>Whether or not M.D's know everything about the drugs in thier specialty (which is debatable) this is what I observe, not what I think based on my few experiences with doctors.
Sure I'd like to think that M.D's know everthing there is to know about everything that ever was, but this is simply not true. It seems that doctors who are in thier 40's right now are especially bad for this, and seem to perscribe a much greater volume of medication compared to recent grads (kind of a "you came to see the doctor so here are some meds" mentality I guess) .
No one is suggesting that physicians know everything about everything in medicine; the idea is absurd. I have experience on both sides of the ball so to speak (being previously in pharm school and now in med). I can tell you that unless we are talking about a VERY poor physician, he/she knows vastly more about the drugs in his/her specialty. Cardiologists know vastly more about the drugs they use than pharmacists, rheumatologists know vastly more about the drugs they use than pharmacists, on to the hematologist/oncologists, dermatologists, anesthesiologists, immunologists, etc.
>In any case, I still belive an extra 4 years of learning specifically about drugs and thier properties will provide better preparation for perscribing drugs than 4 years of Biological Sciences etc. It's the difference between 8 years and 9 years of basic training to have 4 extra years of focussed knowledge pertaining to the medical field. It's like engineers who enter Med, sure they are qualified, but will they have as much ingrained knowledge about the human body as someone with a honours degree in physiology? Probably not. All M.D's may pick up the same knowledge in the basic 4, but it is possible for them to carry previous knowledge (contrary to popular belief) into thier degree, or conversly pick up knowlege after.
I spent 4 years in college, going through half of pharmacy school. I certainly have an infinitely better grasp concerning pharmacology than does 99% of my class right now. That being said, when we graduate, finish our training, and begin practicing, there will be very little difference. Sure, I may still know things that my fellow physicians may not, like what about the SARs of cox-2 inhibitors makes then cox-2 selective, or how the morphine nucleus can be manipulated with a predictive increase in potency or added antagonist properties, but will this make me a better clinician?
>it is possible for them to carry previous knowledge (contrary to popular belief) into thier degree, or conversly pick up knowlege after.
Of course. SOmeone who took histology in college will be better prepared for histology in med school than someone who did not. However, who will be the more fluent in histology at the end? Likely, the one who wants to be. Of course entering med school with pharmacy knowledge is great; I'm proof of that. HOwever, I know that by the time I am done, the playing field will have leveled off tremendously. Spending an extra two years in college likely would have cost me WELL over $500000. My original point, which I stand by is that the extra two years in pharmacy school would have offered very little increase in medical competency compared to the massive amount of money it would have cost me.
Don't you think that we could lengthen pharmacy school from 5-6 years to say 7-8 years? It would certainly result in more profecient pharmacists. THe reason we don't is the very small benefit would be outweighed by the tremendous loss in income coupled with the added burden of extra school.
Jason