If Doctor x is the considered the top cardiologist it's not because he woke up one morning and shouted "I declare myself the top cardiologist."
But the interesting thing about this mold is that there was no bacteria around the areas where the mold had grown. It seemed to have repelled or killed them. He was quite excited by his discovery. But upon sharing his discovery with his colleagues they were largely dismissive. He gave a number of talks discussing the mold, where people were also universally dismissive. And he even managed to get a paper published, where you can guess the response.
This isn't the end of this story of course, though it is for our purposes. It would take more than a decade but of course eventually penicillin would eventually be refined and shaped into the life saving drug that it would rapidly become. The point I want to make with this is rather evident. Had Fleming taken public views into account before expressing himself it's entirely possible we might still live in a world without antibiotics.
And this story is the rule more than the exception for many of the most important discoveries in the progress of humanity. Human progress is heavily decentralized in no small part because the "right" answer often seems wrong at first, and is rarely enthusiastically adopted when it runs contrary to the views of a day. It was none other than Max Planck that remarked, "science progresses one funeral at a time", precisely because of this.
If you can't convince your colleagues that your "opinions" have value and you have such a high opinion of your judgement relative to the rest of your profession that you insist on broadcasting these "opinions" to the world anyway, chances are you have a high level of confidence and a low level of competence and you aren't a very good doctor.
Especially if these "opinions" are outside your specialty.
I know the notion that a doctor should show intellectual humility may offend an autodidactic who doesn't even think a layperson should show intellectual humility, but so it goes.