The USMLE, what physicians must pass to practice allopathic medicine has made many substantive changes that aren't reflected in the AI Chat EGM had. It's been severely dumbed-down. Focus is all now on specialization. No real primary care physicians being trained to practice, more of a "team" structure. No "Art" of healing is taught. Just "follow The Science (TM)" "Evidence-Based Medicine." Is why AI "doctors" are beginning to look good in comparison. Medical school graduates are now being trained to be arrogant idiots. They used to learn the Art of healing that made them better.
Changes to Step 1, made Pass/Fail along with other dumbing down of it. And what's happened with Step 2 and Step 3 get worse. Step 2, Clinical Skills has been eliminated. And Step 3 similarly slated. Step 3 tests ability to independently practice medicine. As in sole practitioner not in a hospital system where specialists work as a team, stay in their silo. Step 3 also tests understanding of disease concepts, applying scientific concepts to making diagnoses. Per the ACP article below this is now considered "outdated," "impractical," and "burdensome":
Revisiting the Utility of U.S. Medical Licensing Examination Step 3
"As medical practice has become more specialized, the U.S. Medical Licensing Examination (USMLE) Step 3 has become outdated. In recent years, there have been substantial changes to the USMLE Step examinations, with Step 1 transitioning to pass/fail scoring and the elimination of Step 2 Clinical Skills. These changes bring us to a unique time of reflection on the purpose and structure of Step 3. Considering its history and aims within the current landscape of medical practice and licensure, we believe that the present structure of Step 3 is impractical and burdensome."
FF - These changes in the USMLE and medical school training today reflect the specialization in the practice of medicine that no longer account for a overall, holistic approach to the patient. Specialists only diagnosing and treating their specialty. A "team" approach with interchangeable doctors playing their assigned position on the team.
If you take these types of changes in the qualifications to practice medicine it's my belief that the current allopathic medical model is devolving into training MD's to simply enter patient symptom data into expensive WebMD-like AI computer systems that print out prescriptions to be filled at the pharmacy or schedule for invasive surgeries. AI "doctors" with a human cast playing the Doogie Howser/Quinn Medicine Woman role, reading their lines with dramatic flair.
Training monkeys. Monkeys that follow The Science (TM) directions, don't think for themselves to practice the *Art* of medicine. One-size-fits-all. An obedient medical system of pill-pushing and flesh-slicing monkeys wearing white coats and stethoscopes. Evidence is what the computer programmers say it is.
The USMLE, what physicians must pass to practice allopathic medicine has made many substantive changes that aren't reflected in the AI Chat EGM had. It's been severely dumbed-down. Focus is all now on specialization. No real primary care physicians being trained to practice, more of a "team" structure. No "Art" of healing is taught. Just "follow The Science (TM)" "Evidence-Based Medicine." Is why AI "doctors" are beginning to look good in comparison. Medical school graduates are now being trained to be arrogant idiots. They used to learn the Art of healing that made them better.
Changes to Step 1, made Pass/Fail along with other dumbing down of it. And what's happened with Step 2 and Step 3 get worse. Step 2, Clinical Skills has been eliminated. And Step 3 similarly slated. Step 3 tests ability to independently practice medicine. As in sole practitioner not in a hospital system where specialists work as a team, stay in their silo. Step 3 also tests understanding of disease concepts, applying scientific concepts to making diagnoses. Per the ACP article below this is now considered "outdated," "impractical," and "burdensome":
Revisiting the Utility of U.S. Medical Licensing Examination Step 3
American College of Physicians
Annals of Internal Medicine, July, 2023
https://www.acpjournals.org/doi/10.7326/M23-0695
"As medical practice has become more specialized, the U.S. Medical Licensing Examination (USMLE) Step 3 has become outdated. In recent years, there have been substantial changes to the USMLE Step examinations, with Step 1 transitioning to pass/fail scoring and the elimination of Step 2 Clinical Skills. These changes bring us to a unique time of reflection on the purpose and structure of Step 3. Considering its history and aims within the current landscape of medical practice and licensure, we believe that the present structure of Step 3 is impractical and burdensome."
FF - These changes in the USMLE and medical school training today reflect the specialization in the practice of medicine that no longer account for a overall, holistic approach to the patient. Specialists only diagnosing and treating their specialty. A "team" approach with interchangeable doctors playing their assigned position on the team.
If you take these types of changes in the qualifications to practice medicine it's my belief that the current allopathic medical model is devolving into training MD's to simply enter patient symptom data into expensive WebMD-like AI computer systems that print out prescriptions to be filled at the pharmacy or schedule for invasive surgeries. AI "doctors" with a human cast playing the Doogie Howser/Quinn Medicine Woman role, reading their lines with dramatic flair.
Training monkeys. Monkeys that follow The Science (TM) directions, don't think for themselves to practice the *Art* of medicine. One-size-fits-all. An obedient medical system of pill-pushing and flesh-slicing monkeys wearing white coats and stethoscopes. Evidence is what the computer programmers say it is.