The future of primary care? Dr. Crippen takes aim at mid-level providers:

Medical judgment is acquired gradually over a long period of time. A bedrock of two to three years scientific training, supplemented by three years clinical experience, followed by many more years of medical apprenticeship before you become an independent doctor working as a GP or consultant.

This process of acquiring medical judgment is also known as training to be a doctor.

It cannot be taught in a two-week “skills acquisition course” with flip-charts and a plate of bourbon biscuits.

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