> academic doctors HAVE to publish in order to advance their careers
Indeed. But the issue is what criteria will you use for promotion if not that? Don't even think of evaluating clinical results, that's even worse than what we have.
> This happens even at the best centers
This happens ESPECIALLY at the best centers. Because centers are in good part ranked according to citation counts.
> I don't know what the solution is, but I do know that whenever she has needed treatment for herself she generally ignores most of the research and talks to the most experienced surgeon she can find.
After 10+ years in the system, I'm in the same boat. And although I've given it a good thought, I don't see a solution either.
> academic doctors HAVE to publish in order to advance their careers
Indeed. But the issue is what criteria will you use for promotion if not that? Don't even think of evaluating clinical results, that's even worse than what we have.
> This happens even at the best centers
This happens ESPECIALLY at the best centers. Because centers are in good part ranked according to citation counts.
> I don't know what the solution is, but I do know that whenever she has needed treatment for herself she generally ignores most of the research and talks to the most experienced surgeon she can find.
After 10+ years in the system, I'm in the same boat. And although I've given it a good thought, I don't see a solution either.