In case you thought US docs had a monopoly on self-hating self-destructive anti-intellectualism:

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She's from Florida.

Maybe this is from their joke Christmas issue?

True, although BMJ did choose to publish it.

Good point about the Christmas issue - I assumed it was a bit too early for that. Furthermore, there are enough people I've met in my years in medical school/residency who feel just as impassioned (if not moreso) on this subject, so to me at least it seems like less of a satire and more of an unfortunate commentary on the trajectory of healthcare "teams."

Hoping I'm wrong.
 
"I shadowed some doctors,"....and then wrote this article.

The patient retorting with, "call me Dr. because I have a clinical psychology doctorate" isn't a problem with the title of doctor...it's a sign that she's a blowhard.
 
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Good, I am feeling more and more reassured that, in this case at least, the author is simply a lunatic.

One who happens to have a PhD and a chip on her shoulder.

Unfortunately, this part is what concerns me (from her short bio):
"Ashley also teaches philosophy of medicine, biomedical ethics and logic to pre-medical and medical students."
 
I can't believe some of the garbage that gets published. I guess just anybody can regurgitate their personal opinion onto a keyboard, then get an extra line in their CV.

Also, I almost went to the school she teaches at. Glad I didn't.
 
Author is an insecure idiot. Her ba in astronomy and physics is described as a degree in astrophysics. What a joke.

Patients cannot be equal partners in healthcare because they don't know much. It takes years of rigorous study to become a physician which is why people defer to doctors and call them doctor. It was hilarious how insecure the clinical psychologist in her anecdote is. Who introduces themselves as doctor when they are a patient? Every single real doctor I've seen thus far who came as a patient or patient's family so far has not mentioned that they were a doctor unless specifically asked or if relevant. I also liked how the author abused the word "we" when talking about doctors as if she had been seeing patients for decades. She talks about patients evaluating physicians by competency as if a layman had a clue about how good a doctor is. I doubt that even mid levels are qualified to make that distinction.

It's insane the amount of drivel medical journals are publishing. Why publish this poorly written op ed from an unknown nobody wannabe academic who thinks she has the right to pass judgment after a doctor was nice enough to allow her to shadow them? If our own journals don't support us, who will?
 
I'm really interested in the doctor patient communication / relationship and patient centered care, so went into reading it probably as receptive as possible.

"An implicit assumption is that using a title fosters patients’ trust in physicians. But we can’t ascertain others’ professional skills from things such as clothing or titles.4"

Bull****. The degree is highly standardized and does a lot to ensure a minimum acceptable degree of competence.


"Instead, physicians should encourage patients to learn to evaluate clinicians on their competence in medical practice."

Like hell. I can't evaluate a physician's competence as a patient, at least not without significant exposure. A lay person sure can't, barring some atrocious practice.


Was not surprised to find out the author wasn't a physician. There's a disconnect in her writing from theory and practice
 
Was not surprised to find out the author wasn't a physician. There's a disconnect in her writing from theory and practice

And these types of people are the ones who, of course, are educating medical students during the preclinical years. They've got first crack at molding a set of minds that are already probably on average overly-idealistic.
 
And these types of people are the ones who, of course, are educating medical students during the preclinical years. They've got first crack at molding a set of minds that are already probably on average overly-idealistic.

this is an interesting paradox though. because we all complain about the delusional academics teaching our young people, but at the same time, that teaching is of relatively little assumed importance to the point where the compensation isn't high enough for someone who is actually good enough in the real world to be the teacher

so it's like either we recognize it's important and that the schools are basically brainwashing these impressionable kids and thus we need to incentivize alternatives or we need to recognize that the influence isn't significant. not sure which way I'm leaning
 
And these types of people are the ones who, of course, are educating medical students during the preclinical years. They've got first crack at molding a set of minds that are already probably on average overly-idealistic.
You should see the M1s here. Their student gov sent out a mass email conplaining that diversity seminars were no longer mandatory. Their complaint wasnt that the events on minority healthcare, LGBT healthcare, etc. were cancelled, but that they werent mandatory for everyone. LOL.
 
I'm really interested in the doctor patient communication / relationship and patient centered care, so went into reading it probably as receptive as possible.

"An implicit assumption is that using a title fosters patients’ trust in physicians. But we can’t ascertain others’ professional skills from things such as clothing or titles.4"

Bull****. The degree is highly standardized and does a lot to ensure a minimum acceptable degree of competence.



"Instead, physicians should encourage patients to learn to evaluate clinicians on their competence in medical practice."

Like hell. I can't evaluate a physician's competence as a patient, at least not without significant exposure. A lay person sure can't, barring some atrocious practice.


Was not surprised to find out the author wasn't a physician. There's a disconnect in her writing from theory and practice

I think you'll change your mind on this one once you get out there and start practicing. It is downright scary the number of folks who are practicing who really shouldn't be. I have colleagues in residency who have no business graduating but will because "that's the easier thing to do."
 
I think you'll change your mind on this one once you get out there and start practicing. It is downright scary the number of folks who are practicing who really shouldn't be. I have colleagues in residency who have no business graduating but will because "that's the easier thing to do."

Imagine how much worse it would be without the quality control of medical school admissions and the rigorous education. Well, you don't have to imagine.
 
And these types of people are the ones who, of course, are educating medical students during the preclinical years. They've got first crack at molding a set of minds that are already probably on average overly-idealistic.

Maybe, but I think that observation and experimentation in practice will change your perspective, despite what some overpaid social scientist hired by your medical school will have told you. I have found that most patients respond more positively to a clear definition of roles, rather than a simpering effort to ingratiate oneself to them in a "non-threatening" manner. Although people may pontificate about wanting to be seen as equals and being part of a "patient inclusive care team", or some such construct, when the actual moment of truth arrives, in my experience, most patients respond to confidence and competence, and validation that since they are paying for a physician, they are going to get one. Again, in my opinion, from my experience, this is best done with the direct "I am Dr. Majors, and this is what I will be doing for you today", rather than "I'm Brick, and I will be your provider", which is ambiguous, and often necessitates explanation, which wastes everyones time, and also seems disingenuous and patronizing.

For the terminally insecure, who by right of their degree, require being addressed as "doctor", that is just fine. A way to avoid any awkwardness around the issue is to ask how they would like to be addressed when you verify their identity. As an aside, I have never encountered a patient who was an actual physician who wanted to be called "doctor", this is usually only an issue for people like the author of this article, or naturopaths, or whatever.
 
Imagine how much worse it would be without the quality control of medical school admissions and the rigorous education. Well, you don't have to imagine.

Well, yeah, but my point was that you can't assume someone is competent solely based on the fact that they've made it through the medical training system.
 
Maybe, but I think that observation and experimentation in practice will change your perspective, despite what some overpaid social scientist hired by your medical school will have told you. I have found that most patients respond more positively to a clear definition of roles, rather than a simpering effort to ingratiate oneself to them in a "non-threatening" manner. Although people may pontificate about wanting to be seen as equals and being part of a "patient inclusive care team", or some such construct, when the actual moment of truth arrives, in my experience, most patients respond to confidence and competence, and validation that since they are paying for a physician, they are going to get one. Again, in my opinion, from my experience, this is best done with the direct "I am Dr. Majors, and this is what I will be doing for you today", rather than "I'm Brick, and I will be your provider", which is ambiguous, and often necessitates explanation, which wastes everyones time, and also seems disingenuous and patronizing.

For the terminally insecure, who by right of their degree, require being addressed as "doctor", that is just fine. A way to avoid any awkwardness around the issue is to ask how they would like to be addressed when you verify their identity. As an aside, I have never encountered a patient who was an actual physician who wanted to be called "doctor", this is usually only an issue for people like the author of this article, or naturopaths, or whatever.

I am more concerned with the erosion of self-respect that seems to happen from within our profession (which, admittedly, is not addressed directly in the link since the person who wrote the article is not a physician; however, her nonsense was published in a "medical journal" read by physicians). It has less to do with wanting to be called doctor, and more with the overarching theme of knowledge-shaming. Perhaps your experience has differed, but throughout medical school and residency there has been a growing movement towards reminding doctors that we should not take pride in our long years of education; rather, we should recognize that people with far less training than us (or none whatsoever) are just as important and qualified to make healthcare decisions.

I am of course exaggerating slightly, but the narrative of "doctors are no longer in charge, they are just one member on a team" has become a bit too much. I feel like we are one step away from being told to "check [our] doctor privilege".

I don't wear a tinfoil hat, but part of me has to assume much of this narrative has been set forth by lawmakers/policymakers who very much want to collect more of the healthcare pie by forcing more midlevel practitioners into play (because, after all, they are equal team members but cost less).
 
Maybe, but I think that observation and experimentation in practice will change your perspective, despite what some overpaid social scientist hired by your medical school will have told you. I have found that most patients respond more positively to a clear definition of roles, rather than a simpering effort to ingratiate oneself to them in a "non-threatening" manner. Although people may pontificate about wanting to be seen as equals and being part of a "patient inclusive care team", or some such construct, when the actual moment of truth arrives, in my experience, most patients respond to confidence and competence, and validation that since they are paying for a physician, they are going to get one. Again, in my opinion, from my experience, this is best done with the direct "I am Dr. Majors, and this is what I will be doing for you today", rather than "I'm Brick, and I will be your provider", which is ambiguous, and often necessitates explanation, which wastes everyones time, and also seems disingenuous and patronizing.

For the terminally insecure, who by right of their degree, require being addressed as "doctor", that is just fine. A way to avoid any awkwardness around the issue is to ask how they would like to be addressed when you verify their identity. As an aside, I have never encountered a patient who was an actual physician who wanted to be called "doctor", this is usually only an issue for people like the author of this article, or naturopaths, or whatever.

I disagree.

I say "My name is John, I'm one of the ophthalmology residents" and have never received a negative response. It doesn't waste time and doesn't necessitate any extra explanation. No patient has ever felt patronized.

I've also encountered patients, who when I call in the waiting room, "Jane Doe" they snap back "excuse me, that's Dr Doe."

The title "Dr" is definitely about power and prestige. People can sit around all day and say "oh people get so confused! they just need to know who I am! they will perceive my lack of self confidence!" but in practice this just isn't a reality. Let your knowledge and your bedside manner influence how people perceive you.
 
I am more concerned with the erosion of self-respect that seems to happen from within our profession (which, admittedly, is not addressed directly in the link since the person who wrote the article is not a physician; however, her nonsense was published in a "medical journal" read by physicians). It has less to do with wanting to be called doctor, and more with the overarching theme of knowledge-shaming. Perhaps your experience has differed, but throughout medical school and residency there has been a growing movement towards reminding doctors that we should not take pride in our long years of education; rather, we should recognize that people with far less training than us (or none whatsoever) are just as important and qualified to make healthcare decisions.

I am of course exaggerating slightly, but the narrative of "doctors are no longer in charge, they are just one member on a team" has become a bit too much. I feel like we are one step away from being told to "check [our] doctor privilege".

I don't wear a tinfoil hat, but part of me has to assume much of this narrative has been set forth by lawmakers/policymakers who very much want to collect more of the healthcare pie by forcing more midlevel practitioners into play (because, after all, they are equal team members but cost less).

Do you disagree with that statement?

I hate to break it to you, but everyone is important in the treatment of a patient. It depends what setting you plan on practicing (we'll use the ED for example), but the following people are needed:

Clerical staff
Security
Nurses
Phlebotomy
Lab techs
Radiology techs
Radiologists
Patient transport
IT staff
ED physician
Social workers
Administrators

....and others I missed. Everyone in that list plays an important role. You can't just dismiss their importance because you have more education under your belt. No one is knowledge shaming here, but it's time that physicians realized that they're a cog in the wheel of healthcare delivery. Healthcare doesn't work any other way.
 
I disagree.

I say "My name is John, I'm one of the ophthalmology residents" and have never received a negative response. It doesn't waste time and doesn't necessitate any extra explanation. No patient has ever felt patronized.

I've also encountered patients, who when I call in the waiting room, "Jane Doe" they snap back "excuse me, that's Dr Doe."

The title "Dr" is definitely about power and prestige. People can sit around all day and say "oh people get so confused! they just need to know who I am! they will perceive my lack of self confidence!" but in practice this just isn't a reality. Let your knowledge and your bedside manner influence how people perceive you.

Eh, I started out with the "hey, call me First Name" schtick, but it kinda gets old after a while. It seems like you're being super chummy and friendly, but it's almost patronizing after a while. Patients are expecting to be seen by a doctor, and trying to play the "I'm just a guy like you, guy" thing probably never really comes off like you intend it to. In fact, I feel like some of it stems from this overall pervasive thought that we are, indeed, made to feel bad by referring to ourselves by our actual title/position.
I am guessing you are still fairly early on in your training, but I am willing to admit I could be wrong.
 
Do you disagree with that statement?

I hate to break it to you, but everyone is important in the treatment of a patient. It depends what setting you plan on practicing (we'll use the ED for example), but the following people are needed:

Clerical staff
Security
Nurses
Phlebotomy
Lab techs
Radiology techs
Radiologists
Patient transport
IT staff
ED physician
Social workers
Administrators

....and others I missed. Everyone in that list plays an important role. You can't just dismiss their importance because you have more education under your belt. No one is knowledge shaming here, but it's time that physicians realized that they're a cog in the wheel of healthcare delivery. Healthcare doesn't work any other way.

The difference between the doctor and everyone else is that the patient is there to see the doctor. No one goes to a hospital to see the IT staff or the nurse. Everyone is important but some people are more important than others. The others are ancillary staff, there to support the work of the doctor. It seems that somewhere, some people have forgotten this as they attempt to inflate their own self-importance as if their work was relevant to the patient. The patient doesn't care which EMR your hospital uses or whether you use lemon or strawberry pledge. They don't care if you bought a bunch of macs or pcs. They care about getting better.
 
Do you disagree with that statement?

I hate to break it to you, but everyone is important in the treatment of a patient. It depends what setting you plan on practicing (we'll use the ED for example), but the following people are needed:

Clerical staff
Security
Nurses
Phlebotomy
Lab techs
Radiology techs
Radiologists
Patient transport
IT staff
ED physician
Social workers
Administrators

....and others I missed. Everyone in that list plays an important role. You can't just dismiss their importance because you have more education under your belt. No one is knowledge shaming here, but it's time that physicians realized that they're a cog in the wheel of healthcare delivery. Healthcare doesn't work any other way.

I never said other people aren't important. What I am saying is that what start out as otherwise good-natured and well-intentioned observations may end up being the first step in a push to regulate physicians further and further into worker-bee status. If you're on board with that, that's your decision. If you take a job with a large hospital system, you may have no choice. Physicians are losing autonomy left and right, and in my opinion at least part of it stems from the eagerness of our own profession to kowtow to those with less knowledge/experience at the risk of "offending" someone.
 
The difference between the doctor and everyone else is that the patient is there to see the doctor. No one goes to a hospital to see the IT staff or the nurse. The patient is there to be treated by a doctor. Everyone is important but some people are more important than others. They are there to support the work of the doctor.

Similarly, at least in a private practice, no one is making money for the group except the physician. The physician is the one whose decision making is billable, and everyone else is paid out using funds that the physician collects (it is a tad more complicated than this, but for purposes of this discussion it suffices).
 
I disagree.

I say "My name is John, I'm one of the ophthalmology residents" and have never received a negative response. It doesn't waste time and doesn't necessitate any extra explanation. No patient has ever felt patronized.

I've also encountered patients, who when I call in the waiting room, "Jane Doe" they snap back "excuse me, that's Dr Doe."

The title "Dr" is definitely about power and prestige. People can sit around all day and say "oh people get so confused! they just need to know who I am! they will perceive my lack of self confidence!" but in practice this just isn't a reality. Let your knowledge and your bedside manner influence how people perceive you.

Well, some of this is about style, and intonation, as well as circumstances of the encounter. I agree, if you haughtily call yourself "Doctor", and roll in like you are Harvey Cushing, that is not going to come off well. I think that one can be kind, sincere, and reassuring while being matter of fact. It takes practice, but to me, it is ultimately about being respectful to and directly honest with the person I am addressing. I am a physician, that's why it says "Dr. Brick Majors" on my badge. That is what my institution, and indirectly, the patient is paying me to be for them. Following this, being knowledgeable and informed about the patient and the procedure are just basic competence at that job, which is being a physician.

It is a fluid situation, and part of having a decent rapport and bedside manner are being able to adapt based on the patient's stated preferences, the cultural norms you have learned, and the nonverbal cues they provide you with. I have no problem referring to myself by my first name, but I think that initially, it is ultimately more courteous and really less patronizing to be formal initially.

To each their own.
 
I am more concerned with the erosion of self-respect that seems to happen from within our profession (which, admittedly, is not addressed directly in the link since the person who wrote the article is not a physician; however, her nonsense was published in a "medical journal" read by physicians). It has less to do with wanting to be called doctor, and more with the overarching theme of knowledge-shaming. Perhaps your experience has differed, but throughout medical school and residency there has been a growing movement towards reminding doctors that we should not take pride in our long years of education; rather, we should recognize that people with far less training than us (or none whatsoever) are just as important and qualified to make healthcare decisions.

I am of course exaggerating slightly, but the narrative of "doctors are no longer in charge, they are just one member on a team" has become a bit too much. I feel like we are one step away from being told to "check [our] doctor privilege".

I don't wear a tinfoil hat, but part of me has to assume much of this narrative has been set forth by lawmakers/policymakers who very much want to collect more of the healthcare pie by forcing more midlevel practitioners into play (because, after all, they are equal team members but cost less).


I think that this is part of a society wide trend, not necessarily an insidious plot within medicine, that is, the knowledge shaming, as you put it.
 
It seems to me that the example given in the article has nothing to do with the doctor-patient relationship, the patient in question clearly would want everyone to address them as Dr. I say that is fine. Many people with doctorate degrees choose to be addressed by their professional title outside of their professional setting; most people use their professional title within their professional setting. I am not sure if it makes sense to me to ask physicians to do otherwise.
 
Eh, I started out with the "hey, call me First Name" schtick, but it kinda gets old after a while. It seems like you're being super chummy and friendly, but it's almost patronizing after a while. Patients are expecting to be seen by a doctor, and trying to play the "I'm just a guy like you, guy" thing probably never really comes off like you intend it to. In fact, I feel like some of it stems from this overall pervasive thought that we are, indeed, made to feel bad by referring to ourselves by our actual title/position.
I am guessing you are still fairly early on in your training, but I am willing to admit I could be wrong.

Nah, I only have 6 months left. I don't feel bad about being Dr Doe, I just don't see the need for the title.
 
Only in your head. I have performed medical care for extended periods of time with none of those individuals involved. I have yet to meet a unit clerk or pharmacist who can say the same.

The difference between the doctor and everyone else is that the patient is there to see the doctor. No one goes to a hospital to see the IT staff or the nurse. Everyone is important but some people are more important than others. The others are ancillary staff, there to support the work of the doctor. It seems that somewhere, some people have forgotten this as they attempt to inflate their own self-importance as if their work was relevant to the patient. The patient doesn't care which EMR your hospital uses or whether you use lemon or strawberry pledge. They don't care if you bought a bunch of macs or pcs. They care about getting better.

Similarly, at least in a private practice, no one is making money for the group except the physician. The physician is the one whose decision making is billable, and everyone else is paid out using funds that the physician collects (it is a tad more complicated than this, but for purposes of this discussion it suffices).

But you wouldn't be able to do your job without these people. Unless you wanted to pitch a tent on the side of the road and offer medical care to people who drive by.
 
I think you'll change your mind on this one once you get out there and start practicing. It is downright scary the number of folks who are practicing who really shouldn't be. I have colleagues in residency who have no business graduating but will because "that's the easier thing to do."

Well, yeah, but my point was that you can't assume someone is competent solely based on the fact that they've made it through the medical training system.

The extent of training and the standardization of that training for medical education are fairly unparalleled. I won't argue that there are incompetent physicians, but the "bare minimum" to practice is such that if someone is practicing, I think it's reasonable to work on the assumption they're competent rather than defaulting to needing them to prove their competence further. If you need to refer a patient to a another physician and you don't have any connections to physicians in the needed specialty, will you defer referring the patient or will you hold their title in good faith and refer the pt assuming they'll overwhelmingly likely get at least acceptable care?

Do you disagree with that statement?

I hate to break it to you, but everyone is important in the treatment of a patient. It depends what setting you plan on practicing (we'll use the ED for example), but the following people are needed:

Clerical staff
Security
Nurses
Phlebotomy
Lab techs
Radiology techs
Radiologists
Patient transport
IT staff
ED physician
Social workers
Administrators

....and others I missed. Everyone in that list plays an important role. You can't just dismiss their importance because you have more education under your belt. No one is knowledge shaming here, but it's time that physicians realized that they're a cog in the wheel of healthcare delivery. Healthcare doesn't work any other way.

We are a cog and all those individuals are extremely important to delivering safe and efficacious care while meeting the needs of a huge demand, but we are, frankly, the most important cog. None of the other cogs can hang a shingle and independently care for a patient
 
But you wouldn't be able to do your job without these people. Unless you wanted to pitch a tent on the side of the road and offer medical care to people who drive by.

We can value others' contributions without simultaneously feeling compelled to devalue our own.

This isn't some RPG character set-up where it's a zero sum game.
 
If patients are so equal in their care, why don't they just do this whole medicine thing on their own?

Oh right, because we are the ones they're coming to for help and advice, and they have no idea what they're doing.

It's like saying the term "architect" is insulting to the person that is hiring one to build their home, because you've got an equal buyer-architect relationship- it's nonsense and absolute bull****. You aren't an equal partner. You're a person contracting for a service to someone with far more experience and skill than you have in a given area, because you can't do it without them, period. This whole "everyone is equal, there are no leaders" socialist mentality nonsense needs to stop. It's the lesser educated/skilled trying to bring those above them down a notch because they're too lazy or untalented to bring themselves up one.
 
Author is an insecure idiot. Her ba in astronomy and physics is described as a degree in astrophysics. What a joke.

To be fair to Ms. Graham (I'm assuming that's her preferred title but I'm willing to check my privilege), her degree is an astrophysics degree based on what I looked up. Regardless, her opinion piece is pretty crap. The real questions that need to be answered are a) what do patients actually want (and not what one insecure blowhard wants) and b) what is actually good for the patient and his/her relationship with the doctor. Her piece reads more like a projection of insecurity rooted firmly in ignorance.

With all this PC crap abound, I'm glad George Carlin existed

 
We can value others' contributions without simultaneously feeling compelled to devalue our own.

This isn't some RPG character set-up where it's a zero sum game.

No one is devaluing our contributions by acknowledging this is a team sport.
 
Actually I have done my job without these people for long periods of time.

You're confusing the way things are with the way things could or should be. Just because we have built this massive health infrastructure that relies on these people doesn't make any of them necessary. These folks are necessary to perpetuate the current system, not to provide quality medical care. This is a hallmark of bureaucracy (and not necessarily a bad thing, as long as we recognize it for what it is).

The system can be re-crafted and re-formed. You just have to move beyond your initial assumption that the way thing are is the way things need to be.

Depending on your field and what setting you practice in, you can most certainly function without them.

What fields can you efficiently see patients without ANY other person providing ancillary services?

The reason why we have these machine-like systems set up is so that we can see more people more efficiently. Sure, if you're in the ED you could run down and do your own chemistries and then take the patient to MRI and push the button and then go pick up the meds from pharmacy and push them but at the end of the day you might see two patients.
 
If patients are so equal in their care, why don't they just do this whole medicine thing on their own?

Oh right, because we are the ones they're coming to for help and advice, and they have no idea what they're doing.

It's like saying the term "architect" is insulting to the person that is hiring one to build their home, because you've got an equal buyer-architect relationship- it's nonsense and absolute bull****. You aren't an equal partner. You're a person contracting for a service to someone with far more experience and skill than you have in a given area, because you can't do it without them, period. This whole "everyone is equal, there are no leaders" socialist mentality nonsense needs to stop. It's the lesser educated/skilled trying to bring those above them down a notch because they're too lazy or untalented to bring themselves up one.

So if you hire an architect, you expect them to come back and say "here's your house! you get NO say in any design modifications because I'm the architect and you have no idea what the **** you're doing! Oh and I insist you call me Architect David and not by my first name"
 
If patients are so equal in their care, why don't they just do this whole medicine thing on their own?

Oh right, because we are the ones they're coming to for help and advice, and they have no idea what they're doing.

It's like saying the term "architect" is insulting to the person that is hiring one to build their home, because you've got an equal buyer-architect relationship- it's nonsense and absolute bull****. You aren't an equal partner. You're a person contracting for a service to someone with far more experience and skill than you have in a given area, because you can't do it without them, period. This whole "everyone is equal, there are no leaders" socialist mentality nonsense needs to stop. It's the lesser educated/skilled trying to bring those above them down a notch because they're too lazy or untalented to bring themselves up one.
If patients are so equal in their care, why don't they just do this whole medicine thing on their own?

Oh right, because we are the ones they're coming to for help and advice, and they have no idea what they're doing.

It's like saying the term "architect" is insulting to the person that is hiring one to build their home, because you've got an equal buyer-architect relationship- it's nonsense and absolute bull****. You aren't an equal partner. You're a person contracting for a service to someone with far more experience and skill than you have in a given area, because you can't do it without them, period. This whole "everyone is equal, there are no leaders" socialist mentality nonsense needs to stop. It's the lesser educated/skilled trying to bring those above them down a notch because they're too lazy or untalented to bring themselves up one.

Ehh, this rubbed me a little wrong. There's absolutely a power differential in the doctor patient relationship, but it's not one of roles so much as one of information. We're vastly more educated with regard to medical information, obviously. It's our responsibility to shrink that information differential as much as possible to put the power in the hands of the patient. "based on a b c, I believe q is what's most likely going on, but it could also be r or s. For those reasons, I'm recommending x, which would involve yadayada, but we could also pursue y or z - the pros and cons to which include blah blah blah". There are limits to that, obviously. The doctor isn't obligated to prescribe a treatment they feel the risk benefit ratio doesn't play out favorably, just like an architect isn't obligated to design a building not up to code, regardless of consumer desire.

I'm not sure if your post was intended to come across this way, but it read to me as really endorsing the paternalistic model of care
 
I feel like you didn't read the article.
I read the article. The conclusions were a little over the top, but this thread has turned into more of a circle-jerk "physicians are the all-mighty end all be all" than anything else.
 
I read the article. The conclusions were a little over the top, but this thread has turned into more of a circle-jerk "physicians are the all-mighty end all be all" than anything else.

No one has suggested that at all. We are mostly arguing against succumbing to any extremes (in either direction). You're using straw men for a large number of your posts here.
 
So if you hire an architect, you expect them to come back and say "here's your house! you get NO say in any design modifications because I'm the architect and you have no idea what the **** you're doing! Oh and I insist you call me Architect David and not by my first name"

I can't tell whether you're intentionally misrepresenting this posters argument, or whether you truly are colorblind and can only see black/white.
 
What fields can you efficiently see patients without ANY other person providing ancillary services?

The reason why we have these machine-like systems set up is so that we can see more people more efficiently. Sure, if you're in the ED you could run down and do your own chemistries and then take the patient to MRI and push the button and then go pick up the meds from pharmacy and push them but at the end of the day you might see two patients.

To play devil's advocate, it may be prudent to point out that this model functions on the (mostly correct) assumptions that there are many tasks that are "below" a physician's pay grade and not worth their time. This in no way suggests that these other workers are lesser human beings or that their contributions aren't important.
 
I am more concerned with the erosion of self-respect that seems to happen from within our profession (which, admittedly, is not addressed directly in the link since the person who wrote the article is not a physician; however, her nonsense was published in a "medical journal" read by physicians). It has less to do with wanting to be called doctor, and more with the overarching theme of knowledge-shaming. Perhaps your experience has differed, but throughout medical school and residency there has been a growing movement towards reminding doctors that we should not take pride in our long years of education; rather, we should recognize that people with far less training than us (or none whatsoever) are just as important and qualified to make healthcare decisions.

I am of course exaggerating slightly, but the narrative of "doctors are no longer in charge, they are just one member on a team" has become a bit too much. I feel like we are one step away from being told to "check [our] doctor privilege".

I don't wear a tinfoil hat, but part of me has to assume much of this narrative has been set forth by lawmakers/policymakers who very much want to collect more of the healthcare pie by forcing more midlevel practitioners into play (because, after all, they are equal team members but cost less).

I encourage you to read the article upon which this discussion was based.

This conversation has deviated from the original article. Your own post shares your experiences within medical schools (which is unrelated to the author).

My point here is that physicians need to value the team. Everyone has a value. More than 1 person here has said that the physician doesn't NEED the team and can function completely independently of other people. I think that opinion is wrong. Someone else mentioned "if patients are equal why don't they do it on their own." I think this is wrong too.

I can think and express that these opinions are wrong regardless of what the article cited in the OP is about.
 
So if you hire an architect, you expect them to come back and say "here's your house! you get NO say in any design modifications because I'm the architect and you have no idea what the **** you're doing! Oh and I insist you call me Architect David and not by my first name"

Sure, that would be one unpleasant architect. I don't think that by introducing yourself as "Dr. Doe" you are obligated to paternalism, or disregarding patient choices.

I have merely arrived at the introduction of "Dr. Majors" because I have found that it works well for most people, most of the time in the situation where I make my introduction. To quote Bullet Tooth Tony, they can call me Susan if it makes them happy. I also tell them I am a resident, and that I work with an attending, whose name I also state. It's really about being concise, accurate, and direct.
 
This conversation has deviated from the original article. Your own post shares your experiences within medical schools (which is unrelated to the author).

My point here is that physicians need to value the team. Everyone has a value. More than 1 person here has said that the physician doesn't NEED the team and can function completely independently of other people. I think that opinion is wrong. Someone else mentioned "if patients are equal why don't they do it on their own." I think this is wrong too.

I can think and express that these opinions are wrong regardless of what the article cited in the OP is about.

I think part of the problem may be with your interpretation of a physician as part of a team. Few people here would argue that medicine doesn't usually function best with a team mentality. But physicians are not playing left tackle. They are at least the quarterbacks, but perhaps more accurately a hybrid coach/quarterback. Many of the people who push the team ideal in medical education tend to insist on the former.
 
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