The great The advantage of being a postgraduate student is that a large part of your life, from the first year to the last, is dedicated to learning. As I have written in the past, the growth curve is incredible, and even if it reaches a plateau just as quickly, the level reached is on average very high.
It is certain that the white-haired doctor has a great deal of experience and an unparalleled clinical eye, but it is equally (at least in my opinion) clear how the theoretical knowledge of a young doctor is often exceptional.Obviously, this also brings with it disadvantages. Leaving aside the difficulties in maintaining a high level of study and many hours of work together with an adequate personal and social life, I think it is a widespread feeling among many postgraduates (and I have often had proof of this with colleagues) a strong sense of frustration.
How is it possible that the literature of the whole world agrees so strongly on a given phenomenon or the adequacy of some diagnostic-therapeutic procedures, and then the actual clinical practice is so different? As far as I have been able to see when I have raised this subject with other colleagues, of different specialties and of different years, this thought does not only haunt my head. Nor can I answer that I am arrogant to question what has been done in practice, if it is the entire international scientific community that does it.
For example, even older doctors often laugh at the spasmodic use of antibiotics by our PS doctors or by general practitioners who prescribe them over the phone.In some intensive care units (as obviously in some GP studies and in some PS) the effort to reduce the use of antibiotics, and therefore the selective pressure to the development of resistance by bacteria, is incredible.
The result, however, is literally a drop in the ocean. The reality is that Italy is terrifying from the point of view of antibiotic resistance, and except for some strains of pneumococcus and Pseudomonas, the levels of antibiotic resistance are enormous: if the European average indicates resistance to the fearsome A. baumannii towards all antibiotics at 34%, in Italy resistance is at 78%. And the same goes for other microorganisms such as MRSA and KPC, real scourges of intensive care. [1]
I can’t help but feel a huge discomfort in reading these data. The feeling is that of the uselessness of my time spent studying, if then what you do is completely different.After the discouragement, then, of course, you realize that it is a luxury in which you can not linger. You get up, and you put your head back on the books.
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Source — https://www.univadis.it/viewarticle/vita-di-specializzando-le-frustrazioni-di-noi-specializzandi-2023a1000093