Medical digest jul-sept 2011 _ methicillin resistant staphylococcus aureus _ diseases

Dr Leong Khai Pang EDITOR Medical Digest You wouldn’t expect a free-of-charge medical magazine to supply the key to being an über-doctor , would you? Read on. Symptoms of staphylococcus aureus Beginners do not capture the likeness of objects they want to portray. What is staphylococcus epidermidis Later, their drawings start to look like the real thing. Staphylococcus aureus symptoms As the artists further mature, paradoxically, the resemblance is again tenuous.


Staphylococcus epidermidis treatment Picasso’s works, in the museums in Barcelona and Paris, showed that even he had to go through the three stages in turn. Staphylococcus species Usually, we talk of three levels of expertise: novice, competent and expert. What are the symptoms of staphylococcus Guidelines and rules are meant for people that straddle the competent and expert stages. Staphylococcus bacteria pictures Expertise is shown by consistently superior performance to that of the expert’s peers, concrete results and measurable outcomes (Ericsson KA, Prietula MJ, Cokely ET. Staphylococcus saprophyticus treatment Harv Bus Rev 2007; 85:114-21, 193). Staphylococcus symptoms Training and practice bring us to the expert level. Staphylococcus aureus prevention “It is probably self-evident to initiate that growth in expertise is dependent upon experience. Staphylococcus epidermidis shape What is not so evident is that experience in itself is not sufficient … Define staphylococcus For all but the few effortless self-learners, changes in expertise need reflection and deliberation,” says Advanced Consulting in Family Medicine (Radcliffe Publishing Ltd, UK 2009). Causes of staphylococcus Consequently, it is hard for us to become better after we have completed training because medical practice primarily consists of personal interactions between the patient and the doctor , usually with no external critique or audit. Methicillin resistant staphylococcus aureus treatment Can there be skill levels above the expert? What if the medical problem wanders into areas of great uncertainty and risk (Innes AD, Campion PD, Griffiths FE. Gram positive staphylococcus aureus Complex consultations and the ‘edge of chaos’. Staphylococcus causes Br J Gen Pract 2005; 55:47-52)? How does the doctor diagnose and treatment an illness not in the radar? Some writers propose two extra levels: the master and the visionary (http://doc.utwente.nl/58083/1/levels_of_expertise.pdf). Staphylococcus aureus images I quote: “The …‘visionary’ consciously strives to extend the domain in which he/she works. How to treat staphylococcus The world discloser develops new ways things could be, defines the issues, opens new worlds and creates new domains …operates more on the margins of a domain, paying attention to other domains as well, and to anomalies and marginal practices that hold promises for a new vision of the domain.” In my view, precision, economy and preternatural ability (seemingly) are a few traits of the crack medical practitioner. Staphylococcus saprophyticus cause He or she is right most of the time, regardless of the complexity of the case. Staphylococcus aureus sepsis He or she may propose an unusual diagnosis, but it is appropriate (it’s easy to do so and be wrong). What causes staphylococcus He or she does not over-investigate or over-treat. Staphylococcus aureus treatment and prevention Analogously, Yasujiro Ozu did not need dolly shots, fades, dissolves, voice-overs or special effects to make the greatest movies ever made. Staphylococcus epidermidis morphology We make decisions with logic and also through intuition (perhaps something very difficult to teach). Types of staphylococcus The über-doctor knows the limits of each and uses them in the right proportion. Staphylococcus epidermidis characteristics On 10 September 2011, Djokovic beat Federer in the semi-finals of the US Open. Staphylococcus epidermidis infections After saving two match points, everything hung on one shot. Define staphylococcus aureus Djokovic said, “The forehand return, I cannot explain to you because I don’t know how it happened. Staphylococcus aureus mrsa I read his serve and I was on the ball and I had to hit it hard, and it got in, luckily for me.” These doctors exist; we have colleagues who make correct diagnoses that we could never make, and avoid problems that we could never see coming. Staphylococcus aureus gram negative What we need is not longer lists of differential diagnoses, but more incisive decision-making; not more investigations, but more resoluteness; and not more knowledge, but deeper understanding. Morphology of staphylococcus aureus We can be better doctors. Prevention of staphylococcus aureus May we always be growing and learning and thinking.