Clarification of My Last Post
So I got this nice email today…
Liu, Joshua Paul
You achieved the following scores on the STF exams:
Blood & Gross Anatomy average: 84.3%, Your mark: 74.7
Histology average: 85.0%, Your mark: 67.5
Embryology average: 76.49%, Your mark: 70
Boy, that Histology mark looks ugly. I will be super sad if I’m asked to do remediation for that. I’m not sure what happened – I wasn’t completely prepared, but I thought that part of the exam went okay. Guess you never really know…
Anyways, I wanted to sort of clarify my whole rant in my last post. Yes, admittedly, it was a rant.
Let’s be clear – my brother, Jerome, was in medical school here at UofT last year. So yes, I knew exactly what I was getting myself into – I knew that first year would be full of rote memorization, and that I was probably going to go insane. That being said, I didn’t really think about it. It’s one of those things where you’re like, “naw, I’ll just let future Josh deal with that problem”.
I do understand most of this knowledge is important and necessary for the development of my medical career – it’s just frustrating when it seems like the rewards that you reap from enduring the frustrating parts seem so far away. Constant memorization does not interest me, and my personality type is one where I get bored/frustrated when I can’t pursue something I’m deeply interested in and passionate about.
It also does worry me that I’m finding it hard to have the motivation to do anything but “just pass”. What does it all mean, and why am I doing it? It’s a good question, and I’m sure the answer will be complicated. I think it’s partly because of my dislike for memorization, that I naturally figure out the least I need to study to just pass.
So in short, yes, I get that I need to know this information – yes, I do need to just suck it up and get over it.
That being said, I do think developing critical thinking skills is one of those things that our education system constantly claims to do but doesn’t. They test them, but almost never help develop them, and if they do, it’s usually in pretty minute ways. What I mean by this is that exam questions often require critical thinking skills, but no one spends the time to help students (that are lacking them) develop those skills.
You don’t develop critical thinking skills by simply listening or learning the mechanics for tackling a common problem. You develop critical thinking skills by asking questions and trying to answer them. You develop critical thinking skills by discussing concepts with peers, challenging their ideas and having yours challenged, and together learning different ways to approach problems. That is, you learn how to think about the knowledge you’re taught.
All the time in school they say understanding is more important than memorization. I don’t think they take it far enough. More important than both understanding and memorization is knowing how to think about that knowledge.
I’m sure I’ve used this example before in another post, I want to bring it up again to clarify what I mean by this and why it’s so important.
Have you ever been stuck on a problem, so you go to a peer, tutor, or professor for help? They figure out the answer and explain it to you – and you understand how they got the answer perfectly. But, you still can’t do the next question on your own – why is that?
It’s clearly not a problem with understanding – you obviously understand the material well enough to understand solutions presented to you. The problem is that you don’t know how to think about the material yet – that is, you are struggling with the ability to think critically about the material on your own. This is what happens when you feel like you’ve studied the material and understand the answers to all the homework, and yet still seem to mess up on the exam.
I firmly believe that we need to invest the time and resources to help students learn how to think about the material they are being taught. It’s not enough that they “understand” the material, because understanding does not necessarily lead to critical thinking. We need to make that jump possible.
Related Posts:
- So This is What It’s Like to be “Below Average”
- Post-McMaster Interview Thoughts
- Roller Coaster of a Day
- I will be getting my Bsc and graduating!
- Wow, has it really been a month…
Did you enjoy this post? Why not leave a comment below and continue the conversation, or subscribe to my feed and get articles like this delivered automatically to your feed reader.
Comments
Josh, you may want to see if students are a part of the curriculum review committees at the med school. Your feedback would be invaluable to not only the committee but current and future students too.
“It also does worry me that I’m finding it hard to have the motivation to do anything but “just pass”. What does it all mean, and why am I doing it? It’s a good question, and I’m sure the answer will be complicated. I think it’s partly because of my dislike for memorization, that I naturally figure out the least I need to study to just pass.”
AHHHHHHHHHHHHHHHH Josh, you are on the right path… all you have to do is just pass inorder to become a doc… so why put more stress on yourself?
In my little opinion, critcal thinking is something that cannot be taught explicitly on.
From my experience, you need to have the pure will and interest on the subject being taught in the first place. This makes the person an active thinker. An active thinker will consistently try to understand a subject better by applying it in many different ways. It often starts with a question to yourself, “what if…?”. Also if the subject being taught was accumulative, they might as well as think about in relations to the knowledge they have acquired before. However, in my experience, doing such was often very time and energy-consuming, making it an ‘energy guzzling process’. And ofcourse, often many people just don’t have enough time and energy to burn their whole passion on the subject because every one of them will have different priorities, or often inspirations. The subject you are finding inspiring just might not be as inpiring for them, or may not be as important.
If you are not interested in about learning it, why take the course in the first place? Well, often its our society’s requirement for you to become a ‘well-rounded’ person, often making you take the courses forcefully that is just not in area of your interest.
I think for all of these reasons and further more, often the courses have to become very generalized to accomodate all of these people, ending up having to test you on very generalized stuff – which often happens to be the knowledges and facts. This leaves it up to you to be the one who is responsible of developing your own critical thinking skills.
Then what’s the use of developing all these critical thinking skills especially when it’s not going to be related directly with your marks? One of my aspect is that it is important because critical thinking can lead you into discovery/development of new stuffs, which are often almost revolution-izing. How did Sir Issac Newton come up with the concept of calculus? It’s because he had a pure interest in physics, and wanted understand better about the natural phenomena by expressing them into equations. By using all of his knowledge on the mathematics of the time, he developed a new concept of math, calculus! The moral of the story is that critical thinking proves its value in such ways at the end of the day.
Of course, this was possible because he was not only interested, but also had all the time and resources as an aristocrat that he probably never had to worry about running out throughout his lifetime. The reason why it is hard to find many historical revolution-izing scholars from the working classes is probably analogous to the people who I have mentioned above for not having enough energy/time/resource to spend their passion on thinking about the subject deeply and critically. It’s practically unreasonable for a peasant with a huge farmland to take care to devote his majority of time on thinking about how to express the falling speed of his crops into one equation. He would rather spend the same time on the ways to increase the yield of his crops by having the same passion in genetics, evolution, and ecology. It’s all comes down to the issue of practicallity.
In conclusion, it is ultimately “your” responsibility to develop your own critical thinking with your own initiative to think, and should you wish to develop further, it should also be “your” responsibility to discuss with people who have similar interests and passions with you. Nobody can directly teach or induce you how to think critically because nobody can think for you.
Talk to some of your peers and see how they study and learn. You would be quite surprised I think. I would guess many of them feel the same way you do.
If anything “success” and I use that term loosely in medicine is more or less correlated with dedication and hard work. People who spend more time with the material know it better than another person who has not. Most people in your class are intelligent and succeeded in undergrad. They know how to play the system. The difference in medical students is often their attitude.
And one more thing I would add is to take the time to not only develop your critical thinking ability but your patient empathy and compassion. Listen to your patients and try to understand where they are coming from. Because a good doctor is much more than smart brains, caring for people comes from the heart.

I really liked this post.
You’re totally right about testing critical thinking but not thinking about it. I think in the more mathematical disciplines they do teach you “algorithms” for problem solving, but I think a lot of smart people just rely on their innate intelligence. Strategies that would help people in the middle of the pack, so to speak, are neglected by profs.