In his essay "Sinsick," theologian Stanley Hauerwas explores the notion of authority using a medical analogy. If a medical student told his advisor, "I'm not into anatomy this year, I'm into relating" and asked to skip anatomy class to focus on people, the medical school would reply, "Who in the [heck] do you think you are, kid? … You're going to take anatomy. If you don't like it, that's tough." Hauerwas delivers his crucial point by saying: "Now what that shows is that people believe incompetent physicians can hurt them. Therefore people expect medical schools to hold their students responsible for the kind of training that is necessary to be competent physicians. On the other hand, few people believe an incompetent minister can damage their salvation."

The church has said for millennia that bad teaching is more deadly than bad surgery. … The need for formal structures of training, hierarchy, and accountability in medical schools and medical boards is obvious because we don't want our doctors to simply be popular or relatable; we want them to practice medicine correctly and truthfully, participate in a medical tradition broader than themselves, and serve under the authority and oversight of others. We need to be as discerning in whom we trust with care of souls as we are with care of our bodies.