Learning How To Learn - A Guide For Indian Doctors
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• Your professional knowledgebase is your biggest asset • As medical science progresses, you need to keep up with current trends • However…
You are very busy taking care of your patients . It’s hard to find the time to update
• However, if you become outdated, you will end up losing your patients to other doctors.
• This can also be embarrassing , when patients with internet printouts know more about their disease than you do !
Also, this failure to update yourself with the latest medical knowledge can result is lawsuits for medical negligence –
• We need to find better ways to help busy doctors stay current.
When do you need to search ? 1. To answer a specific patient-related question Complex problem Rare problem Multi-system problem
2. To keep up with new clinical developments 3. For medical conferences
Self-learning • You need to learn how to learn • You will no longer be taught • You need to take responsibility for your own learning • This is a lifelong process • Need to develop good habits !
Secrets of how to remember what you learn • 1. Apply what you learn. Learning about your present patient’s problems will ensure the information “sticks” ! • 2. Teach someone else – Patients – Conference – Colleagues
Secrets of how to remember what you learn 3. Find high quality information when you need it and where you need it
Quality of information • Information needs to be – Easy to find instantly AND – Relevant ( so you can apply it in real life !) – Authoritative and trustworthy – Current Utility of information = Relevance X Quality/ Work
How do you learn about new advances ? 1. Medical literature ( books and journals) 3. Medical Conferences 4. Colleagues and Consultants 6. Medical representatives ( MRs) 7. Patients 8. Internet
How do you learn about new advances ? 1. Medical literature ( books and journals) Problems Few doctors have access to a medical library Don’t have the time to use it ! Medical books are very expensive ( an get outdated quickly) Journals are unaffordable
How do you learn about new advances ? 2. Medical conferences Problems Difficult to find the time to attend these Can be poor quality Mostly opportunities to socialise, rather than learn Topics may not be what you want to learn or need to learn, so you forget what is heard very quickly
How do you learn about new advances ? 3. Colleagues and consultants Problems Not always available when you need them May have a “hidden agenda” May not be good teachers May confuse you by “ complexifying “ matters
How do you learn about new advances ? 4. Medical representatives Problems Information they provide is not always reliable They tell you what they want you to know – not what you need to learn Have a “hidden agenda”
How do you learn about new advances ? 5. Patients Can be your best teachers, if you allow them to teach you All good doctors learn from their patients all the time Problems Information they provide is not always reliable
6. What about the Internet ? • Problems • Designed for consumers, not doctors • Easy to search – hard to find the right information ! • Doctors are busy people – want the right information now !
Websites • PubMed ( MedLine) • Cochrane database • Not much information – only abstracts ! • Good for overview • Not authoritative – no standard medical text books or references
Websites • Medscape and emedicine.com • Not authoritative – no standard medical text books or references • Too many distracting advertisements
Free online medical journals
• BioMedCentral ( open source publishing) www.biomedcentral.com • www.freemedicaljournals.com • http://highwire.stanford.edu/lists/freeart. • Most leading medical journals offer free access only to older articles
Free online medical books • http://www.freebooks4doctors.com/
• Not standard ( authoritative) medical reference text books ( such as Harrison’s)
Wish list ? • Website for doctors only • From world’s leading medical publisher • Full-text • Both medical text books and medical journals • Cover all specialties • Ad-free !
Solution ! • www.mdconsult.com • Sign up for a free 30 day demo ! • You can be proud of your knowledgebase • Educate your colleagues and peers
Objections • 1. How does one find the time to learn when you are swamped with patients ? • Each patient is a “teaching opportunity” – make the most of it ! • Not learning is being untrue to yourself – and to your patients • Ignorance can be expensive !
Teaching patients – and learning from them ! • Search for the information in front of your patient • Share the information with him ! • Great way of showing that you care ! • Let him search for the information, and share it with you – you’ll both benefit !
Objections • 2. Isn’t this expensive • Not all good things in life are free ! • MDConsult personal subscriptions for doctors in India are available at a highly subsidised price of Rs 9995 only per year from HELP • More info at www.thebestmedicalcare.com • This is tax deductible
Demonstration
You are very busy taking care of your patients . It’s hard to find the time to update
• However, if you become outdated, you will end up losing your patients to other doctors.
• This can also be embarrassing , when patients with internet printouts know more about their disease than you do !
Also, this failure to update yourself with the latest medical knowledge can result is lawsuits for medical negligence –
• We need to find better ways to help busy doctors stay current.
When do you need to search ? 1. To answer a specific patient-related question Complex problem Rare problem Multi-system problem
2. To keep up with new clinical developments 3. For medical conferences
Self-learning • You need to learn how to learn • You will no longer be taught • You need to take responsibility for your own learning • This is a lifelong process • Need to develop good habits !
Secrets of how to remember what you learn • 1. Apply what you learn. Learning about your present patient’s problems will ensure the information “sticks” ! • 2. Teach someone else – Patients – Conference – Colleagues
Secrets of how to remember what you learn 3. Find high quality information when you need it and where you need it
Quality of information • Information needs to be – Easy to find instantly AND – Relevant ( so you can apply it in real life !) – Authoritative and trustworthy – Current Utility of information = Relevance X Quality/ Work
How do you learn about new advances ? 1. Medical literature ( books and journals) 3. Medical Conferences 4. Colleagues and Consultants 6. Medical representatives ( MRs) 7. Patients 8. Internet
How do you learn about new advances ? 1. Medical literature ( books and journals) Problems Few doctors have access to a medical library Don’t have the time to use it ! Medical books are very expensive ( an get outdated quickly) Journals are unaffordable
How do you learn about new advances ? 2. Medical conferences Problems Difficult to find the time to attend these Can be poor quality Mostly opportunities to socialise, rather than learn Topics may not be what you want to learn or need to learn, so you forget what is heard very quickly
How do you learn about new advances ? 3. Colleagues and consultants Problems Not always available when you need them May have a “hidden agenda” May not be good teachers May confuse you by “ complexifying “ matters
How do you learn about new advances ? 4. Medical representatives Problems Information they provide is not always reliable They tell you what they want you to know – not what you need to learn Have a “hidden agenda”
How do you learn about new advances ? 5. Patients Can be your best teachers, if you allow them to teach you All good doctors learn from their patients all the time Problems Information they provide is not always reliable
6. What about the Internet ? • Problems • Designed for consumers, not doctors • Easy to search – hard to find the right information ! • Doctors are busy people – want the right information now !
Websites • PubMed ( MedLine) • Cochrane database • Not much information – only abstracts ! • Good for overview • Not authoritative – no standard medical text books or references
Websites • Medscape and emedicine.com • Not authoritative – no standard medical text books or references • Too many distracting advertisements
Free online medical journals
• BioMedCentral ( open source publishing) www.biomedcentral.com • www.freemedicaljournals.com • http://highwire.stanford.edu/lists/freeart. • Most leading medical journals offer free access only to older articles
Free online medical books • http://www.freebooks4doctors.com/
• Not standard ( authoritative) medical reference text books ( such as Harrison’s)
Wish list ? • Website for doctors only • From world’s leading medical publisher • Full-text • Both medical text books and medical journals • Cover all specialties • Ad-free !
Solution ! • www.mdconsult.com • Sign up for a free 30 day demo ! • You can be proud of your knowledgebase • Educate your colleagues and peers
Objections • 1. How does one find the time to learn when you are swamped with patients ? • Each patient is a “teaching opportunity” – make the most of it ! • Not learning is being untrue to yourself – and to your patients • Ignorance can be expensive !
Teaching patients – and learning from them ! • Search for the information in front of your patient • Share the information with him ! • Great way of showing that you care ! • Let him search for the information, and share it with you – you’ll both benefit !
Objections • 2. Isn’t this expensive • Not all good things in life are free ! • MDConsult personal subscriptions for doctors in India are available at a highly subsidised price of Rs 9995 only per year from HELP • More info at www.thebestmedicalcare.com • This is tax deductible
Demonstration
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