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hibikiryesterday at 12:15 PM1 replyview on HN

Most countries get good results with shorter training and much lower salaries. And, just like most other US university degrees, the majority of the filtering is done on entrance, not on training. So it's not that we are evaluating the best doctor, but the best diligent people that get great scores in the MCAT. Whether that actually lines up well with being a good doctor is not all that clear.


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sebmellenyesterday at 12:57 PM

Here’s an excerpt from a study of more than 1m physicians:

> “Better examination performance was linked to improved adherence to mammography screening recommendations, appropriate prescribing practices, improved care of patients with diabetes, lower patient morbidity and mortality, fewer complaints to regulatory bodies, and lower malpractice payments. The association was observed across examination formats and medical specialties.”

https://academic.oup.com/academicmedicine/article-abstract/1...

Unfortunately, it’s very clear.