Wait, if by directly they mean directly at that moment...why can't the physician do the thing, and the 'learner' watch and learn? People want to see their doctors, that's a basic part of the whole idea.

Obs are what you do in your first and 2nd year* (at least, in some systems/degrees/paths, a specific degree may be different, the point is that it is the first step in health learning)

Doing it while being directly supervised is the next step,

Then you fade that supervision away, and are under a more passive 'summary/reporting supervision'...

You don't just jump from doing obs to doing it independently. That's why. You need those intermediate steps where the learner is doing something with the other there, then they are doing it mostly independently just with backup/reporting requirements.

There is a tonne wrong with all of this yes, but not this.

A Reminder to Our Patients: <clinic> is Proud to Be a Teaching and Team-Based Facility.

It's a teaching clinic according to the letter. This is part of that.

Wait, if by directly they mean directly at that moment...why can't the physician do the thing, and the 'learner' watch and learn? People want to see their doctors, that's a basic part of the whole idea.

Obs are what you do in your first and 2nd year* (at least, in some systems/degrees/paths, a specific degree may be different, the point is that it is the first step in health learning)

Doing it while being directly supervised is the next step,

Then you fade that supervision away, and are under a more passive 'summary/reporting supervision'...

You don't just jump from doing obs to doing it independently. That's why. You need those intermediate steps where the learner is doing something with the other there, then they are doing it mostly independently just with backup/reporting requirements.

There is a tonne wrong with all of this yes, but not this.