Everyone likes to complain about health insurance costs but none of that matters if we don’t have providers!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree medical school should require some sort of mandatory number of hours worked like the military. Maybe the minimum per year is some part time number but there should be some cumulative number that adds up to five years practice.

This is beyond stupid on many levels, the least of which is that the military requires young officers to work a certain number of years because it *paid for their education.*

Also, you think some sort of minimum work requirement, where the physician has no choice in his or her schedule, is going to *incentivize* more people to become doctors?

Idiocy abounds.

Something has to give if the number of people going into the profession is restricted and then those same people decide to quit after 5 years.
Maybe they should make the training free in exchange for a work commitment (similar to the military).

How about start teaching doctors how to heal?

Bring back the Hippocratic Oath:
FIRST DO NO HARM.

Sorry, but you're an idiot. That's not in the Hippocratic oath. Look it up.

Promising not to cut out kidney stones is a part of it, as it promising to teach the practice of medicine for free to the sons of your teachers,. but that's not what you are calling on. You don't even know what it states as an oath.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Immigrants will take the jobs Americans don't want.

There are plenty of capable Americans who want to be doctors, but there aren't enough med school spots to train them. We desperately need more med school capacity.

You're wrong in a fundamental way, at least unless you expand on that. Med school isn't the problem. You can always hire somebody to teach more classes. It's the clinical placements that are not available, and that is a LOT more difficult to fix (if not impossible).

Clinical teaching requires multiple people to integrate a learner into a space which is increasingly profit-driven, corners-cutting, and pressed for time. There are even more people needing appointments, and fewer providers, and those providers still working are being tracked for spending too much time with patients as it is.

So you just have the learner see patients without full supervision? Not with increasing malpractice and liability legislation. Not without loosening the stringency of holding a medical license, where mistakes or errors will literally follow you forever, even if you change states. And that's fine, but what is the incentive (or even justification) for taking on teaching in that environment?

"We don't have enough medical school slots." No. That's not the problem.

---

PS: This is one of the reasons NP diploma mills are so crappy. They often require theNP students to find their own clinical training placements. NOBODY wants them. Why would you, in this context? It's a huge liability and makes a difficult job even worse.

[Anonymous]

The main bottleneck is in residency slots. You can build all the med schools you want, but that doesn't make a difference if someone cannot complete their training. Residency spots are largely federally funded, and Congress needs to provide more funding for this.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree medical school should require some sort of mandatory number of hours worked like the military. Maybe the minimum per year is some part time number but there should be some cumulative number that adds up to five years practice.

This is beyond stupid on many levels, the least of which is that the military requires young officers to work a certain number of years because it *paid for their education.*

Also, you think some sort of minimum work requirement, where the physician has no choice in his or her schedule, is going to *incentivize* more people to become doctors?

Idiocy abounds.

Something has to give if the number of people going into the profession is restricted and then those same people decide to quit after 5 years.
Maybe they should make the training free in exchange for a work commitment (similar to the military).

How about start teaching doctors how to heal?

Bring back the Hippocratic Oath:
FIRST DO NO HARM.

You are fetishizing a black-and-white statement from back when there wasn't even reliable antibiotics or routinely survivable surgeries.

Look at what you want: "FIRST DO NO HARM." That's NO harm, not just "justified" harm, or "a small amount of harm for great reward." It's NO harm.

No medications with any side effects at all?
No CT scans?
No general anesthesia, even for an infant with a brain tumor?
No surgeries at all?
No chemotherapy?

I can see why you find modern medicine distasteful. Unfortunately, balancing benefits and risks doesn't fit in the tiny little sentence from the (other, not the oath) writings of Hippocrates back around 400 years BC.

[Anonymous]

13:20 is a quack.

[Anonymous]

Anonymous wrote:The main bottleneck is in residency slots. You can build all the med schools you want, but that doesn't make a difference if someone cannot complete their training. Residency spots are largely federally funded, and Congress needs to provide more funding for this.

NO, absolutely not. We, the American TAXPAYERS are already paying ENOUGH.
So are the med students themselves.

It’s OUTRAGEOUS that we’ve been FORCED to pay for “residency spots”. What does that even cover? Your stipend?

Who all is raking in all this cash??
The corruption is phenomenal.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:From the article: "Medical schools have done their part by increasing enrollment by nearly 40% since 2002. We must now expand graduate medical education so we are training more doctors to meet the nation’s health care needs."

So are there a bunch of people who got their MDs but can't get residencies? What are they doing?

It's still like a 5% acceptance rate.

Medical schools aren’t doing squat about the shortage except maybe increasing their class size by a few or establishing tiny “satellite” campuses to pretend they care about rural medicine. No, they are reveling in the exclusivity too while raking in thousands in secondary application fees and making applicants jump through more and more hoops. They are too lazy and set in their ways to take on more students. They just want to keep phoning it in with pre-recorded lectures and group case presentations where the students teach themselves. And they fall back on the congressional residency cap to justify their actions. They also fight any attempt to build new med schools in the states where they are located so that they have less competition.

This fraud is utterly unsustainable.

[Anonymous]

Anonymous wrote:The main bottleneck is in residency slots. You can build all the med schools you want, but that doesn't make a difference if someone cannot complete their training. Residency spots are largely federally funded, and Congress needs to provide more funding for this.

Historically, hospitals funded residents themselves, with residents providing cheap labor.

I'm not opposed to the federal government funding more residency slots, but doing so will further cement the expectations that hospitals can benefit from their labor without paying for them.

[Anonymous]

I’m 100% opposed to forcing average hardworking people to pay hospitals for the privilege of accommodating cheap labor residents.

Who the heck pulled a fast one and slipped that one into a bill?
A big fat team of hospital thug lobbyists.

[Anonymous]

I don’t understand why people are mad about doctors working part time. I’m in primary care and for every 1 hour of seeing patients it’s about 30 min-1 hour of paperwork (returning lab results, paperwork, mychart messages etc.) so basically to keep work at a normal 40 hour work week you have to reduce your hours to about 28 patient facing hours a week. Look for me it was either part time or leaving medicine. Would you rather no doctors or part time doctors because I’d like (and I think my colleagues agree) to see my kids from time to time

[Anonymous]

Anonymous wrote:I don’t understand why people are mad about doctors working part time. I’m in primary care and for every 1 hour of seeing patients it’s about 30 min-1 hour of paperwork (returning lab results, paperwork, mychart messages etc.) so basically to keep work at a normal 40 hour work week you have to reduce your hours to about 28 patient facing hours a week. Look for me it was either part time or leaving medicine. Would you rather no doctors or part time doctors because I’d like (and I think my colleagues agree) to see my kids from time to time

Many professions require extra work. You think the teacher at the school down the street is getting time during her day to plan lessons or grade papers? She’d also like to see her kids from time to time.

I get your point, but you’re hardly the only profession that has a lot being asked of you.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don’t understand why people are mad about doctors working part time. I’m in primary care and for every 1 hour of seeing patients it’s about 30 min-1 hour of paperwork (returning lab results, paperwork, mychart messages etc.) so basically to keep work at a normal 40 hour work week you have to reduce your hours to about 28 patient facing hours a week. Look for me it was either part time or leaving medicine. Would you rather no doctors or part time doctors because I’d like (and I think my colleagues agree) to see my kids from time to time

Many professions require extra work. You think the teacher at the school down the street is getting time during her day to plan lessons or grade papers? She’d also like to see her kids from time to time.

I get your point, but you’re hardly the only profession that has a lot being asked of you.

Both teaching and medicine are currently experiencing shortages.

So from a workforce perspective the current situation is not working for either profession.

[Anonymous]

Who wants to be constantly controlled by bureaucratic freaks planted behind their desks, while they collect exorbitant paychecks and demand elaborate security?

No one. Why sit in university when someone else is going to dictate how you’re allowed to breathe?

Unless you’re the top gun in your field (think Randi W. and Tony F.), the current situation isn’t working for any professional.

Hence, the increasing return to technical professions. Good pay for hard workers. And no crushing debt. They’re often better positioned financially to marry, have children and buy a modest starter home.

Both teaching and medicine will continue to have shortages until it’s permitted to function as free thinking professionals, based on their demonstrated successes. If there’s only one way to treat diseases (without any cures), why bother?

Bring back the days when a doctor’s goal was to heal his patients and get them off of drugs.

[Anonymous]

Anonymous wrote:
Who wants to be constantly controlled by bureaucratic freaks planted behind their desks, while they collect exorbitant paychecks and demand elaborate security?

No one. Why sit in university when someone else is going to dictate how you’re allowed to breathe?

But you're pretty much describing every professional job out there these days.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don’t understand why people are mad about doctors working part time. I’m in primary care and for every 1 hour of seeing patients it’s about 30 min-1 hour of paperwork (returning lab results, paperwork, mychart messages etc.) so basically to keep work at a normal 40 hour work week you have to reduce your hours to about 28 patient facing hours a week. Look for me it was either part time or leaving medicine. Would you rather no doctors or part time doctors because I’d like (and I think my colleagues agree) to see my kids from time to time

Many professions require extra work. You think the teacher at the school down the street is getting time during her day to plan lessons or grade papers? She’d also like to see her kids from time to time.

I get your point, but you’re hardly the only profession that has a lot being asked of you.

You can be mad about it all you want but doctors vote with their feet. I refuse to work 80 hours a week (40 hours of patient care plus 40 hours of paperwork) so either you accept me part time or I leave. Same goes for many of my colleagues so I guess we settle for part time doctors. Not sure why you are mad about people wanting a work life balance.