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How Doctors Think (And Students Don't)

Dr. Philip Tisdall

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Why do medical students struggle even when they’re working harder than ever? In this episode of Dr. Tisdall Unfiltered, I break down the biggest mistakes I see students make, why memorization fails, how physicians actually think through clinical problems, and why pathophysiology should be the foundation of medical education. We also discuss clinical reasoning, medical school success, my Clinical Pathophysiology textbook, and the new live community where students can learn medicine the way it is practiced in the real world. If you've ever felt overwhelmed by the volume of information in medicine or wondered how top clinicians think through complex patient problems, this conversation is for you.

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00:00 Introduction
00:01:28 Why Students Struggle
00:05:03 Why Students Memorize
00:07:12 How Doctors Think
00:09:07 Pathophysiology First
00:13:13 Students Who Are Failing
00:16:21 Fixing Medical Education
00:17:50 Why I Wrote The Textbook
00:21:25 Who Should Read The Textbook
00:23:47 Why I'm Building The Community
00:27:24 Live Community Learning

#MedicalSchool #ClinicalReasoning #Pathophysiology #MedicalEducation #USMLE #MedStudent #Doctor

20 Comments

@drhassan6892 2 months ago

it seems like medical students of the past learned a lot more practical things in medical school, but nowadays, the volume of basic sciences is immense and the material that is testable grows and grows so people are just studying primarily to past us because that’s what gets you the certification to practice. These principles are a lot more useful in residency.

@elude3808 3 months ago

I get you doctor, but sadly, many times that’s not possible. I’m studying medicine in Spain and in my university we don’t have time to learn, only to memorise the days before the exams. We don’t have material time to study or revise during the course, they fill all our schedule with mandatory useless things, everyday, to the point that many days we don’t have any hour to study or revise and many days less than 2h (if you want to sleep at least 7h!). The volume and level of detail is crazy, we can only survive cramming.

@tarikkucuk7356 11 days ago

I think most of the time the problem is that people begin studying in the exam period. They relax during the semester and go along and when the exam period hits they get overwhelmed.
If you prepare before lecture, seminars, practicals go to them and then revise after you’re good when the exam period comes. Then you don’t need to cram and can actually understand everything that you’re studying

@charlesdarwin5185 3 months ago

Think like a detective when you take a history. Then examine the patient for clues and verification. Then do tests in crime lab.
Then treat the problem.

@Milzrmdhan 11 hours ago

Doctor, your video really helps me reframe how I think and how I study medicine. The mindset of "patophysiology first" is useful during my clinical rotation. I am not merely memorizing facts and disease patterns but rather conducting differentials and possibilities continuously during patient assessment. The mindset boosts my confidence and performance.

@asjadKhan-r5y 3 months ago

My brother also Dr and hesays never study for exam passing
Bz getting knowledge gone with exam
Study for learning and knowledge ❤❤❤❤❤❤

@Maryammalik-j3l 3 months ago

Dr. Phillip, you literally made me weep. I am so grateful to God that we have you , and I also pray for your good health.

@alessandrosigalas7696 2 months ago

From South Africa - the structure of my medical school was absolutely shit, no order, no organisation, disorganised resources and poor source material provided - a good source = a good doctor, it should not be our responsibility to create textbook and study them while in med school

@NXTDoctor 3 months ago (edited)

in my preclinical years (2020) ) I used to combine pathogenesis and pathophysiology in same page , thinking about abnormal /physio/structure/pathways(biochemistry) That was a rough way.

@palr.k.4238 3 months ago

You learn cause -> effect
You practice effect -> cause(s)
well the teaching needs to be updated isn't it?

@BalukuBrian-k4p 3 months ago

Enjoying such a good message from Uganda 😅I appreciate your outstanding service towards the world at large

@user-jh1rc1op7u 2 months ago

its crazy cause im a vet student and its literally the exact same shitty situation in vet school.

@Val.Kyrie. 7 days ago

I learn and think clinically and mechanistically, but the exams reward word for memorization and what factoids you can memorize from the examples in the textbooks. Knowing the actual material loses marks to someone who happened to memorize a random idea or read the notes on a specific image. (But we have 20 images and whatever is chosen was on a random whim by an instructor we've never met).

I only highlight the things I want my eye to catch every time I see the page.

@CA-tq5qg 3 weeks ago

Modern medicine is studied through lots of content that the basics of practice are sadly left behind,many med students actually get the benefit once they’re in the hospital or even after, but while being in college is just a battle of survival against all the knowledge that is expected to be mastered in a short period of time.

@brilluckychannel831 2 months ago

With the chief complain
What system affected?
What family?
What sub family?

This is the best🎉

@HaRu-sz8fq 1 month ago

this is so good, i wish we had more time to actually understand the human body, in my uni we have 3 exams every week during the whole semester after the fisrt two weeks, it's insane

@so1893d 5 days ago

Thank u for ur video!! I was wondering if u would ever be open to making us pathophysiology or normal physiology videos for each system. It would be awesome to see how u break it down and think thru it. Thank you

@JesusRodriguez-fo2br 1 month ago

In school you memorize a lot, and learn as much as you can while managing your life as best you can. It’s not possible to learn everything in school. That’s what residency is for. Application turns into true learning, and experience.

@daveclement9932 6 days ago

Thank you for Dr Philip!

@Carolene-q4b 2 months ago

Hi, Dr. Tisdall. I'm thankful that I've come across your channel. I appreciate your attitude towards medical education, and your honest recognition of the pitfalls of our current approach to and execution of teaching medicine.

I looked at amazon, and it said that there are no longer any copies of your textbook available. Might you be printing/delivering more, or how can I purchase your Clinical Pathophysiology textbooks? --US student