[arkades]

I was at an Alzheimer’s talk the other day given by a neuro to the psych, Geri, and palliative departments.

You could tell the psychs in the audience hadn’t read up on Alzheimer’s in the last couple of years, because their questions were just so damned ignorant. And when I say “ignorant” I mean “knew 99% of the relevant information, but didn’t know about the current state of knowledge regarding diagnostic testing, biomarkers, etc.”

They knew more than they knew in med school. They didn’t know enough to competently manage an Alzheimer’s patient to modern standards. They wouldn’t know how to best (accurately, efficiently) diagnose it. They wouldn’t know when to start meds. They wouldn’t know when was the best time to discontinue meds. Most of the psych in attendance were residents - they were maybe two or three years out of school.

And Alzheimer’s has barely changed at all. That’s one of the slowest changing topics in medicine.

(Not a criticism of psych. Alzheimer’s in my institution, and generally in the medical field, is owned by neuro. They just happen to be a good stand-in for “folks a couple of years out of med school” here.)