One can have 2 jobs. I'm not saying that no docs do research, but I'm insisting that caring for people and doing research are two different jobs that have nothi

One can have 2 jobs. I'm not saying that no docs do research, but I'm insisting that caring for people and doing research are two different jobs that have nothing in common. The fact that the two are so poorly separated in practice is damaging to both science and patients. What people don't understand is that modern medicine is not centered around the practitioners but around precise guidelines that are both medically and legally binding. When I say that you're out of luck, it's not to spite anyone. If a competent clinician specialist examined a case and sees no way out, going to the big fish professor will not benefit you otherwise than maybe entering a study, because from a reasonable clinical pov there are really many conditions for which we can only offer support. So sometimes, no one "can". But clinicians are not expected to use creative thinking, and that's the very best medical evolution since the past century. It's the job of researchers to read science papers and formulate the guidelines to be transmitted to clinicians. You REALLY should not be doing that all by yourself as a practitioner.