4 ms·

Just let it go. You are making an apex fool of yourself in the eyes of each and every health professional reading this. It would be strictly impossible for hosp

by rscho 8y ago

Just let it go. You are making an apex fool of yourself in the eyes of each and every health professional reading this. It would be strictly impossible for hospitals to function based on your opinions, which is why the supporting data you are calling for does not exist. We don't pretend to program better than you do or demand solid data to support your pet language/paradigm. Have a little understanding of others for a change. You are part of the problem, not the solution. Working on that would be the real improvement.

treis 8y ago
>It would be strictly impossible for hospitals to function based on your opinions, which is why the supporting data you are calling for does not exist. Oh nonsense. There's plenty of evidence that lower trained providers are just as effective as doctors. Midwives are equal or better than doctors: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004667.pub3/abstract https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD... No difference between Nurse Practioners and Drs: https://www.ncbi.nlm.nih.gov/books/NBK384613/ https://www.ncbi.nlm.nih.gov/books/NBK384613/ Of course we don't have studies comparing what the equivalent radiologist not because it's strictly impossible for it to happen. But because it's strictly illegal. There's also evidence that the way doctors are trained isn't the only possible way. Humanities and social science majors who omitted organic chemistry, physics, and calculus, and did not take the MCAT do just as well as traditional students: https://journals.lww.com/academicmedicine/Fulltext/2010/08000/Challenging_Traditional_Premedical_Requirements_as.26.aspx https://journals.lww.com/academicmedicine/Fulltext/2010/0800... Performance in medical school does not correlate with performance in residency: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951767/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951767/ >Just let it go. You are making an apex fool of yourself in the eyes of each and every health professional reading this Put up or shut up. Where is your evidence based argument that cardiologists who have a psych rotation have measurably better patient out comes than those that don't. Or that a radiologist with more biochem knowledge is a better one?
- rscho 8y ago
  Well, you clearly don't understand what you are reading. Of course there are improvements to be made. Of course we can take shortcuts. No one denies that. Same as you could bypass your shining CS degree and certifications that you are so proud of and still be a lead developer. But as they say "there is no free lunch". That is what you should be thinking about. Or does your self-righteousness exclude that 3 professionals telling you you misunderstand could maybe have a point? I certainly earn less than you do and have no MCAT, does that make me more truthful? CRNAs also have to learn a lot about cell biology, is that also useless cruft? Something that is taught in med school is to critically review one's own reasoning! Forget your petty certitudes and slow down. If there was an easy way to do much better, even the AMA could do nothing to stop it. I certainly don't expect to persuade you and therefore will not take the time to "put up" and brandish more useless Cochrane reviews, but you might consider the remote possibility that you are wrong. And extremely arrogant.
- rscho 8y ago
  Instead of searching for additional academic papers, I went on to read your comment history. Now I understand better. You are the iconic portrait of the American self-made man/woman! Going on a limb, I'd say you have a high chance of being against universal care, medical abortion and other niceties. So yeah, now I can very confidently say that you are downright nefarious to your country's healthcare system. Not just to MDs. The whole shebang. Go hide under a rock!
  - treis 8y ago
    "No, I don't have evidence so let me insult you again"
    - rscho 8y ago
      If you feel insulted although I took great care in staying within what could still be defined as polite if strong disagreement, let me just make clear that your behaviour is par for the course. Let's also just highlight that it's the only time over this whole thread that you do not directly oppose what I'm saying :)

by rscho 8y ago

treis 8y ago

>It would be strictly impossible for hospitals to function based on your opinions, which is why the supporting data you are calling for does not exist. Oh nonsense. There's plenty of evidence that lower trained providers are just as effective as doctors. Midwives are equal or better than doctors: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004667.pub3/abstract https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD... No difference between Nurse Practioners and Drs: https://www.ncbi.nlm.nih.gov/books/NBK384613/ https://www.ncbi.nlm.nih.gov/books/NBK384613/ Of course we don't have studies comparing what the equivalent radiologist not because it's strictly impossible for it to happen. But because it's strictly illegal. There's also evidence that the way doctors are trained isn't the only possible way. Humanities and social science majors who omitted organic chemistry, physics, and calculus, and did not take the MCAT do just as well as traditional students: https://journals.lww.com/academicmedicine/Fulltext/2010/08000/Challenging_Traditional_Premedical_Requirements_as.26.aspx https://journals.lww.com/academicmedicine/Fulltext/2010/0800... Performance in medical school does not correlate with performance in residency: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951767/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951767/ >Just let it go. You are making an apex fool of yourself in the eyes of each and every health professional reading this Put up or shut up. Where is your evidence based argument that cardiologists who have a psych rotation have measurably better patient out comes than those that don't. Or that a radiologist with more biochem knowledge is a better one?

rscho 8y ago
Well, you clearly don't understand what you are reading. Of course there are improvements to be made. Of course we can take shortcuts. No one denies that. Same as you could bypass your shining CS degree and certifications that you are so proud of and still be a lead developer. But as they say "there is no free lunch". That is what you should be thinking about. Or does your self-righteousness exclude that 3 professionals telling you you misunderstand could maybe have a point? I certainly earn less than you do and have no MCAT, does that make me more truthful? CRNAs also have to learn a lot about cell biology, is that also useless cruft? Something that is taught in med school is to critically review one's own reasoning! Forget your petty certitudes and slow down. If there was an easy way to do much better, even the AMA could do nothing to stop it. I certainly don't expect to persuade you and therefore will not take the time to "put up" and brandish more useless Cochrane reviews, but you might consider the remote possibility that you are wrong. And extremely arrogant.
rscho 8y ago
Instead of searching for additional academic papers, I went on to read your comment history. Now I understand better. You are the iconic portrait of the American self-made man/woman! Going on a limb, I'd say you have a high chance of being against universal care, medical abortion and other niceties. So yeah, now I can very confidently say that you are downright nefarious to your country's healthcare system. Not just to MDs. The whole shebang. Go hide under a rock!
- treis 8y ago
  "No, I don't have evidence so let me insult you again"
  - rscho 8y ago
    If you feel insulted although I took great care in staying within what could still be defined as polite if strong disagreement, let me just make clear that your behaviour is par for the course. Let's also just highlight that it's the only time over this whole thread that you do not directly oppose what I'm saying :)