tag:blogger.com,1999:blog-4968787219619380438.post1734048822227867957..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: What are the residency prospects for graduates of offshore medical schools? 2016 updateSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-4968787219619380438.post-44360959711529768662016-08-06T20:46:17.671-04:002016-08-06T20:46:17.671-04:00In reference to hospitals, I'm not sure what &...In reference to hospitals, I'm not sure what "rack rate" means. They charge what they can get away with. I don't support that.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-46070820854225272222016-08-04T16:04:02.919-04:002016-08-04T16:04:02.919-04:00The hospitals don't just make money from gover...The hospitals don't just make money from government sponsored training, they also make money by charging rack rate for patients being treated by doctors in training who practically work for minimum wage.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-87472624505154860222016-08-04T08:53:59.217-04:002016-08-04T08:53:59.217-04:00I agree with you about the distribution of special...I agree with you about the distribution of specialists vs. PCPs. As long as people are free to choose and positions are available, it will continue. Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-18745434755327415992016-08-03T11:52:31.885-04:002016-08-03T11:52:31.885-04:00This is what they'd be up against. I suspect t...This is what they'd be up against. I suspect that they would better off face life a PCP's and maybe moving on later. Other countries have like 70% PCP and 30% specialists. We have 30% PCP and 70% specialists. When it is easier to get an appt with a specialists than PCP, that's a problem. <br /><br />http://www.nytimes.com/2016/07/14/upshot/so-many-research-scientists-so-few-openings-as-professors.htmlAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-79983949783416952112016-08-03T11:14:30.846-04:002016-08-03T11:14:30.846-04:00Anon, I'm not sure what you're referring t...Anon, I'm not sure what you're referring to in your first paragraph.<br /><br />Regarding your second paragraph, I believe resident education is perceived as a public good. I also believe that hospitals make money on the resident programs they sponsor and do not necessarily spend all of the money the government gives them for this endeavor on program enhancements, faculty salaries, or resident salaries.<br /><br />If hospitals did not make money on residency programs, I am certain they would stop sponsoring them. Either the government pays for resident education or the hospitals raise their rates to cover the cost plus a profit for doing it. Either way it's going to come out of your pocket just like defaulted student loans. Either the student pays back the loan or the government does--in which case it's you, the taxpayer, who pays.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-73330551514506430332016-08-03T08:53:27.597-04:002016-08-03T08:53:27.597-04:00Could they afford to wait? There may not be enough...Could they afford to wait? There may not be enough spots for more than a year, and do you want the ones coming right out of school or those who got left out for a year & maybe did nothing? Remember those loans are also coming due. Not everyone is going to get a spot. <br /><br />Personally, why should taxpayers be on the hook for training these people? Billions of dollars are in the bank of these not for profit hospitals, they get tax breaks, tell them that the $$$ from the govt. go to pay for those going in primary care, surgery, residencies in need. Let the hospitals part with the money for residency. Stop feeding at the public trough. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-50975531496496118552016-08-01T14:40:49.007-04:002016-08-01T14:40:49.007-04:00Anon, I have seen similar things such as neuro exa...Anon, I have seen similar things such as neuro exam normal in one place and right hemiparesis in another. This impacts the writer's credibility.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-24823411301350409992016-08-01T09:02:58.509-04:002016-08-01T09:02:58.509-04:00I have worked beside a fair number of MDs/NPs, etc...I have worked beside a fair number of MDs/NPs, etc., who I have seen go into a room, come out 3 minutes later, and dictate a complete history included palpating femoral and temporal artery pulses! With EMR it is worse, especially with pre-loaded templates. I was surprised to learn, reviewing a chart of a patient who needed her ears cleaned, that she had a soft abdomen and no murmurs! I don't recall writing that, just shows up when I select cerumen impaction as the C.C.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-44167978982891783692016-08-01T07:33:13.166-04:002016-08-01T07:33:13.166-04:00I agree. Increase the pay for primary care. Howeve...I agree. Increase the pay for primary care. However it's not so easy to quantify what they do. This may get me in trouble, but I have seen padded notes with "12-point" system reviews and cranial nerves which never happened. It's so easy to click the boxes in an electronic record. I don't know how that problem can be solved.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-36472544316409079552016-07-31T14:56:32.058-04:002016-07-31T14:56:32.058-04:00One way to get more US grads into primary care is ...One way to get more US grads into primary care is obvious...increase the reimbursement. I know, everyone says in their interview that they didn't go into it for financial reasons, but there are realities like debt, mortgages, expenses, etc. I think there's some hope, though. Primary care seems to be dividing into two tracks, inpatient (aka hospitalist) and outpatient (aka office based). I guess you could say three, with some people coming out of residency and going straight to ER work or locums. All these things have something in common, and that is a lack of call after normal business hours or shifts. Time is worth a lot to today's younger physicians. It's worth a lot to me too, for that matter. That is one way primary care can become attractive. artigerhttps://www.blogger.com/profile/13361655152970244221noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-65986734943814099362016-07-30T13:49:25.799-04:002016-07-30T13:49:25.799-04:00No apology needed. I'm not sure how your plan ...No apology needed. I'm not sure how your plan would increase the number of US grads who would go into primary care. Wouldn't many of them still wait for the specialty matches?Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-4174727700421644892016-07-29T19:09:29.062-04:002016-07-29T19:09:29.062-04:00I apologize. I meant that American students are no...I apologize. I meant that American students are not going into those areas. They need to move the residency match positions so all PCP type of specialties get spots first, then save residency spots for the specialists in demand (surgery being one of them). After that, use it for derm and other ROAD specialties. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-37501911136409127222016-07-29T13:03:43.104-04:002016-07-29T13:03:43.104-04:00I disagree. If you look at the link I posted for R...I disagree. If you look at the link I posted for Ross U. med school, you will see that 625 (80%) of its graduates matched in either internal medicine (276) or family medicine (249).Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-22248464328896741502016-07-29T12:50:25.649-04:002016-07-29T12:50:25.649-04:00True. The problem is no one going into the care ar...True. The problem is no one going into the care areas needed: primary care, endocrinology, peds, FM, etc. <br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-44089117042429247272016-07-27T08:21:02.606-04:002016-07-27T08:21:02.606-04:00Yes, a new survey from a recruiting company says &...Yes, a new survey from a recruiting company says "63% of residents surveyed have been approached by recruiters with hospitals, medical groups, recruiting firms or other organizations 51 times or more during their residency training. 46% said they have been contacted by recruiters 100 or more times during the course of their training."<br /><br />As the new US schools and the increasing class sizes of the older US schools produce more graduates, it will inevitably put the squeeze on all the other categories. There are more than enough residency positions to support the US grads now and in the future.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-8628289440277097942016-07-26T10:13:26.457-04:002016-07-26T10:13:26.457-04:00Hmmm, between this and the continued trend toward ...Hmmm, between this and the continued trend toward surgical subspecialty fellowships, I guess the emails, phone calls, and snail mails that I receive from recruiters and locums agencies will only increase. I keep telling myself it's good to be wanted. <br /><br />On somewhat related note, where are all the grads from the newly opened/opening schools going to find ANY residency? artigerhttps://www.blogger.com/profile/13361655152970244221noreply@blogger.com