I could not agree more with that....and I would take it a step further to say that if I could change anything, it would be how doctors are selected and trained.
Originally Posted by Neckhammer
Getting into medical school is an almost impossible task. At many of the top programs the turnaway rate is over 97%, and it attracts a certain kind of individual to be able to accept that and attempt it anyway. In undergrad, you cannot get a B on anything, and when you take the MCAT you study for it realizing that 90% of the people that take it do not score high enough to get into a reputable school.
Once you are there, it is MORE relentless competition that I don't think most outsiders are aware of. I had a few friends in school that used to go to a coffee shop 30 min away in Miami, JUST to ensure no one was spying on them and stealing their methods or materials. Matching into top selections like dermatology, neuro, general surgery, or ophthalmology (mine) is as cutthroat as anything I've ever seen.I would love to make a documentary about what it is really like. No one has a clue.
AFTER that, you go into a residency program that is again a dog eat dog world, with everyone vying to impress attendings. In my field, I had to learn basic surgeries only a few months after graduating, and that environment was incredibly nasty. I was called every name in the book by attendings, worked 100+ hours a week, slept in closets, etc.
And then.....when you are finally done and start practicing.....you realize one really big truth: Being a good doctor has much less to do with your mind than your heart, and all this time no one much cared about that part.
I have been asked what the attributes are of a good doctor, and I can really narrow it down to one.....a good doctor feels, above anything else, a duty to their patients to give the best advice and care, regardless of personal opinion or affectation.
In regards to how I treat or what I say, or being an "expert", I find all of that to be a made-up dichotomy; all because I don't really make my recommendations off of anything but results produced by it, mixed with trial and error of other approaches. I have attempted being much less abrasive to patients, doesn't produce like my current approach. I have tried taking out the fasting, making it shorter or longer, adjusting sugar or carb intake, again, it is all about what it does. Theory and opinion are not relevant. It is math. If I attempt other regimens that are more effective, I will transition to them instantly. This is what it is all about, having no ideology.
Overall, I believe that medicine attracts too many of the wrong kind of person, that many med schools are a cabal of grouchy old men that enjoy pigeon-holing and ranking every student to the Nth degree, and in the end you produce a very opinionated, very ideological robot. That can be an incredibly dangerous thing, as Quikky's story talked about.
Anyway, Merry Christmas to everyone. I'm off here for the holidays for a bit....
"They now look to a single and splendid government of an aristocracy, founded on banking institutions, and moneyed incorporations under the guise and cloak of their favored branches of manufactures, commerce and navigation, riding and ruling over the plundered ploughman and beggared yeomanry." - Thomas Jefferson, 1826