Musings on Medical Education
by Michael Zaroukian, MD, PhD
Associate Professor and Vice Chairman for Education
Department of Medicine
Program Director, Internal Medicine Residency
Interim Chief, Division of General Internal Medicine
MSU College of Human Medicine
East Lansing, Michigan
and Robert McNutt, MD, FACP
Professor of Medicine
Associate Chairman, Department of Medicine
Director of Research and Quality Improvement
Cook County Hospital and Rush Medical School
Chicago, Illinois
accepted for publication in Medical Computing Today September 1997
I hear and I forget.
I see and I remember.
I do and I understand.
-- Ancient Chinese Proverb
Computing technology serves an important role in medical education today. It supports and enhances the ability of instructors to communicate with their trainees and instill the knowledge, skills, attitudes, and behaviors that enable appropriately focused lifelong learning and excellence in
patient care. Medical computing can also assist physicians in their role as
information managers.
Computing technology is playing an increasingly important role in
undergraduate, graduate, and continuing medical education. As medical
educators, we need to continually share ideas, experiences and innovative
ways of teaching physicians to ask important clinical questions, match the
questions to those information resources most likely to contain pertinent
information, understand the quality and value of the information retrieved,
and apply the information to improve teaching, learning, and clinical care.
The areas being explored include:
- What computing tools are available for finding, retrieving, appraising,
and applying medical information to the needs of the learner? What are
effective and efficient strategies for retrieving relevant, high-quality
citations from huge databases of medical literature?
- What computing functions can be applied to facilitate the learning and use
of evidence-based medicine principles to enhance appraisal and application
of new information?
- To what extent should traditional large group lectures be replaced by
computer sessions during which students find information and apply it in
real-time simulations, such as laboratory experiences or patient encounters?
- What is the new role of medical libraries (physical and virtual) with the
re-engineering of medical education?
- What can be done to improve the acceptance of computer applications for
medical education among learners and teachers?
- What medical informatics skills should be included in the undergraduate
and graduate medical curriculum? How does mastery of information
technologies affect how physicians think about medicine, in addition to how
medicine is practiced?
As computing technology improves our access to free medical information resources, we have an unprecedented opportunity to share and expand our teaching and learning skills. The World Wide Web can help us all keep track of high quality educational tools, sites, and strategies, and discover
their best uses. It can also foster the sharing of original research, perspectives, and experiences on the use of computing technology in pre-medical undergraduate education, undergraduate medical education (medical students), and graduate medical education (residency and subspecialty training programs).
As physicians, we are all medical educators, teaching our patients,
trainees, and each other. Computing technology adds new tools to enhance
this role.
"No bubble is so iridescent or floats longer than that
blown by the
successful teacher."
-- Sir William Osler
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