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j-bos 3 hours ago

It seems to be human nature to chase after easy to understand solutions rather than addressing ifficult bottlenecks and friction. Doctors are a great example. In order to be a doctor, you have to study for 12 years. But four of those years involve studying generally unrelated topics like any other college degree despite medicine effectively being a trade. Then on top of that, you have the limited spaces for residents anyway, so more great med students still != more doctors. And then on top of that you have the issue that teaching hospitals are usually split apart from regular hospitals and A med student who ends up at a particular teaching hospital basically ends up locked in until their residency finishes leaving them vulnerable to even more pressure.

autoexec 2 hours ago | parent | next [-]

> But four of those years involve studying generally unrelated topics like any other college degree despite medicine effectively being a trade.

There's a lot of value in knowing about more than just one thing. Anyone leaving their university with a degree should have at least some exposure to topics outside of the field they want to work in. People are more than just their jobs, having a well rounded education is useful, and matters outside of the field of medicine still have real impacts on the lives of doctors.

I'd certainly feel better about going to a doctor who has a reasonable baseline understanding of the rest of the world outside of his work. You could argue that people looking to become doctors should able to avoid some percentage of the other classes they're forced to take, but doctors can often pick up some relevant credits while still fulfilling those requirements too.

renewiltord 3 hours ago | parent | prev [-]

That’s a North American quirk.

NitpickLawyer 2 hours ago | parent [-]

Maybe the particularities, but there are overall issues with placing in EU as well. There's a big discrepancy in general practice availability between large cities / capitals and smaller cities / country side. And it's not necessarily a lack of "living wages" nor is it poor conditions (often they'll have strong support from local municipalities w/ things like clinic space, local community support, etc) but it's simply that younger doctors don't want to move there.

shiroiuma 28 minutes ago | parent | next [-]

Yep, this is the same almost everywhere. You're not going to find many young people who will go to a university to get the qualifications to be a medical professional, and then willingly move back to their middle-of-nowhere small town to do that job, even if it pays more.

Joker_vD 10 minutes ago | parent [-]

The Soviets would attempt to solve it by requiring the graduates to work off about 3 years in the place chosen by the joint commissions from Gosplan/Ministry of Labour/Ministry of Higher Education (those same commissions determined the number of students to enroll in the first place, so...). And this system (called "distribution", as in, "distributing the graduates to the workplaces") was widely unpopular for obvious reasons.

renewiltord 2 hours ago | parent | prev [-]

I should have done better with my comment. I intended to reference the pre-med undergraduate degree.