Following my discussion yesterday, you may think, "That's not a big deal. Next time when I need some simple procedure, I would just find an appropriately junior staff."
On the whole that's right, but there are other implications.
You may see the immediate problem, and a very practical one for our recent VIP incident. The problem is: What should you do if the procedure you need is plain simple but you happen to be a friend of the division head ? (That brings us to a common error in logic: If a person can do the complicated things, he would do well in simple ones.)
But let's take even the social hiccup aside, and focus on something more profound: People doing simple things would not feel satisfied for long. We all believe, and it is usually true, that if they are good, they should have been promoted to handle more complex stuff. There is, therefore, pressure from within as well as environment for them to seek for something more complicated.
That's one of the major reasons why I am always against population screening of any medical problem by a technique that requires a low level of operator skill - a seemingly primary requisite for a screening to be justified. By human nature, we can never keep staff who are good at a simple procedure to stay - without moving froward in their career.
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1 comment:
This is why the Americans pay doctors handsomely for doing this simple procedure full-time. They are content to be called colonoscopists but not gastroenterologists or even clinicians.
Important note: For all who read this blog regularly, I am not good at this simple procedure.
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