do you guys actually remember and use these things?

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reedman

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Things like : the complement system, the clotting cascade, the patterns of inheritance for lots of diseases, chromosomal translocations, TCA cycle, anything related to histology (excluding pathologists of course)...?

just curious. i don't think i will remember any of that stuff by the time i get into residency.
 
Things like : the complement system, the clotting cascade, the patterns of inheritance for lots of diseases, chromosomal translocations, TCA cycle, anything related to histology (excluding pathologists of course)...?

just curious. i don't think i will remember any of that stuff by the time i get into residency.

LOL - no.
From the title I was worried this was a thread about condoms.:laugh:
 
Yes and no.

You can get away with forgetting most of it and using google to find the details if necessary.

You can also use it in your daily ward rounds, OR time or clinic. It depends on how much you value knowing medicine vs. knowing protocol.
 
depends on your field and your memory abilities. For instance, I don't remember the exact point that cyanide hits aerobic respiration, but it's part of my field and I know that it hits oxidative phosphorylation causing a huge lactic acid increase. complement I don't use and I don't know most disease processes related to it. Rheumatology and some other IM fields though should know some basics of complement because information related does enter into their field of practice.

Some othe rstuff I'll simply happen to know just as a pimp question answer or a random tidbit from med school, though it mya not inform my practice at all.
 
In pediatrics we do metabolic disorder workups alot so I guess knowing where arginase is in the urea cycle could help you. Then again most of the workups are negative so it wouldn't be that hard to look up a reference the few times a year there is an abnormality.

If your doing medicine or pediatrics the clotting cascade would be important on heme/onc. You will definitely see factor deficiencies.

In the NICU we worrry about patterns of inheritance alot, but no where else I can think of....maybe if you do OBGYN.
 
What I would say:

No there is no way you will need to remember "all" of that stuff. But you will be surprised by what you do need to remember. Just look through this thread to see some of the variety- some people deal with the TCA or Urea cycle on a daily basis dealing with metabolic disorders; hematologists know the clotting system like the back of their hand; surgeons know the pickiest details about different fascial layers.

At the early stage of your medical education, you aren't in a position to judge what you do and don't need to know. So despite the difficulty in sitting down and trying to learn what seems like minutiae now without any apparent clinical relevance, I'd encourage you to keep trying.
 
What I would say:

No there is no way you will need to remember "all" of that stuff. But you will be surprised by what you do need to remember. Just look through this thread to see some of the variety- some people deal with the TCA or Urea cycle on a daily basis dealing with metabolic disorders; hematologists know the clotting system like the back of their hand; surgeons know the pickiest details about different fascial layers.

At the early stage of your medical education, you aren't in a position to judge what you do and don't need to know. So despite the difficulty in sitting down and trying to learn what seems like minutiae now without any apparent clinical relevance, I'd encourage you to keep trying.

I'm busting ass this year(2nd) because I know I will need this stuff for the boards. I always seem to fall short of my goals. sometimes I get worried that I won't be a competent physician, but I know that's stupid. I'm just not a talented memorizer. sounds like you pick up what important and look up the rest.
 
Things like : the complement system, the clotting cascade, the patterns of inheritance for lots of diseases, chromosomal translocations, TCA cycle, anything related to histology (excluding pathologists of course)...?

just curious. i don't think i will remember any of that stuff by the time i get into residency.

not rattling off the entire complement cascade, for example, but all of these in some way or another do make their pesky appearances in a field like peds (esp at an adademic place...)

in the last year, i can recall: testing complement levels in pts w/suspected immunodef, C3/C4 in suspected glomerular dz, and dx terminal complement deficiency in a pt who presented w/meningococcemia.

inheretance and translocations--useful all the time in nursery and nicu.

TCA--well, i'm going to admit that's a step beyond what i care about, other cycles such as urea cycle disorders, fatty acid and amino acid metabolism are visited (albeit superficially) when those newborn metabolic screens come back abnormal. or that sick infant has a high NH4...

histology--well, rarely, though last year it was kindof cool to see the histology on a patient whom we suspected (and treated appropriately) for atypical mycobacterial lymphadenitis.

i think as long as you have had a foundation at some point, it's always stuff you can go back and revisit when need be. there's only so much random stuff you can cram in your brain, and during internship and residency unfortunately much of that space goes to stupid stuff like the phone number for ultrasound reading room and the name of the woman in the lab who will do add-on tests w/o making you put in an entire new requisition, and which days they serve mac and cheese in the caff.
 
i think as long as you have had a foundation at some point, it's always stuff you can go back and revisit when need be. there's only so much random stuff you can cram in your brain, and during internship and residency unfortunately much of that space goes to stupid stuff like the phone number for ultrasound reading room and the name of the woman in the lab who will do add-on tests w/o making you put in an entire new requisition, and which days they serve mac and cheese in the caff.

quoted for truth. However, my advice is don't try and ask these deep philosophical questions when you are in 1st/2nd years. Just memorize whatever **** they want you to memorize and don't think too much about it...you'll get a better grade. And don't spend all your time having existential angst about whether or not you'll be a good doctor...if you are worried enough about it to worry about it, that probably means you give a crap enough so that you won't be a crappy doctor.
 
As an intern I wasn't using anything but the fundamentals/big picture in regard to most of my M1-M2 knowledge at first. That's because there's simply no time for anything other than learning how to do your job (i.e. dispositioning patients anywhere other than the morgue). As residency progresses you become better at your job, and as an upper level you also have underlings which frees up some time to dig deeper re-discover some of the minutiae and underlying pathophysiology involved in your specialty area.
 
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