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Medical learning: From clinical-to-tech-based thinking (beyond typical clinical signs)

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Students of medical sciences at certain universities were given details on all expected clinical findings of diseases some twenty years ago. Diseases then commonly appeared and diagnosed in direct association… Click to show full abstract

Students of medical sciences at certain universities were given details on all expected clinical findings of diseases some twenty years ago. Diseases then commonly appeared and diagnosed in direct association with what used to be called typical clinical signs. The lack of both early screening and indigent population-based health education coupled with the limited availability of reliable tools for diagnosis in comparison with the present day combined to create reasons for the achievement of late diagnosis of diseases. Doctors perhaps should nowadays continue following the classical approach in learning and practicing medical field. They also need to modernize the learning and practicing processes of medical sciences with reference to the advancement in diagnostic procedures and technological developments in the area. Medical teaching and learning require continued improvement in the current age of technological advances and artificial intelligence. Medical teaching staff and learners should necessarily adjust to this quickly developing environment. Medicine maintains referring to a concept that is far broader than a mere stethoscope representing a degree in medicine. It is highly expected that diseases will soon be diagnosed at earlier stages of their development in comparison with the recent past. The rhythmic nodding of head of the French poet, Alfred De Musset, died in Paris in 1857 from long standing aortic in sufficiency, was noticed by his brother in synchrony with the beating of the heart as a clinical sign of aortic regurgitation. Came to be known as De Musset’s sign, this clinical finding is rare today in comparison with the poet’s times. Therefore, typical clinical signs of diseases are not expected to be seen frequently nowadays compared to days of De Musset. Such signs may possibly become historical facts. Medical education, particularly in the developing countries, deserves an accelerated process of transformation in approach. The traditionally oriented approach to the education of medicine in these countries focusing primarily on the classical clinical understanding of the field is not optimal nowadays. Several developments at the internal and international levels diminish the value of the traditionally oriented approach to medicine and prepare the ground for the adoption of a new one. A tech-based approach to the education of medicine refrains from emphasizing on a detailed clinico-visual diagnosis of diseases. The traditional approach creates an unnecessary burden on the health system as well as the educational process. It suits environments lacking the necessary knowledge and technology to diagnose diseases, the appliances to help in the diagnosis process, and the popular awareness on diseases. The global constant thrust for discovery, the growing development in technology in various aspects of medical practice and case management, and the expanded interdependence in the medical world contribute significantly to the success of diagnosis in early stages of the development of diseases. This novelty in medicine stands in clear contrast with the past. Patients now unsurprisingly do not present many typical clinical signs associated with the later stages of diseases. Given the presence of a better option, a shift beyond the traditional approach is irresistible. Medicine is naturally pregnant with details and a subject to rapid evolution. This writing attempts to draw a line between the clinical-andtech-based thinking to the education of medicine. Medical education needs to pay necessary heed to the distinction between these approaches and possibly combine them appropriately to effectively improve the practice of medicine. An educational orientation characterized by the sole dependence on the clinical-based perspective neglects the prospect that successful diagnosis is fulfilled at early stages of the development of diseases. It simultaneously denies the fact that recent technological advancements have already affected the tectonic plates of medicine. The present writing proposes that medical education increasingly moves

Keywords: medicine; diagnosis; typical clinical; approach; education; clinical signs

Journal Title: Annals of Medicine and Surgery
Year Published: 2021

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