How much are you being taught about...

[tickytacky]

How much time have you spent on so called "rare" diseases like Ehlers-Danlos Syndrome? I've read some stuff in the media lately about people being misdiagnosed and needing surgery. What have you been taught about it?

[Real Beef]

Only 3 months into medical school we are definitely concentrating on the common diseases at this point. I suspect we will be exposed to the 'zebras' of medical taxonomy once we have a better foundation of medical knowledge. Having said that I doubt that the average generalist (Fam med, emerg doc) would pick up on the rarer medical conditions hence the reason they send the wacky and weird cases to specialists and sub-specialists who know and thrive off of identifying the Zebra's.

 

Beef

[futureGP]

Only 3 months into medical school we are definitely concentrating on the common diseases at this point. I suspect we will be exposed to the 'zebras' of medical taxonomy once we have a better foundation of medical knowledge. Having said that I doubt that the average generalist (Fam med, emerg doc) would pick up on the rarer medical conditions hence the reason they send the wacky and weird cases to specialists and sub-specialists who know and thrive off of identifying the Zebra's.

 

Beef

 

there is really no point in teaching med students all about how to diagnose zebras when clearly 30~50% will become generalists.

 

zebras can be taught in respective specialties, and ugrad should focus on training general MDs

[leviathan]

EDS is taught in med school along with Marfans and many other connective tissue diseases. I'm surprised this is not covered in Canadian medical schools but it is definitely taught in the US. Generalists need to know about the zebras too, otherwise you're not much different than a midlevel provider.

[Islandcrazy]

EDS is taught in med school along with Marfans and many other connective tissue diseases. I'm surprised this is not covered in Canadian medical schools but it is definitely taught in the US. Generalists need to know about the zebras too, otherwise you're not much different than a midlevel provider.

 

Yup all of those diseases are fair game for the USMLE.

[Laika]

EDS is taught in med school along with Marfans and many other connective tissue diseases. I'm surprised this is not covered in Canadian medical schools but it is definitely taught in the US.

 

Both EDS and Marfan syndrome ARE taught in Canadian med schools... or, at least in some of them!

[rmorelan]

EDS is taught in med school along with Marfans and many other connective tissue diseases. I'm surprised this is not covered in Canadian medical schools but it is definitely taught in the US. Generalists need to know about the zebras too, otherwise you're not much different than a midlevel provider.

 

We covered both conditions in preclerkship - connective tissue disorders etc, etc.

 

By they the real cases of that I have seen have been managed by their Family doctor.

[RaVen777]

EDS was mentioned in class at least once. We talked about Marfans a number of times.

 

 

Most of the time is spent on common diseases.

[RiceWine]

How much time have you spent on so called "rare" diseases like Ehlers-Danlos Syndrome? I've read some stuff in the media lately about people being misdiagnosed and needing surgery. What have you been taught about it?

 

 

a lot! connective tissue disease

[The Ace of Spades]

I can confirm it's taught as part of the UBC curriculum.

[Birdy]

Ever heard of Zebra Cards?

 

Awesome guide. Not a med student yet, just read out of interest. Figure if I'm going to be a family doctor eventually (obviously may change, but it's my goal) it'd be useful stuff to know.

 

I actually have EDSIII and am surprised to hear it is so widely taught. Took me forever to find a doctor who could put the pieces together (he is a GP) and even now most doctors aren't very familiar with it when my history comes up.

[aaronjw]

 

Awesome guide. Not a med student yet, just read out of interest. Figure if I'm going to be a family doctor eventually (obviously may change, but it's my goal) it'd be useful stuff to know.

 

.

 

Nothing like counting chickens before even having chickens yet.

[Birdy]

Nothing like counting chickens before even having chickens yet.

 

I am actually interested in this stuff outside of my career plans. It just has (potential) future uses as well.

[Jochi1543]

You're taught about it, but chances are, you might not actually see a patient like that in med school, which could then lead to forgetting about it. I've met a person with EDS in "real" life, but I have yet to encounter an EDS patient in a medical setting.

[rmorelan]

I am actually interested in this stuff outside of my career plans. It just has (potential) future uses as well.

 

Sure, makes sense I mean of that stuff is just plain interesting.

[Birdy]

You're taught about it, but chances are, you might not actually see a patient like that in med school, which could then lead to forgetting about it. I've met a person with EDS in "real" life, but I have yet to encounter an EDS patient in a medical setting.

 

Makes sense. I suppose with the sheer volume of info thrown at you over those four years (plus residency) it's bound to happen that some of the less used stuff falls off the bookshelf of memory.

 

Sure, makes sense I mean of that stuff is just plain interesting.

 

Yeah, it is. Was listening to a thing on orthostatic tremor yesterday on CBC. Fascinating stuff.

[preppy038]

You're taught about it, but chances are, you might not actually see a patient like that in med school, which could then lead to forgetting about it. I've met a person with EDS in "real" life, but I have yet to encounter an EDS patient in a medical setting.

 

which is probably why subspecialty fellowships exist right? to reinforce the information by experience

[thebouque]

We were taught about EDS in preclerkship and most of us had exposure to patients with EDS during clerkship.

[Nixon]

As far as i remember, we have never been taught specifically about EDS or Marfan syndrome during pre-clerkship. I know these diseases popped out a few times in the DDx for specific valvular heart diseases in cardiology, or carotid artery dissection in neurology.

 

I would say apart from a few diseases we have seen in rheumatology and microbio/infectious diseases, most ''zebras'' we encountered were part of differential diagnoses lists here and there... The subjects we cover during pre-clerkship are mostly oriented towards general medical practice, that is, no prion diseases and stuff like that

[NLengr]

I saw one EDS during vascular in the ER for a dissection. That involved some uptodating for management.

 

Learning the generalities of a disease in med school is much different than learning how to manage presentations of said disease.

 

Med school concentrates on teaching dx and management of common things. Zebras are mentioned in passing, but specific details of mgt are usually left for specialists. You'd never be able to cover 5% of all the zebras in detail, even if that was all you focused on.

[apache]

i doagnosed my own rare disease, which stem from the same regulatory area of the brain... causing spreading inhibition... vasodilatory fluctuative effects, signalling effects.. and it was all in my head... even the expert who treats only one of the similar disorders exclussions (people not using psychedelics prior... are post war or trauma... which produces tremendous modulator effects... same ones... even tinnitus, lol... oh gosh... asking for papers to treat other patients prob seemed to appease me... this iis just well... henry abrham in harvards had fun for 30 years... ****, fun publication... i've written in labs before... and for this one, i refuse to put a uni affiliation... but it's a top caliber potential article... 320 hours gets you that...

 

my view... is if someone presents non acute-rare symptom cluster... i would rescued and research and research and research... my disorder was in my head even tho i found the empiric treat... second visit... but my head... just psychosomatic... well when u say you;re going to cause further donregulationm vision will be worse in 3 days... well, yeah, being drugged up was great... then again, i read the patent of every drugs i have an interest in or would use... so yeah, like i said, bit nuts, then again... a lot of docs scare me now... seriously.... negligence is fine, until you read enough to notice the nuance and consequence

 

How much time have you spent on so called "rare" diseases like Ehlers-Danlos Syndrome? I've read some stuff in the media lately about people being misdiagnosed and needing surgery. What have you been taught about it?

[aaronjw]

i doagnosed my own rare disease

 

Writing giant walls or text are not a disease, though, they do make me want to kill myself at times...

 

lol

[apache]

read the other one... serious... if you dislike self regulation... well, i've got a bundle of unethical and illegal acts... although i dont mention others stories... mainly not to cause trouble.... and because i don't have a beef with the regulators... just someone who didn't enjoy my views and was actually sloppy enough to get told to **** off... but i remember all the names... and well... some things may or may not be criminal.... of course not...

 

Writing giant walls or text are not a disease, though, they do make me want to kill myself at times...

 

lol

[RaVen777]

What is with the "..." instead of "."?

[apache]

reading my writiing is like listening to me speak in time... because of algorithmic speech patterns, i think and generate ideas insanely fast... i almost can't keep up with my head... its just for convenience

 

What is with the "..." instead of "."?