Here is a secret: we cannot.It’s photografy too much information. What we do is a combination of ready knowledge, medical reasoning, logical reflection, lookup and professional curiosity. Don’t you know? Then you search for it or reason for the correct answer. You limit your assumptions. With experience this is easier, but you will see that young clear will request additional research more often than the more experienced physicians. Medicine is just as much skill as art in that respect.
How much information did you remember from all the classes of high school?Voila. Not everything. But you learned some basic knowledge and the exhausted reasoning.
You’ll learn a lot of information and topics that will allow you to develop a basic knowledge coat rack.This will show you links and can link your knowledge to each other.
For your own discipline you will learn more deeply (specialization).And within that discipline many people specialize again with even deeper knowledge (super specialisation or differentiation).
My profession, the anesthesiology, needs a lot of knowledge in many other disciplines (cardiology, internal, lung, children) but also very specific knowledge.Anesthesia has rare problems that you should be able to have in emergencies.
I work with knowledge that belongs to your profession (basic), knowledge I NEED to know because you do not have time to look it up (calamities) and knowledge that is to look up. For example, what the do’s and donts are with a rare disease or rare medicine.At the last I work with some kind of alarm bell system: I know if it is safe or not and where I can search it quickly.
Finally, a calamity sometimes gives stress, so you forget things that you know in a normal situation.These are emergency procedures in which you will be assisted in short written instructions to get more and/or expert help. All of this we train again in simulated calamities, so that you can search, find and keep your head, so that you can give better guidance and structure.
For guidelines, the Stanford manual is a nice one:
This has been translated into Dutch and edited by enthusiastic colleagues from the AMC.
Training of calamities is usually done through the principle CRM: Crisis resource management.An example is ANTS: anesthesia Non technical skills.
For most doctors it will be a form of experience.As you have more experience, it becomes easier to recognise the various factors associated with a particular condition.
Furthermore, the training is built up so that a general basic knowledge is laid down, which makes it easier to give new knowledge an anchor.For instance, a physician must know the basal structure of the body and the processes that take place in that body. Then you specialize in a much more limited part and learn a lot more about it.
Because of this general basic knowledge it is also possible to draw a conclusion on the possible condition, based on your knowledge and the information of the patient, after which you can investigate it to confirm your reasoning.
So how do students memorize all that information: With their brains, by establishing connections between their neurons that relate to the different elements that distinguish one condition from another.
‘, ‘ I do believe it’s a lot of learning, but when I think of my last HA, they don’t have to remember everything.If you were in a srek with that HA, he sat with a book in a hand, watching a screen, and typing with his other hand. He asked almost only yes or no questions, typed something in, then came the next yes or no question. Then he came up with a ‘ is probable… ‘ Answer, you got a recipe, and was sent away. That’s why I now have another HA.
“,” Probably not everything.I myself have experienced that as a non-medicus, I diagnosed a diagnosis earlier than the doctor. Both in a GP and in a specialist.
It is important that you know where you can quickly find the information that you need in a situation to act correctly.