"Patient primary expectation is always to have a doctor they can trust. "
I don't believe this was the expectation here - trust was not even mentioned. Only credentials were.
I don't disagree it should be the expectation, but it's definitely not in the US and i don't think you'll get there without changing how people think.
Even when it is, trust here seems to be often equated to "how impressive/popular a doctor they are", rather than "how effective a doctor they are" or something sane. At least in the US, the doctors patients trust the most are the ones with the most credentials, awards, etc. It's a popularity contest instead of a baseline competency contest.
If you listen to lots of people in the US talk about choosing and trusting doctors, it's about what school they went to, or what awards they've won, or who else they've treated. Not always, but lots of times. This is not a new thing.
For example - my parents (in their 80's), all of their friends, and heck everyone i've ever met in their community is the same way, and have been for at least 50 years. They don't actually trust doctors who didn't go to harvard, etc.
I will poke at one part:
"Patient primary expectation is always to have a doctor they can trust. "
I don't believe this was the expectation here - trust was not even mentioned. Only credentials were.
I don't disagree it should be the expectation, but it's definitely not in the US and i don't think you'll get there without changing how people think.
Even when it is, trust here seems to be often equated to "how impressive/popular a doctor they are", rather than "how effective a doctor they are" or something sane. At least in the US, the doctors patients trust the most are the ones with the most credentials, awards, etc. It's a popularity contest instead of a baseline competency contest.
If you listen to lots of people in the US talk about choosing and trusting doctors, it's about what school they went to, or what awards they've won, or who else they've treated. Not always, but lots of times. This is not a new thing.
For example - my parents (in their 80's), all of their friends, and heck everyone i've ever met in their community is the same way, and have been for at least 50 years. They don't actually trust doctors who didn't go to harvard, etc.
I think that has to change as well.