Which university are best or better to do for international health managment/policy?

Do the less talented medical school graduates tend to end up in university health services?

• I remember from when I was in school that the physicians at the school health center had trouble diagnosing and treating illnesses that students came in with. They assumed everything was a cold, flu or pregnancy, and if it wasn't they seemed to be at a loss. Now my current doctor whom I like and trust a lot, works out of a college's health center but still has her private practice. I was very ill and needed to be seen right away when she was out of town. I was seen by one of the doctors who usually only sees students. I explained my symptoms, and she tested me for something for which I had no symptoms at all. When the test came back negative, she said she didn't know what was wrong and told me to go home and take some Tylenol. So is it just a coincidence, or is it that the doctors who just squeaked through med school and have less-than-average skill end up in the college health department?

• Answer:

  I don't think it has anything to do with skill per se, but there are differences in that a doctor who chooses to work in a University health clinic has chosen to work for a fixed salary rather than on a pay per procedure/visit basis. Their work schedule is relatively fixed in that they usually work 9 to 5, have weekends and long holidays off. They are never on call and if there is an emergency, the student is advised to go to the ER. The problem is that they lack a "critical mass" in that they have no colleagues with whom to consult on unusual cases or difficult diagnoses. In order to maintain their license, they are, at least in the US and Canada, required to earn continuing education credits in their field by attending seminars, etc. These jobs, because of the schedules attract doctors (mostly women) with families. I think in your case it was just a coincidence, though any illness with unknown etiology deserves to be followed up.