Grand Rounds host Pharyngula, like me, doesn't feel like quite the inside medblogger, so the approach taken is kind of fun. Pharyngula tries to statistically represent what medbloggers take the time to blog about all week. Apparently 24% blog about training, while an equal number seem to blog about thinking/considering/ruminating about what they're actually doing.
Pharyngula pulls out one of my quotes as an indicator of some concern, and I'd like to clarify:
The quote is: "…shouldn't the rates for doctors start to go down, since the Internet has alleviated the need for them to actually explain as much?"
Pharyngula's comment is: "I wonder if Google has encouraged more people to assume they know better than their M.D.s?"
My point is that patients have always had trouble extracting info from their doctors, sometimes cultural, sometimes understandable ignorance, sometimes doctors without time or intuition. Now patients have somewhere to turn to for info...but they still have to sift through lots of info and decide what's credible and applicable. If doctors were more forthcoming and more welcoming to questions perhaps we wouldn't need to be Googling or Wikipedia-ing "jaundice", but since they're not and we are...it seems like patients are taking on part of the job, and definitely expending more time doing their own research. And that will lower the perceived value of what doctors do, right?