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The Messiah/God complex is a very real thing with MDs. It's dependant upon the enviroment and training, but a lot of them really do think that they are 'special' and that they have 'proved' themselves via the rigours of school and residency. Their sense of self is tied up into their job preformance. Like in other professions, if you 'attack' their job and their work, you are attacking them personally.



> The Messiah/God complex is a very real thing with MDs.

That's true with pilots, too, especially fighter pilots. But they rigorously use the checklists.

The pilots also know that many crashes have been traced to skipping an item on the checklist. For example, John Denver's fatal crash was due in part to failing to fuel the airplane before flight.


Fighter pilots aren’t going to get paid more if they cram in an extra mission by skipping steps.


It's also probably partially attributable to the fact that it's their own life on the line if they skip a checklist step like lowering landing gear.

That in combination with training. It's just the cultural thing to do, everyone uses checklists, a pilot from the moment they start training is always doing check lists.

It also helps that a checklist for a plane is always relevant where a checklist for a procedure is more variable.


Their career is also on the line, even if they live through the incident. Nobody wants to keep on a pilot who is careless with at $100m machine.


Yeah there's definitely a difference in the culture where checklists are the norm in aerospace where they're a new and developing thing in medicine.


Fighter pilots aren't in it for the pay. They often remark that they're amazed that people actually pay them to fly.

I'd forgive them for skipping the checklist if their airfield is under attack and they have to get their crates in the air or die on the field.


> aren't in it for the pay.

Nobody ever is. But if their contract negotiator ever opens with that line...




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