The Making of the Medical Mindset

By | March 8, 2015

Countless were the times that I passed through these doors on my way to class.  I had node at the time how my experiences at Columbia would change me and the way that I looked at the world. "Columbia University College of Physicians and Surgeons entrance" by Beyond My Ken - Own work. Licensed under GFDL via Wikimedia Commons - http://commons.wikimedia.org/wiki/File:Columbia_University_College_of_Physicians_and_Surgeons_entrance.jpg#mediaviewer/File:Columbia_University_College_of_Physicians_and_Surgeons_entrance.jpg

Countless were the times that I passed through these doors on my way to class. I had no idea at the time how my experiences at Columbia would change me and the way that I looked at the world.
“Columbia University College of Physicians and Surgeons entrance” by Beyond My Ken – Own work. Licensed under GFDL via Wikimedia Commons – http://commons.wikimedia.org/wiki/File:Columbia_University_College_of_Physicians_and_Surgeons_entrance.jpg#mediaviewer/File:Columbia_University_College_of_Physicians_and_Surgeons_entrance.jpg

I would like to make a small digression and return to one of my favorite topics, the making of the medical mindset. My goal is to demystify medical decision making, because one of the biggest problems I have at reaching a treatment plan with many of my patients here at Schlesinger Pain Centers is that we look at the same data and come to different conclusions. I was always taught that if you presented the same case to two well trained physicians they should arrive at the same diagnosis. That is because they have both been trained to think in the same basic way. This is not true for most patients. Often my patients and I disagree because of fundamental assumptions rooted in my medical education that are so basic that I take them for granted. The making of the medical mindset began for me on the first day of medical school at the College of Physicians and Surgeons of Columbia University and has continued throughout internship, residency and my many years of clinical practice.   It is my hope that by providing a guide to the creation of the medical mindset we can close this gap and improve the care that the patients receive.


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