I still have nightmares occasionally when I dream I am setting out for
my final medical exams in Trinity College, Dublin. I already had a job
lined up in a food canning factory in England so I could support my wife
and daughter while studying for the exam re-writes. Then I wake up
in a cold sweat for a few moments before I am flooded with the relief of
realizing it is just a nightmare. For the record I did pass my
qualifying exam on the first writing but I did gain some insight into
how a falling candidate would feel, particularly if in the exiguous
financial condition I was in. The option of blaming the
University program was unimaginable.
Today, almost every
student who gets into medical school graduates. In my day it was quite
different. As far as I can recall about twenty percent of candidates
dropped out and another percentage had to repeat part or all of a year.
Nobody sued the medical school, nobody thought of suing the medical
school or university.
Even as undergraduate medical students, we
realized that there was great variation between teachers, some were
highly entertaining despite the fact they they were not great teachers,
others were extremely erudite but so dull that half the class fell
asleep and there was everything in between. Most of us realized early
on whether our various programs had weaknesses and as responsible
doctors to be, many of us learned how to compensate for the deficiencies
of the program. Physicians need to be resourceful and even in the
era before everyone had a computer in their pocket and access to all the
knowledge in the world, we usually knew what we had to do to make up
for the deficiencies. I went to a good school but I recognized there
were area where I needed some extra help and sought some private
tuition.
The case in the news at the moment is of an Ontario
physician suing Western University for $11,000000 because he contends
that the medical school didn't give him the education he needed to
become certified as a specialist in medical microbiology. This was a
five year residency program which the doctor claimed deteriorated
rapidly while he was enrolled in it. He failed his specialty exam three
times , in 2012, 2013 and 2014. Then instituted legal proceedings and
Western is seeking to appeal a judge's ruling that allows the law suit
to proceed.
In this age in which almost everyone considers
themselves a victim of one sort or another, it doesn't seem to occur to
the doctor that even if most he has to say is accurate, that HE is
responsible for his education. This is not a naive young student, but a
man who has gone through the rigorous educational system to get an MD
degree. There were numerous remedial steps he could have taken
including taking some of his studies at another institution (not an
unusual solution in numerically small programs), arranging to work under
the supervision of a recognized expert in the area, independently
planned study perhaps in coordination with a colleague in a similar
specialty. The doctor/victim seems to feel that he is just a victim
who never had control over his plight.
If the Doctor succeeds in
his efforts the face of medical education and indeed, of University
education may be forever changed. All any failure has to do is sue the
University and he/she may never have to work again! Throw in a
suggestion of racism, gender discrimination or ageism and maybe we can
all be victims.
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