pretty 
passionate about this and hence I’m involved with small 
group teaching of students in their first 2 years (not 
teaching Clinical Biochem though) so that when they do hit 
the wards full time many of them know who I am and what I 
do. Working at a DGH I have the luxury of smaller numbers 
of students at any one time in general medicine / surgery 
and hence I get some teaching in on Clinical Biochem to 
these group of 20 students at a time relatively early on 
in their training. We only do basic U+E, glucose, calcium 
and LFT. Nothing more complicated. Same again in the final 
year. I back it up with a website - 
http://www.clinbiochem.info - so that they can work 
through this outside the teaching sessions. I also see 
them on the wards when I’m doing TPN and ward Biochem 
referrals. For those who are particularly interested I 
will take them to see patients to see Clin Biochem in 
action – patients with DKA are common and make great 
Biochem teaching material!

I’m not sure whether we are going to ‘reclaim’ that time 
that we used to have with the students for Pathology 
teaching. It’s up to the Docs and Clinical Scientists in 
Clin Biochem in the NHS to make contact with the students 
and provide teaching that they want (and need).

Disclaimer: My views in no way reflect the fact that I 
hadn’t a clue about Clin Biochem as a med student and had 
never heard of a Chemical Pathologist until I became an 
SHO!

Rob Lord






On Mon, 4 Feb 2008 11:11:50 +0000
  Paul Masters <[log in to unmask]> 
wrote:
> According to the link to the ACB from the BBC website:
> 
> "The Association for Clinical Biochemistry blamed poor 
>teaching of the 
> subject at medical schools"
> 
> Such teaching would in a large part be delivered by 
>members of which 
> organisation? Oh, the ACB. Talk about shooting yourself 
>in the foot!
> 
> To be fair the actual press release points to removal of 
>clinical 
> biochemistry from the curriculum, rather than poor 
>teaching. I suggest the 
> wording on the ACB website is changed to reflect this.
> 
> Paul
> 
> ------ACB discussion List Information--------
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> Please note, archived messages are public and can be 
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------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
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