3 Comments
User's avatar
⭠ Return to thread
Goeff's avatar

True, but my point was that most of whom I know who came here felt it was better back home (both in Europe and in Asia) and based on my experiences I have my dental work done in Asia because the quality and service is somewhat superior to what I've had in the US.

I'm not a huge consumer of medical "services," so have little personal experience to base a judgement on, but from what I've seen, the docs elsewhere are generally far superior to what we have were, the propaganda notwithstanding. I've known more than a few who come here thinking that they would get something special by training here, but they soon realize that their hopes were really dreams.

We are friends of a cardiac vascular surgeon who came here for a fellowship at a "world renowned" program who was shocked and more than a little disgusted at what was going on, and was recrutited to stay here and teach, but he turned the offer down without hesitation. Things were much better at home. His daughter recently graduated from a med school in their home country in fact. Could have easily come here for training if desired but she knew she'd get real life experiences there that she'd never get here.

For instance, the "world class" hospital I mentioned only allowed* its eye residents to assist in surgery during their last year whereas first year residents actually perform eye surgery in their first year (but under very strict guidance), and come out of their programs with judgement and skills that put ours to shame.

People typically want to think the best of their country and even the ancient Greeks had the methods of pandering to that sentiment well rehearsed. Plato's Menexenus explains it all and is a fascinating read. Short yet enlightening too. https://freeclassicebooks.com/Plato/Menexenus.pdf

*That may have changed by now.

Expand full comment
James Dawson's avatar

I’m not sure I want a first year resident doing my eye surgery. Not sure I want a fourth year assisting it either.

Expand full comment
Goeff's avatar

Ideally, I wouldn't want the first year guys to do mine either, but I sure as bleep wouldn't want the guys who left training with no hands on experience and little responsibility trying their luck on me.

The first year guys start out doing simple things and tackle more complicated stuff as they demonstrate increasing competence and they are very strictly supervised.

Expand full comment