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The spiral of knowledge is very broad; each one of us has only a part of that knowledge and is able to enrich it by sharing it

DR. ISMAEL MENESES HIDALGO

Pediatrician in Tlaxcala (Mexico)

"I am a pediatrician with a professional teaching activity at the Autonomous University of Tlaxcala for the past 26 years. I have practiced medicine since 1984, both at a private level in the office, as well as in the hospital environment in a NICU." With a single stroke, sober and concise, the Mexican physician Ismael Meneses delivers his professional profile. Equally brief, in this interview he describes Practicum Script as a network of collaborative learning and immediate feedback, which "allows one to carry out a systematic analysis, following a reasoning order and reflecting on diagnostic possibilities while broadening them." 

Madrid - November 12, 2018. What benefits does Practicum Script have for specialists? 
It allows intellectual development, updating, and review of recent and proper documents, therapeutic approaches and assessment by expert colleagues in that particular subject. It also leads to the identification of deficient areas in the assistance, and the assessment of laboratory and imaging diagnostic tools.

Do you consider the simulation to reinforce the confidence in decision making in the presence of the patient?
Yes, it is a complete exercise by allowing reasoning about evidence-based medicine; after reviewing the clinical case, there is always an opportunity to review the corresponding bibliography. This increases knowledge, which can be applied to the patient.

Do you think that medical error correlates with gaps in clinical reasoning?
Yes, they are one of the causes (of medical error). That is why medical assistance has protocols, and guidelines are carried out.

Medicine is not an absolute science. How is medical error addressed in Pediatrics and Neonatology?
In a hospital activity, healthcare development is achieved jointly and includes discussion among various specialists and subspecialists to provide quality care and limit as much as possible errors in diagnosis and treatment. It is also convenient to assess properly with the support from different laboratory and imaging diagnostic elements.

To what extent is it positive to go to the discussion forum and confront your results with those from a panel of experts?
It is the right thing to do, of course. The spiral of knowledge is very broad; each one of us has only a part of that knowledge and is able to enrich it by sharing it.

How do you approach situations without categorical evidence?
Based on my clinical experience and by requesting opinions from other experts.

What role does clinical expertise play in patients who fall outside the norm?
I think that the clinical experience, achieved from years of patient care, often allows a faster identification of major health problems. It must be complemented with an updating of current diagnostic and therapeutic approaches, of course.

Do you actually observe a translation of what the simulation exercise presents into your care practice?
In medicine, it is said that "there are no diseases, only sick individuals" and there’s no doubt that each case is different in daily practice. Practicum Script allows us to carry out a systematic analysis, follow an order of reasoning, and reflect on diagnostic possibilities while broadening them. I think that while progressing in the course, one learns its dynamics and how to apply it in daily activities.

 

Testimonies

For me, the program is very interesting, since it allows me to sharpen my interrogation and direct it more towards a specific pathology and to have more knowledge of laboratory and cabinet exams. I think it is very important that we keep our medical sagacity throughout our practice and that in the few minutes it takes to answer any of the cases that Practicum Script presents, you acquire more knowledge.

Dr. Miguel Olivares Alcocer

Pediatrician in Guanajuato (Mexico)

I would like to express my gratitude to the Practicum Institute of Health Sciences Research for the opportunity given to Latin American physicians  to access and take different courses of our specialty for the benefit of our dear patients, in my case in Mexico. It has encouraged me to improve myself and keep abreast of the advances in Pediatrics and put into practice the knowledge acquired in the hospital where I work. Thanks friends and congratulations to this valuable team of Practicum Script Education.

Dr. Heriberto Fuentes García

Pediatrician in Sonora (Mexico)

I am grateful for this study tool that, through Nestlé and with this method, allows us to review different issues with cases that confront us in decision-making and serve us in the daily consultation.

Dr. Josué Refugio de León Padilla

Pediatrician in Jalisco (Mexico)

It is an excellent educational support platform for the pediatrician, offers very specific clinical challenges with alternatives for diagnosis and differential diagnoses, with the support of experts, a bibliography and a forum to share opinions. It's easy to navigate and it's fun, a tool that's worth using and making the most of it.

Dr. Guillermo Yanowsky-Reyes

Surgery Pediatrician in Guadalajara (Mexico)
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