Developing clinical learning issues
Clinical LIs * become a priority once you begin regular clinical experience
on the wards:
- Pathology - the causes, course and complications of disease (ranked in
order of probability and significance). Understanding how they disrupt
structure (anatomy) or function (physiology) and how these translate into
symptoms and signs.
- Pharmacology - how drugs alter body physiology, major or common side
effects, precautions when prescribing in certain conditions
- Therapeutics - a general schema of how to initiate a treatment regime
for a disease and when to modify or withdrawal therapy including
risk:benefit ratios
- Preventative care - determining the risk:benefit ratio for primary,
secondary and tertiary prevention in management of disease
- Clinical skills - possessing a detailed and methodical repertoire of
clinical questions (and follow-through questions), able to obtain a
meticulous, accurate and unbiased account from a patient, a systematic
approach to clinical examination for each body system and interpreting the
possible causes for abnormal findings.
- Clinical science - the typical and atypical clinical presentations of
disease (including complications), methods of evaluating severity of a
condition, being able to generate an appropriate differential list for a
given set of abnormal symptoms, signs or investigative results.
- Investigation - knowing in which patient samples they are best applied,
understanding the possible interpretations of the test result,
understanding the overall accuracy of tests, appreciate situations that
result in inaccuracy (sensitivity, specificity, predictive values)
* this should not be your focus until you have acquired the necessary
pre-clinical knowledge base in the first 2-3 years of medical school