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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. rolisz · · focus · HN ↗
      Are you sure you can find that many more doctors? That they'll be any good?

      Speaking from Romania: here medicine is prestigious. So many parents push their kids towards medicine. There's a glut of newly minted doctors every year, but rumour has it that the quality drops every year. Sure, they pass the exams and residency and what not, but... They're just not into medicine as much.

      Do you want to get treated by such a person?

      This year I had to go to a neurologist. I went to one locally, they dismissed me in 5 minutes, told me to take some vitamins basically. Went to another one in a much bigger city, they talked to me for an hour, ordered a ton of tests.

      Would it help if we get a lot more of the first kind of doctors?

      1. cbg0 · · focus · HN ↗
        This is another one of those &quot;kids these days&quot; thing based on nothing but vibes. <a href="https:&#x2F;&#x2F;www.science.org&#x2F;doi&#x2F;10.1126&#x2F;sciadv.aav5916" rel="nofollow">https:&#x2F;&#x2F;www.science.org&#x2F;doi&#x2F;10.1126&#x2F;sciadv.aav5916

        I&#x27;ll give you some N=1 sample on older doctors since I&#x27;m also from Romania: a lot of these older doctors haven&#x27;t opened a book in a very long time and are still using older practices instead of providing their patients with the latest and most effective treatments available because they&#x27;re too lazy and&#x2F;or prestigious to go and learn new things. Would you say that they &quot;into medicine&quot;?

        &gt; Would it help if we get a lot more of the first kind of doctors?

        It would certainly help hypochondriacs a lot. Ordering &quot;a ton of tests&quot; needs to have some basis behind it, and doing it just to make the patient &quot;feel seen&quot; is not a great way to do your profession. People being dismissed quickly also happens in the US quite a lot, sometimes with disastrous results though it&#x27;s not incredibly common, it&#x27;s typically labeled under &quot;diagnostic error&quot; <a href="https:&#x2F;&#x2F;qualitysafety.bmj.com&#x2F;content&#x2F;23&#x2F;9&#x2F;727.long" rel="nofollow">https:&#x2F;&#x2F;qualitysafety.bmj.com&#x2F;content&#x2F;23&#x2F;9&#x2F;727.long

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