Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Measuring quality: What doctors and teachers have in common

Shirie Leng, MD
Policy
March 21, 2013
Share
Tweet
Share

newsweek-cover-michelle-rhee-education-reform

I was watching Jon Stewart recently, and he had Michelle Rhee on.  For anyone who doesn’t know her, she’s the superintendent of schools in Washington D.C. who made a bunch of reforms that caused some controversy and resulted in her being one of the main spokespersons for education reform in this country.  Her conversation with Jon made me realize the similarities between what’s happening in education and what’s happening in health care.

One major emphasis of education reform is the regular testing of students and the evaluation of teachers based on the test results.  There has been a lot of push-back from teachers on this method of evaluation.  One major emphasis of healthcare reform is the regular measurement of “quality indicators” and the evaluation of doctors based on the results.  There has been a lot of push-back from doctors on this method of evaluation.

When things need to be changed the easiest thing to do is to target the people on the front lines.  If our kids aren’t getting educated, it must be the teachers’ fault.  If patients aren’t getting quality health care, it must be the doctors’ fault.  Here’s the problem with that logic in both cases:  most of the real culprits in the lack of good education and good health care have nothing to do with the teachers or the doctors.  Society, parenting, systems, legal considerations, and politics play at least as big a role.

Let’s consider teachers.  I truly believe that teaching is the most important job on earth.  If aliens landed on this planet right now and evaluated our economics they would probably conclude that football players were the most important, based on remuneration per hour.  Or movie stars.  But our future is determined in large part in how well educated our population is going forward.  The problem with the current standard of evaluating teachers is that the social environment surrounding each student is as important as the teacher.  Parents have to step up and emphasize education, do homework with their kids, be pro-active in supplementing children’s education.  You can’t just drop your kid off at school and assume he’ll end up at Harvard.  No kid can study effectively if they don’t have enough to eat, if their parents are on drugs, if the home environment is chaotic, if the parents are not involved.

Consider the doctors. I can’t say I truly believe doctoring is the most important job on earth.  I will say that our future is determined in part on how healthy our population is going forward.  Doctors can do some things.  We can grant access to screening tests, laboratories and imaging facilities, and our own training and advice.  But the responsibility for being healthy, barring unexpected and unpreventable events, belongs with each of us.  It is not the doctor’s responsibility to make you eat right, or exercise,  or not smoke.  The health of our population is heavily influenced by societal pressures including poverty, obesity, lack of education, lack of social supports, and addiction.  Doctors can help with these things, but they cannot be held responsible for them.

This is why teachers are frustrated.  This is why doctors are frustrated.  Both professions are being asked to take accountability for the breakdown of society.  We will continue to do what we can.  We should not be judged for our efforts.

Shirie Leng is an anesthesiologist who blogs at medicine for real.

Prev

Become a disruptive physician: How to do it right

March 21, 2013 Kevin 23
…
Next

Why OB/GYNs are not primary care physicians

March 21, 2013 Kevin 91
…

Tagged as: Primary Care, Public Health & Policy

Post navigation

< Previous Post
Become a disruptive physician: How to do it right
Next Post >
Why OB/GYNs are not primary care physicians

ADVERTISEMENT

More by Shirie Leng, MD

  • The choice between medicine and nursing

    Shirie Leng, MD
  • New technology might help us become more empathetic to others’ suffering

    Shirie Leng, MD
  • Does practice really make perfect?

    Shirie Leng, MD

More in Policy

  • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

    AMA Committee on Economics and Quality in Medicine, Medical Student Section
  • Who gets to be well in America: Immigrant health is on the line

    Joshua Vasquez, MD
  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 38 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Measuring quality: What doctors and teachers have in common
38 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...