3 ms·
I agree with the "only have a hammer" problem but that already exists, and in a formal way vis-a-vis specialty boundaries. E.g., if you go see a neurologist, th
by derbOac 5y ago
I agree with the "only have a hammer" problem but that already exists, and in a formal way vis-a-vis specialty boundaries. E.g., if you go see a neurologist, they're likely to see things through a neurology lens regardless of generalist training because of time in specialty and incentives. The legal consequences sort of keep it in check.
I also think to some extent it exists in the other direction as well, in terms of generalists not always recognizing when something needs to be referred to a more specialized setting.
It's largely addressed via training and consequences. And in any event, there's always the issue of "why not broaden training instead of assuming it always narrows?"
- lumost 5y agoTraining will only broaden when there is economic incentive for it - from a practical perspective a neurologist isn’t going to learn general practice after they make 500k per year as a neurologist in order to have an opportunity to make 150k per year. This is problematic if we expect neurologists to be good well rounded doctors, but not if we just expect them to be good neurologists. I don’t expect my dentist to be able to deal with a heart murmur.