Noctor continues to assert that he knows more than physicians about physician training
reddit.com/r/physicianassistant/comments/nnc3...Posted Jun 4, 2021, 2:02 AM UTC
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Then he doubles down and posts some proof that NBME (sic lol) is changing step 1 to pass/fail because it's bad for students when he spent an entire thread saying it was because it wasn't relevant.
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Sounds like somebody doesn’t want to have to study biochemistry to me. I also love the false equivalence of “3 year med schools” when he’s talking about specific tracks that are either for a practicing PA (3 year track) at some schools and 3 year tracks that limit you to primary care residency only. That is not “3 year med school” the way he wants to conflate it that the fourth year isn’t necessary. I would love to see this person come over here so I could talk to them about their misunderstandings.
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I like this person's response to the PA:
An answer to what exactly? STEP1? Qualifications of doctors? Residency? I mean you have challenged literally every part of medical education. It's sad how you think you have unlocked some secret code by becoming a PA. Do you honestly think medical school and residency are worthless? That somehow your one year of preclinical and one year of shadowing makes you equal to medical school and residency? You are the kinda of person who will tell people, " Yeah, I do surgery" when we both know you hold instruments and write progress notes.
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I respectfully disagree. I do think there is a lot of bloat in our medical education, and some things may be more emphasized than they should be, but our in-depth understanding of the basic sciences is what separates us from the rest of these clowns. While I may not remember all of the metabolic pathways I learned in biochemistry, I think that studying things down to that level helped me to develop the ability to critically think about medicine decisions. If we don’t study that, we give X drug to do Y thing just because that’s what we were taught to do. I thoroughly enjoy being able to discuss mechanisms on the basic science level. Midlevels can’t do that. You probably use more of that biochem, path, phys stuff you learned than you realize because it’s just ingrained into your thinking.
Or maybe not and I’m just a nerd and we can get rid of half the basic science that makes us experts in the field.
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Your argument seems to boil down to "I dont think biochemistry is clinically useful therefore Step1 is not clinically useful." It's a tired argument because there is so little biochemistry on step. Hell I learned literally all the biochemistry I needed to ace step 1 in like 3 days max with another 2 days to learn all of the genetics minutiae. I roll my eyes whenever I see someone complain about the Krebs cycle because it literally takes 10 minutes to learn and it almost certainly won't show up on the exam.
Basically all of the rest of the subjects that show up on the exam (immuno, anatomy, physio, path, etc) are undoubtedly clinically relevant.
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This is the type of mindset that leads to midlevels harming their patients. “Oh, it’s not necessary to learn that. Let’s not learn that” This line of thinking has progressed to such an extent that now we have PAs graduating that do not even know how to treat even the simplest of things.