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Still boggles my mind that we argue over prestige of med schools, have arguments where X specialty craps on the ED or radiology or whatever. Or still have MD vs DO debates. Then we turn around and create these "fellowships" for midlevels to "specialize" in Y field and then let them practice essentially autonomously. Even worse is having to do multiple fellowships as a physician and having these crazy standards for ourselves, but again letting a midlevel walk right in and do the same job.
It's not even the midlevels who are to blame. It's literally doctors for the most part. They train the midlevels and lead the programs. And they engage in the toxic parts of medicine. It gets even more silly when you have big name institutions that want an MD-PhD from a top school with 2 fellowships then have a PA do the same job in the same ward.
Anyway, only posting this thread cause I still see these silly topics come up frequently.
It's not even the midlevels who are to blame. It's literally doctors for the most part. They train the midlevels and lead the programs. And they engage in the toxic parts of medicine. It gets even more silly when you have big name institutions that want an MD-PhD from a top school with 2 fellowships then have a PA do the same job in the same ward.
Anyway, only posting this thread cause I still see these silly topics come up frequently.