New Mexico Daily Lobo
URL: http://www.dailylobo.com/index.php/article/2010/03/med_students_leave_unprepared_for_profession
Current Date: Wed, 16 May 2012 10:40:33 -0600
Possibly Related:
Med students leave unprepared for profession
Medical schools are taking one step forward and three steps back in educating future doctors.
Mayo Medical School announced in late February their collaboration with Walter Cronkite School of Journalism and Mass Communication to give doctors the upper hand when distributing medical information.
Students in the Mayo-Cronkite Fellowship will complete a one-year master’s program at Arizona State University’s journalism school, after their second year of medical school.
According to Arizona State University’s news Web site, the dual-degree program is part of Mayo’s interdisciplinary approach to medical education.
Cronkite Dean Christopher Callahan said, in ASU’s news “Mayo medical students to study at Cronkite School,” that the program would create physicians who will “have the ability to tell important, complex and nuanced medical stories to wide audiences on any platform — print, broadcast or online.”
Although this approach will probably prove to be efficient, it sounds as if medical schools are creating solutions to the real problem in a roundabout way.
Deborah Helitzer, assistant dean for research education at the School of Medicine and principal investigator in the study, said medical students aren’t given the skills necessary to be sufficiently good at their job.
Helitzer told the Daily Lobo in “Three-year study analyzes women teaching medicine,” that one reason women don’t stay in academic medicine is because of this.
Students aren’t educated on completing research, teaching and receiving clinical service experience. But doctors must show excellence in two of these three categories and be competent in the third to be promoted in their field.
“You don’t just get up and give a PowerPoint,” she said. “Teaching is more involved than that, so I think that’s part of the problem. We’re not taught how to develop a syllabus. We’re not taught how to think about what we want students to learn and how to achieve that.”
She said on top of this students are also not taught how to balance work with their personal lives and at the same time continuing to be successful in the workplace.
Because really what’s the point of working for an employer, if you don’t slowly move your way up the ranks? To some employers this might even be grounds for termination, if you’re not going to excel at your position. They might think you don’t care or you’re not trying. Besides, whoever received a raise or higher position by simply being complacent in their position?
Male medical students also have the same problems, but solve them by being more assertive about problems than their female peers.
Maybe the solution here isn’t making a medical school’s curriculum require tacking on additional degrees, such as the Mayo Medical School, in the path of becoming a doctor.
Medical students are already going to be in school for eight years, before they can even practice medicine. Do they really need an additional year to complete another degree before they can practice? Instead of making the path to become a doctor longer, medical school should be taught with a more practical method.
Students should be assigned to complete research in one particular area under a mentor. After a student finishes their research, the mentor can teach them how to write research papers for medical journals. (Journalists usually write stories for the mass media from these journal articles anyways. Rarely do newspapers allow submissions to be published in a News or Health section other than the Opinion section, unless they are employees.)
Students can then be assigned to become a teacher’s assistant to learn the ropes on how to teach others relevant and up to date medical information. This entire process could take at least a year to complete and could be done simultaneously with clinical experience through patient one-on-one contact.
If medical schools only amped up their curriculum to include all of these additional things, students would have a sense of what they are supposed to be doing. Students should be taught in medical school, not only about the human anatomy and physiology and pharmacology, but how to teach, research and receive clinical service experience.
The curriculum currently in place sounds as if it achieves its goal in giving students the knowledge they need, but at the same time sets the students up for failure.
What’s the point of medical school if students drop out, because they are in a sense moving through their careers with blindfolds on, as they try to figure out what they’re supposed to be doing? What is the point of students spending the time and money if they aren’t even given the tools needed to do their job? Isn’t that what medical school is supposed to be doing?
The community looks towards doctors for answers about health and for new medical discoveries. They should be given the proper education, which describes in detail how doctors should be distributing medical information, but I guess adding on an additional degree to help students in educating the public is better than them not receiving any education at all.



14 comments
UNM School of Medicine staff member
Flag this comment
Ms. Ramirez,
Some observations about the factual and logical basis of your editorial:
Read more
(1) You state: “Maybe the solution here isn’t making a medical school’s curriculum require tacking on additional degrees, such as the Mayo Medical School, in the path of becoming a doctor. Medical students are already going to be in school for eight years, before they can even practice medicine. Do they really need an additional year to complete another degree before they can practice?”
You also state: “Medical students are already going to be in school for eight years, before they can even practice medicine. Do they really need an additional year to complete another degree before they can practice?”
Your statements are inaccurate. The Mayo-Cronkite fellowship at the Mayo Medical School is optional for students in that school. It is not required, as you state in your editorial.
Med students at Mayo may choose to apply to the Mayo-Cronkite fellowship, but they have to meet the entrance requirements and acceptance is not guaranteed. The Mayo-Cronkite fellowship will be just one of many such options available to students. And they are indeed options, not requirements. Please see the Mayo Medical School website at http://www.mayo.edu/mms/academic-enrichment.html.
(2) You state: “Students should be assigned to complete research in one particular area under a mentor. After a student finishes their research, the mentor can teach them how to write research papers for medical journals.”
Again, your statement is misleading and inaccurate. At UNM, med students are paired with a research mentor during their first year. The mentor provides guidance to students, throughout their entire four years of medical school, on the process of preparing a research article for professional conferences or publication in a medical journal. For you to imply that UNM medical students have no mentor or no access to guidance on research and publication is simply wrong. Research curricula similar to UNM’s are common at medical schools across the country.
(3) You state: “Students aren’t educated on completing research, teaching and receiving clinical service experience. But doctors must show excellence in two of these three categories and be competent in the third to be promoted in their field.”
You also state: “Students should be taught in medical school, not only about the human anatomy and physiology and pharmacology, but how to teach, research and receive clinical service experience.”
UNM medical students undergo clinical service in health care facilities at UNM and around the state of New Mexico throughout their four years in the School of Medicine. They do, in fact, participate in “clinical service experience” as part of their education, under the supervision of licensed physicians. For you to suggest otherwise is inaccurate and misleading. It also betrays an ignorance of medical education so immense as to be almost beyond belief. Your statement is roughly the equivalent of criticizing a university math department for not training students in algebra and calculus when, in fact, all math departments routinely offer precisely such training.
(4) Your article makes fundamental, egregious factual errors on all of the above points. On the basis of such inaccurate, misleading information, you criticize the alleged inadequacy of medical education, not just at the Mayo Medical School but (it would seem) everywhere in the United States. Since your criticisms are based on inaccurate information, they are not valid. It simply isn’t true that medical students, at UNM or elsewhere, are not trained in research or do not receive training in clinical care. Nor is it true that medical students at the Mayo Medical School are required to take a year off from medical school to receive training in journalism.
(5) You use quotations from Dr. Deborah Helitzer of the University of New Mexico in a misleading and inaccurate fashion. You suggest that her remarks apply to women in medical school. In fact, they apply only to women who hold faculty positions in medical schools.
Dr. Helitzer’s remarks to you, as published in The Daily Lobo on December 14, 2009 (http://www.dailylobo.com/index.php/article/2009/12/threeyear_study_analyzes_women_teaching_medicine), concern a study by Dr. Helitzer of three professional development programs for women working as faculty members in medical schools. You can learn about these programs on the web; for example: http://www.aamc.org/meetings/wim/ewim2010/start.htm. A few minutes’ investigation clearly shows that the programs being investigated by Dr. Helitzer are not concerned with the situation of women as medical students but as faculty members. Medical students and faculty members are two very different things.
Yet in your March 10 editorial in the Daily Lobo, you depict Dr. Helitzer’s remarks as applying to women who are medical students. You use her statements to support your assertion that “[s]tudents aren’t educated on completing research, teaching and receiving clinical service experience.” Dr. Helitzer did not in any way support your assertion. She was making a point about the training that medical school faculty members receive to teach medical students. She was not referring to the preparation that medical students receive for their career as physicians practicing medicine on human beings. The two things are very different.
You either don’t understand that difference, or you didn’t understand Dr. Helitzer’s original remarks, or you are deliberately using them in a fashion other than what she intended.
(6) The failings of your article suggest extraordinary sloppiness in both research and writing. The errors you make could have been corrected by phone calls to medical education professionals and by careful reading of web sites related to medical education. You are the managing editor of The Daily Lobo, yet you have written an editorial which constitutes an egregious breach of professionalism in every way. You should seriously contemplate the implications of such a failure at this advanced stage of your journalistic career.
Dear Abby
Flag this comment
Dear Abby,
You just got shredded worse than my last credit card statement.
Managing Editor…feh. You couldn’t edit your way out of a paper bag.
Mark McKee
Flag this comment
Yes, the article was a disaster, at least by the outdated and extinct standards of the art formerly know as journalism. The original article wasn’t exactly anything to write home to mom about, as it like most medical articles was largely irrelevant to some of the major issues confronting the modern graduate of medical school. Here are three to consider:
1. A year in the school of pharmacy would be of great benefit since even our best MDs are largely disconnected with that world. this leads to number 2,
2. Drug-reps now lie to Doctors. To a lay person this may seem like a no-brainer, but until about ten years ago, this almost never happened. Now the reps regularly recommend off label use & MDs believe them because it’s in the box, which leads to 3,
3. Medical professionals have absolutely no idea how to deal with people who have been paraplegic for several years. They are geared to deal with recent injuries. Paras used to be dead within a decade, and now they are surviving, and in huge numbers, with the baby boomers. Hospitals have no protocols. A para admitted to the hospital has to plead & beg for a trapeze over the bed, because it’s not in the box.
I’m not slamming the box, mind you, without the box, you simply couldn’t begin to tackle medicine, you NEED the box. Unfortunately it is very difficult to change the box and for me, that is the greatest challenge we face.
mark staples
Flag this comment
maybe you should rename the paper Dialy Lobotomy so the poor unthinking readers would swallow the garbage barrage of poor journalism. Better yet, Ramirez should attend the Mayo course!!!
G
Flag this comment
I was shocked at the headline of the article, but when I read the actual article it hard absolutely no relevance to UNM School of Medicine. Perhaps you’re questioning the new program in ARIZONA, but that has nothing to do with medical students here. Just because this one school has this new component (which is apparently optional) doesn’t mean every school will follow suit.It really doesn’t sound like you’ve done any research about UNM medical school students or their curriculum. If you had, you would see that medical students are completely immersed in clinical settings throughout their 3rd and 4th years of medical school. They get a little clinical experience in their 1st and 2nd years, but those two years are more focused on basic sciences.
Also, in terms of research— it’s a REQUIREMENT for students to complete a resarch project. Most students either get their research published in a journal or they present it at a conference or otherwise. And they do have mentors available to them.
Read more
In terms of teaching, how is that relevant to medical students? Maybe if they want to go into academic medicine, but they get that training in residency at a teaching hospital (i.e. the residents here are at a teaching hospital where residents and faculty are required to teach and train medical students). Students are also required to do tutorials, which is like group learning, where some students present and teach their peers. Also, in the students’ clinical years, students may present their findings of a case to other students, faculty, and residents. That could also be considered teaching.
Please check your facts before you made such obsurd accusations. It’s so easy to call the Undergraduate Medical Education office or Student Services at the medical school or check their website so that you can see their curriculum. Ironically, you focus on research and how that it lacking but you obviously haven’t done your own research— perhaps you need to write an article about how that is lacking in the Daily Lobo or the communication and journalism department.
Alumus
Flag this comment
This article is so poorly written, it took me reading about halfway through to figure out what it was actually about. And the title is misleading. Who is editing the Lobo these days? This is an embarassment!
Professor
Flag this comment
And who does Deborah Helitzer, assistant dean for research education at the School of Medicine, think taught the people who are successful, got promoted, raised a family, etc? Here’s a newsflash for her; nobody. We achieved these goals by being good at what we do. Stop whining and start working harder.
Joksta
Flag this comment
The title got your attention didn’t it? It gave you a few tidbits didn’t it? Sure it’s a stretch, sure the writing is mushy, and yeah there are some over generalizations but… This IS journalism today.
Jean-Luc Picard
Flag this comment
What an interesting excuse. 60% of students attending college in the first place don’t belong there and need to be in technical school. A degree isn’t what it used to be, med school is no exception. Enjoy flipping patties with your degree, a pedigree of such intellect in the finer things like Pabst Blue Ribbon.
So if 60% of students should be in technical school or some other alternate arrangement it’s no surprise that all the retards are unprepared and whinging because it’s too goddamn hard.
Read more
Newsflash, intelligence is not for everyone.
Jean-Luc Picard
Flag this comment
And if I hear the bullshit about women being unsuccessful because of how passive and meek they are one more time, heads are going to fucking roll. Way to enforce the gender binary, dipshit.
Marketing $ociologist
Flag this comment
As a proud Lobo journalism department graduate, who studied under John Hightower (Pulitzer Prize winner) and Tony Hillerman, I live in Phoenix. I have found the Cronkite school full of professors who know not what they teach.
The journalism students are the lamest I’ve ever seen. Most ASU grads are complete idiots when compared to UNM’s.
Read more
Wouldn’t put much stock in anything coming out of ASU unless it is Playmates in Playboy. The school beats University of Colorado in Boulder at partying.
Student
Flag this comment
To: UNM School of Medicine staff member
From: A student.
Your comment… sorry essay had no point. When i had finished trying to pull everything together I knew right away it had to be a staff member from UNM. Only reason is that it’s full of it’s self and make no point. Don’t start pointing fingers why not help this student understand your point. Why not write for the lobo or send a letter to the editor. All I know is that I hope your not a teacher.
Fasthike
Flag this comment
The article is a kunumdrum of personal insights and complex well whishing. Physician’s at UNM as a whole, are well able to articulate themselves as well as conduct research. Addtionally they perform services for the state of NM. Some prefer research, some patient care and some teaching. It’s quite unusual to find an individual that enjoys all three.
And the response- well it may be an advantage to teach physicians how to play politics more effectively, particularly in the face of Obama’s focus on their profession. Docs take an oath to “do no harm” while they are all still quite human. Politicians, on the other hand take no such oath, nor are they held accountable in court via large law suits if they happen to screw up as they often do.
another UNM staff
Flag this comment
To: A student
From: another UNM School of Medicine staff member
It doesn’t surprise me that you are incapable of finding the point in the first comment or that your own comment is full of grammatical errors and misspellings; after all, you are a UNM student. So, let me “school” you.
Read more
A student: “Your comment… sorry essay had no point.”
Correction: “Your comment, sorry essay, had no point.” See the paragraph on commas below.
A student: “When i had finished trying to pull everything together I knew right away it had to be a staff member from UNM.”
Correction: “When I had finished trying to pull everything together, I knew right away it had to be a staff member from UNM.” A first person “I” should always be capitalized. Again, see the paragraph on commas below.
A student: “Only reason is that it’s full of it’s self and make no point.”
Correction: “The only reason is that it’s full of itself and has no point. By the way, “it’s” means “it is” so your second “it’s” should really be “itself”. “Itself” is the reflexive form of “it” used as the direct or indirect object of a verb or the object of a preposition.
A student: “Don’t start pointing fingers why not help this student understand your point.”
Correction: Did you mean for this to read, “Don’t start pointing fingers. Why not help this student understand your point?” Questions always end with a question mark.
A student: “Why not write for the lobo or send a letter to the editor.”
Correction: “Why not write for the Daily Lobo or send a letter to the editor?” Proper nouns are capitalized and again, questions always end with a question mark.
A student: “All I know is that I hope your not a teacher.”
Correction: “All I know is that I hope you’re not a teacher.” In addition to the poor structure of this sentence, you have confused “your” and “you’re”. See, “your” is a possessive form of you, referring to something that a person has or something that belongs to the person in question, whereas “you’re” means “you are”, which is what I assume you meant.
Additionally, you clearly don’t understand the use of commas. A comma is a punctuation mark commonly used for separating things such as: lists, clauses, parenthetical phrases, between adjectives, before quotes, etc.
These are all examples of grammar rules that are taught in middle school or before. You are another shining example of the level of education expected at UNM. You are a dumbass.
Comments are closed for this item.