Sigh....so i have a bad case of senioritis. I had a major Psychiatry exam today and had to cram it all in last night....except the prof's suck and somehow came up with almost 50 different patient scenarios for us to "treat". First of all, learning about the psych disease states...not so bad...except for the way the teacher teaches it. "According to the DSM IV TR....in order to have major depression, patient must present with.................and lists like 10 criteria....which we must memorize". but fine...whatever...kind of interesting.
Now, learning the drugs that treat them....NOT SO FUN. They all pretty much work on the same few receptors....but each drugs works on a different combination of those few receptors. Not only that, most of them work on OTHER receptors (which is why you get side effects). So, we had to basically memorize which receptors each drug worked on (nearly impossible unless you had no life).....in order to figure out which agent to use....because since they each work on a different combo of receptors, they have different side effects. okay..in addition, they're all metabolized by different mechanisms.....we have to know that to, because that's what determines drug interactions....again, impossible to memorize unless you had no life.
So that's the way it was taught...the prof listed the diagnostic critera...the basically just rattled off all that trivia type information...and that was it (not to mention, not one single lecture in the module was taught completely...the profs always ran out of time at the end). Our exams however, are structured so that we are presented with a patient...and using everything we know about the drugs and the patient, we have to choose the correct one. And that's fine....BUT....with previous modules, they would at least incorporate practice cases into the lecture, so that we could recognize some key patterns/important points. Because there are a lot of things that you pick up through practice...not necessarily through just memorizing the textbook. A lot of drugs look alike on paper...like their efficacy and safety profiles are similar....and it's only through practice that you learn which is better in which types of patients.
So i was shocked that they had come up with nearly 50 different psych scenarios.....yet in class, we did not even go through ONE single case. So i'm sitting there with absolutely not clue what to use because a lot of times there were a couple of choices that were equal on paper. there were obvious wrong choices...but there were always a couple that sounded reasonable for each question (and there's only one right answer). And none of us students had enough real life experience to know which was the better choice.
Prof's like that really piss me off....it's almost like they forget that we're learning this stuff for the first time....and they expect us to have the same experiential knowledge as them.
And i guess part of it is my fault...i COULD just sit at home and memorize all that stuff...even though in real life, people look that stuff up.......but it's my last academic semester....and i'm tired.

Recent Comments