Skip to main content

Is My Doctor Qualified?

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address at this link to receive my posts directly to your inbox.


When an individual is hired to do a job, one would think that his or her skills would be carefully assessed prior to tendering a job offer.  Let me offer some examples.

If one is applying to a newspaper (yes, they still exist but print editions will soon be visible only in journalism museums) seeking to become a reporter, the hiring professionals will carefully scour through the applicant’s prior writings.  If writing well and under pressure are job requirements, then the newspaper will want to verify that the applicant has these skills.  It’s possible that the applicant would be asked to submit a writing sample on the spot.

If a man is applying to become a salesman in a high-end men’s clothing boutique, the hiring manager will look for evidence that the applicant knows how to sell, knows men’s clothing and would be able to establish trust and rapport with the store’s clientele.

A close relation recently applied for a coding position in a huge and growing tech company.  He underwent serial interviews and was asked in several of them to solve a coding issue on the spot.  This company wants to know clearly and in advance that the applicant has the necessary skills to perform coding magic.



Job applicants will need to show their skills.

So what do doctors have to demonstrate to their potential employers during the interview process?  I’ve had 3 jobs in my medical career and I’ve also interviewed several doctor applicants over the years.  I think that readers might be surprised how different the vetting process is for physicians compared to the examples I have cited above.

Here is what my prior employers did not directly know about me prior to my signing employment agreements.

  • Did I take detailed and accurate medical histories from my patients?
  • Was I responsive when patients contacted me with concerns or questions?
  • How were my physical examination skills?  I am a gastroenterologist.  Did I know how to examine the liver, for example?
  • What was my approach to delivering bad news to patients and their families?
  • Did I treat the support personnel in the office with respect?
  • Did I order lab and radiology studies appropriately?
  • Did I keep referring physicians and medical professionals fully informed on their patients?
  • Am I compassionate?

My employers simply assumed that I had the requisite skills and character to perform well.  But the current system does not directly vet these necessary professional skills.  They were interested in my volume of endoscopic procedures and if I had ever been sanctioned for a professional breach.  There were letters of reference from colleagues whom I had selected.  Could a case be made to ask a doctor- -applicant to interview and examine a few patients–– real or actors – on the spot to assess what really matters?

 

 

Comments

Popular posts from this blog

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Stop Medical Malpractice: The White Coat Wall of Silence

Photo Credit Leisure Guy, one of my most faithful commenters, opines that I am omitting an important aspect of the tort reform argument. He has implored me repeatedly to read a particular book that I suspect buttresses his views, but this worthy pursuit is simply not near the top of my priority pyramid. Since he’s retired, he enjoys the luxury of burrowing deeply into the base of his priority pyramid. With 4 tuitions to go, retirement is a distant mirage for me. I’m can be a ‘leisure guy’, but only in my dreams. I have written throughout this blog and elsewhere that there are too many frivolous lawsuits against physicians. I have admitted that caps on non-economic damages are not ideal, because they deny some worthy plaintiffs of complete compensation, but I support them because I believe they serve the greater good. I have ranted that there is no effective filter to screen out physicians who should never be invited to the litigation party in the first place. I believe that the...

Prostate Cancer Screening: Stop The PSA Train!

About 10 years ago, my dad was to see his general internist. I have always refrained from giving medical advice to my family, for all of the reasons why doctors should not treat or advise their relatives. But, on this occasion, I did give Dad some unsolicited advice, particularly as I knew that his physician fired the diagnostic testing trigger readily. “Dad, please make sure that he doesn’t check the PSA (prostate specific antigen) test.” Dad indicated that he would convey my concern to his doctor, who ran the test on him anyway. Apparently, he includes the PSA test as a matter of routine on all men over a certain age. Twenty-five years ago as a curious, but skeptical medical student, I learned about prostate cancer. I learned that every man will develop it if he lives long enough. I learned that most cases of prostate cancer remain silent and never interfere with the individual’s life. I learned that the treatment for these cancers involves either major surgery or radiation, both of ...