Another common problem in the Nepali medical work-space: we rely too much on our memories.
Our memories are faulty. We live in the age of information surplus and not in the time of William Osler or Edward Jenner. And it is completely natural to forget the massive amount of information we collect, and people shouldn’t be shamed or tested purely on failure of recall.
Human memory wasn’t designed to handle so much information all at once. Our brains can only store memories if they are linked to something personal, relatable or frightening. This is where mnemonics come handy when memorizing facts or concepts. But that isn’t always possible for everything in practice. Compared to most developed nations, we rely too much on memory to the point of regressive test standards and burnout.
What is important is to actually understand what charts, criteria, protocol, scores are useful for. It serves no practical purpose to memorize those charts and tables which can today be promptly accessible on procedure room walls, tablet devices or smart phones. For instance, what’s the point of memorizing scoring tables for diagnosing Lupus, if we can easily look it up on a cell phone at bed side? Sure, having a better memory will boost one’s career and will maybe be helpful in busy situations. But such individuals are outliers, and not every medical professional are blessed with super-human memory. We need to think in terms of the average medical professional. Faulty memory is also a major contributor towards medical errors which can cost actual patient lives! Even the brilliant prodigies who become great doctors or successful nurses can forget – as they too are humans!
We never think in terms of ‘lives saved’, or ‘mishaps prevented’ or ‘errors avoided’ in Nepal. We seldom think as a group. We only think in terms of individual success. Maybe this has to do with our poorly regulated standards and indifferent medical professional bodies. And why not? Most research work done out here is to fulfill a certain criteria for individual promotion or raise and rarely to solve actual problems. Even if research has been done with genuine intention, their findings are just shoved aside as “just another study” by those in power. Some institutions like PAHS in Patan are trying to change this dependency on human memory, but PAHS is just one institute in one part of one district! We could learn from them, but we perhaps emphasize our professional ego too much to progress.
Computers obviously have a better, faster, and more accurate memory storage and recollection system. They are here to aid us, to potentiate our faulty memories, so we can instead dedicate more energy in conceptualizing and problem-solving in real time. Using smart devices at bed-side isn’t a sign of our incompetence, it’s a sign of progress if it helps us to prevent errors due to our primitive organic memories. Given that we could standardize their use at bed-side (like institute-dependent apps or webpages), I can confidently say that they will surely prove to be a great boon (and a massive relief for nurses, residents and medical students) for the field as a whole.
But who’s going to take me seriously, I’m just a random blogger.