Thank god there aren't any teachers who get behind on tasks, speak abruptly, or anything like that, because then we'd be branding all the teachers on DCUM with unprofessionalism. Probably would be starting multiple threads complaining about all of them here, all the while as more and more were leaving the profession and not being easily replaced.

That would sure suck.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

So seriously what do you want from doctors? Should they even exist anymore?

The AI isn't quite smart enough, yet, to run differential diagnosis protocols. But once it is? Any PCP who isn't capable of adding human compassion and value to that formula needs to GTFO. Most of the doctors I see are medgoogling my symptoms anyway. Once the algorithm can do that, we'll only need experienced doctors for review (we're already using this model, just with PAs and NPs instead of AI).

So I want doctors to act like their humanity is the value add, because that's going to be the only way they keep their jobs unless they're specialists.

By the time that happens, all the people who are part of the complaining group but can’t afford to pay for concierge because their skills and time are not valuable enough will be unemployed anyways. So I guess it will all work out in the end.

I’m a teacher. I guess my time and skills aren’t valuable to society since I can’t afford concierge. Is that right, PP?

Unfortunately, going to my doctor sometimes makes me feel unimportant. A doctor once expressed anger because my appt (which I was on time for, but had to wait 1.5 hours) was going to make her work past 4, which meant I was bleeding into her private time. She made sure I knew she was making a great sacrifice.

As a teacher who regularly works nights and weekends just to stay afloat at work, the comment hit hard.

But the PP here says my value to society is limited, so I guess it doesn’t matter how I feel.

You sound bitter. Aren't people who provide service to others supposed to take care of themselves and not complain?

I don't think the PP is bitter - she's calling out the doctor for her behavior. I've had put downs from arrogant doctors as well. I got rid of one of them recently. When they give you so little time, implicit bias comes into play. There are people who dress well for medical visits to avoid being judged. It is well documented that women, minorities and the overweight are more likely to suffer from medical gaslighting.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

So seriously what do you want from doctors? Should they even exist anymore?

The AI isn't quite smart enough, yet, to run differential diagnosis protocols. But once it is? Any PCP who isn't capable of adding human compassion and value to that formula needs to GTFO. Most of the doctors I see are medgoogling my symptoms anyway. Once the algorithm can do that, we'll only need experienced doctors for review (we're already using this model, just with PAs and NPs instead of AI).

So I want doctors to act like their humanity is the value add, because that's going to be the only way they keep their jobs unless they're specialists.

By the time that happens, all the people who are part of the complaining group but can’t afford to pay for concierge because their skills and time are not valuable enough will be unemployed anyways. So I guess it will all work out in the end.

I’m a teacher. I guess my time and skills aren’t valuable to society since I can’t afford concierge. Is that right, PP?

Unfortunately, going to my doctor sometimes makes me feel unimportant. A doctor once expressed anger because my appt (which I was on time for, but had to wait 1.5 hours) was going to make her work past 4, which meant I was bleeding into her private time. She made sure I knew she was making a great sacrifice.

As a teacher who regularly works nights and weekends just to stay afloat at work, the comment hit hard.

But the PP here says my value to society is limited, so I guess it doesn’t matter how I feel.

I get the feeling from this thread that some doctors feel they have the hardest most important job in the world, yet having spent so much time in school, haven't ever experienced any other kind of job.

No, of course it's not hard, and they are nothing special. It's just a regular job like any other business. A mechanic or grocer can set their own hours, turn away customers, and charge however much they want extra.

A lot of doctors agree with you. It's called concierge, PP -- haven't you been reading the thread?

Anonymous wrote:

Anonymous wrote:They need to stop over scheduling and understand that everyone’s time is valuable, not just theirs. Stop telling me you’ll cancel my appointment if I’m 15 minutes late and then make me wait for 30 minutes minimum when I’m on time.

Sounds like your time is so valuable you have the resources to go out into the marketplace to pay for a higher level of service. You should probably do that.

I’m the meantime, sit down with a piece of paper and game out the cascading effect of a few people being “15 minutes.”

When you have numerous doctors, paying for a higher level of service at each office is a bit much. The amounts US patients are already paying for medical treatment and prescriptions are shocking to people in other parts of the world.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

So seriously what do you want from doctors? Should they even exist anymore?

The AI isn't quite smart enough, yet, to run differential diagnosis protocols. But once it is? Any PCP who isn't capable of adding human compassion and value to that formula needs to GTFO. Most of the doctors I see are medgoogling my symptoms anyway. Once the algorithm can do that, we'll only need experienced doctors for review (we're already using this model, just with PAs and NPs instead of AI).

So I want doctors to act like their humanity is the value add, because that's going to be the only way they keep their jobs unless they're specialists.

By the time that happens, all the people who are part of the complaining group but can’t afford to pay for concierge because their skills and time are not valuable enough will be unemployed anyways. So I guess it will all work out in the end.

I’m a teacher. I guess my time and skills aren’t valuable to society since I can’t afford concierge. Is that right, PP?

Unfortunately, going to my doctor sometimes makes me feel unimportant. A doctor once expressed anger because my appt (which I was on time for, but had to wait 1.5 hours) was going to make her work past 4, which meant I was bleeding into her private time. She made sure I knew she was making a great sacrifice.

As a teacher who regularly works nights and weekends just to stay afloat at work, the comment hit hard.

But the PP here says my value to society is limited, so I guess it doesn’t matter how I feel.

You sound bitter. Aren't people who provide service to others supposed to take care of themselves and not complain?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

So seriously what do you want from doctors? Should they even exist anymore?

The AI isn't quite smart enough, yet, to run differential diagnosis protocols. But once it is? Any PCP who isn't capable of adding human compassion and value to that formula needs to GTFO. Most of the doctors I see are medgoogling my symptoms anyway. Once the algorithm can do that, we'll only need experienced doctors for review (we're already using this model, just with PAs and NPs instead of AI).

So I want doctors to act like their humanity is the value add, because that's going to be the only way they keep their jobs unless they're specialists.

By the time that happens, all the people who are part of the complaining group but can’t afford to pay for concierge because their skills and time are not valuable enough will be unemployed anyways. So I guess it will all work out in the end.

I’m a teacher. I guess my time and skills aren’t valuable to society since I can’t afford concierge. Is that right, PP?

Unfortunately, going to my doctor sometimes makes me feel unimportant. A doctor once expressed anger because my appt (which I was on time for, but had to wait 1.5 hours) was going to make her work past 4, which meant I was bleeding into her private time. She made sure I knew she was making a great sacrifice.

As a teacher who regularly works nights and weekends just to stay afloat at work, the comment hit hard.

But the PP here says my value to society is limited, so I guess it doesn’t matter how I feel.

I get the feeling from this thread that some doctors feel they have the hardest most important job in the world, yet having spent so much time in school, haven't ever experienced any other kind of job.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

Struggling to make ends meet? Give me a break. The doctors I know who own their own practices (I have many among family and friends) are raking in the dough while seeing patients only 3-4 days a week.

Why are you friends with people who are profiting by providing substandard care?

DP. How did you come to the conclusion that they are “providing substandard care”?

Does OP know multiple medical practices in the area that are getting patients in right away that day for sick visits; able to provide immediate mental health crisis care; sitting down for visits where every patient can express themselves fully, feel validated, and participate in shared decision-making with every question answered--and all of this without charging concierge fees or refusing to take on new patients?

Why are family and so many friends of PP only working 3 to 4 days a week if they cannot offer this?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

So seriously what do you want from doctors? Should they even exist anymore?

The AI isn't quite smart enough, yet, to run differential diagnosis protocols. But once it is? Any PCP who isn't capable of adding human compassion and value to that formula needs to GTFO. Most of the doctors I see are medgoogling my symptoms anyway. Once the algorithm can do that, we'll only need experienced doctors for review (we're already using this model, just with PAs and NPs instead of AI).

So I want doctors to act like their humanity is the value add, because that's going to be the only way they keep their jobs unless they're specialists.

By the time that happens, all the people who are part of the complaining group but can’t afford to pay for concierge because their skills and time are not valuable enough will be unemployed anyways. So I guess it will all work out in the end.

I’m a teacher. I guess my time and skills aren’t valuable to society since I can’t afford concierge. Is that right, PP?

Unfortunately, going to my doctor sometimes makes me feel unimportant. A doctor once expressed anger because my appt (which I was on time for, but had to wait 1.5 hours) was going to make her work past 4, which meant I was bleeding into her private time. She made sure I knew she was making a great sacrifice.

As a teacher who regularly works nights and weekends just to stay afloat at work, the comment hit hard.

But the PP here says my value to society is limited, so I guess it doesn’t matter how I feel.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

Struggling to make ends meet? Give me a break. The doctors I know who own their own practices (I have many among family and friends) are raking in the dough while seeing patients only 3-4 days a week.

Why are you friends with people who are profiting by providing substandard care?

DP. How did you come to the conclusion that they are “providing substandard care”?

Anonymous wrote:They need to stop over scheduling and understand that everyone’s time is valuable, not just theirs. Stop telling me you’ll cancel my appointment if I’m 15 minutes late and then make me wait for 30 minutes minimum when I’m on time.

Sounds like your time is so valuable you have the resources to go out into the marketplace to pay for a higher level of service. You should probably do that.

I’m the meantime, sit down with a piece of paper and game out the cascading effect of a few people being “15 minutes.”

Anonymous wrote:They need to stop over scheduling and understand that everyone’s time is valuable, not just theirs. Stop telling me you’ll cancel my appointment if I’m 15 minutes late and then make me wait for 30 minutes minimum when I’m on time.

How often are you not on time for appointments?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

Struggling to make ends meet? Give me a break. The doctors I know who own their own practices (I have many among family and friends) are raking in the dough while seeing patients only 3-4 days a week.

Why are you friends with people who are profiting by providing substandard care?

They need to stop over scheduling and understand that everyone’s time is valuable, not just theirs. Stop telling me you’ll cancel my appointment if I’m 15 minutes late and then make me wait for 30 minutes minimum when I’m on time.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

Struggling to make ends meet? Give me a break. The doctors I know who own their own practices (I have many among family and friends) are raking in the dough while seeing patients only 3-4 days a week.

In reading back through the thread, I see multiple posts advocating to open up more medical school slots. That's not wrong, but it's presented too simplistically -- one reason there aren't more med school slots is that there is already a dearth of slots for clinical training.

I'm not talking about residency. I'm talking about clinical providers and sites able and willing to train medical students. The book learning is hard enough, but a good bit of that can be streamlined with technology. There's still fewer people willing to participate in training than previously, much less clinicians and practices not too burnt out (or financially driven by others) to spend time and patients with students.

Opening up more medical student slots doesn't automatically open up more training for them. Without that training, they are more dangerous with partial training than not.