Dr. Richard Bosshardt
š¤ SpeakerAppearances Over Time
Podcast Appearances
Yes.
Yeah. They've taken the medical licensee examination, the three-part medical licensee examination, taken it from a graded exam to a pass-fail. And to pass it, you only have to be above the bottom 5% in grade. If you are above the bottom 5%, you are going to pass the medical licensure examinations.
Yeah. They've taken the medical licensee examination, the three-part medical licensee examination, taken it from a graded exam to a pass-fail. And to pass it, you only have to be above the bottom 5% in grade. If you are above the bottom 5%, you are going to pass the medical licensure examinations.
Yeah. They've taken the medical licensee examination, the three-part medical licensee examination, taken it from a graded exam to a pass-fail. And to pass it, you only have to be above the bottom 5% in grade. If you are above the bottom 5%, you are going to pass the medical licensure examinations.
And in spite of that, which is an abysmal standard when you think about it, in spite of that, something like 10% or more students at UCLA, 10% or more students flunk one or more of the exams. And a number of them flunked these exams two and three times. And yet they're still being put through medical school. They don't want to drop you. I know what I wanted to say.
And in spite of that, which is an abysmal standard when you think about it, in spite of that, something like 10% or more students at UCLA, 10% or more students flunk one or more of the exams. And a number of them flunked these exams two and three times. And yet they're still being put through medical school. They don't want to drop you. I know what I wanted to say.
And in spite of that, which is an abysmal standard when you think about it, in spite of that, something like 10% or more students at UCLA, 10% or more students flunk one or more of the exams. And a number of them flunked these exams two and three times. And yet they're still being put through medical school. They don't want to drop you. I know what I wanted to say.
Again, back to the DEI for a second. If you're an attending in a surgical training program and you have a surgeon that is inadequate, he's just not cutting it. And I saw this. I had, and while I was in training, there were surgeons or people that came into the program that were dropped after year two. It was clear that they weren't going to be able to do it. They just didn't have the dexterity.
Again, back to the DEI for a second. If you're an attending in a surgical training program and you have a surgeon that is inadequate, he's just not cutting it. And I saw this. I had, and while I was in training, there were surgeons or people that came into the program that were dropped after year two. It was clear that they weren't going to be able to do it. They just didn't have the dexterity.
Again, back to the DEI for a second. If you're an attending in a surgical training program and you have a surgeon that is inadequate, he's just not cutting it. And I saw this. I had, and while I was in training, there were surgeons or people that came into the program that were dropped after year two. It was clear that they weren't going to be able to do it. They just didn't have the dexterity.
They didn't have the whatever. Today, if you do that, and it's a minority or underrepresented in medicine, you know, minority surgeon, as intending, if you hold them back or if you drop them, what's going to happen is you're going to get reported. They'll get reported to the DEI establishment in that program. And invariably, they're going to side with the resident and not with the attending.
They didn't have the whatever. Today, if you do that, and it's a minority or underrepresented in medicine, you know, minority surgeon, as intending, if you hold them back or if you drop them, what's going to happen is you're going to get reported. They'll get reported to the DEI establishment in that program. And invariably, they're going to side with the resident and not with the attending.
They didn't have the whatever. Today, if you do that, and it's a minority or underrepresented in medicine, you know, minority surgeon, as intending, if you hold them back or if you drop them, what's going to happen is you're going to get reported. They'll get reported to the DEI establishment in that program. And invariably, they're going to side with the resident and not with the attending.
Well, the thing is this. How do you recognize... the quality going down. How do you recognize bad surgery? And one way that you recognize that is by complications. So the question would be, are people dying? Are complications going up, okay, in surgery? Right now, you can't answer that question.
Well, the thing is this. How do you recognize... the quality going down. How do you recognize bad surgery? And one way that you recognize that is by complications. So the question would be, are people dying? Are complications going up, okay, in surgery? Right now, you can't answer that question.
Well, the thing is this. How do you recognize... the quality going down. How do you recognize bad surgery? And one way that you recognize that is by complications. So the question would be, are people dying? Are complications going up, okay, in surgery? Right now, you can't answer that question.
And one big reason why you can't answer the question is that, at least, and I'll have to say, this is my opinion. I can't keep quoting this, but I know this is how surgery has evolved. The vast majority of surgery done today is done as an outpatient. So the people that are in the hospital and have an operation are not the majority. They're the minority.
And one big reason why you can't answer the question is that, at least, and I'll have to say, this is my opinion. I can't keep quoting this, but I know this is how surgery has evolved. The vast majority of surgery done today is done as an outpatient. So the people that are in the hospital and have an operation are not the majority. They're the minority.
And one big reason why you can't answer the question is that, at least, and I'll have to say, this is my opinion. I can't keep quoting this, but I know this is how surgery has evolved. The vast majority of surgery done today is done as an outpatient. So the people that are in the hospital and have an operation are not the majority. They're the minority.
So if you do outpatient surgery, you do the operation, the patient goes home that day or after an overnight stay. Most complications don't arise immediately. Bleeding occurs in the first day or two after. Infections, three, four days. Pulmonary problems. In my particular profession, if I do a flap reconstruction, I may not know if that flap's going to live or die for five, six, seven days or more.