<font face="Verdana, Arial, Helvetica" size="2">Originally posted by Stephen Ewen:
This is a very serious question that I personally have given a lot of energy to seeking answers to. I think the answers are quite complex, and there are exceptions within all the dynamics that go into it. Still, I think some genralities can be arrived at and discussed as possible culprits.
My opinion is that it relates to what is really nothing other than a developmental disorganization inherent in the typical pathway to becoming a US doc.
To help understand this, consider that the ones of whom we speak typically struggle to find the necessary time to develop on their every level in a congruent measure to their intellectual life, even though they do not usually think of things in these terms.
Consider. Usually, they graduated from a rigorous high school career so they could enter very soon into a competitive college where each "B" (past the first very few) means a coffin nail in their chances for medical school acceptance. While in undergrad, they typically volunteered every extra hour and all summer long in a medical setting, had to work some besides, and studied for and took the rigorous MCAT in between. They then applied to as many medical schools as possible, criss-crossed the nation for evaluative interviews and, if accepted, matriculated into and studied within one of the most rigorous courses of study on the entire planet. They then entered into the usually insane, sleep-deprived work hours which are a U.S. residency, then quickly entered into medical practice to start paying on their debts which have typically become a monster during all the previous years. Amidst all these events over all 11-15 of these years, many simply did not have time to develop along the other lines of life that comprise a healthy psychosocial makeup.
A great many physicians realize the need for significant growth only in their thirties or forties after all their training is over and they are settled into practice. By then, they as a rule must contend with many weeds which hinder the seeds that need to sprout for their healthy psychosocial growth. Sadly, they are developmentally disorganized.
Granted, there are exceptions; and this is certainly an incomplete explanation. Yet, I think I certainly do have hold of a real thing here--unfortunately.
Sometimes we have to know the bad news, like above, before we can know the good news.
For the good news, I can talk about how I think a lot of these potential pitfalls can be countered; but later on, cause right now I gotta go....
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[This message has been edited by Stephen Ewen (edited March 30, 2001).]•