It's cute that I used to think that.
Changing My Mind
There's a wall partway up (is this metaphor getting tortured...yes). It's built from what a per diem can't absorb and from what families remember, and some patients will never cross it no matter how much need they accumulate or how good the team below it becomes.
Hows & Whys
Our predecessors arrived with lancets, basins, and calomel, and families opened the door anyway. Two documents published this August argue about what physicians are for without ever asking why.
Meaning
A continuum framework doesn't abandon non-specialist training. It specifies it: which competencies, for which clinicians, at which moments, with what infrastructure.