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I don't disagree with this complication. One of the problems with Big Pharma is their regulatory moat. Do you think it's rent-seeking that surgeons can exclusi

by sltr 1y ago

I don't disagree with this complication. One of the problems with Big Pharma is their regulatory moat. Do you think it's rent-seeking that surgeons can exclusively cut open people?

OrvalWintermute 1y ago
Surgeons are not exclusive about cutting people open. First Assists regularly do it, and their backgrounds are as: Surgical techs RNs PAs I recognize a great value in medical education & experience since that is the primary difference between a surgeon, and a nurse practicioner. However, for surgeons, they are normally qualified, assessed and evaluated a number of times throughout their career with things like MCAT, then USMLE or COMLEX and then hundreds of surgeries. One of the final ways is through board certification which requires typically, a book of cases, an exam, a large number of surgeries for the specific specialization, sometimes a fellowship, and finally, a defense and sometimes an oral interview. The first time this matters greatly. But, for busy surgeons that are dual-board certified, should they have to go through the entire process again every 10 years? This is where the accusation of rent-seeking behaviors come in, because previously board certs were considered lifetime. Now, only good for 10 years depending on sanctioning body and they also come with some hefty Continuing Medical Education (CME) requirements too. The pushback against this has likewise come from Surgeons pushing back saying if we are doing 1000 surgeries a year and are a surgeon in good standing, why do we really need to get re-certified again? This is why doctors are unhappy with Specialty Board Certification Exams, Maintenance of Certification (MOC) exams, State-specific licensing exams, and the requirements around CMEs which some consider excessive. We see the same thing in IT also, where people regularly let vendor certs stagnate after initial certification. https://www.thedailybeast.com/rand-paul-and-the-certification-racket/ https://www.thedailybeast.com/rand-paul-and-the-certificatio...

by sltr 1y ago

I don't disagree with this complication. One of the problems with Big Pharma is their regulatory moat. Do you think it's rent-seeking that surgeons can exclusively cut open people?

OrvalWintermute 1y ago

Surgeons are not exclusive about cutting people open. First Assists regularly do it, and their backgrounds are as: Surgical techs RNs PAs I recognize a great value in medical education & experience since that is the primary difference between a surgeon, and a nurse practicioner. However, for surgeons, they are normally qualified, assessed and evaluated a number of times throughout their career with things like MCAT, then USMLE or COMLEX and then hundreds of surgeries. One of the final ways is through board certification which requires typically, a book of cases, an exam, a large number of surgeries for the specific specialization, sometimes a fellowship, and finally, a defense and sometimes an oral interview. The first time this matters greatly. But, for busy surgeons that are dual-board certified, should they have to go through the entire process again every 10 years? This is where the accusation of rent-seeking behaviors come in, because previously board certs were considered lifetime. Now, only good for 10 years depending on sanctioning body and they also come with some hefty Continuing Medical Education (CME) requirements too. The pushback against this has likewise come from Surgeons pushing back saying if we are doing 1000 surgeries a year and are a surgeon in good standing, why do we really need to get re-certified again? This is why doctors are unhappy with Specialty Board Certification Exams, Maintenance of Certification (MOC) exams, State-specific licensing exams, and the requirements around CMEs which some consider excessive. We see the same thing in IT also, where people regularly let vendor certs stagnate after initial certification. https://www.thedailybeast.com/rand-paul-and-the-certification-racket/ https://www.thedailybeast.com/rand-paul-and-the-certificatio...