Posted on 11/29/2016 7:15:55 AM PST by SoFloFreeper
Residency, in case you haven’t heard, is difficult work. 124,000 of us have dedicated three to seven years of our life to communities around the country, collectively making life and death decisions for millions of patients each day. Our weekly duty hour limit is twice that of most working Americans....
completely repeal Obamacare. Although he has reneged and stated that he would keep the ban on preconditions and coverage for young adults on the table, he has been much less clear about what he’d do to the quality and payment schemes of the ACA. A worrisome contingent of conservatives nonetheless wish to ditch those programs: out of nine known conservative proposals, at least five have called for the abolition of payment reform.
Interestingly, there are a number of unique reasons for payment reform programs to be strengthened by conservatives. By incentivizing local healthcare establishments, the ACA encourages them to take the lead as innovators meeting the unique needs of their communities, the type of private sector creativity that Republicans have championed.
he is a dangerous person to be a doctor for ANYONE.
That said, if you haven't been out of residency and actually working, you really don't fully understand the negative effect Obamacare has had on patient care, and why it needs to be repealed.
Actually, I personally feel that the changes in medical education, with more emphasis on ‘population-based’ studies and outcomes analysis, and less on hard medical science, has been detrimental in the training of new physicians. I appreciate the importance and contribution of epidemiology, and statistically tracking outcomes, but much of medicine requires thinking on your feet - as patients don't always fit into the neat boxes used to group cohorts in the studies used as the basis for ‘evidence-based medicine’. People are different, and biology varies as a consequence of a lot of factors. IMHO, you need to have a strong understanding of physiology, metabolism, molecular biology, etc. in order to extrapolate in situations where people don't fit into neat little boxes.
TA DA!
“I am so sick of this iPad “correcting” my no errors with gibberish it is on mistake from being blasted with the twelve gauge in my back yard! Speaking of dumb computers.”
I suggest a 3” turkey load.
I know what you mean. The majority of the doctors in my area got out of residency only in the past few years. The older docs moved away 4 - 5 years ago. The local medical group, which dominates health care within a 40-mile radius, went bureaucratic to the max, while lowering payments to doctors.
The newbie docs are pushing the newer theories on health, diet and exercise rather than talking about the patient. I experienced that with a newbie surgeon last year who performed my colonoscopy. A minor, routine procedure, and he had to lecture me about medical theories that I seemed to know as much about as he did.
Tell that to our servicemembers around the world.
My first two years in Germany, I was at an isolated site, we were 40 miles from Battalion HQ. I pulled staff duty officer twice a week, and at least every other weekend.
Most times, you were lucky to catch a couple hours of sleep, but HQ loved to send out test messages at 2 AM.
Still, I had it good, compared to those that spent 8 months out of the year at Grafenwoehr.
Don't get me wrong, I respect the hell out of doctors, but no one forced them into this, so he needs to leave his snowflake by the entrance.
I did six years of neurosurgery and got screwed in my last year by a staff guy trying to dodge a malpractice suit. He failed.
Actually, I personally feel that the changes in medical education, with more emphasis on ‘population-based’ studies and outcomes analysis, and less on hard medical science, has been detrimental in the training of new physicians. I appreciate the importance and contribution of epidemiology, and statistically tracking outcomes, but much of medicine requires thinking on your feet - as patients don’t always fit into the neat boxes used to group cohorts in the studies used as the basis for ‘evidence-based medicine’. People are different, and biology varies as a consequence of a lot of factors. IMHO, you need to have a strong understanding of physiology, metabolism, molecular biology, etc. in order to extrapolate in situations where people don’t fit into neat little boxes.
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Boy I am seeing that out in the world. People with missed easy diagnoses like gallbladders and appendix, over and over, getting septic because of lack of diagnosis and care.
An African name——pro-Obama. Period.
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“People with missed easy diagnoses like gallbladders and appendix, over and over, getting septic because of lack of diagnosis and care.”
Sad, but not too surprising..
True, but since the taxpayers are on the hook for gigantic Medicare and Medicaid expenses we all better damn sure hope they're trying to hold costs down.
I did my surgical internship at a hospital where there was a STRONG emphasis on “do”. We had to do at least one month of SICU, 15 beds, you were the doctor. IT. You had to be on top of 15 people doing their best to die minute by minute. We ran vents, floated in Swans, put in Tenkoffs, managed peritoneal dialysis, customized hyperal (there was no “service” that we could just order). I was so “good at it” I was asked to do more than my one month, I did five. In return I got to scrub and do better cases. I did four gallbladders (the old way) as an INTERN. One splenectomy. As an intern. In seven months I scrubbed 350 cases and dictated 75. 25 hernias, 25 appendectomies.
These punks have been trained in an era when “succeeding” means correctly answering questions on tests and watching. They can’t DO crap.
I had a Doctor that extolled the virtues of socialized medicine. As soon as Obama care arrived she dumped all her Medi-Cal patients.
These punks have been trained in an era when “succeeding” means correctly answering questions on tests and watching. They can’t DO crap.
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It shows in every way possible. I am frightened for our future health care.
Half of each residency class are women in our area. And they go into derm, pedes, fp, and rarely into the tough areas like thoracic surgery, ortho, etc.
The schools did not increase admissions to offset what the women would not do. so there is a dearth.
I actually called state CDC over it, and they were puzzled as to why I called. I said you have an epidemic of undiagnosed gall bladders. Do something.
I got nothing against women. I love women. Been married to one for going on 44 years. But realistically Medicine, and especially surgery just ain’t a field for women. I would not bar them but I would make sure from day one they realize what they are trading away. A guy can be a father and a resident but a female can’t be a mother and a resident. Gonna suck at one if not both.
His Facebook page:
One of his comments:
Mexico gets measles outbreaks...all from unvaccinated Americans. Perhaps there should be a travel ban on Americans...or Mexico should build a wall...
https://www.facebook.com/jnwadiuko
A female physician just saved my daughter’s life. She detected something (congenital) a male physician never did.
“Residency is where a new medical student gets to practice on real life people.”
Isn’t “residency” a fancy word for “apprenticeship”?
“Residency, in case you haven’t heard, is difficult work.”
I’ll bet being a plumber’s apprentice is also difficult work.
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