How I Would Study in Med School (If I Could Start Over)

Justin Sung
11 Apr 202423:51

Summary

TLDRIn this reflective video, Dr. Justin Sun shares his medical school experience and the learning mistakes he made, such as over-engineering for exams and lacking clinical perspective. He advises students to simplify complex information, focus on clinical reasoning first, and strategically utilize clinical placements to reinforce learning. His tips aim to make medical education more efficient and enjoyable, emphasizing the importance of understanding knowledge in a way that translates to real-world practice.

Takeaways

  • πŸŽ“ Over-engineering for exams was a mistake; it didn't translate well into practical clinical use and led to repeated relearning of forgotten information.
  • πŸ” Lack of discernment in learning details resulted in a disjointed understanding of the big picture and difficulties in managing complex clinical cases.
  • πŸ“š The speaker regrets not utilizing clinical attachment days effectively, missing out on learning opportunities that couldn't be gained from studying alone.
  • πŸ€” Clinical reasoning was neglected until late in the medical school journey, which hindered the ability to navigate from symptoms to potential diagnoses.
  • πŸ—‚οΈ The importance of having a system for foundational knowledge was overlooked, leading to inefficiencies in learning and retention.
  • 🧩 The realization that learning should not be compartmentalized but integrated from a clinical perspective first, then reinforced with detailed disease-focused study.
  • πŸ“‰ The shock of failing a clinical attachment due to an exam-focused learning approach highlighted the need for a more practical and foresightful learning method.
  • πŸ“ˆ Emphasis on the need to understand information in a simplified and intuitive manner to avoid feeling overwhelmed and to improve clinical application.
  • πŸ“ The speaker advises to pick important areas to focus on, acknowledging that it's impossible to learn everything in medical school and to prioritize based on clinical relevance.
  • πŸ‘¨β€βš•οΈ The mindset should be that of a doctor in training, not just a medical student, which changes the approach to learning from memorization to understanding and application.
  • πŸ”„ The recommendation to prepare for clinical placements by studying the most likely conditions to be encountered, creating a direct link between study and practical experience.

Q & A

  • What was Dr. Justin Sun's profession before becoming a learning coach?

    -Before becoming a learning coach, Dr. Justin Sun worked as a junior doctor for a couple of years.

  • What is the main focus of Dr. Sun's work now?

    -Dr. Sun's main focus now is on education, educational entrepreneurship, and social enterprise, helping students worldwide learn more efficiently.

  • Why did Dr. Sun fail his first clinical attachment in medical school?

    -Dr. Sun failed his first clinical attachment because his learning method, which was suited for exams, did not translate well to clinical practice and real-life application of knowledge.

  • What was one of the biggest mistakes Dr. Sun made during his medical school years?

    -One of the biggest mistakes Dr. Sun made was overlearning for exams without considering how he would use the information in the future, leading to a lack of foundational knowledge and frequent relearning of the same topics.

  • How did Dr. Sun's approach to learning change after realizing the issues with his initial method?

    -Dr. Sun started learning from a clinical reasoning perspective first, then later reinforced his learning with disease-focused pathophysiology, which organized his knowledge functionally and provided more context.

  • Why did Dr. Sun struggle with understanding patients with atypical presentations or multiple comorbidities?

    -Dr. Sun struggled because his knowledge was fragmented and disjointed, lacking a big-picture understanding of how different aspects interacted to affect patient presentation and management.

  • What was the issue with Dr. Sun's approach to learning about shock during his preclinical years?

    -Dr. Sun's issue was that he learned shock as a collection of different types, ideologies, and clinical findings without a unifying framework, making it hard to remember and apply the knowledge effectively.

  • How did Dr. Sun's senior help him understand shock in a more intuitive way during his clinical attachment?

    -Dr. Sun's senior used a simple diagram comparing the body to a pump with tubes in a container, explaining that shock involves problems with the pump, tubes, container, or fluid, providing a framework to understand and question different aspects of shock.

  • What was the key realization Dr. Sun had about anatomy during his rotation in Orthopedics?

    -Dr. Sun realized that the reason to know anatomy is not just for the sake of knowledge, but to apply it in practical situations, such as during surgeries, which helped him understand and remember anatomy better.

  • What advice does Dr. Sun give to medical students about making the most of their clinical placements?

    -Dr. Sun advises students to focus their studying on the most likely conditions they will encounter in their clinical placements and to engage actively during ward rounds and surgeries to consolidate their learning and ask relevant questions.

  • What is the importance of simplifying and finding an intuitive understanding of medical topics according to Dr. Sun?

    -Simplifying and finding an intuitive understanding of medical topics helps create a solid framework for more detailed learning, making it easier to remember and apply knowledge in clinical situations.

  • How does Dr. Sun suggest medical students approach their studies to reflect clinical application of knowledge?

    -Dr. Sun suggests that students should first understand medical topics from a clinical perspective and then go back to learn more details about the disease or pathophysiology, which aligns with the trend in medical school examinations towards clinical application.

  • What is the significance of viewing oneself as a doctor in training rather than just a medical student?

    -Viewing oneself as a doctor in training emphasizes the importance of learning how to apply knowledge in real clinical scenarios rather than just memorizing facts, which is crucial for long-term retention and effective practice.

  • Why is it important for medical students to pick their losses and focus on what is clinically relevant?

    -It is important because it is impossible to learn everything in medical school, and focusing on clinically relevant knowledge helps students to prioritize their learning and better prepare for their future practice as doctors.

Outlines

00:00

πŸŽ“ Reflecting on Medical School Experiences

Dr. Justin Sun, a learning coach and former junior doctor, shares his personal experiences from medical school, highlighting the mistakes he made and the lessons he learned. He emphasizes the importance of learning efficiently and adapting study methods to clinical practice, rather than just for exams. He also discusses the pitfalls of over-engineering study methods, the challenges of clinical attachments, and the need for a more holistic approach to learning medical knowledge.

05:00

πŸ“š The Pitfalls of Rote Learning and Detail Focus

In this paragraph, Dr. Sun describes how his initial approach to learning was overly focused on memorization and details, which led to difficulties when applying knowledge in clinical settings. He realized the importance of understanding the big picture and the interconnectedness of medical concepts. He also regrets not utilizing his clinical attachment days effectively, missing out on learning opportunities that come from hands-on experience and patient interactions.

10:02

🧠 Clinical Reasoning and the Importance of Context

Dr. Sun discusses the shift in his learning approach from a disease-focused to a symptom-focused perspective, which allowed him to navigate clinical scenarios more effectively. He underscores the value of clinical reasoning and the need to understand diseases from a symptomatic viewpoint. He also shares an anecdote about learning shock, illustrating how a simple, intuitive framework can transform complex information into a more digestible format.

15:05

πŸ’‘ Simplifying Complex Information and Clinical Correlation

Here, Dr. Sun emphasizes the importance of simplifying complex medical information and finding intuitive ways to understand it. He reflects on his past failure to do so, which led to gaps in his knowledge. He also discusses the importance of clinical correlation, suggesting that students should learn anatomy and other subjects by considering their application in clinical practice, which makes learning more relevant and memorable.

20:06

πŸ“ˆ Prioritizing Knowledge and Maximizing Clinical Placements

In this section, Dr. Sun offers advice on how to prioritize learning and make the most of clinical placements. He suggests focusing on the most likely conditions to be encountered and tailoring study plans to align with anticipated clinical experiences. He also encourages students to engage actively during clinical placements, asking questions, and seeking opportunities to apply their knowledge, which can lead to a more fulfilling and effective learning process.

πŸš€ Final Tips for Medical School Success

Dr. Sun concludes with a series of final tips for medical students, including simplifying complex topics, focusing on clinical application, and picking one's learning battles. He also stresses the importance of viewing oneself as a doctor in training, rather than just a student, and the value of engaging with clinical experiences to reinforce learning. Additionally, he mentions resources for further learning techniques and his guided step-by-step program for mastering an effective learning system.

Mindmap

Keywords

πŸ’‘Medical School

Medical School refers to an educational institution that provides medical education and training to students who wish to become medical doctors. In the video, the speaker reflects on their experiences during medical school, highlighting the challenges and lessons learned. The theme revolves around the mistakes made and the insights gained that could make medical education more efficient and less stressful.

πŸ’‘Clinical Attachments

Clinical Attachments are practical, hands-on experiences in a medical setting where students apply their theoretical knowledge to real-life patient care. The script mentions the speaker's struggles during their clinical attachments, particularly in their third year, which differed significantly from their prior success in pre-clinical exams.

πŸ’‘Over-engineering

Over-engineering in the context of the video refers to the excessive and overly complex approach the speaker used to prepare for exams, which proved ineffective for clinical practice. The term is used to illustrate the mistake of focusing too much on exam-specific learning rather than developing practical skills and knowledge applicable in a clinical setting.

πŸ’‘Short-term Memory

Short-term Memory is the cognitive capacity to hold a limited amount of information temporarily. The speaker regrets building a learning system based on short-term memory, which led to repeatedly relearning the same information throughout medical school and practice, instead of creating long-lasting foundational knowledge.

πŸ’‘Discerning

Discerning in this context means being able to distinguish or identify what is important or relevant. The speaker admits to not being discerning about the level of detail needed in their studies, focusing on excessive specifics without understanding the bigger picture, which hindered their ability to apply knowledge effectively.

πŸ’‘Clinical Reasoning

Clinical Reasoning is the process of thinking and problem-solving used by healthcare professionals to diagnose and manage patients. The video emphasizes the importance of clinical reasoning, which the speaker initially neglected, leading to difficulties in handling complex patient presentations and formulating management plans.

πŸ’‘Spiral Curriculum

A Spiral Curriculum is an educational approach where concepts are revisited and built upon in an increasingly complex manner throughout a course of study. The speaker mentions this as a modern educational method that integrates clinical scenario thinking from the early stages of medical education, contrasting with their own disjointed learning experience.

πŸ’‘Clinical Correlation

Clinical Correlation refers to the application of basic science knowledge to clinical situations. The speaker advises medical students to seek clinical correlations, emphasizing the importance of understanding how theoretical knowledge applies to real-world patient care, which was a realization the speaker came to later in their education.

πŸ’‘Differential Diagnosis

Differential Diagnosis is the process of considering and sorting through various potential diagnoses to identify the most likely cause of a patient's symptoms. The script describes the speaker's initial inability to think through differential diagnoses effectively, which improved when they began studying from a clinical reasoning perspective.

πŸ’‘Pathophysiology

Pathophysiology is the study of the mechanisms and causes of disease. In the video, the speaker suggests a learning approach where pathophysiology is understood in the context of clinical presentations and symptoms, rather than as isolated disease states, to create a more functional and memorable knowledge base.

πŸ’‘Anatomy

Anatomy is the study of the structure and parts of the body. The speaker discusses the importance of learning anatomy in a way that is directly applicable to clinical practice, such as understanding the implications during surgery, rather than just memorizing anatomical facts without context.

πŸ’‘Shock

Shock in a medical context refers to a life-threatening condition where the body's tissues do not receive enough oxygen and nutrients. The speaker uses the example of shock to illustrate the importance of simplifying complex information and understanding it within a clinical framework, which was a transformative learning experience for them.

πŸ’‘Clinical Placements

Clinical Placements are periods during medical education where students work in healthcare settings to gain practical experience. The speaker regrets not utilizing these placements effectively, missing opportunities to learn from direct patient interactions and clinical experiences, which could have enriched their understanding and application of medical knowledge.

πŸ’‘Intuitive Understanding

Intuitive Understanding refers to grasping a concept or idea in a way that feels natural and makes sense, without needing to rely solely on memorization. The speaker encourages developing an intuitive understanding of medical topics as a foundation before adding details, which helps in long-term retention and application of knowledge.

πŸ’‘Specialist

A Specialist is a medical doctor who has completed additional training in a specific area of medicine. The video mentions that even those who successfully completed medical school by memorization are now relearning as specialists using the more effective learning strategies the speaker advocates, highlighting the long-term benefits of these methods.

πŸ’‘Flashcards

Flashcards are a learning tool used to aid memorization through repetition and visualization. The speaker mentions using flashcards for complex topics like shock but found them ineffective due to a lack of intuitive understanding, suggesting the need for a more integrated and simplified learning approach.

Highlights

The speaker, Dr. Justin Sun, shares his experience and mistakes from medical school, aiming to help others avoid similar pitfalls.

Over-engineering learning for exams was a mistake that didn't translate well to clinical practice.

Lack of foresight in learning led to repeated relearning of foundational knowledge throughout medical school and doctor career.

The importance of discerning the level of detail needed for effective clinical application was overlooked.

Clinical placements were underutilized, missing opportunities for contextual learning.

Clinical reasoning was neglected, leading to difficulty in applying knowledge to patient presentations.

The realization of the need to learn from a symptom-focused perspective rather than just disease-focused.

The transformative effect of a simple diagram in understanding shock, emphasizing the need for intuitive learning methods.

The importance of deliberately simplifying complex information for better understanding and retention.

Anatomy should be studied with the intention of using it in clinical practice, not just memorizing facts.

The value of putting oneself in the position of performing a procedure to understand the relevance of anatomy.

Making things simpler and more intuitive is a key strategy for effective learning in medical school.

Clinical perspective should be prioritized when learning to facilitate understanding and application of knowledge.

The concept of being a doctor in training rather than just a medical student is crucial for effective learning.

The advice to pick one's losses and focus on what's clinically relevant for effective learning.

Utilizing clinical placements effectively by aligning study with anticipated clinical experiences.

The importance of engaging in clinical experiences to build on and consolidate learning.

Dr. Sun's regret of not focusing on clinical experiences during early rotations and the wasted time.

Final tips for medical students on how to make the most of their medical school journey.

Transcripts

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going to medical school was an amazing

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unique experience that I never want to

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do again by the time I graduated medical

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school there are a lot of things that I

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wish I had done very differently and

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they would have made mid School much

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easier or saved me a lot of time and

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stress and so let me tell you the

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mistakes that I made I'll tell you what

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I did what problems it led to which

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weren't like that obvious at the time

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and then what I would do differently or

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how I managed to change things up by the

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time I graduated and hopefully it can

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save you some of the Str that I went

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through going through medical school

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myself for those of you that are new to

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the channel welcome I'm Dr Justin Sun

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I'm a learning coach and the head of

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learning at I can study but in my past

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life I worked as a junior doctor for a

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couple of years before deciding that my

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true passion and Alignment lay with

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education and educational

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entrepreneurship and social Enterprise

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and so that's what I do now so for the

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last 10 years I have been helping

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students from around the world learn to

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learn more efficiently so let's just

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jump into it with the first mistake that

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I made which was that I really over

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engineered a way of learning that was

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suited for exams and this was fine in my

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pre-clinical years and when I entered

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into my clinical attachments in

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hospitals uh which for me was in my

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third year of medical school I actually

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failed my first run that first one was

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General medicine or for those of you in

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North America Internal Medicine which

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you probably know is like a major major

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attachment and this came as a shock to

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me because I was doing reasonably well

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in my preclinical examinations so I

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didn't really expect to bomb so hard in

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my clinical attachment and the reason

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was because I was learning in a way that

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was fine for the exam but it wasn't

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translating very well to clinical

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placement and the way that I would need

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to use that knowledge in real life and

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so not only could I not really use my

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knowledge effectively but also I built a

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system that was really more around

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shortterm memory like learn it for this

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exam and then a month or two later I

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don't really needed anymore so I wasn't

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creating strategies that allowed me to

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build foundational knowledge and carry

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that through year after year so what

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ended up happening was that I would

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probably every single year of not only

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medicine but also working as a doctor

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relearn the same things that I had

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learned and just kept forgetting over

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and over and over again and so that was

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probably one of the biggest mistakes

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that I made was was just overlearning

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for exams without having more foresight

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into how I would need to use that

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information in the future but another

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aspect of it was that I wasn't very

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Discerning about the level of detail

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that I needed I had a general sense that

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I needed to learn everything and I was

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very focused on a lot of very specific

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details so I would have fragmented

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discret but like a copious amount of

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factually accurate technical specific

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information and detail but when it came

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to really understanding how everything

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worked at a big picture level I was very

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disjointed it was very fragmented so

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when I started seeing patients that

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didn't just have like this disease with

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this particular symptom cluster and they

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had atypical presentations of a disease

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and they were slightly older and they

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were on this medication and a previous

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comorbidity and they had this type of

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surgery and they also have this other

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disease and they've got this other thing

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which maybe is diagnosed or maybe not

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but you don't know cuz the record was

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from 20 years ago it just became way too

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confusing because I didn't know how all

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these different aspects interacted with

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each other to affect the presentation of

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the patient in front of me or the

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management for them moving forward and

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I'd look at my scene

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and they used to be a to like take all

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these things and just come to these very

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Nuance really well synthesized

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management plans and and differential

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diagnoses for the patients very quickly

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and it became obvious to me that it

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wasn't just because they had memorized

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more than me they fundamentally were

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able to see the patient and all that

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information through a different lens

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like it made sense to them in a way that

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it just did not make sense to me that

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was not about just knowing more facts I

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never already thought about how you can

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understand information in a different

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way through preclinical when I was in

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preclinical there was a method of

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understanding a topic that was given to

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me like this is how you learn

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antibiotics this is how you learn you

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know microbiology this is how you learn

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genetics this is how you learn Anatomy

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whatever it is and that is the way that

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I would learn it the way it was given to

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me is the way that I would learn it and

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if it was hard to understand it's just

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like I guess this is kind of a harder

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topic I just need to study more more I

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didn't go out of my way very often to

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look for a simpler way to put it all

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together as a proportion of time wasted

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this probably wasted the most amount of

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time for me throughout all of medical

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school which was that I didn't utilize

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my clinical attachment days very

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effectively there were a lot of days

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where I rock up and I wasn't really

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interested in what was happening during

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the ward round I wasn't interested in

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what was happening during the patience

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like I didn't really even want to

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see patience because I felt like I had

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such a knowledge deficit that I just

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wanted to go and study like I would come

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to the hospital just to show face show

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my seniors like hey I'm around I exist

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please remember me for when you do my

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marking forms hey by the way can I go

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and just study now and thinking back on

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it it is important to take time

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independently to study but there's also

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a lot of learning that I could have

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gained from Clinical placements

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that I just completely ignored there are

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just some things that you cannot learn

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from just studying like you need the

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patient there to be able to understand

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what you're learning in context to give

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it relevance and that's what I found was

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that when I was studying it purely

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academically I didn't have a sense of

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relevance for how I could use this

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information and all the nuances around

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it and so it was very hard for me to

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make sense of it and organize it because

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I just didn't know how I need to apply

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it at the end of this video I also talk

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about how you can make the most of

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clinical time this is what I recommend

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to all my clinical medical students now

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this is what I started doing in my final

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year of medical school and it it just

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makes clinical days so much more

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valuable okay so let me give you a

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couple of examples now specifically of

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things that I had learned like this

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wrong way and the way that I had changed

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it so that you've got a bit more context

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and I'll end off with like a few

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specific concrete recommendations that I

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would recommend for any medical student

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I promise you this is going to make your

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medical school life much easier much

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more enjoyable and just like you're

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going to save a lot of time so here's

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what happened I was sitting there in the

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ward and my consultant otherwise known

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as an attending physician he sat down

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after I saw a patient and he said okay

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your patient here has chest pain what

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are you thinking about and I said okay

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well there are some things it could be

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like it could be an MI mardan function

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it could also be a PE and I just could

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not think like I was choring for ideas

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for chest pain which is like the most

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typical like the most classical you know

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symptom that you should probably be

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prepared for and that's when I realized

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I'd never really thought about it from

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that perspective before like I had

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thought about it from such a disease

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Focus that i' never really thought about

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it from a symptom focus when someone

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just presents to you with whatever they

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have how can I navigate backwards to

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figure out what disease or diseas is I

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got going to sit in my differentials and

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I just couldn't use my knowledge in that

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direction it was just too fixed it was

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just too rigid and this came up time and

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time again it happened for diabetes it

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happened for shock uh because the way

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that I learned something like diabetes

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was that I learned it like this right

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I'd learn okay this is diabetes this

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panop these are the complications

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andever I tested myself I test myself

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like this as well hey what are the

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microvascular complications of diabetes

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Well the macrovascular complication of

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diabetes I didn't test myself from the

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other way around I didn't say okay let's

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say that someone has blindness in their

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eyes what are the differential diagnoses

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for that what are the possible things

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and what are the questions that you

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would have to ask to rule in or rule out

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certain diagnoses the clinical reasoning

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part of my studying I just did not think

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about it until way too late in my

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medical school and a lot of medical

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schools now have realized that that's a

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problem with the way that they teach and

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so there are these things they're

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technically called spiral curriculums or

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spiral integrated curriculums or

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integrated curriculums but the idea is

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that you have a lot of this clinical

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scenario thinking all the away from the

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beginning in your preclinical years

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which is a great step but I also work

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with a lot of students that are going to

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medical schools they teacher this way

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now and what I've realized is that they

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still compartmentalize it they still

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learn every disease as a disease basis

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first and then way way way way down the

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line they then try to go backwards and

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then they get overwhelmed and overloaded

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and because medical school is

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challenging and there's a lot of volume

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to study it's just too much and people

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just end up more confused and so one of

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the things that I wish I had done and

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then I started doing later on is I just

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studied it purely from the clinicals

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perspective first I learned it from a

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clinical reasoning perspective to begin

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with and then later when I'd understood

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that I'd come back to the path of

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physiology and then reinforce my

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learning at a disease Focus because that

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actually makes a lot more sense rather

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than learning the disease one by one and

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then trying to bring it together to see

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you know how you can look at it from a

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symptom first perspective I just learned

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it from a symptom and sign perspective

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first and then I worked my way through

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the differentials and then patted up

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with pathophysiology so if someone comes

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in with chest pain I would start

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thinking okay pain in the chest could

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come from the skin could come from the

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bones could come from the muscles I just

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work my way in could be the plura could

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be The myocardium could be

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neurogenic so I would start in that

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order and then I think okay so what are

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the things that I can think of that

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could be affecting things there and

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anytime I didn't understand or I thought

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I was missing something then I would go

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to learn more about that particular

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disease so that I would be able to work

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through my differential and clinical

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reasoning process a little bit more what

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this meant was that my knowledge was

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much more functionally organized to

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begin with and I had the same level of

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detail but I had much more context to it

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and a great example of where this came

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in handy was when I learned about shock

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so when I first learned shock in prein I

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learned it pretty much like this I just

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had all the different types of shock all

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the different possible ideologies the

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pathophysiologies and all the like

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various clinical findings like cardiac

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output is down or up or jvp is elevated

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or not or neutral or you post and heart

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raid like I would just learn all of

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these different things and I have these

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committed to flash cards actually you

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know what I literally for this

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particular topic I literally Drew

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handwritten cards and blue tacked them

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to my wall and I so proud because they

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were very pretty and I literally got no

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value out of it I probably looked at

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them like five times and uh I never

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really remembered anything about them to

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this day I don't remember what it looks

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like other than the fact that it used to

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hang right above the door handle on my

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wall so this is how I learned shock and

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I managed to you know pass all my exams

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if you ask me hey what are all the

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symptoms of hypo volic shock what are

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all the signs I would have been able to

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give you an answer honestly I don't

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remember anymore but when I worked in Ed

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my senior pulled me aside and he was

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like hey let's just talk about shock for

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a second he was like you know I know

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that when you go through mid School you

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learn it this way but let me show you a

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way that's just much faster so he takes

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a piece of just random clinical paper

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and he just draws a very simple diagram

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and he just says hey look at the end of

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the day shock is just about a pump the

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tubes that are connected to the

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pump sit sitting inside a container that

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is your body and then there's fluid

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being pumped through the tubes so if

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you've got shock it's either going to be

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a problem with the pump a problem with

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the tubes a problem with the container

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or a problem with the fluid and that's

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all the different types of shocks and he

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went through and then he mapped every

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single part of shock and all the

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different types and ideologies to this

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framework and he said so when you're

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seeing a patient all you need to do is

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ask yourself is there a problem with the

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pumps and you know exactly what

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questions to ask is a problem with the

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pipes you know the questions to ask is a

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problem with the fluid you know the

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questions to ask is a problem with the

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container you know the questions to ask

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and for me that was a transformative way

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of thinking one of the things that I

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said before was that I didn't spend a

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lot of time when I was studying

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academically to deliberately make things

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simpler and here's the reason why it

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would have helped me a lot because just

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looking for like an image for this video

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I actually found that there are a lot of

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other ways that of thinking about shock

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and I found this particular image here

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which classifies shock in a very similar

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very simple way and I don't know when

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this was published but if I had taken

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the time to deliberately take something

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that I thought was overwhelming and very

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detailed and say there must be a simpler

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more intuitive way to understand this

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what could it be if I had taken the time

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10 15 20 minutes to take this

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information and deliberately try to make

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it simpler and more intuitive I probably

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probably could have arrived at this kind

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of or this kind of conclusion by myself

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years earlier but I didn't and as a

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result I had a gap in my knowledge and I

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wish I had done that for anatomy as well

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I've restudied Anatomy again and again

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and again almost every single year and

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it's only when I actually did a run in

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Orthopedics that it kind of clicked how

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I needed to be thinking about it and it

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clicked for me during surgery I was

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retracting a body cavity as you do

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just trying to maintain tension and not

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have the consultant surgeon yell at me

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we've all been there and also not trying

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to fall asleep it's a long operation

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it's like a 4 and 1 half hour operation

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just standing there almost falling

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asleep passing out and after the

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operation he comes out to me and he says

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so what did you learn and to be honest I

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learned that I hate retracting body

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cavities so I didn't really learn

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anything and I tried to make something

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up like oh it's really interesting

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seeing how you did the suture it was

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cool to see the hip replacement go in

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how you dealt with the bleeding and he

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was like okay okay okay it was like do

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you notice where I switched from using

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the the scalp of dimy and where I moved

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to blunt dissecting do you know why I

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did that and honestly first of all I

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didn't notice that he did that and

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second of all I had no idea why I wasn't

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even thinking about why and he proceeded

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to explain to me that that is the point

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at which the I can't remember I think

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may have been like a offshoot of the

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femoral artery like a very important

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artery passes around there so you need

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to be careful around that area which is

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why he stopped and he started blunt

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dissecting instead and I thought okay

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that's actually a really good point and

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I probably should have known that and

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now I feel like an idiot for not knowing

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that but that's also when I had the

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realization that the reason that you

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would need to know Anatomy is not just

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to know Anatomy but you need to use that

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knowledge somehow and I'd never really

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thought how to use the knowledge of

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anatomy Beyond like just a very obvious

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clinical corate that was taught to me in

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lectures so when I started going back

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through my anatomy and now thinking okay

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let's imagine that I'm

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operating how would I study the anatomy

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if I was operating and there's this

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really good scene in this like Korean

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movie like TV series on Netflix and

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there's this one medical student who has

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to perform surgery on this other person

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and because he's still a student he has

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has no idea how so he spends all night

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studying his Anatomy textbooks to devise

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a strategy for

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operating and the reason that I think

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that scene is really good is because

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that's exactly the way that I started to

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study I put myself in the position where

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I thought what if I'm the first person

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to ever do this operation how does that

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make me look at Anatomy differently and

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when I started doing that Anatomy became

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so much easier more engaging and more

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just enjoyable and more memorable to

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learn because there were consequences

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there was a context and a sense of

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relevance to what I was learning and

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again yes it does take longer but

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surprisingly not that much longer and

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the time you're spending is a lot more

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enjoyable and you just remember so much

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more that you're going to save your time

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like truckloads in the long run because

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something like Anatomy is useful for all

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forms of medicine like even saying

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someone's got chest pain to think well

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how can you work through that well you

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can take an anatomical approach well if

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you don't know your Anatomy well enough

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to think about the chest wall and work

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your way from out to in and understand

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the structures that are in place that

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cause chest pain that's not going to be

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very easy for you if you don't know your

play17:14

abdominal and Anatomy well enough that

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if someone says hey you've got like LIF

play17:17

upper quadrant pain and then you can

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work through anatomically to think where

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that could be caused from it's going to

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be very difficult whereas learning the

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anatomy very well sets a good foundation

play17:27

for all the other type of learning that

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you're going to have to do here are my

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final tips here's the things that I wish

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I had done that I encourage you to do

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first of all as much as possible

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whenever you can try to make things

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simpler and more intuitive don't just

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learn it the way that it's given to you

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find a way to understand it it may be

play17:50

less detailed but give yourself

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something simple to base things on I

play17:55

have a skeleton of a simple intuitive

play17:57

understanding and a framework to think

play17:59

through whenever you feel like man

play18:01

there's a lot to remember and a lot to

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memorize here whenever you feel that

play18:05

sense that this could be overwhelming

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find a way to break it down and make it

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simpler you can always go and learn the

play18:12

details and you should but you should

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always do that after you have a very

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simple intuitive way of understanding

play18:18

the entire topic it's going to help you

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also whenever possible look for the

play18:22

clinical coret ask yourself how am I

play18:25

actually going to use this knowledge

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before you try to learn anything through

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a patho Fizz or a disease or you know

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very discret isolated perspective find a

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way to think about it from a clinical

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perspective first understand it from a

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clinical perspective first and then go

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back to learn more details about the

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disease or the pathophys again it's

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going to make it much easier and it's

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going to make it make more sense and

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you're probably going to do better for

play18:49

all of your examinations as well because

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most medical schools around the world

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are transitioning towards having

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examinations that reflect clinical

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application of knowledge uh a little bit

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more closely remember you are not a

play19:00

medical student you are a doctor in

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training and that's a difference you can

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try to just keep memorizing and smashing

play19:08

things through forever but trust me it

play19:10

doesn't really work the friends that did

play19:14

that and got their way through medical

play19:15

school and thought hey why do you need

play19:16

to change the way that you're studying

play19:17

you just need to memorize it more now

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they're studying to become a specialist

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and they're having to relearn all that

play19:23

stuff all over again because they don't

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remember any of it and now they're

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having to learn it through the methods

play19:28

that I'm teaching you now and honestly

play19:30

there is no reason that you can't just

play19:34

learn it like how a specialist in

play19:36

training is trying to learn it when

play19:38

you're a pre-clin medical student it's

play19:41

just a better more intuitive way to

play19:44

learn the material my next tip is to

play19:46

pick your losses you really can't learn

play19:49

absolutely everything that you learn in

play19:50

medical school or just in medicine in

play19:52

general like it's straight up impossible

play19:54

and you do have to learn a lot of things

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so I would recommend that you kind of

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pick your losses don't try to learn

play20:01

everything make a decision about what is

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important for you to learn and why again

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coming back to that clinical application

play20:08

and the things that you feel are less

play20:09

important you can still try to fit them

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in when you've got time but don't try to

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cover everything the final tip here is

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just how to make use of clinical

play20:18

placements more effectively I said that

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I talk about this at the end and this is

play20:22

the final tip when you're going into a

play20:23

clinical placement there is a wealth of

play20:25

information that you can possibly

play20:27

extract Center you're studying based on

play20:30

the likely things you will learn from

play20:33

your next day or week in clinical

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practice don't study the things that are

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like less relevant if you know that the

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common conditions you're likely to see

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in a given placement chest pain and

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shortness of breath and some kind of

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skin rash and you like headache back

play20:49

pain center your studying around those

play20:52

things because what you want to do is

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you want to study something and the very

play20:55

next day you want to have a clinical

play20:58

experience

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that builds on what you just studied

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that could be through seeing a patient

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or it could be attending a surgery if

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you know that you have to spend time in

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theater and you're going to be there

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observing a surgery anyway study about

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that condition and that surgery the day

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before so that when you're in there

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having the mandatory experience and

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spending the time that you cannot Escape

play21:21

you are at least engaged and you are

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gaining value from that there is some

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part of your learning that is being

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built on and consolidated and that also

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allows you to ask very good questions

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that your senior is going to realize you

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really are putting an effort to getting

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learning out of this experience and

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that's something they appreciate because

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trust me when I started having students

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under me when I was a doctor it's very

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very clear to see which students

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actually care and put in effort and

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which ones are just there to burn time

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and the ones that are there to burn time

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you don't really feel very motivated to

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help them along whereas the ones that

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are motivated you are more motivated as

play22:00

well to teach them and help them be

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involved in more things and to you know

play22:04

go out of your way a little bit more to

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help their education and I really regret

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what I did when I was in my you know

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early rotations in clinical placements

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where the things that I would be

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studying on a daily basis with things

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that my University curriculum said that

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I need to learn by the end of that

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placement and it wasn't really based

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around the experiences that I

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anticipated that I'd have the next day

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or or during that week and what I've

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realized now is if IID focused it on

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those clinical experiences I would have

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covered probably 90 95% of what I would

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have needed to know based on what my

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University mandated and the other 5% I

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could have just easily fitted in around

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that time or just before my assessment

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it wouldn't have been a problem but

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instead I wasted a lot of time and Ward

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rounds and clinical attachment days were

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so draining and so tiring and I was not

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very- engaged and I didn't get a lot of

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value out of them because I didn't do

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this so a bit of a long video

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but I hope this has helped you I

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certainly wish someone sat down and told

play23:02

me this stuff when I went into medical

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school if you want some more techniques

play23:06

around what to do specifically during

play23:08

lectures or with your note taking or

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with your revision strategies or

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revision timing or what to do with your

play23:14

flash cards and make them more effective

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these types of other specific techniques

play23:18

I do also have a guided step-by-step

play23:20

program where I've taken all of these

play23:22

techniques looking at the research

play23:24

triing them and seeing what works and

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what doesn't across thousands of

play23:28

students stud and packaging it into a

play23:30

single guided step-by-step program that

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teaches you an entire Learning System if

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you're interested in that you can check

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that out at Icon study.com there's a

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link in the description I also have a

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ton of other videos that provide more

play23:42

specific techniques that you can check

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out on my YouTube thank you so much for

play23:44

watching I hope this helps and I'll see

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you next

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time

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