Hacker News new | ask | show | jobs
by chimprich 1668 days ago
> Two years isn’t an inconceivable time to build additional hospital capacity

The limiting factor is medical professionals, not adding buildings. You can't train a doctor in 2 years.

> preventing normal causes of medial and nursing school drop outs in order to bolster the number of adequately trained medical professionals

What's the drop-out rate? How would you "prevent" this? Do people drop out because they can't cope with the role, or some other reason? What would the overall effect of this policy be in terms of numbers? I suspect it would be minimal.

2 comments

I did mention the fact that in many countries the medical students are put through a course structure designed not just around individual achievement on simple academic competency, but aimed and structured sometimes explicitly capped to only graduate a fixed number of doctors. Many put forward justification for this such as “there aren’t enough placements in the field once they graduate” and other semi-valid arguments to put downward pressure on the number of doctors able to and willing to (many migrate to other non “doctor” fields after the first few years of medical school) finish a medical school education as a doctor capable of working with patients on the front line.

I’m well aware it’s not possible to train a decent doctor in two years, which is why my point was more that they could have applied positive pressure like merit based scholarship opportunities or any of a number of other ways to assist students in the second/third years of medical school to stay on track to graduate as doctors and nurses. The point is that there’s never been a shortage of people trying to become Doctors, we have social, educational and economic effects in play that limit the number of people that manage to get there all of which the governments around the world could have done things about.

> You can't train a doctor in 2 years

Why not? Do you really need a "doctor" to treat COVID, or just a "person trained in treating COVID and putting people on the respirator"?

Case in point, in Italy in 2020, at the peak of the first wave ("Bergamo"), they fast-tracked final year medical students. Looks like the change is permanent [1]. So clearly "you can't doctor in X years" (AFAIK 6-7 years in most of Europe) was wrong before the pandemic. We can and should do better.

[1] https://pmj.bmj.com/content/96/1137/375