What medicine lacks in an increasingly specialised world is the
medical polymath (or should it be medical bimath?) - the man who is
an acknowledged expert in more than one field of medicine.
Superpecialisation in the professional sense is an attempt to know
more and more about less and less. It can be the microscopist's
view of reality and such a microcosm can become also a refuge from
realities. One reality difficult for the very specialised doctor to
accept is that diseases don't exist. Only people with diseases
exist and people do not always conform to convenient categories and
compartments. It would be nice if they did but somehow they never
do. A cherished medical tradition in Britain is that specialists
are not hatched straight from medical schools. Indeed, young
doctors are actively discouraged from taking too narrow an interest
but are plunged for at least four years into the unspecific pool of
general medicine until they have developed a broad awareness of the
totality of human disease. Before this they are not allowed to
narrow their sights on one particular target.
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