To be clinically astute, is it crucial to be a express scholar (think on one's feet)?
Answer:
The best bearing to become clinically astute is to practice your craft. There is no amount of text that add up to clinical experience. Hutchison's explains in great detail the course that hepatomegaly feels ; the texture ,the margins , the consistency. But ultimately if you hold never felt an enlarged liver , have read Hutchison a thousand times adds up to zilch. Practice case taking and nouns. Real case taking and nouns ; take ample cases and examine enough patients and you will become clinically astute. The art of valise taking has long be lost and its a crying shame. There is no substitute for experience. Reading case studies may lend a hand to some extent but to be able to pick up the relevant findings every single time you own to examine as many patients as you can. Truth be told that contained by this age of defensive tablets an effective practitioner can enjoy a near 90% accurate diagnosis (or at smallest 3 differentials) after proper history taking and examination. If you purloin as many cases as you can....remarkably soon you will be able to diagnose opening before the x rays or cbp come spinal column. This has extreme need with concern to emergency prescription.
I would think you involve a good working memory and knowhow by way of text and clinical case studies that remind you of your current tolerant? Just a thought
If I ask you about you date of birth, you do not own to be a quick brain to come up with the answer. In like peas in a pod way, erudition and experience will help you surrounded by every profession, including medicine.