Required Mets Value For Activity

Normal Vo2 max

Age Group Male Female

10 to 19 47 to 56 38 to 46

20 to 29 43 to 52 33 to 42

30 to 39 39 to 48 30 to 38

40 to 49 36 to 44 26 to 35

50 to 59 34 to 41 24 to 33

60 to 69 31 to 38 22 to 30

70 to 79 30 to 45 to 27
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As medical students, we used to learn from our professors and from our medical
textbooks. In clinical practice, we don't have professors to teach us anymore,
which is why we need to learn by reading medical journals; attending
conferences; and from our colleagues.
However, a very important source of learning which we often forget to take
advantage of is our patients. All good doctors accept that they learn from their
patients all the time. However, you do need to follow a process to maximise
what you can learn from your patients.
Firstly, you need to be respectful , and understand that patients can be very
valuable sources of knowledge , if you're willing to tap into them. Thus, it's
possible to use patients as unpaid research assistants, ask them to look for
information on the internet or do a PubMed search. Patients are extremely
motivated. Some of them are extremely intelligent and have great business
analysis skills, which they can apply to their medical problem as well . Ask
them to share the information they learn by doing an internet search with you,
so that together you can polish your skills - and theirs as well . You do need to
guide them in the right direction , and provide them with feedback, so that the
results of their search become progressively better.
Secondly, keep your heart and your ears open. There are lots of inadvertent
experiments which occur naturally in real life in clinical medicine. For example,
some patients don't follow your instructions ; or forget what you tell them, in
which case they end up doing something completely different; or they combine
your treatment with alternative medicines. These are clinical trial where n = 1.
When this happens, they're scared and they don't tell you that they forgot to do
what you told them; or that they did something completely different, as result of
which we never learn from these encounters. Sometimes, the outcomes of these
variations is better than we would have expected. We need to treasure these
exceptions and learn from them. If you keep your channels of communication
open , and tell patients it's okay to make mistakes provided they share them with
you, you may realize that even though the patient made a mistake, the outcome
really wasn't bad at all - or perhaps was even better. You can learn from these
first-hand experiences of your patients, and use these to tweak the treatment
protocols which you offer.
Finally, smart patients will come up with clever hacks, and useful tips and tricks
they use in order to manage their illness. When you see that a patient is doing a
great job at taking care of himself, ask them what they are doing - and request
them to share their experiences and expertise with you, so that you can teach
your other patients as well !
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