some doctors?

Question

Why some doctors who get great grades in med school end up being incompetent? is there a secret of diagnosing patients?

Answer 1

Not sure what that long answer is about, but here's the skinny on your question....

Medicine is about 50%science, 10% art, and 40% empathy/caring for people.

Some people do good in all three, but jsut because you get great test scores doesn't mean you have all three components. The best docs have all of these. Granted, high test scores help with the basics :).

Answer 2

Medical school does not prepare anyone to practice medicine. It gives some of the basics, but you learn mostly after you graduate. I don't think there is much connection between getting a high score on a test in microscopic pathology and being able to diagnose and treat a sore back, an ear infection, a rash, or vomiting.

Answer 3

Diagnosing Patients

The diagnosis of NBIA is sought by using specialized imaging techniques (CT scan and MRI) that demonstrate the characteristic accumulation of large amounts of pigmented material in certain areas of the brain (globus pallidus and pars reticulata of the substantia nigra). These areas of the brain appear to have a brownish discoloration when viewed with these imaging techniques. Localized swelling of tissue is also evident, especially in those areas that affect the function of the central nervous system. One test that may be useful for the diagnosis of NBIA measures the uptake of radioactive iron (ferrous citrate) into certain areas of the brain. Unusually high uptake is characteristic of this disease.
While the diagnosis may be first suspected from the uncontrolled movements, these are not sufficient to allow the diagnosis to be made. Physicians will usually look for features that allow them to understand the cause of the movement problems, since many conditions can have dystonia as a feature.

Often an eye examination by an ophthalmologist (a physician expert in eye health and disease) reveals the characteristic pattern of pigment deposits in the "seeing" portion of the eye called the retina. This finding of pigmentary retinopathy is common in NBIA, but it can also be seen in more than fifty other conditions. In addition, many people with NBIA do not develop this eye change. While there may be no problems with vision early on, often a person with pigmentary retinopathy (or retinitis pigmentosa) will eventually develop tunnel vision and very poor night vision.

Answer 4

They do not trust themselves