Yesterday’s post, trying to reconcile heartfelt doctor concerns about the evolving practice of medicine with information suggesting far more students than ever are pursuing medication as a job, obviously touched a nerve, drawing a assortment of thoughtful responses, numerous from Twitter.
I was encouraged by the amount of medical doctors who wrote that on balance, almost everything is (even now) (quite) amazing. It was especially heartening to hear this view from front-line physicians, like my former colleague Jamie Beckerman (“As a front-liner myself, I couldn’t think about undertaking anything at all else. I adore it every single day.”) and San Francisco internist Urmimala Sarkar, “There IS some thing specific and unique about medicine. Fortunate and grateful in #primarycare!”
Academic and policy-oriented doctors, such as Ashish Jha and Aaron Carroll, were if anything, far more emphatic. Their fundamental viewpoint: physicians have it actually good and need to stop whining.
On the other hand, some thoughtful critics mentioned that several of these most enthusiastic about medication aren’t performing it all of the time. Maybe these “part-time” docs (or worse, individuals like me who are now non-training docs) can idealize and glorify health care practice precisely because they’re not in the trenches, fighting the battles each and every day. (I’d like to believe I’m reasonably attuned to current concerns – see right here, here.)
Some critics also recommended that potential med students and young trainees may not actually know what they are getting into (“Applicants do not know any greater,” 1 respondent grumbled) – or may not hear the suggestions they get. “Every Dr I know says they wouldn’t do it more than once again but they ignored the same suggestions as students,” tweets biologist Ken Fortino . Additionally, as VC and doctor Justin Klein factors out, “It’s difficult to enjoy the nature of the task until finally you do it.”
The usually-thoughtful (and fellow Forbes physician contributor) Ford Vox (see this recent gem) pointed out that physician satisifaction may depend a whole lot on exactly where you are functioning – and of course he’s appropriate. My current PCP, at One particular Healthcare Group, looks far less harried than my preceding PCP, and tells me that a important purpose she joined One particular Medical was exactly for the opportunity to practice medication in a fashion that is significantly less rushed and closer to her unique best. The opportunity for a more fulfilling practice is a draw not only for conventional concierge practices (or concierge-light practices like One Healthcare), but also for innovative primary care practices this kind of as Rushika Fernandopulle’s Iora Wellness. Although happier doctors are likely to consequence in far more pleased individuals, this might not inevitably translate into improved outcomes (a disconnect this recent Onion story wryly observes).
The need for standpoint was advised by UCSF doctor-scientist Ethan Weiss: “I believe getting a physician is still great. It is currently being a scientist I am concerned about,” and even much more poignantly by former business chemist John Tucker: “The bloodbath amid my peers in latest many years has possibly made me excessively intolerant of the complaining.” As VC Nimesh Shah nicely summarizes, “versus the avg working American it is nevertheless a nicely paying out work with exceptionally minimal unemployment.”
Possibly my favorite response was from AliveCor founder and cardiologist (and my 2013 Digital Well being Entrepreneur Of The Year) Dave Albert, who notes that his wife “works 4 proto-ACO, gripes about Epic & loves getting a doctor” and “our MS2 [second-year health-related pupil] son heard all the horror stories. Picked medication (most likely IM[internal medication]) over Investment Banking.”
Probably there is hope for medicine’s long term soon after all.
It really is Worse To Be A Chemist -- And Other Responses To Unhappy Doctors
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