Over here, and in several neighbouring countries that I know of, MD’s are required to spend a certain number of days each year for training.
Apart from this obligatory training, those doctors that I know personally do read journals.
If that doesn’t happen in the USA – then just how have scientific discoveries of the past 80 years made their way into everyday diagnostics and curing? There must have been some route from science to practice, else practice would never have changed as thoroughly as it has…
Yet another question that springs to mind is: if we cannot even trust the doctors, then who can we trust? Certainly not the legion of quacks which are even further away from scientific insights than MD’s. Do we all have to visit only university hospitals, assuming that this category exists in the USA?