How do medical doctors handle this? Do we train doctors for rare/exotic diseases in medical school? Do we expect them to spend time off duty to educate/train th

How do medical doctors handle this? Do we train doctors for rare/exotic diseases in medical school? Do we expect them to spend time off duty to educate/train themselves? I get that it is impractical for Olathe Kansas to train all it's police force in hostage negotiation and deescalation when most likely none of the force will ever use it but what is the alternative? We can't just bus the same negotiation team across the country every time. If we could, EPA wouldn't have its own armed servicemen, right? Also there wouldn't be a Port Authority Police Department in POrt Authority of New York and New Jersey, right? Basically, I imagine if you wear the equipment and gear for seat, you must be trained for it and we'll qualified in it. If not, then don't carry the gear. No?