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Why isn’t learning about public health a larger part of becoming a doctor? [TheConversation.com]

 

Chronic conditions, such as Type II diabetes and hypertension, account for seven in 10 deaths in the United States each year. And by some estimates, public health factors, such as the physical environment we live in, socioeconomic status and ability to access health services, determine 90% of our health. Biomedical sciences and actual medical care – the stuff doctors do – determine the remaining 10%.

Clinical medicine can treat patients when they are sick, but public health provides an opportunity to prevent disease and poor health. But too often, medical students don’t get to learn about public health, or how to use it when they become doctors. That means many of today’s students aren’t learning about health care in a broader context.



[For more of this story, written by Erik Black, go to http://theconversation.com/why...oming-a-doctor-45413]

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Of course medical students need to know about public health and prevention, etc.  But what are the factors that mitigate its occurrence?

Is it that (like teachers), they're stretched and have enormously competing demands?  As a general practitioner (or in a hospital ward) they have a 10 to 15 minute window in which to diagnose the problem, which often very obviously manifests its presence with a physical symptom, or at least that is what is chosen to attend to.  Physical can be complex enough in itself. Is this potentially fatal or chronic that impairs lifestyle is the main question of the investigation. Dealing with mental and physical health is a big ask.  The question I ask is:  how do we make it easier in the real world for there to be a more nuanced holistic diagnosis?  With kindness not judgement?

I believe part of the answer would be in choosing to conduct 30 minute consultations, but that doesn't seem a possibility at the moment, for a variety of reasons.  If a doctor believed the answer lay in a lifestyle change to prevent or to halt further progression of the given health problem of the client, then they could book them in for that time for the next consultation.  To then be able to further analyse the source of a problem and refer to appropriate people and resources. It could also lead to doctors becoming more vocal in their advocacy of what their particular community needs (and may be currently lacking).  The article does note a small but positive change in this direction.

Just a thought, I may be completely oversimplifying...  But is prevention part of what doctors should be doing and if so, just how can 'we' make it happen?!  

Last edited by Mem Lang
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