Sometimes medical schools are stupid
November 17, 2005
Other bloggers have done a great job on this story:
How did pseudoscience get admitted to medical school? by Dr. RW
Is political correctness one of the reasons med schools are teaching ” complementary Medicine”? from our favorite “retired doc”
This rants should bother you – they certainly bother me. I have taken a stand to not allow this stuff when I am in a decision making position.
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November 17th, 2005 at 11:50 am
Failure of leadership.
November 17th, 2005 at 6:21 pm
Thanks for pointing us to these thought-provoking posts.
To me, part of this revolves around money. Keep in mind that the fiscal woes of academic medical centers has led them to seek other sources of revenue – and, the public has been demanding and consuming more CAM services.
The folks seeking CAM therapies may tend towards the better-off, and since many of these therapies aren’t covered by insurance, centers can charge cash and get what they ask for (as noted in the blog posts describing upfront fees). Acadademic medical centers want in on the uncomplicated and growing pool of money people are willing to put out for these therapies.
November 20th, 2005 at 6:53 am
The second poster has a good point. Patients are willing to spend money, sometimes a lot of money, on unconventional therapies offered by “alternative medicine” practitioners. Ironically, few will spend on concierge style conventional consultation, I suspect because many think they will get the same service from another physician using their insurance.
When I lived in Florida, I wondered how so many chiropractors were able to survive in practice in the community where I once lived, there were so many of them, yet physical and occupational therapists were leaving town for better opportunities. Obviously they were able to offer something their patients wanted and were willing to pay cash to get. It wasn’t manual spinal adjustment, or nutritional counseling alone, as those services were available elsewhere; it may have been to have someone else listen to them tell about their problem, or even to hear some other proposal to treat a chronic or intractable complaint. I came to believe that part of it was the investment people had made in their therapy by having paid for it and the wish, whether or not that was verifiable, that the therapy was successful and worthwhile.
It was as if the commitment carried a psychological momentum.
The medical schools see this, and they also see the trends in third-party reimbursement and they are trying to cash in. The problem is they are using their institutional reputations–based on excellence in conventional medicine– to seize market share.
It is like hanging the university seal over the door of a rub parlor.
November 22nd, 2005 at 2:05 pm
The most frustrating thing for me is when I attempt to explain why this-or-that alternative remedy does not work, … sheesh, … the flack I get is something else. I generally get some look and retort that I just don’t think it works because it is not “traditional” medicine. At that point, no matter what you say is ignored because of my perceived bias and formal education.
If anyone has a reply to that type of logic, I would love to hear it.
November 26th, 2005 at 8:51 pm
I have learned over the years that their are too many patients and those patients who wan’t some type of complementary medicine will need to seek it elsewhere.
My role is to discuss the evidence and science as I know it. If someone want’s anything beyond that then I suggest they try someone else.