The Good Doctor

The Good Doctor

Enjoy reading our article of the month written by Dr Hany George Labib (Consultant Internal Medicine). It is an introduction he wrote for the book titled "Biochemistry - A Clinical Approach", authored by Dr Mona Sarkis Karas (Professor of Medical Biochemistry - Cairo University):

Just one generation ago the phrase a "good doctor'usually reflected an image of a physician who can make a very rapid diagnosis using a set of memorized clinical pictures (i.e. a pattern of symptoms and signs). Medicine has advanced and changed remarkably over the last 3 decades and the advances have been mostly molecular,genetic and immunological in language.As a consequence of these advances, this old concept of what constituted a good doctor became obsolete i.e. this "fast diagnostician"is no longer good enough in today's world. Today’s good doctor has a deep understanding of the different functional, molecular and physiological pathways. He/she has a coordinated train of thought that starts at the bedside from the patient's discomfort(i.e. diagnosis) and then uses various physio chemical pathways tailored to each patient and ends again at the bedside with his comfort (i.e.therapy). THIS DEPTH IN KNOWLEDGE IS NOT OPTIONAL OR A LUXURY or confined to university staff; IT IS ESSENTIAL for every physician…There is no way you can order or interpret a laboratory test without knowing the biochemistry of it, and there is no way of choosing a drug and predicting the side effects without knowing its mechanism of action at a molecular level. THERE IS NO LONGER A DEFINING BORDER BETWEEN BASIC AND CLINICAL SCIENCE TEACHING. Therefore any modern clinical medicine textbook is completely rewritten from past versions and is now full of essential biochemical and physiologic principles. It’s reading will be much easier plus more beneficial if you have the basic sciences ( i.e. the first 3 years in medical school) as an integral part of your mind ...engraved there.Moreover,you will not be able to keep up with the advances in medicine in the future if you do not have this BASE, and you will find yourself 10 years from now practicing very primitive medicine by tomorrow's standards.  Meanwhile, the study of basic sciences is increasingly geared towards the practical i.e. clinical applications. YOU WILL DEFINITELY ENJOY STUDYING BIOCHEMISTRY ONCE YOU REALIZE HOW CRUCIAL IT IS IN STUDYING MEDICINE and keeping up with it’s advances and being a good doctor.This is why this book tries to emphasize the clinical relevance of biochemistry and is therefore presented as case discussions. The format is that of multiple choice questions as this bypasses the innate biases and disadvantages of the essay format, and really tests understanding rather than blind memorization.

ENJOY BIOCHEMISTRY BE A GOOD DOCTOR BEST OF LUCK