《非主流意見》
最近係CUHK見到有preclinical醫學系二年級嘅同學抱怨無限個lectures同考試成日會考萬幾張slides裡面其中一個角落嘅minute details
首先，其實講粗口我覺得真係無乜所謂。私人生活同工作要有嘅專業形象係可以分開。不過要小心嘅係日後要確保真係私人生活同it won’t come back and bite you，呢一行好窄同好多人對粗口敏感，而你嘅事業好取決於同行對你嘅評價。
我覺得成件事有幾個好重要嘅點值得所有人反思下
1. 考試內容有無必要考d偏到無得再偏嘅details
全世界醫學院考試都有類似嘅題目，問一些上堂其中一張slide個角落嘅其中嘅minute detail。好多人話靠這些題目可以分辨邊d學生係精英中嘅精英，邊d學生值得攞distinction
我同意要有differentiating questions，但如果條題目問你AdenoCa Lung with EGFR mutation T790M應該用邊隻TKI時，呢類嘅題目又係唔係適合去分一個學生嘅能力？係咪今日無背到個mutation panel係咪代表你唔係好學生，係咪差過其他有背到張Slide嘅同學？
如果要differentiate一個學生嘅能力，我會覺得complicated clinical presentation +/- multiple comorbidity同藥物相沖etc去睇下個學生會點clinically prioritize同workup個病人，會更加能夠分辨到精英中嘅精英。
如果preclinical basic science嘅題目我倒唔覺得有幾需要分辨有背到minute details同無背到嘅同學，反而更加應該加多少少clinical relevance on basic sciences例如pharmacology, microbiology, drug interaction, disease presentation with regards to physiology etc
2. 真係唔好睇考試睇得太重
醫學唔係淨係科學，同時係充滿人性嘅一門藝術。傳統考試並唔代表d乜嘢，考得好考得差，合格嘅你就係醫生。
Don’t ever be defined by exam
你需要嘅係合格，達到醫學界對醫生知識嘅最低要求同埋擁有應對困難嘅能力。當刻你醒唔起lecture 134第48張slide嘅內容唔代表你唔識，亦唔代表你之後會醫死人，會係庸醫。考試其間有種種因素，時間嘅壓力、大腦突然mind blank、一時諗唔通等等，令你答錯呢條題目。
呢個並無咩咁大不了，如果你真心唔識嘅，就吸收呢次經驗同知識，be better next time 。如果你係識但因種種原因答錯嘅，唔緊要，下次更小心就好，無須覺得自己比別人低等。
香港學校好容易會出現一種互相比較嘅氣氛，really there is no need for such culture，相信自己嘅能力，記著，你唔需要一份筆試去定義你嘅人生。
*不過當然你仍然要合格，只係無必要去同人競爭鬥高分
當你看開d唔再區泥分數時，就算你無背到d rare minute details時，你一樣會合格會progress，呢d古怪題目唔會佔多過10-20%
我明好多時會覺得個考試唔公平，覺得個分數唔能夠充分反映你嘅努力同能力。
你絕對entitle你對考試內容不滿嘅感受，this should be acknowledged and not dismissed and framed as you are just a whining child
3. 基本重要defining features你其實真係要識
你未必需要知道concurrent chemoRT for NPC個platinum based regimen係乜嘢，但你起碼都要知個mainstream treatment係乜，chemo要be aware of neutropenic fever，RT個概念係乜嘢，呢d真心同你以後日常工作有關嘅知識
你的確可以以後睇症時up to date所有嘢，但你起碼要有個概念先知要uptodate乜嘢，如果唔係真係search到2046無都未搵到個答案。
至於whole genome sequencing其實我覺得你唔需要知得好詳細，但都可以了解下到底迎l近年醫學因為基因學嘅發展而有幾大嘅進步，癌症同autoimmune等疾病嘅治療近年咁大嘅改變，基因研究功不可沒。
都係果句，唔識或答錯唔緊要，從中學習睇下知識，只份卷10%嘅題目真係唔會令你唔合格。
4. 好多前輩們其實可以諗諗你覆個學生嘅objective係乜嘢
如果你只係想開心share呀叔同老娘當年都係狂背書，呢d嘢係well expected嘅時候，你想achieve d咩嘢
現實就係有學生覺得考試唔能夠全面評核佢地嘅知識同能力，呢個係一個legitimate嘅感受。當我地立即judge佢嘅心態再下埋判決覺得佢唔會survive medical career，覺得佢無做醫生嘅資格或質素，甚至叫佢quit U or transfer，你係無address過個root cause and culprit
當然你絕對有權去覺得新世代都係whining child，心態有問題，但當你睇症時都可以嘗試去從病人角度出發再adjust your approach時，點解面對師弟師妹又唔可以呢？
我唔同意單憑一個secret post就落judgement去判一個人死罪再圍鞭一輪。
的確世界唔係圍繞一個人而轉，世界亦未必會為咗一個人而改變，但如果我地真心覺得有地方值得改善，係唔應該submit to the culture or system
The world might not change for you
But if you believe a change is needed
Be that change yourself
非主流意見遇咗實有人會唔同意
最後只想同所有讀緊醫嘅同學們講
Preclinical係好悶，clinical years會好好多。唔好睇考試睇太重，the last one who passes is still a doctor
相信自己嘅能力，捱過難關後便會有另一番天地
Don’t ever be defined by exams or other people
acknowledged 收 到 在 [討論] Acknowledge = 認知？ - 看板CrossStrait - 批踢踢實業坊 的推薦與評價
中美關于臺灣的地位論述；美國人當時用了一個詞“Acknowledge”。
關于這個詞，現在許多臺灣朋友，認為美國對“臺灣屬于中國的一部分”
僅僅只是“認知”，而非“承認”。
現貼出美國傳統詞典（AHD）、牛津（Oxford）、朗曼（longman）和科林斯(Collins)
等英語詞典對“Acknowledge”詞條的解釋：
AHD 詞典的解釋：
acknowledge
ac.knowl.edge
AHD:[?k-n?l“?j]
D.J.[?k?n?l?d?]
K.K.[?k?n?l?d?]
v.tr.（及物動詞）
ac.knowl.edged,ac.knowl.edg.ing,ac.knowl.edg.es 縮寫 ack.
To admit the existence, reality, or truth of.
承認：確認某物的存在、現實或真相
To recognize as being valid or having force or power.
確認有效，承認權威：確認有效或有權力或權威
To express recognition of:
承認：表示承認…：
acknowledge a friend's smile.
對一個朋友的笑做出反應
To express thanks or gratitude for.
答謝，致謝，鳴謝：表示對…的感謝或感激
To report the receipt of.
告知收到，確認收悉
Law To accept or certify as legally binding:
【法律】 公證，確認：作為法律約束力而接受或確認：
acknowledge a deed.
確認一行為
Oxford 詞典的解釋
acknowledge
/ Ek5nClIdV; Ek`nBlIdV/ v
[Tn, Tf, Tw, Cn.a, Cn.t] accept the truth of (sth); admit (sth) 承認（某事物
）屬實; 供認（某事物）: acknowledge the need for reform 承認改革的需要 * a g
enerally acknowledged fact 公認的事實 * He acknowledged it to be true/that i
t was true. 他供認那是事實. * They refused to acknowledge defeat/that they w
ere defeated/themselves beaten. 他們拒不承認失敗[他們被打敗/自己被擊敗].
[Tn] report that one has received (sth) 告知已收到（某物）: acknowledge (re
ceipt of) a letter 告知已收到一封信.
[Tn] express thanks for (sth) 為（某事物）表示感謝: acknowledge help 對相助
表示感謝 * His services to the country were never officially acknowledged. 他
對國家所作的貢獻從未受到過正式的表彰.
[Tn] show that one has noticed or recognized (sb) by a smile, nod of the he
ad, greeting, etc 以微笑﹑ 點頭﹑ 打招呼等表示注意到或認出（某人）: I was st
anding right next to her, but she didn't even acknowledge me/my presence. 我
就站在她旁邊, 可是她連個招呼都不跟我打.
(a) [Cn.n/a, Cn.t] ~ sb (as sth) accept sb (as sth) 承認某人（為某事物）: S
tephen acknowledged Henry as (ie recognized his claim to be) his heir. 斯蒂芬
接受亨利為他的繼承人. * He was generally acknowledged to be the finest poet
in the land. 他是公認的全國最優秀的詩人. (b) [Tn] accept or recognize (sth)
接受或承認（某事物）: The country acknowledged his claim to the throne. 全國
人民確認了他的王權.
Longman 詞典的解釋
ADMIT】
to admit or accept that something is true or that a situation exists
The family acknowledge the need for change.
acknowledge that
He acknowledges that when he's tired he gets bad-tempered.
Claire acknowledged that she was guilty.
The government must acknowledge what is happening and do something about i
t.
'Maybe you are right,' she acknowledged.
This is a fact that most smokers readily acknowledge .
【RECOGNIZE SOMETHING'S IMPORTANCE】 [usually passive]
if people acknowledge something, they recognize how good or important it is
acknowledge sth as sth
The film festival is acknowledged as an event of international importance.
be widely/generally acknowledged to be sth
The mill produces what is widely acknowledged to be the finest wool in the
world.
【ACCEPT SOMEBODY'S AUTHORITY】
to accept that someone or something has authority over people
Both defendants refused to acknowledge the authority of the court.
acknowledge sb as sth
Many of the poor acknowledged him as their spiritual leader.
【THANK】
to publicly announce that you are grateful for the help that someone has giv
en you
We wish to acknowledge the support of the university.
【SHOW YOU NOTICE SOMEBODY】
to show someone that you have noticed them or heard what they have said
Tom acknowledged her presence by a brief glance.
【SAY YOU HAVE RECEIVED SOMETHING】
to let someone know that you have received something from them
I would be grateful if you would acknowledge receipt of this letter.
Collins 詞典的解釋：
acknowledge
◆◆◆◇◇
acknowledge acknowledges acknowledging acknowledged [VB]
If you acknowledge a fact or a situation, you accept or admit that it is tru
e or that it exists. (FORMAL)
Naylor acknowledged, in a letter to the judge, that he was a drug addict.
Belatedly, the government has acknowledged the problem.
There is an acknowledged risk of lung cancer from radon.
=admit
acknowledge acknowledges acknowledging acknowledged [VB]
If someone's achievements, status, or qualities are acknowledged, they are k
nown about and recognized by a lot of people, or by a particular group of pe
ople.
He is also acknowledged as an excellent goal-keeper.
Some of the clergy refused to acknowledge the new king's legitimacy.
=recognize
acknowledge acknowledges acknowledging acknowledged [VB]
If you acknowledge a message or letter, you write to the person who sent it
in order to say that you have received it.
The army sent me a postcard acknowledging my request.
acknowledge acknowledges acknowledging acknowledged [VB]
If you acknowledge someone, for example by moving your head or smiling, you
show that you have seen and recognized them.
He saw her but refused to even acknowledge her.
acknowledge acknowledges acknowledging acknowledged [VB]
If you acknowledge someone's applause, compliments, or kindness you make a g
esture in order to thank them or show your appreciation.
Doran stuck his head out of the window to acknowledge the cheering.
She never even acknowledged the man who opened the door for her.
He acknowledged the applause with a small bow.
==================
這四大詞典均在第一條將"Acknowledge"解釋成“Admit 或 Accept...某事屬實”.
請對岸朋友讀一讀。
聯想川普拿“是否繼續承諾前屆美國政府的一個中國論”來威脅中國作利益讓步，
美國人當初用的“Acknowldege”不是指“承認”還能指什么呢？
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