4 ms·

> Two thoughts... "What do you call the person who graduated from medical school at the bottom of their class?" What do you call an engineer who graduated fro

> Two thoughts... "What do you call the person who graduated from medical school at the bottom of their class?" What do you call an engineer who graduated from the bottom of their class? The ordeal of residency isn't about setting the bar "high", nearly so much as it's about, "well, I went through this shit, so you have to, too". (Source: I have several doctor friends. Medical doctors are trained to exhibit a level of competence. The 'bootcamp' approach is what we know at the present time to work best. Is it easy? No. Is it pretty? No. Do you have a better suggestion? ___ All of them think it's bullshit All of them is still a small percentage of doctors. (Frankly this argument is old and stale. Anyone who has a better plan for training doctors should speak up instead of rehashing it)

rosser 10y ago
> The 'bootcamp' approach is what we know at the present time to work best. What other approaches have even been tried? I don't think, in the absence of meaningfully tried alternatives that have been shown to be lacking, that a proclamation of "best-ness" is particularly warranted. ("It's the best!" "Oh? What else have you tried?" "It's the best." cycles aren't responsive.) I note you're a physician, as well. How much of your perspective on the matter is a result of your having been through a similar process? I'm not. But I take the word of my physician friends — one of whom, a perinatologist, recently accepted a position at a prestigious teaching university — very seriously. They aren't just speaking from their experience. They're, if their explicit statements are to be believed, relating the experience of nearly every other physician they know. Sure, that's still a vanishingly small fraction of the total physician population. At what point, then, does this chorus of, "This is not the best way to do this" become worth listening to, and not merely writing off as griping by the uninformed, or a minority of slackers with sour grapes?

rosser 10y ago

> The 'bootcamp' approach is what we know at the present time to work best. What other approaches have even been tried? I don't think, in the absence of meaningfully tried alternatives that have been shown to be lacking, that a proclamation of "best-ness" is particularly warranted. ("It's the best!" "Oh? What else have you tried?" "It's the best." cycles aren't responsive.) I note you're a physician, as well. How much of your perspective on the matter is a result of your having been through a similar process? I'm not. But I take the word of my physician friends — one of whom, a perinatologist, recently accepted a position at a prestigious teaching university — very seriously. They aren't just speaking from their experience. They're, if their explicit statements are to be believed, relating the experience of nearly every other physician they know. Sure, that's still a vanishingly small fraction of the total physician population. At what point, then, does this chorus of, "This is not the best way to do this" become worth listening to, and not merely writing off as griping by the uninformed, or a minority of slackers with sour grapes?