Quote:
Originally Posted by xenigo
(Post 16690640)
They aren't the only employees, but they're arguably the most important. You don't go to specific hospitals because of the nursing staff, you go because of the specialists. Some patients fly across the US or the world to be seen by certain specialists.
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That's an interesting misconception, actually.
By far the most important doctors are GPs - who happen to be underpaid. A good GP will generally save many, many more lives than a good specialist. ER doctors would probably come in in second place when talking about importance, and they are underpaid as well.
About 95% of all cases never make it to a specialist and get handled entirely by a GP. One of the most important jobs of the GP is to spot early on whether there is a reason to send someone on for testing or further treatment - and that's the job which saves most lives.
For example, whether you die from cancer or not is generally not determined by the skill of your oncologist, but by how early it is detected. Your GP is the one who has to weigh your symptoms against a hundred thousand different possible causes and come up with a list of the most likely suspects. And he has, on average, about 10 minutes to do that for each patient.
By the time you reach the specialist, much of the prognosis will already have been determined. The difference in outcome between a good and a great specialist (there aren't many bad specialists), at that point, usually isn't all that big anymore.
Now, when you look at preventable deaths in the hospital, nurses and residents actually do have a huge effect on that. Lots of people die simply because a change in status is spotted just a bit too late, or is misinterpreted. In many cases, a nurse or resident will have to be the one who has to spot the change, and a resident is typically the one who has to decide whether or not the change in status is reason to take further action (such as involving a specialist).
That's not to say that specialists don't do great work, because they definitely do. But compared to them, nurses, GPs and residents just don't get enough of the credit.