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I would like to address something about the @NBOME's stance on the continuation of the PE. In their statement, they state that the PE measures competencies such as 1. communication 2. connection 3. empathy 4. hands on diagnosis 5. OMT/OMM. ( a thread) 1/
1. Communication: communication b/t peers M1 & M2, b/t preceptors/pts/residents M3 & M4. If there was a gross deficiency in communication, our medical institutions would have caught them during these past four years and not during a one day exam. 2/
2. Connection: Again, throughout our four years we make connections with our peers, with professionals, with institutions, with patients, with families. My connections come from real encounters with real emotion and real consequences of diagnoses.
3. Empathy: Can't fake it for four years, could probably fake it for one day.... 4/
4. Hands-on ddx: There are many things that go into a diagnosis and these skills are heavily taught during M3/M4 years when you can't learn everything from a pt by their H&P and buzzwords that lead you to a correct diagnosis. Diagnostic decision making cannot be made in ONE ROOM.
5. OMM/OMT: M1/M2 hands-on direct exposure to OMT multiple times a week for multiple hours with faculty and TA supervision to ensure safety and proper utilization of techniques.
@NBOME the things you seek to 'protect' are things our institutions & preceptors can easily observe without a higher expense, traveling, or preparing for an exam that covers exactly what we learn at our institutions. It's time to REALLY listen and evolve. Med Ed is changing.
