First off, I like this discussion. This is an issue worth dissecting.
I've met the somewhat bumbling average resident you describe - more than once. And you're absolutely correct - many average Joes can become stellar performers with a bit of mentoring and guidance. Unfortunately, established physicians who do not work with formal programs in teaching hospitals are often afraid to put their own practices at potential legal risk in order to mentor the new kid. I suspect that this is a case of "fear making the wolf bigger than he is," but the "wolf" of potential litigation does indeed prowl just outside the door.
Medical staff credentialers are committed to protecting patients and our institutions. Valid, noble concerns.
Slightly lower, but still in view, is an interest in protecting our medical staff members. I have sat with angry, frightened physicians and shared their pain at being sucked into a scary legal vortex. Over the years I've also met those who call themselves doctor but whose primary concern is acquiring money and making a name for themselves. To these "docs" patients are simply an inconvenience standing between them and a dollar.
Yes, we need good doctors, but we also need good lawyers. I've known a few of those over the years as well.
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