Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The generational shift in the learning styles of medical students

Mihir Gupta
Education
February 2, 2014
Share
Tweet
Share

A recent survey published in H&P, the Stanford medical school magazine, asked twenty graduating students to recommend books to read during the clinical rotation in internal medicine. Surprisingly, the top vote-getters weren’t books at all. The two most popular resources were both banks of practice questions, while the next two included a review book and a pocket handbook.

“Is this how our students learn the subtleties of sickness and health? What happened to textbooks? We had to read Harrison’s Principles of Internal Medicine cover to cover!” remarked one professor after reading the survey.

For what it’s worth, Harrison’s did receive one vote in the survey. But the results reveal a profound generational change in how medical students are learning the fundamentals of human health and disease. The recent explosion of printed and digital resources offers students alternatives to the classic texts that previous generation swore by. As a result, medical tomes are no longer the primary means by which students learn medicine, but just one piece of an increasingly complex puzzle.

Medical school is often compared to drinking from a fire hose; the student’s job is to imbibe as much knowledge as possible without getting bowled over. This is not a new phenomenon. Western physicians have been producing vast compendia of knowledge for millennia. The ancient Greek physician Galen published hundreds of treatises, aided by an army of scribes and students who recorded his every word while he saw patients.

The modern academic physician also leads an entourage of student doctors during daily rounds. But instead of scribing away on scrolls or stone tablets, today’s trainees scroll through their web browser on tablet devices. While one resident looks up drug dosing on UpToDate, her colleague consults Diagnosaurus to make sure he didn’t miss anything in the differential diagnosis. Meanwhile, the medical student quickly does a practice question on the USMLE World online question bank to test if he really understands the treatment algorithm.

The shift away from voluminous texts starts early in medical school, when the first exams come up before any of us has made it all the way through Gray’s Anatomy. Students opt for streamlined review books and digital resources in part because they are, well, streamlined and digital. Instead of reading about each step in the Krebs cycle, download an app with vivid pictures and animations. Instead of lugging a cardiology textbook to the library, go for a run while listening to a podcast about congestive heart failure. And if Google doesn’t have the answer, consult the online version of Robbins Pathology (soon to be powered by Google).

Students also point out that reading textbooks is “passive learning,” which many studies have shown to be less effective than “active learning” such as answering quiz questions. Others may want to tailor resources to their individual learning styles; visual learners frequent websites like SketchyMedicine and Picmonic, audiophiles stock up on lectures from iTunes U. Medical schools (including Stanford) even collaborate with web-based platforms like Khan Academy to digitize their curriculum.

The generational shift in learning styles is a source of consternation to at least a few senior physicians. I recall one clinician who helped us examine a patient in respiratory distress and then quipped, “There is NOT an app for that.” In another instance, an exasperated consultant asked a resident, “Do I need to draw you a picture?!” — and was shocked when the resident replied (without a hint of sarcasm), “That would be great; I’m really a visual learner.”

I have also heard faculty say that trainees must “earn it to learn it.” Wading through Robbins and Harrison’s makes students confront the sheer depth and breadth of medical knowledge, and ultimately imparts a more nuanced understanding of human disease. As one surgery faculty put it, “would you really want your life in the hands of a doctor who aced his multiple-choice boards questions but hasn’t read a textbook?”

The truth is likely somewhere in between. Innovative digital resources are vital for helping students retain knowledge and simplify difficult concepts. As long as there are multiple-choice board exams, there will be demand for streamlined review books that distill high-yield content. But Harrison’s isn’t going away anytime soon, nor should it. There will always be a need for textbooks to provide comprehensive information. And even the most committed app aficionados among us will eventually make it through those books – just maybe not during internal medicine rotation.

Mihir Gupta is a medical student who blogs at Scope, where this article originally appeared.

Prev

An embolus in one but trauma in many at 30,000 feet

February 2, 2014 Kevin 4
…
Next

Using palliative care to save health care dollars

February 2, 2014 Kevin 1
…

Tagged as: Medical school

Post navigation

< Previous Post
An embolus in one but trauma in many at 30,000 feet
Next Post >
Using palliative care to save health care dollars

ADVERTISEMENT

More by Mihir Gupta

  • a desk with keyboard and ipad with the kevinmd logo

    In medical school, sometimes you have to curb your enthusiasm

    Mihir Gupta

More in Education

  • A simple 10-10-10 tool to prevent burnout through mindfulness

    Annabelle Bailey
  • How racism and policy failures shape reproductive health in America

    Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta
  • Imagining a career path beyond medicine and its impact

    Hunter Delmoe
  • What is professional identity formation in medicine?

    Adrian Reynolds, PhD
  • How Filipino cultural values shape silence around mental health

    Victor Fu and Charmaigne Lopez
  • Why leadership training in medicine needs to start with self-awareness

    Amelie Oshikoya, MD, MHA
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How robotics are transforming the next generation of vascular care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The high cost of gender inequity in medicine

      Kolleen Dougherty, MD | Physician
    • Mpox isn’t over: A silent epidemic is growing

      Melvin Sanicas, MD | Conditions
    • How your family system secretly shapes your health

      Su Yeong Kim, PhD | Conditions
    • Women physicians: How can they survive and thrive in academic medicine?

      Elina Maymind, MD | Physician
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How robotics are transforming the next generation of vascular care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The high cost of gender inequity in medicine

      Kolleen Dougherty, MD | Physician
    • Mpox isn’t over: A silent epidemic is growing

      Melvin Sanicas, MD | Conditions
    • How your family system secretly shapes your health

      Su Yeong Kim, PhD | Conditions
    • Women physicians: How can they survive and thrive in academic medicine?

      Elina Maymind, MD | Physician
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The generational shift in the learning styles of medical students
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...