If Nosotros Were On The Serengeti, Nosotros Would Non Locomote The Lions.
Tuesday, November 23, 2010
I pick out oft viewed hospitalists equally "the existent doctors" inwards a hospital, people whose inclination, geographic location, too practise patterns allow them to endure fully engaged inwards creating a partnership betwixt the clinical staff too patients too families. But this stance is non ever widely adopted past times other medical specialties. Brad Flansbaum offers this essay most the status--perceived too real--of hospitalist doctors vis-a-vis other practitioners inwards hospitals. He titles it, "Do I await similar a PGY?"
I engaged my squad inwards a brusk non-scientific exercise. I asked them to plot their impression of how the globe at large, defined broadly, views the worth of diverse specialties versus how they come across them. They assessed the next 4 disciplines: intensivists, cardiologists, palliative attention docs too hospitalists.
He wryly notes:
Do you lot honour a pattern? If you lot don’t, allow me become inwards easy: if nosotros were on the Serengeti, nosotros would non endure the lions.
Beyond the humor, in that place are serious questions raised most the profession:
Now I could speculate most how whatever specialist mightiness charge per unit of measurement themselves too the biases each would convey to the table. I could likewise speculate proceduralists too physicians engaged inwards high tech attention pick out deeply embedded cultural advantages inwards United States of America medicine—and no affair how nosotros spin the story, docs without toys volition ever driblet to the lower rungs of the ladder.
However, I intend our station has much to produce amongst our demand to mature equally a field, too how the populace (and HM) views a young, unassimilated specialty.
Many of us even too therefore lack confidence.
An interesting telephone telephone to arms of sorts for a grouping of doctors who, inwards my mind, pick out shown that they tin endure at the forefront of clinical procedure improvement. Brad's article suggests that to a greater extent than tin come, too should come, from this dedicated group.
I engaged my squad inwards a brusk non-scientific exercise. I asked them to plot their impression of how the globe at large, defined broadly, views the worth of diverse specialties versus how they come across them. They assessed the next 4 disciplines: intensivists, cardiologists, palliative attention docs too hospitalists.
He wryly notes:
Do you lot honour a pattern? If you lot don’t, allow me become inwards easy: if nosotros were on the Serengeti, nosotros would non endure the lions.
Beyond the humor, in that place are serious questions raised most the profession:
Now I could speculate most how whatever specialist mightiness charge per unit of measurement themselves too the biases each would convey to the table. I could likewise speculate proceduralists too physicians engaged inwards high tech attention pick out deeply embedded cultural advantages inwards United States of America medicine—and no affair how nosotros spin the story, docs without toys volition ever driblet to the lower rungs of the ladder.
However, I intend our station has much to produce amongst our demand to mature equally a field, too how the populace (and HM) views a young, unassimilated specialty.
Many of us even too therefore lack confidence.
An interesting telephone telephone to arms of sorts for a grouping of doctors who, inwards my mind, pick out shown that they tin endure at the forefront of clinical procedure improvement. Brad's article suggests that to a greater extent than tin come, too should come, from this dedicated group.