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,
Consultant Chemical Pathologist
Laboratory Medicine,
York Hospitals Foundation Trust,
YORK, North Yorkshire YO31 8HE, UK
[log in to unmask]
01904725855
---- Original message ----
>Date: Mon, 4 Feb 2008 16:05:39 +0100
>From: "Dr. Michael Steiner" <[log in to unmask]>
>Subject: Laboratory Medicine in Medical School and a proposal
>To: [log in to unmask]
>
>Dear Colleagues,
>
>In Germany the situation may be slightly better as clinical
>chemistry/laboratory medicine is part of the medical school curriculum.
>However, the critical point is that we teach it to third year medical
>students who are just starting clinical education and can hardly put
>laboratory data/algorithms into a clinical context.
>
>Locally, we have good experience with elective seminars, too. We have
>offered for some years in a row a course entitled "Evidence-based
>laboratory medicine". The current one reads "Teaching laboratory
>medicine and internal medicine with classic papers". Although
>relatively few students attend, their feedback is quite encouraging.
>
>May we make use of the discussion forum to compile a list how in
>different countries clinical chemistry/laboratory medicine is being
>tought in medical school ? This may form a starting point to propose
>changes ...
>
>Frustratingly, clinical chemistry/laboratory medicine is about to be
>completely removed from the dentistry school curriculum in Germany. Who
>will teach them blood counts, basic coagulation etc. ?
>
>Best regards,
>
>Mike
>
>Dr Michael Steiner
>University of Rostock
>Institute of Clinical Chemistry & Laboratory Medicine
>D-18057 Rostock
>GERMANY
>
>
>
>James J Miller schrieb:
>> Similar reductions of Pathology, in general, and especially Laboratory
>> Medicine in the medical school curriculum have occurred over the last
>> decade in the US - a little more reduction each year. (And there
>> wasn't a whole lot of Laboratory Medicine to begin with.)
>>
>> About 6 or 7 years ago, I attended a workshop at the AACC meeting
>> given by a pathologist from Canada. He had a unique solution. He
>> started an _elective_ course in Laboratory Medicine. Only a few
>> medical students took it at first, but, after a few classes had
>> advanced to ward duty, those who had elected to take Laboratory
>> Medicine began recommending it to younger medical students. Within a
>> few years, all medical students elected to take the course.
>>
>> I don't recall his name or institution. I could probably dig it out
>> of my archives, but perhaps some of our Canadian colleagues know
>> who/where this is, whether it has persevered, and whether it has spread.
>>
>> -Jim
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