The NBA has found ways to evolve to improve the game even thought the basics stayed the same. Health care should follow this formula.
Over time, astute coaches freed increasingly athletic players to colour outside the lines. Specialists became generalists. The old position labels remain, but they are pretty much meaningless anachronisms. All players are more skilled and multi-dimensional; the term “positionless basketball” is the current shorthand.
Health care moved in the opposite direction, from generalists to specialists, due to the incredible expansion of knowledge and technologies. Each new profession carved out a distinct identity, reinforced by self-regulation, and claimed its own health-care terrain. Any player can lead, based on merit and circumstance. Health-care training occurs in parallel and begins with a figurative tattoo: this is your clan. The teamwork comes after the identities are imprinted in separate and unequal programs.
These realities present enormous challenges for educators and regulators. The shelf life of knowledge, rules and standards is getting shorter. No one should expect a career-long, fixed identity. Change too slowly and the system risks obsolescence; change too quickly and it risks chaos.
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