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> We don’t have a system that effectively updates their knowledge or keeps them in the loop for cutting-edge research

That's not true... generally, in order to practice doctors must be licensed, and in order to keep their license they must have annual continuing education. Generally accomplished by attending conferences where the latest research results are presented.

The details vary but the system does exist.

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The required continuing education is pretty limited. It may cover new treatment strategies, drugs, etc. but not cutting-edge research unless the physician seeks that out. In emergency medicine (where I have some friends), continuing education doesn't include new procedures. Some of my friends have had much more senior docs ask to be taught a new procedure or technique that didn't exist when they were in residency. Many older docs don't seek out new knowledge (no one is forcing them to), and end up just doing what they've always done. The continuing education system does exist, but it's far from perfect.

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