This one cracks me up since it's so academic. In reality, you have to demand doctors including dermatologists provide a diagnosis for that "simple rash" since they rarely care and the answer is often "I don't know, let's try some clobetasol". Doctor's aren't House and they don't even try to be.
I've also gotten much more thorough assessments from cardio PA's and imaging RN's than from my team of cardiologists whom, it seems, are allergic to stethoscopes and patients. Hell, even my Anesthesia RN was far better than my anesthesiologist MD who tore up my throat.
If doctors are so smart and educated and invested they should start acting like it because right now, outside of specialty surgery, pa's and rn's are doing a better job faster and cheaper.
Good luck when your NP or PA sees you for your “simple” rash and misses a Kawasaki’s diagnosis, or sees you for a “simple” bronchitis as misses a pulmonary embolism or atrial fibrillation. Everything looks like a horse to someone never trained to see the zebras.