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Medical Education and Critical Thinking

I just read from elmédicointeractivo the draft Royal Decree Trunk sent by the Ministry of Health to the Autonomous Communities and, apparently, except for last minute decisions Derma affect, Geneva and Otolaryngology, will be final.

I always like to read the introductions of laws, royal decrees, etc. Express motivation and often contain a great-looking statements that justify its publication.

This draft is one of those ideas that would be worth all the action of a government in medical education

is the first time I read in the legislation, medical education, defense CRITICAL THINKING. A critical thinking, to put it in simple terms, is one that reflects on what they learned when you have to apply them in the immediate reality of their profession and questions about its possible benefits and vested interests that may determine their performance. On this there is a great (and long) entry on the blog lamomiaquehabla and although recommend detailed reading, I can not resist collecting the following

The difference between a craft and a profession is that he has a trade is centered in the domain of technical knowledge must be used in practice ( technical rationality). The professional, in addition to technical knowledge, you have to build autonomy and professional criteria, which is more than just having knowledge of medicine and nursing.

But once picked this excellent statement of intent, let the practical. Who teaches Critical Thinking? The education system ... no, the mediocrity raw, literal repetition of the "lessons" of the teacher and the abuse of power. In the Faculties of Medicine ... less " I am the most knowledgeable and if what I say is inconsistent, it's your problem. When asked, answer as I ". In the MIR ... either: "Harrison dixit" . In the home ... well as the tutor. So, generally, critical thinking appears in the professionals who reflect and are able to criticize their own actions, to face the overwhelming reality that offers, day day, your profession and patients and crashes, dramatically, with the information of those "pringadillos" to defend, without scientific evidence, some agreements, protocols or pastry dough of nonsense, with clear economic intent, which pollutes health market, whose leaders only see you as "producer of consumption" to their advantage.