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The darker side of being a doctor

282 points · 342 comments · Danhale93

  1. estearum · · focus · HN ↗
    (speaking from US): The reality is we need more doctors. A lot more.

    There's no solution other than training a lot, lot, lot, lot more doctors.

    Their salaries need to be lower, training needs to be cheaper and faster, and we need a lot more of them.

    1. khalic · · focus · HN ↗
      I'm not sure about the salaries. Vocation-motivated people are already doing it. The rest needs a good reason to put their entire life, quite literally, into one single purpose. It's one of those professions that requires a complete dedication of free time, youth, health, mind, etc.
      1. pajamasam · · focus · HN ↗
        If there are more doctors, it would require less of each one's time though.
        1. khalic · · focus · HN ↗
          Yes it would, but the sacrifices start at the university already, that part is incompressible I'm afraid
          1. groestl · · focus · HN ↗
            And there's certain constraints related to patient's safety which have an impact (i.e. less handovers, longer shifts)
          2. hibikir · · focus · HN ↗
            If you look across countries, you realize that a lot of the sacrifices are part of the pipeline, but not necessarily key to good outcomes. Just like the grueling hours at certain residencies.

            It's like claiming that one needs to cram hours upon hours of leetcode practice to be a quality software developer. It might be necessary for some companies to hire you, but that's to meet a filter that is less and less predictive over time, not an actual performance requirement.

          3. killerstorm · · focus · HN ↗
            Education system was set up in XIX century. It's not clear how much of it is necessary in XXI century.

            Back in the day religious books were copied by scribes educated in a monastic tradition. Now printers can print them in a completely godless manner but the result isn't any worse.

        2. nradov · · focus · HN ↗
          Nope. There is effectively infinite demand for physician services. If we had more doctors that wouldn't reduce the workload on individual doctors. The actual solution to reducing demands on their time would be through reducing the administrative workload which contributes nothing to patient care. Much of that could be automated or delegated or not done at all.

          The time demands also differ widely between specialties. You can't really be a part-time neurosurgeon. But we see a lot of doctors in other specialties like pediatrics, internal medicine, radiology, and emergency care downshifting to part-time schedules after they have established careers.

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