This article highlights the importance of acquiring certain clinical skills during medical school to ease the transition into residency. It discusses the evolution of medical education towards a more deliberate focus on teaching explicit clinical skills, emphasizing the value of mastering skills like patient history taking and diagnostic reasoning.
While it’s impossible to learn everything in medical school, mastering certain skills before starting residency is key — and even expected by residency program directors.
Perhaps it’s no surprise that learning how to take a patient history is one of the most important skills many physicians say they learned in medical school. “What I mean by listening to your patient is actually looking at them, paying attention to the nonverbal communication that they are presenting,” said Moss, who graduated from medical school in 2012 and now practices psychiatry at Kaiser Permanente in Colorado. “Body language conveys a lot to you as a provider beyond what the patient is saying verbally. Essentially, verbal and nonverbal cues are necessary to understand and properly treat the whole patient.
Learning basic skills like using a stethoscope and doing a physical exam helped Susan Besser, MD, when she was a medical student in the late 1970s and early 1980s in Jackson, Mississippi. But she wishes she’d learned more about nutrition, a topic that she regularly addresses as a family medicine physician with Mercy Personal Physicians at Overlea in Baltimore.
For example, students interested in a residency in pathology could benefit from familiarizing themselves with using microscopes to view tissue samples, rather than relying solely on digital images, said Donald Karcher, MD, FACP, professor and immediate past chair of Pathology at George Washington University and the current president of the College of American Pathologists, Washington, DC.Kogan also recommends that students ask someone to observe them during a task and provide feedback.
MEDICAL EDUCATION RESIDENTY CLINICAL SKILLS PATIENT HISTORY DIAGNOSTIC REASONING
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