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[IPk] Re: Medical Conservatism

Ouch!  Should that have been "conservation"? :-)

Julian, I just have to respond! but I agree with much of what you say and
the replies of Nanette, Di and others.  There will always be those - not
only in medicine but also in any walk of life - who cling to the ideas of
the past, and die-hards who know everything (they think). I hope I'm not one
of them!  But during the past 20 or so years as a medic, I've seen changes
in the medical profession as a whole (bearing in mind what I said before) :
beginning to remove blinkers, now being prepared to question and examine in
an evidence-based way long-held beliefs which may or may not be true.  And
also acknowledging that medical doctors are simply specialists in a
particular subject, as are many members of this group (and of course many of
the public as a whole), and learning how to talk to, as opposed to talk down
to, people.


Date: Tue, 30 Oct 2001 10:04:23 -0000
> From: Julian Doncaster <email @ redacted>
> Subject: [IPk] Medical Conservatism (was medical ignorance)
> Am I right in thinking that - sociologically - academic research and
> medicine are the two most hidebound and traditional professional areas of
> all?
> Meaning in terms of learning new things and insisting that the profession
> itself is the fount of all knowledge; having a strong "not invented here"
> syndrome. That gives a strong scepticism to anything from outside the
> profession, and a (possibly) blinkered faith in anything from inside.
> I picked this up when I read in a book by Dr Andrew Walker
> (sociologist/theologian at Kings) that these two areas still maintained
> medieval "apprenticeship" system for learning "how to do it" - you have to
> be supervised by an existing professional for a number of years in your
> training.
> Bit of a tangent, but I'd be interested to hear any views.
> Julian
> > I second that.  It has been my experience too when talking with almost
> > all physicians other than those who really are specialists in
> > diabetes.
> >  Watching the proliferation of medical literature (for which the
> > pressure to 'publish or perish' in the scientific/medical community is
> > responsible) it is really not suprising that drs cannot keep up with
> > the literature outside their specialty.  What is suprising and
> > upsetting is the arrogance of those physicians who will not admit that
> > their knowledge of diabetes was acquired n years ago in medical school
> > and since they are human, this knowledge is a) only hazily remembered
> > unless they use it regularly, and b) out of date.
> >
> > Nanette
> >
> > ------------------------------
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