I'm going to say the quiet part out loud. A lot of newly graduated doctors are incredibly lazy. They hide it under the 'I can't kill myself' mentality, but it's honestly just laziness.
I translated this into English for everyone to read. This is written by an orthopedic surgeon colleague in Spain, but I know my American colleagues will appreciate the text an similarities to challenges we face here
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The Asymmetry in Medicine in Spain: Responsibility Without Authority (I)
Opinion
Francisco J. Guitián Lema
The Asymmetry in Medicine in Spain: Responsibility Without Authority (I)
“There is irrefutable empirical proof of this asymmetry: the doctor can replace anyone; no one can replace the doctor,” states Francisco J. Guitián Lema, a Vigo-based traumatologist specializing in orthopedic surgery
There is a truth so elementary that it feels uncomfortable to state it: a hospital exists solely and exclusively to cure the sick. It is not there to provide jobs or to justify organizational charts. Nor to feed bureaucracies or to experiment with organizational theories. It exists so that a sick human being leaves it less sick or, at the very least, having received the best possible treatment.
From this premise follows a logical consequence that the Spanish healthcare system seems determined to ignore: in that healing process, there are only two absolutely indispensable figures. The patient, who is the reason for the entire structure’s existence, and the doctor, who possesses the knowledge to guide that process. Everything else — and this is not disdain, but taxonomy — is support structure. Necessary, valuable, often heroic, but auxiliary.
The doctor is the only professional capable of performing the core act that justifies the hospital’s existence: diagnosing the disease and establishing the treatment. Without a diagnosis, there is no possible direction. Without a therapeutic indication, there is no meaningful action. An orderly transports the patient, but it is the doctor who determines where and why. A nurse administers medication, but it is the doctor who decides which, how much, and when. A technician performs a test, but it is the doctor who orders it and interprets its result.
This functional hierarchy is not a social convention or an inherited privilege: it is a direct consequence of training. Six years of medical school plus four or five years of MIR specialization produce a professional capable of integrating knowledge of anatomy, physiology, pathology, pharmacology, and a thousand other disciplines into a diagnostic synthesis that no other healthcare professional is trained to perform.
There is irrefutable empirical proof of this asymmetry: interchangeability. A doctor can, in case of need, perform the functions of any other hospital professional. They can push a stretcher, insert an IV line, draw blood, take vital signs — in Germany, doctors routinely perform these functions. The reverse is not true. An orderly cannot diagnose pneumonia. A nurse cannot order a surgical intervention. The doctor can replace anyone; no one can replace the doctor.
Recognizing this reality does not imply disdain toward anyone. Nursing care is essential. The orderly’s work ensures that hospital flow does not stop. Everyone deserves respect and fair compensation.
But respect for personal dignity cannot be confused with functional equivalence. In an operating room, the surgeon is not worth more as a human being than the assistant; but their function is irreplaceable in a way that the assistant’s is not.
This distinction, obvious in any other field, has become taboo in Spanish healthcare. The prevailing egalitarianism has managed to make an evident functional truth be perceived as a moral offense.
Put your insecurities away and get on with achieving your goals. Reflect and remind yourself that an accurate criticism is the most valuable feedback you can receive. Imagine how silly and unproductive it would be to respond to your ski instructor as if he were blaming you when he told you that you fell because you didn't shift your weight properly. It's no different if a supervisor points out a flaw in your work process. Fix it and move on. #principleoftheday
“Don't come again, I will not sign again, I know your faces. Go to school and prepare yourselves. You are young, so don't be here wasting your time. Do you want to live your life doing this?” - Pep Guadiola to young fans
IF YOU ARE A MEDICAL STUDENT OR DOCTOR, STOP WHAT YOU ARE DOING NOW AND LEND A VOICE TO THIS ‼️‼️
A BUS CONTAINING 19 MEDICAL STUDENTS AND A DOCTOR IS MISSING, PRESUMABLY ABDUCTED OR KIDNAPPED
THEY WERE HEADED FROM JOS AND MAIDUGIRI TO ENUGU FOR FECAMDS CONVENTION AND WAS LAST HEARD FROM AROUND OTUKPO
THEY ARE 👇
1) Boniface Tizhe
2) Thomas Yahaya
3) Gabriel Jita Iwev
4) Boniface Okon
5) Dondo Fabian
6) John Bitrus Naga
7) Fortune Chima Umeh
8) Godwin Gregory Tumba
9) Monica Ejembi
10) Ogbonna George Chukwuebuka
11) Paul Nyampa Zira
12) Lawrence Victory Adaugo
13) Okopi Peter
14) Enger Benedicta
15) Kwaghaondo Aondona Kingsley
16) Paul Shantong
17) Victoria Cornelius
18) Pius Samson
19) Okan Adara
20) Dr Luis Mmbamonyeukwu
RETWEET THIS TWEET
TAG THE RELEVANT AGENCIES, I HAVE PUT TAGGED THEM IN A TWEET AT THE BOTTOM
PUT UP A POST
THEY MUST BE FOUND SAFELY TODAY!!!
@DorathyChinelo 🤣🤣
If you can diligently pass through the valleys and shadows of death, then you will find the sumptuous table prepared for you in the presence of your enemies! 😂😂