ABSTRACT

This chapter is about the way clinicians acquire the core of their mindlines during their early training.

™ Jim was explaining how he still makes use of the science he learnt at medical school thirtyfive years ago. Having begun to hear about bisphosphonates, for example, he read ‘lots about it here and there, like in the BMJ’, until he ‘got the gist of it’, and then went back to basic principles about osteoblasts and osteoclasts and worked out how bisphosphonates might work on the bone and what the consequences might be before he prescribed them. He admitted that in doing this he was unusual compared with many of his colleagues, but he enjoyed that part of his work.