Tuesday, July 31, 2012
The Rise Of The Novice
The mind of the medical student is already entrenched in chains. The subject is no longer humanity but a textbook of pathology. Facts, diagnoses, and algorithms lead the wanderer to stray from his path. To do no harm becomes the lifelong mantra that distracts the addled brain from the primary dictum. What once was the domain of the soul becomes fodder for the intellectual capacities. We learn the art of caring through a skill set, we subtract it from the core of our being.
The resident believes himself to be inching closer, not farther from the secret. Competence is the line between survival and failure. The punt, the turf, and the buff are perfected as if they were indeed the practice of medicine unto themselves. Fear and the struggle for survival detract from the ultimate goal. The distortion of the carnival fun house is almost complete.
The practicing physician wears a lab coat of many colors. One part businessman, one part computer technician, his role changes based on the needs of a complex and rigid system. He is both the keeper of facts as well as the follower of guidelines. He is the supervisor and the grunt at the end of the line. His loyalties are so divided between society and patient, that he has become utterly ineffective.
The secret is shockingly simple.
The novice was more adept in the art of healing than the byproduct of this dehumanizing process.
We must start again.
We must return to the beginning.
Posted by Jordan Grumet at 2:42 PM