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DevonshireDozer's avatar

A nice, thought provoking piece. Thank you.

Until late 2019, I had always viewed doctors as professionals who had formally studied the human body & its condition, perhaps specialised and kept themselves informed by reading scientific papers and so forth. I would have applied the term 'professional' to some in other fields, such as engineering - essentially independently minded practitioners with a genuine interest in their subject who would keep themselves informed and on top of their subjects. Any such professional would then take their acquired knowledge, consider a patient & then express an opinion on 'treatment' if applicable.

The past few years have changed my view. As with so many other things, medicine has been de-professionalised. Instead of keeping themselves informed and aware by whatever means, doctors and others are now subjected to something called 'Continuing Professional Development (CPD)'. It is a real misnomer. From what I can see, people have to attend compulsory training courses which do no more than reinforce the establishment narrative. Few are of any practical use. In essence, doctors are no longer professionals. They are now simply employees of a health system at a job grade that authorises them to issue prescriptions and perform certain procedures.

Until about 2010, I had to have an annual aviation medical - and looked forward to it. The Aviation Medical Examiner I saw (Richard) was old school. Of Irish ancestry, he was a man of great wisdom. He had a huge repertoire of anecdotes drawn from many years of experience (he had been on the Lockerbie enquiry panel). His opinion on CPD was scathing. He reckoned he would generally learn more by spending a couple of hours in the pub with a few leading colleagues & thought the medical profession was doomed. He also had a poor view on modern medical education, based upon his regular experience with students. He advised me that in a few years (we're there now) it would be sensible to seek out doctors from Eastern Europe because they were still being trained properly. His prediction was that UK doctors were becoming no more than pill pushers representing the pharmaceutical industry.

Richard has been dead for some years now, but I have often found myself thinking about him. He had a philosophy that made sense.

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J Debra Grube's avatar

Well Said! Hear hear!

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