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MP3 File: musculoskeletal-case-history
Copyright Medicaleducator.co.uk 2008
At MedicalEducator we look towards providing a true multimedia experience. One of teh ways we can do this is through audio files of patients historys. We interject the historys, talking about the differential diagnosis, and other interesting points such as diagnositc criteria.
So Warwick played host to the International Symposium on the Personalisation of medicines last week.
So what’s it all about: From the genome to the clinic: how individual genotypes can influence what drugs we give somebody? All I can think of is that
1.) I’m not so sure that the drug companies will be particularly happy if someone produces a test that tells you there’s no point in giving 30% of the population ACE inhibitors
2.) Some drugs may have proven efficacy if you only could select the correct group of patients…As long as along the way you don’t mistakenly label them as having the “fat” gene.
I’m not sure there is a single piece of evidence to date that informs us through an R.C.T. that one treatment is better in an individual than another for a specific condition, based on their “genetic make-up”.
Apart from that some things like H.R.T. work better in women than men…
We’ve posted a few of our videos to the YouTube community to see what people think of them. So far, the reposnse has been good with some interesting comments…
http://www.youtube.com/profile_videos?user=MedicalEducator
A 5 star and a 4 star rating isn’t bad for starters though! Our content is the main thing about our site so we love any feedback – positive or negative.
Remember if you sign up for the free trial you can get access to even more of these videos.
The One Minute Case History
46 year old male presenting with a bit of joint pain
Also tells you he has premature “wear and tear” of his hands with no history of trauma.
There’s nothing much else to go on in the history other than the fact that he’s impotent.
His blood tests show a low FSH and a low LH.
His GP thought it all might be rheumatoid arthritis…
What’s the diagnosis people?
We’re always interested to see what students can contribute. We’re looking to set up a section devoted to publishing medical students own work on revision tips and pointers. This is often the best source for a lot of good content, and not just acronyms and rhymes!
Feel free to contribute some sample work: we’re looking to our sponsors to see what sort of incentives we can offer high quality posts.
And of course your work if chosen would count as an electronic publication or useful MTAS points…
Medical Schools are increasingly relying on simulator based training. Several univerities across the UK and several of the training Colleges for postgraduate education are becoming involved in the field.
But what do you think of it as students? These models are often costly, locked away and the actual face to face training you get with them is minimal. Is may be a good use of time and resources to train you, but do you feel it is effective in the institution you work in.
Also from an exam perspective:
We’d be interested to hear comments and tips from students from the UK and also abroad
Is dyslexia stopping dyslexic students from taking MCQ exams? Thats what one student thinks. If she wins, and things change, other trade bodies may have to follow suit.
http://news.bbc.co.uk/2/hi/uk_news/7530159.stm
Its a funny one – how do you adapt the multiple choice question style exams to suit disabilities. At the moment its central to passing your student medical exams. Indeed, a lot of our site content is geared to preparing you to pass multiple choice questions by giving you loads to use and practise with.
We’ll see what the outcome is…could it have a major impact on medical student exams in the future?