Are you experienced?
2002; Elsevier BV; Volume: 41; Issue: 2 Linguagem: Inglês
10.1016/s1067-2516(02)80029-1
ISSN1542-2224
Autores Tópico(s)Health Sciences Research and Education
ResumoIt is quite amazing that there is such a premium on in medicine. Certainly the patients think that if their doctor is older, the care provided must be better, simply because of They seek out those of us with lines on our faces which somehow convey an implicit sense of trust and competence. They have fled your partner or young associate simply because he or she looks too green. If we think about this another way, it may not be so axiomatic. I vividly remember my state of mind as a young practitioner, fresh out of residency, thinking I could fix anything, and decipher the most vexing clinical problems. I also recall being skeptical of what I was taught and privately thinking that much of what I was given was a mass of rubbish, scoffing at this virtue known as expenence. Now that I am at the stage where I can inflict my experience on those willing or compelled to learn, I question again this virtue of experience. It is often painful to discover that what one has been doing for the past number of years really isn't all that helpful to our patients. It seems that the cost of clinical maturity is borne by the unsuspecting public. We discover through empirical observation that they are not all doing excellent. The problem is that there is no refund desk. We can't undo all of those ill-conceived operations that we either dreamed up in a momentary lapse of reason, or garnered at one of our ubiquitous educational forums. Why do we embrace these notions? Is it the zeal to be innovative, contemporary or a reaction to professional boredom? Perhaps the benefit of is the ability to sort out logic from folklore. The only peril is that the message can be embellished by frothy presentations, complete with colorful slides, sound effects, and sideshow circus acts. A compelling speaker can sell ice to the Eskimos, all under the guise of experience. Doesn't anyone ever challenge the preachers? Ask where the evidence is? Or are we truly interested in that religious experience? Or worse yet, I wonder what compels anyone of us to spread the word from a podium. I wonder if any of the preachers would wreak their own gospel on their family members. It sure is easy to pontificate, and sometimes it actually feels good. But where did all of you in a position EDITORIAL
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