Medical education

The Sept 23/30 (v302, n.12) of JAMA is on medical education. Just a few items gleaned to throw into the health care mix and to ponder whether universal health care will help or hurt medical care.

• Up to 60% of practicing physicians report symptoms of burnout, defined as emotional exhaustion, depersonalization and low sense of accomplishment.
  
  
• Physicians can now get CMEs for "mindful meditation," i.e. learning to pay attention and listen.
  
  
• 60% of the schools that responded to a survey on web 2.0 reported medical students were posting unprofessionally online.
  
  
• Although medical educators have been working on better feedback for 25 years, learners still complain. There seems to be evidence that physicians overestimate their abilities.
  
  
• There is little evidence that continuing medical education improves practicing physicians' clinical reasoning and the quality of care. Electronic sources aren't too great either.
  
  
• Getting information faster doesn't mean you remember it. There are two types of memory--verbatim and gist. As we age, our verbatim box is less accessible so we rely more on the gist box.
  
  
• It seems medical schools aren't doing a great job of teaching doctors about health care for people with disabilities. The report was issued in 2005 so I assume the research pre-dates that. And since those goals weren't met, bigger better larger and more expensive goals are suggested.

As I found out from my years in academe, educators are terrific at setting goals; not so great at solving problems. I think you get money for setting goals. Not so much for solving problems.