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Colleen Smith, MD's avatar

I think medical education has gotten better in many ways. There is a shift in focus on respecting the time and intelligence of the learner and teaching in a way that is uplifting rather than degrading. Furthermore, there is much more teaching of "soft skills" such as team work and interpersonal communication, which really do help multidisciplinary teams to function better.

I think worse is freedom. There is a real loss of physician autonomy and resultant degradation of the physician-patient relationship because of rules and regulations, and check list, defensive medicine. We're stuck clicking all the boxes we need to click to get paid even if those boxes aren't relevant for our patient. We rush through encounters. We don't have time for shared decision making. Plus patients are unhappy because they don't have freedom to choose their doctors or pharmacies.

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