Third world doctors are the real physician heroes

I recently was involved in a web discussion on elective choices with a group of medical students.

Financial considerations aside, I was surprised how few were interested in visiting third world countries to see how medicine is practiced outside the first world comfort zone of unlimited expertise, investigation and therapy — where “want” often exceeds “need.”

The third world however is completely different. It’s an environment where doctors and nurses are in extremely short supply, disease is rampant, and the health needs are overwhelming.

It’s here where we can find the heroes and potential role models of our profession. To date, many are “House”-type professors with teams of subjugate doctors, huge budgets and unlimited technological facilities, or the medical media moguls who dispense advice while they build their own brands, soon to be followed by their own TV programs. Do these doctors deserve to be our heroes?

Another popular media figure is the doctor who travels across the world to treat the bizarre cases that other doctors dare not touch. I acknowledge and applaud exceptional surgical skill, but what really does that doctor have to lose? The patient bears the cost of failure, not the doctor. And failures do not make good television programs. Admirable efforts, and I applaud them, but not worthy of hero status in my eyes.

I must speak for the benefits of working in the third world. My early medical career has taken me in comfort to places of immense need, and in this, unlike many selfless doctors who work in difficult circumstances, I have been very lucky.

Outbreaks of bubonic plague, severe malaria, rampant AIDS at a time the disease was hardly recognized, poisonous snakebites, all seen and treated where facilities were limited, and there was little or no referral base. The challenges were immense, as were the rewards.

Could doctors with better skills or specialists have done better? Sure. Did my lack of expertise cost lives? No doubt. But there was no alternative. Overwhelmingly, the gratitude of people who have no medical care for receiving even a little, however insufficient or inadequate, is something that has to be seen to be appreciated.

Herein lies the real reward, an experience that has stayed with me as I have moved on in my career, and has been an incentive to do what little I can outside private practice to maintain a service to the indigent and needy.

But I am definitely no hero. There are thousands of doctors and nurses all over the world who work in remote, dangerous and uncomfortable places, with scanty resources, and little reward other than making enormous contributions to human lives and comfort. These are the real heroes of medicine, unknown and unrecognized. They deserve our admiration and our praise.

If medical students are unaware of these doctors as potential role models, many of the best aspects of medicine may be lost to the new generation of doctors. That will be a sad day indeed.

Martin Young is founder and CEO of ConsentCare.

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  • Student doctor

    I really want to work in Africa, I feel it will be rewarding, loving, and also, as a plus side, hopefully less restrained than we experience so often here.

    Red tape is a bummer!

  • Medical Student Notes

    I agree with your opinion. Doctors who work in the third world is a true hero. They are working with limited equipment and facilities. Sometimes, they have to deal with customs that are still traditional. Sometimes, they must confront a dangerous nature. These circumstances make them have to work smarter though the salary they get is not as much if they work in big cities.

  • gerridoc

    Spending time in Guatemala on a medical mission was an eye opening experience for me, and I think that every American trained physician should consider spending time in an underserved area.

  • fortitude

    i do look up to these guys, us american doctors whine and complain about everything,(me more than anyone) so much of what we do is CYA and documentation, but those guys out there are getting the job done, i hope to one day participate, after my kids are grown

  • Mezo

    Strongly agree with you, Dr. I live in Egypt (3rd world) and I find it much harder here for a doctor to practice his job and you still have to deal with very old (and very few) equipments and systems. Not in all places of course, but……… Plus the very low salaries, 3rd world doctors are heros!

  • Crookes

    I think the lack of pay and equipment is a huge hardship. Plus the fact that a lot of 3rd world doctors leave – only 1 in 10 doctors trained in Africa stays there – meaning that for those who do stay it can be even harder!

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