Yes, ideally.
But come on. What do we really know about doctors? I need to get cysts removed from my ovaries. I'm having the surgery on Monday. I'm very scared because there is a lot that could go wrong. There aren't that many doctors out there who do this kind of surgery. Do you think a single one of my close family members or friends could recommend a surgeon to me? Do you think my insurance would pay for me to shop around for doctors and find one I feld comfortable with? Of course not. Very few people would have that luxury.
So ultimately it came down to me trying to select a doctor based on what was already a very narrow allowance of in-network physicians. I have no idea what I'm looking for, and I have no idea who to ask for advice. All I have is a list of names, what institution they work for, and where they went to medical school and residency, and possibly if they've done any research in the field. That is literally ALL I have to go on, and that is how it is for most patients. That's how it is in the real world.
I understand what you're saying, but you have to look at it practically. The same thing happened when I broke my wrist and had to have surgery to get it repaired. The first doctor I went to attended school in his home country (Iran), then did his residency in the U.S. He was also working at a less-reputable institution. I play the violin, and my hands are very important to me. The worst thing I could ever imagine would be for something to happen to my hands or wrists. What could I do? Of course I switched to someone who went to an American school and was working at a better instution.
Is that shallow? Perhaps. But I have very little information to go on, and so I have to make assumptions based on what I have. Think realistically, what else can I do?
Now, I work in the health field, and I know a lot of doctors who went to top five schools whom I wouldn't trust my pet gerbil to, let alone myself or a family member. And I've had some very good experiences with people from smaller med schools.
I guess a lot of what I'm saying applies more strictly to surgery, anyway. I do think doctors who are really involved in research and have a really prestigious name can lose track of their patients more easily. I have seen that. But that's a whole other issue.