And Here We Go Again


From the AMA Rounds:

As part of a series on the American Medical Association’s Accelerating Change in Medical Education initiative, Repertoire Magazine reports on the importance of preparing tomorrow’s physicians through non-traditional education subjects such as economics and biostatistics. Brown University’s Medical School Primary Care-Population Medicine program includes such “third science” coursework, formerly known as “health systems science.” One core focus of the curriculum is leadership, which is promoted through specific courses on leadership in healthcare. Brown Medical students can also focus on public health research in specific demographic groups such as incarcerated patients and members of the LGBT community.

Economics? Biostatistics? Leadership? Specific demographic groups like prisoners and the LGBT community?

Doesn’t Moore’s Law apply to medicine where we have double the amount of information to learn every few years?  I cannot see how taking medical students away from the basics helps anyone other than making the school look good to others.  Classic style over substance trick.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “And Here We Go Again

  1. Kurt
    August 24, 2016 at 9:08 pm

    I’ve heard comments that new FP’s are no better than LELT’s in P-dog. Me? I took a 5 and a half
    year post graduate course that started in surgery and took me 3 years to realize I couldn’t deal with it.
    Plus I lost 47lbs. in weight my last year as my butt was worked off and I had no spouse or “significant other” to make sure I got something to eat. It was not depression or by choice although I did feel poorly when I was canned. Didn’t have time to eat! The knowledge gained was priceless though and I had a little bit better edge in homing in on a problem. If I couldn’t “get it” or if I got what the condition was but felt I wasn’t up to snuff to treat, I knew who to send ’em to!
    I second the motion to teach them to treat patients. This 4 X 4 matrix “specificity, sensitivity ,
    number to treat” BULLCRAP needs to be left with the epidemiologists, researchers and off of board recertifications . The insurance whores won’t let anyone use any of the new drugs on T.V. anyways so it sure as hell doesn’t matter for someone in the primary care trenches. Time to cut out useless stuff. LGBT? Cripes, go into a rural area and it’s not advisable to advertise this orientation for ones health. Don’t get me wrong, if one wants to work in that area fine, study it.
    Just don’t cram it down peoples throats who don’t want it or feel the need to know it.

  2. Perry
    August 22, 2016 at 11:24 am

    Whatever happened to teaching medical students how to take care of patients?

    Oh, I guess they won’t be doing that in the future, just taking care of “populations” and entering data.

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