Dictionaries define the word ’doctor’ as ‘learned’, ‘teacher’, ‘most highly qualified’ etc. However, at least in our country, doctors are among the most ignorant. It may be natural for a doctor not to know much about hydro-geology. It may be possible for him not to be aware of the latest breakthroughs in astro-physics. But for a doctor not know much about Medicine, or not to be aware of the developments in his specialty is not only untenable, but also dangerous and criminal. Yet, there are thousands of doctors in our country who do not know much about Medicine, as it is practised today. Most of these doctors, it will be surprising to know, are very busy practitioners. I personally know of professors of Medicine who advise patients of Rheumatoid Arthritis to get Ayurvedic help since there is no drug in Modern Medicine (still erroneously and unfortunately called Allopathy, meaning “approximate”) for this disease. This is when even the most basic of textbooks of Medicine has a few pages discussing the drugs available for the treatment of this disease. Of course, the treatment of Rheumatoid Arthritis, like that of most other medical illnesses, is developing and improving continually.
“Harrison’s Principles of Internal Medicine”, the most trusted and respected resource on General Medicine all over the world, says, “Medicine is an ever-changing science.” It is estimated that about 50% of the medical knowledge is replaced by new, scientifically researched, proven and more robust information every ten years. This would mean that a person who qualified ten years ago and since has not tried to update his knowledge is 50% outdated. He may be more dangerous than the diseases that he treats!
One important contribution for ignorant doctors come from private medical colleges. People purchase their degrees from these business institutions. Not much is taught or learned in most of these places.
Paradoxically, it is frequently a blessing for a doctor not to know much. If one knows enough and well, relevant differential diagnoses (the other likely possibilities that must be excluded) will come to the mind when seeing a patient. It may make investigating and treating rather difficult, given the peculiar milieu of our country.
It is important to introduce new legislation that makes it compulsory for doctors to renew their license every year after passing an examination designed to prove that their medical knowledge is up-to-date. It is unclear why the Government are reluctant to make any move in this direction, though one can make a few guesses.
2007-09-06
19:06:10
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7 answers
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asked by
drapjohny
2
in
Medicine