The medical profession feels like it is under siege. The traditional MD trained, post residency doctor was trusted and looked up to as a pillar of knowledge and achievement.
In a vast array of ways there have been efforts to dislodge these professionals from their perch. Obfuscation of roles, privilege creep, payer acceptance, degree inflation, DTC advertising along with mid-level focused detailing(generally more corruptible), push of “universal health care”, push of generic terminology such as “providers” used in ways to commoditize then devalue the services. The push of EHR and protocol driven care, etc are all parts of the efforts to this end.
The problem is that this is leading to fall in standards, unfortunately not just in affiliated providers but even amongst MDs in my observation over the years. The approach of younger doctors appears to be that “if I am merely a provider I will just show that level of commitment” . Many no longer take out of hours call. They choose lifestyle specialties, prefer shift work, generally refuse anything more than minimal responsibility etc.
The old guard is aging and as they are phased out, the true unfortunate ramifications of this will become clear. We are being very short sighted undercutting such a venerable profession in such ways.
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Any questions, please drop me a line.
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Sincerely,
Andrew Lopez, RN
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