Upside down medical hierarchies

What would happen if the hierarchies in Medicine operated like the Google search engine?

Right now, the hierarchies in Medicine look something like this:

Image: Hierarchy Structure

In other words, the more hours you put in, and the more you master the known field of Medicine, the higher up the ladder you will climb, attaining the much-coveted specialist consultant status.

It’s a typically linear “carrot-and-stick” progression.

But what if it weren’t?

What if it operated like Google, where each Medic was ranked on a combination of factors, where “years of experience” and “qualifications” were just one of many factors used in the MedicRank algorithm?

Things like:

  • Reviews from patients
  • Reviews and feedback from other Medics
  • Number of articles/papers published
  • Projects and innovations launched
  • Disease Zero teams participated in
  • Innovations developed
  • Open source platforms contributed to
  • Number of referrals made
  • Number of Medics collaborated with

What if you didn’t have to wait to be licensed by the General Medical Council in order to receive a MedicRank?

What if a 1st year Nursing student or Internal medicine resident or lab technician had the opportunity to achieve a higher MedicRank than a Consultant Neurosurgeon with 35 years experience?

What if every Medic got paid by a global healthcare Block chain in proportion to their MedicRank?

What if Medics tried to “game the system”…trying to boost their MedicRank in the same way that websites tried to hack their way to the front page of Google?

There are probably many reasons why we “can’t” do this/why this is “completely unrealistic”.

But what if this is the future of 21st century healthcare?

What if this became your reality 3 years from now?

How would that change what you do for the rest of this year?

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