Training Doctors for the System Medical schools are creating a new type of doctor.

Citizens' Council for Health Freedom ^ | 4-16-15 | Twila Brase

[TurboZamboni]

National Public Radio recently discussed medical training in the 21st century: “Spurred by the need to train a different type of doctor, some top medical schools around the U.S. are tearing up the textbooks and starting from scratch.” The new doctor is system-focused. A University of Michigan Medical School instructor told NPR, “ We haven’t taught people how to be specific about working in teams, how to communicate with peers and colleagues and how to communicate to the general public about what’s going on in health care and medicine.”

The new doctor is team-focused. A University of Michigan Medical School instructor told NPR, “ We haven’t taught people how to be specific about working in teams, how to communicate with peers and colleagues and how to communicate to the general public about what’s going on in health care and medicine.”

But that’s not what medical school is for. Doctors should be advocates of patients, not spokesmen for a system that is rapidly losing its patient-focus.

Furthermore, doctors have always been part of a team – they’ve led the team – but this new “team-based” group-think sidelines physicians and puts a collusive system of government and health plan interlopers in charge of patient care. Non-physician team members are increasingly empowered to follow computerized treatment protocols approved by some corporate-approved “lead physician” far from the patient’s side.

[Gaffer]

Seems to me that the line of thinking is more towards conformity and developing a medical person able to push treatment options off on other parts of the “system”. Develop the ideal medical bureaucrat, if you will.

My own GP I’ve seen for decades has been telling me about he’s being pushed into regimes of prevention, assessment and treatment that actually don’t respect his expertise and front-line knowledge of a patient. In effect, he’s saying how he does all that stuff is “how HE is graded.” My only guess that this is a carrot and stick thing where his reimbursement will be eventually tied to his conformity with the “plan”.

[Gay State Conservative]

Trying to figure out how to provide the top notch care for the likes of the Former Twelfth Lady,Princess Liawatha and George Soros that they've always enjoyed and,OTOH,learning how to tell he rest of us that we'll be getting a pain pill rather than the cardiac pacemaker that we *need*.

[raybbr]

My only guess that this is a carrot and stick thing where his reimbursement will be eventually tied to his conformity with the “plan”.

That's exactly what it is. They are rated on "plan participation" like the patient portal. The more patients they get to sign up the more they get from the feds.

If they don't get to a certain percentage by the schedule set by the feds they don't get the reimbursements from medicare, medicaid or the health exchange. I discussed this with my doc. He doesn't like it but he feels he doesn't have a choice.

[central_va]

Female Doctor: “Sir, you will have to stop masturbating.”
Male patient: “Why?”
Female Doctor: “Because I am trying to examine you.”

[Gaffer]

This is why I am going to vote for Cruz (if he is on a ballot I can vote on).

EVERY......WORD......OF......IT.......

[paterfamilias]

I graduated med school in 1976, completed residency in 1979, and fellowship in 1982. I have practiced medicne since, and spent 24 years on the faculty of a highly regarded medical school, teaching students, residents, and fellows.

In my experience, when a team takes care of a patient, nobody takes responsibility. Nobody is in charge. Every time the patient changes hands, things get missed and details lost. Nobody reads the medical record, electronic or paper.

That’s why a patient needs a dcotor, not a committee.

[WayneS]

...how to be specific about working in teams, how to communicate with peers and colleagues and how to communicate to the general public about what’s going on in health care and medicine...

I don't give half a rat's a$$ whether my doctor knows the crap listed above.

I want my doctor to know biology, microbiology, chemistry, organic chemistry, bio-chemistry, anatomy, physics, pharmacolgy, the history of medicine, and a smattering of mechanical engineering.

That other stuff is nothing but "feel good", nanny-statist garbage.

[WayneS]

You can’t have death panels without panels.

[NorthstarMom]

Thank you for your honesty. It helps to have that information just in case there is a time a family member will be under the care of a team.

[Ted Grant]

Well, I like a doctor that can communicate well. I saw an ophthalmologist for the first time ever last week. She was excellent - explained things in a way I could understand it, covered all the bases and options, and let me know exactly what was going on.

A good, professional manner is a good thing. I’ve had doctors that were just dismissive and obnoxious. I just dropped them and got someone better.

[Gay State Conservative]

My cardiologist is also a longtime friend.He's a graduate of Cal Tech and Stanford Medical School and is a senior cardiologist at three of the world's most famous hospitals (Boston).Because of our friendship my semi-annual visits to him last far longer than fine medical care demands.The stories he tells of Boston medicine during these visis...including about Harvard Medical School,top administrators and physicians at these Boston hospitals and the government red tape that today's physicians must endure is enough to curl the hair on your toes.

Just one more thing that makes me glad that I'm *far* closer to the grave than to the cradle.

But,OTOH,it's something for which my generation (the Boomers) must apologize to succeeding generations.

[Da Coyote]

Thankfully, we geeks will perfect the tricorder before the low achievement libs have ruined medicine.

[Paradox]

That’s why a patient needs a dcotor, not a committee.

Awesome, yes. There has to be a point man. The "team" should be there to consult with the patients doctor.

A few years back, I had a kidney situation going on, and while it was a "team" of doctors that treated me, there was no doubt about who was MY doctor, he was clearly the boss and my main contact.

[tgusa]

My PCP is totally disgusted with Gummint Zerocare and just announced he is leaving the practice. Thanks so much, Pelosi, Reid, 0bama and your fellow travelers. May you rot in hell.

[Gaffer]

Mine’s wife passed away a couple of years ago and he is older than I am. I am hoping he can hold off a couple more years.

[bigbob]

Great point. The most frustrating thing for those with a family member in these situations is to realize that the medical team has not shared information, and to have to do so themselves.

[arthurus]

Replacing doctors with technicians that require a medical bachelor’s degree. That’s cutting costs for medical training so people can afford to still go to “medical” school knowing that their pay will be a salary that will never pay off a student loan for a traditional MD degree. Very talented people will no longer go into medicine or they will go to school offshore and enter practice offshore. Nurse practitioners that we have now will be the “doctors” of tomorrow.

[arthurus]

The best have, indeed, choices. They will go off shore or go into concierge medicine which will flourish for a time until it is shut down by the government as being elitist.

[Gaffer]

In the end, whatever the intent or result will be, somehow I think it will be all the more easier for that “whatever medical professional” to put you in the system, get the answer and give you a pill to take home and die.