‹ BackHN Continuity

Thread

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. chromatin · · focus · HN ↗
      > Their salaries need to be lower, training needs to be cheaper and faster, and we need a lot more of them.

      The quality of the average physician is already so low I am not sure what you are hoping to accomplish with lower salaries and faster training.

      Doctoring isn't a matter of more warm bodies

      1. hibikir · · focus · HN ↗
        Most countries get good results with shorter training and much lower salaries. And, just like most other US university degrees, the majority of the filtering is done on entrance, not on training. So it's not that we are evaluating the best doctor, but the best diligent people that get great scores in the MCAT. Whether that actually lines up well with being a good doctor is not all that clear.
        1. sebmellen · · focus · HN ↗
          Here’s an excerpt from a study of more than 1m physicians:

          > “Better examination performance was linked to improved adherence to mammography screening recommendations, appropriate prescribing practices, improved care of patients with diabetes, lower patient morbidity and mortality, fewer complaints to regulatory bodies, and lower malpractice payments. The association was observed across examination formats and medical specialties.”

          <a href="https:&#x2F;&#x2F;academic.oup.com&#x2F;academicmedicine&#x2F;article-abstract&#x2F;101&#x2F;8&#x2F;1012&#x2F;8537997" rel="nofollow">https:&#x2F;&#x2F;academic.oup.com&#x2F;academicmedicine&#x2F;article-abstract&#x2F;1...

          Unfortunately, it’s very clear.

Open on Hacker News to reply ↗

Unofficial Hacker News client; not affiliated with Y Combinator.