Whenever I have residents rounding with me, there are a few exercises I have them go through. Often the most revealing to them is when I ask them to spend a day recording each diagnostic or therapeutic act they do, and classifying them as based on either evidence, physiology, or culture - meaning they learned it somewhere along the way as common practice but really have little idea as to how valid it is. They are usually quite shocked by the end of the day when, by their own calculation, 40-60% or so of their practice is essentially dogmatic!
The fight against dogma in critical care
The fight against dogma in critical care
The fight against dogma in critical care
Whenever I have residents rounding with me, there are a few exercises I have them go through. Often the most revealing to them is when I ask them to spend a day recording each diagnostic or therapeutic act they do, and classifying them as based on either evidence, physiology, or culture - meaning they learned it somewhere along the way as common practice but really have little idea as to how valid it is. They are usually quite shocked by the end of the day when, by their own calculation, 40-60% or so of their practice is essentially dogmatic!