How much memorization goes into specializing in EM?

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Gigantron

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I'm aware that people consider EM as "the jack of all trades" and whatnot, I'm just curious as to how much memorization goes into specializing in a specialty that requires a broad field of knowledge from a lot of other different specialties? Is it hard to be an EM if you have not-so-great memorization skills? What about if you aren't good at math?

I'm asking because I'm interested in Emergency Medicine. 🙂
 
Honestly, one step at a time. Before even considering what specialties you're interested, deal with the process of getting into medical school. It's near impossible to understand what's unique about the different fields of medicine until you start shadowing various physician and start learning medicine.
 
Weird question. Are you a troll? Would you ask a group of athletes if coordination or speed mattered for their sport?

Having said that, I don't see why we would have to memorize any more (or less) than any other specialty. I math important for ER? The only math I use is to figure out weight-based dosing on drugs. I haven't used calculus, or geometry in clinical practice, so you can stop sweating it if you aren't great on those topics.

A common joke that hurts a little too much to be very funny is, "In ER, the only thing you have to remember is where to find the on-call list."

Real life has the benefit of google, a shelf full of medical textbooks, an itouch, and yes, a hospital directory of specialist doctors who have more experience than you in particular areas.

However, the vast breadth of ER is daunting. Go pick up a tome of Tintinalli's (1900 pages of fine-print), and tell me if a good memory would be useful in learning all that material. If you don't have things down cold, you are going to forget something at some point, and mismanage a patient. You don't look for things that you know little about.

Most of the patients, and stream of BS complaints that present to a modern ER don't take a lot of knowledge-base to deal with. However, ER doctors spend 85% of their study time reviewing infrequent clinical presentations, and rare diseases. You are going to be a better doctor with a good memory and triggers that put your feelers up and cause you to go in the back room and read up on a particular topic.

And yes, you will be a better doctor if you actually remember what you have studied.
 
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nice post Jarabacoa

I'd also suggest that at the point of becoming a senior resident or attending in EM, or any field for that matter, it probably stops feeling like rote memorization.

With repetition, things start to stick. And something that you might think is memorized is really just an extension of an existing concept in the mind of an attending. And the concept might have started as a nebulous memory of something that was crammed.
 
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