At
a time when the media are all talking about the flood of incompetent
doctors, the stitch-up of the NHS by consultants, and medics as
butchers and murderers, what school leaver in their right mind should
want to join such a charlatan profession? On the other hand, there is
the lifesaving ER image, with gorgeous doctors rushing
to the aid of distressed damsels. Fast cars, boundless wealth, and the
status of a flourishing Harley Street practice may be attracting them
in droves.
Reading Learning Medicine will not make readers'
decisions for them, but it will certainly leave them with a much
clearer idea about what the training and profession entails. Sir Donald
Irvine, president of the General Medical Council, reminds us that
"medicine is still very much a vocation, a way of life, a profession
which combines knowledge and skill with strong values and ethical
standards." His foreword goes on to say the profession is
"fulfilling and . . . satisfying for the vast majority of doctors who
practise it successfully." The authors' aim is "on the one hand .
. . to encourage," but "on the other to prevent square pegs ending
up in round holes."
The aim of the book is clear from the start. It challenges the reader
to consider seriously what is involved in a career in medicine. This is
not a guide to what grades you need to get you where you want to go or
a book stuffed with "interview tricks," but one that asks, "Is
medicine right for me?" This is what makes the book so valuable. Each
chapter concentrates on a different aspect of the progress into
medicine, from the stage of considering the profession to postgraduate
education and a consultant or general practitioner job.
There are, however, some glaring factual inaccuracies. This is
the 15th edition of the book, and is only very recently published, but
the authors have failed to note the shift in the UCAS application
deadline! They offer guidance as if the application deadline were still
in mid-December, but potential applicants beware-the deadline is now
in mid-October.
The book considers many aspects of the course, including the
different options for doing an intercalated BSc. It covers the new
problem based learning (PBL) courses well, with an extensive case
study, but covers more traditional courses less well than previous
editions did. The case studies continue with several "a day in the
life of" sketches, which provide an exciting taste of the clinical
course. There is, however, a rosy tint to things. Nowhere does it
mention the hours wasted hanging around for teaching that never happens
from doctors who don't have time. The cartoons from Larry provide real
humour on almost every page, and many convey important messages as
well. The appendices are also very useful, with some extracts from GMC
publications, as well as a bibliography and the addresses of all the
medical schools and some grant giving bodies. Sadly though, websites
and email addresses have not made their way into the book
yet.
Back then to the extremes of murderers and fast cars. Neither is true
of course. But there is no better guide to making some sense out of the
myths and rumours than this book.