2 ms·
Residency programs are hot bullshit, it's just more gatekeeping. There's no reason that a recent medical grad couldn't do the same shit they're having nurse pr
by CuriouslyC 2y ago
Residency programs are hot bullshit, it's just more gatekeeping. There's no reason that a recent medical grad couldn't do the same shit they're having nurse practitioners do instead of doctors at 95% of all care facilities now. Currently we cram the entirety of someone's medical training in 5 really awful years, then call them "finished" and let them do whatever the fuck they want with limited oversight in a lot of cases. If other trades ran like that, the world would be literally falling apart.
- a_c_s 2y agoOr what if we trained more nurse practitioners and PAs so we needed fewer doctors (proportional to the population)?
- HelloMcFly 2y agoResidences are crucial for actual clinical learning, it's more developmental than medical school which is a broad base for understanding physiology. Most doctors at teaching programs will tell you: even 3rd-year med students barely know a thing. Could they likely do the same tasks as first-year NPs who went straight from RN to NP school without any clinical experience? Yes, probably, but they almost certainly would have the same vulnerability NPs do: they don't have anywhere close to the same understanding of the physiology critical for decision-making outside of typical cases or considering interactions of different indicators. That said, I do think there's probably more of a role for some graduating med students than we use now. I don't think they need a 3-year residency to enable them for many general practitioner duties particularly in rural settings where the patient load is less, the pay is likely less, but the cases are more homogenous.