Imran Nagi, MD

When I was chief resident I had to find “interesting” cases for conferences. We wanted unusual diagnoses or tricky management decisions. Usually, 95% of the cases in house weren’t like this. They were mostly failure to thrive, needs placement, poorly controlled chronic issues, etc. Very little of the care had to do with diagnosis and management, most was social issues and age-related decline among the elderly. I had to cherry pick a tiny sliver of clinically-challenging cases for the residents, if I could even find any. Always struck me that there is such a divide between how we teach medicine and how it is in actual practice.