To progress, one needs to change with the times but the change should be rational. Medical education has evolved into a very drawn out and complex modality. The burden of knowledge has constantly been on the rise. New elements have been added but obsolete items not discarded. The burden of knowledge became immense and this triggered the era of specialization.
Gradually the requirements of specialization also burst through the seams and we entered the era of sub-specializations. The common joke, which went around that time, was that we will soon have people specializing in the left index finger, right index finger, and so on. It seems that very soon this will be a reality, as we already have sub-sub-specializations in the shoulder joint, elbow joint, etc. Sub-specialization may ensure high-quality care but definitely, increases the burden of the patient. More important than the financial…
