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Does the gatekeeping reliably ensure quality, or just filter down the quantity of doctors?

portaouflop 2y ago
Let me answer your unknowable question with another one: Which doctor would you prefer do surgery on your brain - the one that jumped through all the hoops and went to 15yrs of med school - or the one that learned brain surgery through a YouTube tutorial? I think you know the answer. The problem is not gatekeeping in general it’s the detail and nuance of how gates are being kept and how to find the right amount of gatekeeping.
- epicureanideal 2y ago
  We could theoretically have the best of both worlds, right? No unnecessary gatekeeping, but maximum necessary quality standards (which I distinguish from gatekeeping).
  - marcosdumay 2y ago
    Yeah, what is hard is actually implementing this.
  - recursive 2y ago
    Theoretically? Maybe. Practically? No one has figured out how. The best we have are coding challenges.
- Ancapistani 2y ago
  > Which doctor would you prefer do surgery on your brain - the one that jumped through all the hoops and went to 15yrs of med school - or the one that learned brain surgery through a YouTube tutorial? My answer is that I don't have access to what I'd really like to base that judgment upon: their success rate, adjusted for the difficulty of the procedure. Simpler, less-risky procedures would therefore have a lower skill/experience bar. Basically, I'd want someone with decades of experiences to remove a tumor deep inside my brain, but I'd be much more willing to use someone who learned via YouTube this time last year if I'd suffered a TBI and was experiencing swelling and intra-cranial pressure.
  - epicureanideal 2y ago
    It would be great if there were certain specialized mini-doctor programs that focused on simple things like treating the least risky problems, maybe even with AI to help filter which problems need a “real doctor” vs a mini specialist.
paxys 2y ago
Both

Let me answer your unknowable question with another one: Which doctor would you prefer do surgery on your brain - the one that jumped through all the hoops and went to 15yrs of med school - or the one that learned brain surgery through a YouTube tutorial? I think you know the answer. The problem is not gatekeeping in general it’s the detail and nuance of how gates are being kept and how to find the right amount of gatekeeping.

epicureanideal 2y ago
We could theoretically have the best of both worlds, right? No unnecessary gatekeeping, but maximum necessary quality standards (which I distinguish from gatekeeping).
- marcosdumay 2y ago
  Yeah, what is hard is actually implementing this.
- recursive 2y ago
  Theoretically? Maybe. Practically? No one has figured out how. The best we have are coding challenges.
Ancapistani 2y ago
> Which doctor would you prefer do surgery on your brain - the one that jumped through all the hoops and went to 15yrs of med school - or the one that learned brain surgery through a YouTube tutorial? My answer is that I don't have access to what I'd really like to base that judgment upon: their success rate, adjusted for the difficulty of the procedure. Simpler, less-risky procedures would therefore have a lower skill/experience bar. Basically, I'd want someone with decades of experiences to remove a tumor deep inside my brain, but I'd be much more willing to use someone who learned via YouTube this time last year if I'd suffered a TBI and was experiencing swelling and intra-cranial pressure.
- epicureanideal 2y ago
  It would be great if there were certain specialized mini-doctor programs that focused on simple things like treating the least risky problems, maybe even with AI to help filter which problems need a “real doctor” vs a mini specialist.

paxys 2y ago

Both