The Gregory House role model
There is much talk in medical education about competencies. There is also IMHO too much rhetoric about skills and attitudes that are secondary to providing good clinical care. In part I think this is driven by institutional forces and academic careerism. There is a nice quote in this month’s Academic Medicine, reflecting a view that I have great sympathy for.
We must not forget that students see ensuring their competence in patient care as their primary concern. Obtaining this ability is what organizes the lives of medical students and residents. Physicians’ clinical competence is also the key construct that we all use in selecting a physician to make a difficult diagnosis or perform a complex procedure. Most, if not all, of us, if asked to be cared for by a television doctor if we had a serious medical problem, would select Dr. Gregory House of the TV series House. He would fail most of the core competencies except for knowledge and skill.
Sidney Herman Weissman, MD
Academic Medicine Volume 86(12), December 2011, p 1485