7 Doctor Myths That You Believe

Whether from TV shows or elsewhere, the public
perception of what it means to be a physician is often woefully inaccurate. From personality to intellect, motivations
and biases, much of what you think you know about doctors is probably wrong. So what is true and what is false? We’ll separate the fact from fiction. Dr. Jubbal, MedSchoolInsiders.com. First, Doctors Are Incredibly Smart Given the path it takes to become a doctor, I understand why most people would assume
doctors are particularly intelligent. First you compete as a pre-med student in
college in an often cut throat environment, you score well on the MCAT, pass through medical
school and take your boards, and then go through 3-7 years of residency before you’re a fully
board certified and practicing attending physician. Don’t get me wrong, the gauntlet that is
medical training is incredibly challenging and should not be taken lightly. But I’d argue you don’t have to be all
that intelligent to get through it. As they say, learning in medical school is
like drinking from a fire hydrant. The information isn’t particularly challenging,
but rather it’s the quantity and rate at which you must learn. And this has less to do with intelligence
and more with work ethic. If you’re willing to put in the time with
repetition repetition repetition through the form of Anki cards and other active learning
methods, you should be fine. The key point is this: being successful in
medicine has less to do with intelligence, and much more to do with work ethic. Getting into certain competitive specialties
may favor those who are better at taking tests, productive in research, and liked by their
preceptors. But that doesn’t necessarily make them more
intelligent. I go over the [top 5 most competitive specialties
in a previous video. Certain other specialties may require more
brain power, like electrophysiology as a sub specialty within cardiology, but you still
don’t have to be a genius by any means to do it. Number two, We Hate Eastern Medicine Complementary and Alternative Medicine, or CAM for short, covers therapies not traditionally
included in western medicine. CAM often gets pitted against western medicine,
as if it’s an either or and that western medicine physicians must be diametrically
opposed. But that isn’t quite true. You see, modern physicians strive to practice evidence
based medicine, meaning therapies and medicine which has demonstrated utility through sound
research. And often times, the research in a certain
areas of health is lackluster, like nutrition, and clinical judgment is necessary. For example, I have Crohn’s colitis, and
research demonstrates that curcumin and vitamin D supplementation helps to maintain remission
in patients with my condition. Is it CAM or is it western medicine? Call it whatever you want, but it’s evidence
based medicine at the end of the day. That being said, clinical judgment and reason
is essential to know what supplements interact with others and how to take them in a safe
and efficacious manner. For example, I’m not going to pull a Gary
Null and overdose on Vitamin D to the point of requiring hospitalization. Watch out for such charlatans who promote
questionable (and often times harmful) alternative and naturopathic medicine practices while
antagonizing evidence based western medicine. Number three, Doctors Make Bank Contrary to popular belief, doctors are not nearly as wealthy or financially well off
as society would have you believe. This misconception comes from the high salary
that physicians earn. Primary care doctors earn on average $220,000
per year, and specialists earn an average of $320,000 per year. Seems like good money, right? It’s a good living, but remember that doctors
only begin earning this salary after 4 years of college, 4 years of medical school, and
3-7 years of residency. Tack on another 1 or more years if they decide
to do fellowship. Plus the average student debt for graduating
medical students is near $200,000. Given the opportunity cost and significant
loan burden, it still takes some time for physicians to catch up to their peers. These numbers have been explained time and
time again, but another largely overlooked reason is the distribution of income amongst
physicians versus other professions. If you are a physician working full time,
there’s a very high likelihood that you’ll be making low to mid six figures. Not too many do more than that, and not too
many do less. In statistical terms, we call this a low variance. With other professions, however, there is
a much broader spread. If you’re a higher level programmer or business
person in a large company, making seven figures is not out of the ordinary. Do some physicians make seven figures? Absolutely, but they’re the exception and
not the rule. Number four, All Doctors Know Medicine Broadly If you don’t use it, you lose it. For most physicians, they’ll have the highest
level of broadly applicable knowledge after taking Step 2CK during their last year in
medical school. And it’s all downhill from there. Once upon a time, every physician had the
cervical plexus memorized and could recite all the different types of diabetes management
and a slew of other useful pieces of information. But if one’s specialty is not regularly
doing work in these areas, it’s only human to forget the details after a certain period
of nonuse. Would you expect your dermatologist to be
well equipped to handle your high blood pressure or anxiety? Obviously not, and that’s why we have cardiology
and psychiatry as specialties instead. Sorry grandma, I’m not the best person to
tell you what dose of hypertension meds you should be taking. Number five, We’re in Bed With Pharmaceutical Companies It’s almost comical to me how often you see lay people talking about doctors as if
they’re evil and just want to push drugs to make money off your sick health. These are the same people that need to lay
off the bath crystals and let go of their tin foil hats. The reason we go into medicine is ultimately
to help people. Most of us love the biology and science, the
intellectual stimulation, and some even get a little too caught up in the prestige and
salary. But at the end of the day, physicians are
in the business of healing their patients. Are there bad apples? Sure, but that’s with anything in life and
they are exceedingly rare. As a whole, physicians want what is best for
you. The overwhelming majority don’t even have
any affiliation or incentives from pharmaceutical companies. And while pharmaceutical companies are highly
polarizing given some of their more scrupulous business practices, understand that if they
didn’t ultimately help people with their technologies and medications, they’d be
out of business. People like to talk in black and white, but
the truth is always more nuanced than that. Don’t be a sucker for the sensationalism
and extreme opinions that are more fiction than fact. Number six We Know the Answer and Don’t Need Your Input This misconception is more common amongst the older generation. It’s a common belief that doctors already
know the answer and don’t care what you think. Good physicians understand the utility of
asking a patient what they think is at the root of their concerns. In fact, the proper use of this sort of questioning
can actually help reach a diagnosis, and equally important, be the foundation upon which a
doctor can educate a patient on how to practice the most effective treatment. Often times, patients misunderstand the genesis
of their disease or the interplay between factors. For example, when I volunteered at the free
clinic, some diabetic patients believed that taking insulin causes one to become blind,
have peripheral nerve damage in the hands and feet, and lead to kidney dysfunction. After understanding my patients’ concerns,
I was able to educate them they those are sequelae or poorly managed diabetes, not the
insulin itself. Proper use of insulin, in fact, works to combat
the high blood sugar levels that lead to these pathologies. And number 7, Doctors Are Invincible This is a misconception that both the public and physicians themselves often believe. Maybe it’s because physicians are healers
and help others, or maybe it’s because they’re expected to act selflessly for much of their
training and make immense sacrifices. Whatever the cause, this misconception is
ultimately incredibly harmful. If you don’t take care of yourself, how
can you expect to take care of others? Physicians that are fatigued or overworked
are prone to making more errors, and that’s bad for patient outcomes. The epidemic of burnout, depression, and suicide
amongst medical students and physicians is something I’ve covered in greater detail
in a previous video. It’s also a cause I’m deeply passionate
about and investing my own time and energy into through the #SaveOurDoctors initiative. If you enjoyed this video, you’ll love my
weekly newsletter. It gets sent out once a week and is super
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to unsubscribe, and I promise I’ll never spam you. Thank you so much for watching. Are there any other misconceptions I missed? Let me know with a comment down below. If you liked the video, let me know with a
thumbs up. I’m in the comments during the first hour
after a new video uploads, so make sure you’re subscribed with the notification bell enabled. Much love to you all, and I will see you guys
in that next one.

78 comments

  1. Cannot wait for medical policies in Congress to change for the better.
    Thank you sir for the informative video.
    Perhaps you can take a poll and make a video of doctors asking them what kind of health system policies they prefer. That would be informative from their perspective.

  2. My thoughts on the money topic. Whether you make $50K per year working a 9-5 office job or making $500K per year as a specialist, what really matters is how disciplined you are with managing your money. There are many people who make $50K per year living below their means and are living a perfectly happy life. While on the other hand, there are people who make $500K per year and live paycheck to paycheck. The question is, how much money is enough? Just because you make more doesn’t mean that your life will be better.

  3. Hey thanks so much for the information rich vids you post! I'll be doing the medical masters program at USF for my gap year and am extremely excited to get involved in research. Your vids definitely encourage and keep me in the loop on the journey to becoming a physician. Keep up the great work!

  4. You are spot on that you don't need to be a genius to become a doctor. And I have seen some geniuses failing medical school. More than intelligence, traits like adaptability, hard work and coping stress are handy in medical school.

  5. “If you don’t use it, you lose it”- this happens to registered nurses all the time 😂 I just graduated and I’m starting to feel like I’m forgetting things. This is why seeking out opportunities for continuing education in healthcare is so valuable!

  6. Can you do medical school in different countries like European countries, Asian countries, African countries and especially Australia

  7. I think the top doctors I have seen are exceptionally intelligent and I always make sure I do my homework by looking up the doctor’s education and background. I agree DOs and Caribbean trained are on a different level. I don’t believe just hard work and Anki cards will get you top scores! Let’s be real, the top are very intelligent versus the students with lower gpas are usually struggling with material.

  8. Progressive taxation is very unfair to professionals who delay gratification like doctors and who's income is back-loaded.

  9. Dr. Jubbal, I highly encourage you to listen to a recent podcast between Stanford and Hopkins trained Peter Attia, MD, and Jason Fung, MD. Exogenous insulin, or rather, hyperinsulinemia does indeed drive many of the microvascular complications of diabetes. Insulin is much more than a means of increasing delivery of blood glucose. It's a nutrient sensing hormone that effects all manner of mechanisms of cell proliferation.

  10. You could also mention how expensive malpractice insurance can be which in some cases can cut a physicians pay in half.

  11. I agree 100% with the fact that it is about work ethics and not intelligence to succeed med school!

  12. Those people that believe some of these myths are a lot of your patients lol that’s crazy. If ignorance wasn’t a thing you wouldn’t have too many customers

  13. 0:57 whoa whoa whoa. "a/b=b/(a+b)"? Absolutely not. And that integral has the right idea but the boundaries aren't computed correctly. Is this some kind of a test?? I see that "phisics" is misspelled. Are these erroneous equations here on purpose too as a similar kind of tongue in cheek? That'd be next level. Sorry but I can't subscribe twice.

  14. I'm aftering the salary because i'm pretty unsocial(eg:patient a die so tht's natural selection wht else to say to their family?) so tht's the only option i have but if i'm already a physician i WON'T trap patient with bs because i saw doctors in indonesia do tht all the time n it is a clusterfuck

  15. I can't wait to go med school and study to be a cardiovascular surgeon. But I'm 14 and have a long way to go. Sucks!😭

  16. it really motivates me that to get into med school you don’t have to to be naturally and incredibly intelligent – it’s your work ethic – afterall, hard work beats talent when talent doesn’t work hard

  17. What other misconceptions did I miss? Let me know below =)

    If you haven't already, be sure to check out my weekly newsletter: https://medschoolinsiders.com/newsletter

  18. I hate the phrase "Western medicine". Doctors don't practice "Western medicine." They practice evidence-based medicine. If there are some traditional Western herbs that people used to treat illness, doctors won't prescribe them if the evidence doesn't support their use. Same with traditional Eastern treatments. It's not about where the folk medicine comes from, it's about the evidence. Plus the phrase implies the use of evidence is only associated with particular cultures, which is completely false.

  19. I've watched so many of your videos and they've been immensely helpful for preparing me for med school. Thanks Kevin + MSI team!

  20. The biggest misconception is that doctors make people "healthy". They give you pills that mask the symptoms of your illness, pills that meanwhile slowly give you other health problems such as kidney failure, bone loss, liver damage, ulcers, vitamin deficiencies. Doctors have no intention of curing anything. A patient cured is a customer lost.

  21. I used to think that doctors did everything in the hospital (thanks to watching House) like run CT scans, draw blood, do lab tests… I had no idea how much is done by other disciplines

  22. I had a person commenting on my youtube videos about "big pharma," it got as bad as the person saying she wishes more physicians should commit suicide. Blocked her forever after trying to explain with science and date but ended up getting nowhere.

  23. May I ask? If you study in medical school outside of (for example) America, If I go to America upon finishing my studies in other country, can I be a physician in America? or do I have to take test or go to their medical school instead?

  24. I am sharing this with everyone I know. Thank you. My dad is a cardiologist specialised in Electrophysiology and these are exactly the confusions people have that frustrate him. Thank you once again 🙂

  25. Number 5 is all my family talks about when I tell them I want to be a doctor. It's a 100% true lol 😂

  26. #6 is why I’m a pre-med communication major! Not only do I study communication out of genuine passion, but I sincerely believe that efficient communication is the key to effective healthcare

  27. I could never be a doctor, the intense long 8 years of school, late-nights, studying and cramming, huge shoutout and respect to all doctors out there!! But only the ones super passionate about it, and not simply in it just for the prestige and money.

  28. It's all crap, this picture is about $$$$, Harvard, Yale, Johns Hopkins is $$$, the house they own in small town is the Mansion.

  29. What about making a video how to become a doctor in the USA for In
    international students? In opinion it would be interesting and helpful.

  30. Evidence Based Medicine… blending medical treatments and the approach to treating patients! Thanks for sharing!

  31. I like my GP he's not into pushing medicine and will only give me it if I really need it

  32. Isn't annoying that you have studied for like more than 10 years with a lot of effort so you can do what you like "helping people" and then hearing people dissing your job?

  33. I hate doctors, from my experience with them their not as smart as they claim, the idea that people are fat from eating to much is b.s. I have polycystic ovaries & im on PREDNISONE both of which cause obesity. Bitch had the nerve to accusse me of lying & tell me I dont know my body. I also hate ER doctors I severe asthma & I take multiple medications for it, in 2003 i went to ER for a silent asthma attack they sent me home without treatment on weekend when my nebulizer stopped working, as I walked out I over heard someone say hyperchondriact, later that night I had a severe attack that caused me to black out & dispite not wheezing & barely being able to breathe I refused to back to ER because I didnt trust them. I survived that attack. But I still dont trust doctors & feel like ive been labled a drug seeking hyperchondriact because I'm poor, fat, ugly, on goverment assistance (ssi, foodstamps, medicaid & medicare) & because I take multiple prescriptions for REAL multiple invisible illnesses…

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