Advice to new Doctors starting practice
Hi all, Please read the Disclaimers at the end of the post first, if you're easily offended. Generalists(general medicine): 1. Get extremely unbeatable at 20 Questions(rationality link). It'll help you make your initial diagnoses(ones based on questions about symptoms) faster and more accurate. 2. Understand probability, bayes theorem and how to apply it** This will help you interpret the test results, you ordered based on the 20 questions. 3. Understand base rate fallacy, and how to avoid being over confident. 4. Understand the upsides and downsides of the drugs you prescribe. Know the probabilities of fatal and adverse side-effects and update them with evidence(Bayes' theorem mentioned above) as you try out different brands and combinations. 5. Know the costs and benefits of any treatment and help the patient make a good decision based on the cost-benefit analysis of treatment combined with the probabilities of outcome. 6. Ask and Keep a history of medical records and allergies of the patient and till their grand parents.* 7. Be willing and able to judge, when a patient is better off with a specialist. Try to keep in touch with Doctors nearby and hopeful all types of specialists. 8. Explain the treatment options and pros and cons in easy language to the patients. It'll reduce misunderstandings and eventually dis-satisfaction with the treatment. 9. Resist the urge to treat patients as NPCs. Involve them in the treatment process. 10. Meditate 11. Find a hobby, that you can keep improving on till the end of life. 12. Be aware of the conflict of interest between the patient and the pharmaceutical companies. 13. Have enough research skills to form opinions on base rates/probabilities in different diseases and treatment methods as needed. 14. If you're in a big hospital setup, make sure you've the best hospital administration. 15. Medical expertise is only relevant once you see the patient. Your ability to judge the evidence requires get
Perfect timing.. I had run into my therapist at a mutual event and had panicked.. Was wondering why? and how do I deal with similar situation in the future.. (it's very likely to happen again, as we have quite a bit in common and are in the same city).