In my fantasy reality world, how I would have structured the health and medicine profession world

[Pre Med MF]

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I was thinking about all the different fields of professions in the hospital and it made me think about a universal medical degree.

For example:

4 years of medical school and no residency will grant you the ability to become a registered nurse or dental hygienist

4 years of medical school plus 2 years of residency will grant you the ability to become a PA, Physical Therapist, Pharmacist, Chiropractor, Optometrist, Doctor of Dental Surgery (unspecialized),CRNA, or nurse practitioner.

Medical school plus 3 years of residency or more you can start the current ladder of system (Family Medicine, Internal Medicine, General Practioner) and so on.

I feel like granting everyone the doctor title can unite the hospital and lower the superiority ego of the hierarchy chain. Of course there will still be those in surgery feeling better than general physicians, and physicians feeling better than nurses but it’ll be more of a teamwork role simply by uniting the title. In the end of the day the patient is the main focus of all our careers.

 

[IMG69]

This is gonna be good 🙂

 

[LebronManning]

Just when I think I've seen it all

 

[raiderette]

How many years for CNA or janitor?

 

[Adrenaline Junky]

 

[Crayola227]

:troll:

 

[FindMeOnTheLinks]

Yeah definitely, I think I will take my 200k of debt and 1 lecture on oral cavity pathology and go be a dental hygienist

 

[787593]

I was thinking about all the different fields of professions in the hospital and it made me think about a universal medical degree.

For example:

4 years of medical school and no residency will grant you the ability to become a registered nurse or dental hygienist

4 years of medical school plus 2 years of residency will grant you the ability to become a PA, Physical Therapist, Pharmacist, Chiropractor, Optometrist, Doctor of Dental Surgery (unspecialized),CRNA, or nurse practitioner.

Medical school plus 3 years of residency or more you can start the current ladder of system (Family Medicine, Internal Medicine, General Practioner) and so on.

I feel like granting everyone the doctor title can unite the hospital and lower the superiority ego of the hierarchy chain. Of course there will still be those in surgery feeling better than general physicians, and physicians feeling better than nurses but it’ll be more of a teamwork role simply by uniting the title. In the end of the day the patient is the main focus of all our careers.

Dumb. So unbelievably and incredibly dumb.

 

[ndafife]

I see you're premed so ill be a little nice. But you have absolutely no idea what goes into medical education. The education and training nurses get is different than what PTs get which is different than what doctors get.

 

[Pre Med MF]

No guys i’m not a troll. Just a wild idea i’m throwing out there. Of course a physician will still have much higher education than a nurse. The years of medical school year training will determine your level of skill and tuition.

The point was that everything becomes universally the same system so you can climb the ladder if you wish so, or stay in no residency level. But the opportunity will always be there.

 

[GoCubsGo20]

 

[whoknows2012]

No guys i’m not a troll. Just a wild idea i’m throwing out there. Of course a physician will still have much higher education than a nurse. The years of medical school year training will determine your level of skill and tuition.

The point was that everything becomes universally the same system so you can climb the ladder if you wish so, or stay in no residency level. But the opportunity will always be there.

I can’t believe I’m even entertaining this, but how would admissions be determined? Let’s say someone gets in and wants to continue training are they just allowed no matter what? Is the course material the same? This is not a well thought out idea IMO but curious to hear your thoughts. (For reference I’m a PGY6 in Fellowship)

 

[libertyyne]

 

[GoSpursGo]

Moving to pre-med.

Also, all of these things are totally different jobs so it makes no sense for them to have the same school.

 

[Adrenaline Junky]

My question is why would pharm and dental be taking the same courses as medical students?

 

[AnatomyGrey12]

No guys i’m not a troll. Just a wild idea i’m throwing out there. Of course a physician will still have much higher education than a nurse. The years of medical school year training will determine your level of skill and tuition.

The point was that everything becomes universally the same system so you can climb the ladder if you wish so, or stay in no residency level. But the opportunity will always be there.

You realize that medical students, dental students, nursing students, and midlevels all have different curriculums right? Like the actual content in those programs is different?

 

[raiderette]

I am going to assume that OP has not really been exposed to healthcare professionals. Nurses have very different skill sets. Chiropractors are quacks and pharmacists need completely different classes. I think you are assuming that all other health professionals want to be doctors, or get equal respect. I do respect the nurses, PT, PAs. Most that I know like their jobs and lifestyle.

 

[OrthoTraumaMD]

This should be in the “ill-informed premed” thread.
It’s not a hierarchy. They are completely separate fields, with separate focus, goal, standards, and curriculum.

 

[bioboy23]

Just when I think I've seen it all

SDN will never cease to amaze me

 

[tekkenman11]

I am going to assume that OP has not really been exposed to healthcare professionals. Nurses have very different skill sets. Chiropractors are quacks and pharmacists need completely different classes. I think you are assuming that all other health professionals want to be doctors, or get equal respect. I do respect the nurses, PT, PAs. Most that I know like their jobs and lifestyle.

Chiropractors who think they can do more than just back/skeletal manipulation are quacks**

 

[libertyyne]

Chiropractors who think they can do more than just back/skeletal manipulation are quacks**

Which is a majority of them.

1. Subluxations do not exist.
2. A majority of students surveyed in 2015 indicated "A majority agreed (35.6%) or strongly agreed (25.8%) the emphasis of chiropractic intervention is to eliminate vertebral subluxations/vertebral subluxation complexes." Chiropractic identity, role and future: a survey of North American chiropractic students This is not even including old chiropractors that have spent a lifetime treating subluxations and are unlikely to move away from that.
3. A large portion of State laws state that Chiropractors are licensed to treat "subluxations" . Such a thing doesnt exist, might as well be licensed to hunt unicorns, or perform dinosaur organ transplants.
4. Chiropractors more so than other health professionals tend to be anti-vaccine Are Chiropractors Backing The Anti-Vaccine Movement?
5. Chiropractic treatment is not better than standard of care for back pain and neck pain. (The only two areas where there is evidence to indicate it is useful at all)
6. The plural of anecdote is not Data. I am sure there is a similar amount of "data" to support homeopathy which is completely bunk.
7. Chiropracty is not without risk, strokes are a known complication for cervical work they do, but they tend to gloss over that.
8. Chiropractic benefits are overstated and the large studies indicate no benefit over standard of care.

• A 2011 Cochrane Systematic Review of spinal manipulative therapy for chronic low-back pain reported that “High-quality evidence suggests that there is no clinically relevant difference between SMT [spinal manipulative therapy] and other interventions for reducing pain and improving function in patients with chronic back pain”.
• A 2013 Cochrane review of spinal manipulative therapy for acute low-back pain concluded that “SMT is no more effective for acute low back pain than inert interventions, sham SMT or as an adjunct therapy. SMT also seems to be no better than other recommended therapies. Our evaluation is limited by the few numbers of studies; therefore, future research is likely to have an important impact on these estimates.”

You read that right, no better than SHAM!

• A 2012 National Center for Complementary and Alternative Medicine review of back-pain studies reported that “Overall, studies have shown that spinal manipulation is one of several options─including exercise, massage, and physical therapy─that can provide mild-to-moderate relief from low-back pain. Spinal manipulation also appears to work as well as conventional treatments such as applying heat, using a firm mattress, and taking pain-relieving medications.”
• https://sciencebasedmedicine.org/ch...manipulation-red-flags-a-comprehensive-review

In a world where chiropracters as a bunch cant stop teaching and practicing subluxation based medicine, and the paucity of evidence supporting its use over standard of care, Coupled with other crazy quackery and anti vax attitudes there is no reason to ever send a patient to chiropractic care. I would rather send my patients to a physical therapist.

Show me an honest chiropracter who practices according to their scope of practice and I will show you 2 dozen ones making outrageous claims.

 

[tekkenman11]

Which is a majority of them.

.

55% - 60% is barely a majority. That’s actually a lot less than I thought. Good news

 

[GoCubsGo20]

Chiropractors who think they can do more than just back/skeletal manipulation are quacks**

Chiro in my hometown literally claims he can cure diabetes. I think he has dog poop for brains.

 

[Ms Procrastinator]

OP are you genuinely serious? Why on earth would you-
The requirements for these fields aren't even-
But why would-
Who on earth would-
This doesn't even make-
What crackhead would spend four years and 200k+ to be a dental hygienist😕😕😕

 

[libertyyne]

.

55% is barely a majority. That’s actually a lot less than I thought. Good news

That is current students. When you go out into the wild the older chiros claim they can cure everything from cancer to infections.

Why on earth would i send someone to a chiro if there is a greater than 55% chance they are a quack and what they do most of the time doesnt improve patient outcomes.

 

[tekkenman11]

Chiro in my hometown literally claims he can cure diabetes. I think he has dog poop for brains.

Wow that’s a first. Most of the nonsense I’ve heard before is about pure neurological conditions.

 

[getdown]

This sums up my feelings about the OP, though he put the chastisement in a much nicer way than I would have otherwise I would have gotten banned from this site.

 

[Lucca]

Closing.