On Tue, 5 Feb 2008 09:07:55 +0000
"Waise Ahmed (York Hospitals NHS Foundation Trust)"
<[log in to unmask]> wrote:
> You have hit the nail on the head! Clinical biochemistry
>'teaching' (or is it learning?) needs to be put into the
>clinical context. Further more what is lacking is not
>necessarily CB teaching, since this should be integrated
>into medicine teaching, but how to request relevant
>investigations in various clinical scenarios and when and
>how frequently they should be repeated, as well as what
>do they rally mean? So it is not about when you should be
>doing LFTs but how do these integrate into he Ix and
>management of various aspect of liver disease. Would be
>nice if this also addresses other aspects of the
>diagnositc process
>
> A
>
>
> Ahmed Waise,
>
Dear Ahmed and all the other mailbase respondents,
The interest in this little paper is highly gratifying
although it was only a small study done for internal
purposes which Victoria, my co-author, presented at Focus
last year. It generated so much interest there that we
decided to try for publication.
What all the enthusiasts for integrated teaching may have
overlooked is that integrated teaching tends to be a 2
minute mention at the end of the lecture when everybody is
snoozing or tuition round a bedside by a lecturer who
learnt his or her biochemistry 25 years ago when SMAC
profiles were all the rage (we had a request for one
recently!). I totally agree that clinical biochemistry
needs to be integrated into clinical medicine but this is
best done by enthusiastic clinical biochemists like Peter
Gosling in ITU or Chemical Pathologists like Rob Lord or
Danielle Freedman on the wards or in the clinic. Otherwise
we just perpetuate the poor understanding of our clinical
colleagues. They would not expect me to teach cardiology,
although I see a lot of cardiac patients in my lipid
clinic, equally I do not expect them to do the only
teaching in clinical biochemistry as largely happens
locally. It is a simple matter of organisation and I and
my colleagues would love to help, but the Sheffield
medical school is not interested except in the ad hoc
arrangements that occur on a local basis.
What this paper indicates is that there are clinical
consequences to putting us in the smll print that medical
students tend to ignore.
best wishes and thanks for the comments
Trevor
Dr. T.A. Gray
Consultant Chemical Pathologist
Northern General Hospital
Sheffield S5 7AU
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