First-year medical students at the University of Virginia Medical School Medicine have begun learning to work in teams, use web technology and computer databases, and rely on relevant expertise of nonphysicians and surgeons from day one of their education. These lessons in how to deliver high-quality, error-free medicine usually come only once med students begin conducting supervised rounds and clinic rotations in the third year of training.
Since learning how to practice collaboratively with other physicians, nurses and pharmacists — as well as how to communicate with patients — in order to achieve the best outcomes from medical treatments can take many years, the earlier students begin such training, the better.
A feature in the Spring 2011 University of Virginia Magazine explains how the whole model of doctor training at the school has shifted in the following ways:
| New Focus |
Old Focus | |
|
Regurgitating Facts | |
| Problem Solving | Rote Learning | |
| Dialogue | Lecture | |
| Facilitating | Telling | |
| Critical Thinking | Memorizing | |
| Simulation | Observation | |
| Teams | Sole Practitioners | |
| Hands On | Passive Listening | |
| Individualized Learning | One Size Fits All | |
| Self-Directed Learning | Top-Down Learning |
In the classroom, med students work in groups of eight, use computers constantly and debate diagnoses and treatment strategies with fellow students. In practical labs, the students interact with simulation dummies programmed to "speak" with the voices of actors and to show responses to touch. Those hands-on practice sessions prepare students to work with real patients.
Making medical school education as much like real-world practice can only improve young doctors’ performance in actual clinics and hospitals. And improved performance means, exactly, fewer cases in which mistakes, errors and unintentional neglect cause harm to patients.
As a graduate of UVA, I’m proud that my alma mater is taking a lead role in reshaping doctors’ education. As a personal injury attorney with a law firm whose lawyers have represented too many victims of medical malpractice, I hope the new approach to training produces physicians fully equipped to help patients recover their health without putting them at risk for harmful errors.
EJL
About the Editors: Shapiro, Cooper, Lewis & Appleton personal injury law firm (VA-NC law offices ) edits the injury law blogs Virginia Beach Injuryboard, Norfolk Injuryboard, and Northeast North Carolina Injuryboard as pro bono services.
Rick Shapiro has practiced personal injury law for over 30 years in Virginia, North Carolina, and throughout the Southeastern United States. He is a Board-Certified Civil Trial Advocate by the National Board of Trial Advocacy (ABA Accredited) and has litigated injury cases throughout the eastern United States, including wrongful death, trucking, faulty products, railroad, and medical negligence claims. During his three-decade career, Shapiro has won client appeals before the VA Supreme Court, VA Court of Appeals, NC Supreme Court, SC Supreme Court, WV Supreme Court, TN Supreme Court, and three times before the United States Court of Appeals for the Fourth Circuit, underscoring Shapiro’s trial achievements. In addition, he and his law firm have won settlements/verdicts in excess of $100 million. His success in and out of the courtroom is a big reason why he was named 2019 “Lawyer of the Year” in railroad law in U.S. News & World Report's Best Lawyers publication (Norfolk, VA area), and he has been named a “Best Lawyer” and “Super Lawyer” by those peer-reviewed organizations for multiple years. Rick was also named a “Leader in the Law, Class of 2022” by Virginia Lawyers Weekly (total of 33 statewide honorees consisting of lawyers and judges across Virginia). And in September 2023, Rick was selected as a recipient of the National Board of Trial Advocacy (NBTA) 2023 President’s Award. Although many nominations were submitted from across the country, Rick was just one of eight attorneys chosen by the prestigious National Board which certifies civil trial attorneys across the U.S. Rick was also recently named to Virginia Lawyers Weekly 2024 Virginia’s Go To Lawyers Medical Malpractice. The attorneys awarded this honor are nominated by their colleagues and chosen by a panel from the publication.
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