mardi 1 décembre 2015

Anyone here against expanding GME?

Completely against it. Aren't there something like 30,000 residency spots vs 20,000 graduating US medical students? Even with currently planned school expansion, those numbers will never cross. Please do not believe AAMC propaganda that US med students are "threatened" by a stagnant number of residencies. The only people threatened are AAMC bureaucrats who wish to keep on a course of heedless school expansion to increase the size of their fiefdom, regardless of what it means for the careers of their graduates. Them, and of course the third world doctors who selfessly want to leave their physician saturated nations in Africa and South Asia to help us deal with our doctor shortage. Because that's the only thing increasing GME would do at this point: increase the number of FMGs.

Keep this in mind: the government and insurance/hospitals are hell bent on making the independent practice of medicine an impossibility. Employee model is the future, and there is nothing you can do about it. It's been decided in high places. In an employee model, your wage is determined completely by supply and demand. Why are EM doctors currently getting $300/hr despite being a fungible commodity? Because of supply vs demand. So just realize that by expanding GME and thus allowing in thousands of additional FMGs every year you're shifting the balance of power against your future self and in favor of your hospital CEO when it comes time to determine your compensation and autonomy.

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Anyone here against expanding GME?

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