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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]They should have 3 years of heavily focused undergrad followed by a year of a related medical experience (paid internship) and then med school.

And they need to let more kids into med school. We need more American-educated doctors. [/quote]

Sigh. This was addressed above. It's not as simple as simply admitting more students. Could you pack more into the lecture halls? Sure (especially now that lots of students don't go to lecture, it's recorded and many watch it ... or plan to anyway ... later). But there simply are not enough rotation sites or residency sites. [/quote] This is not true. There are 6000 more residency spots than US MD/DO grads per year.[/quote]

And American grads do not want those spots. You realize that not all programs/residencies are the same, right? That not all are created equal? And that rotation sites are not residency spots? I had an M4 complaining bitterly to me just last week about lack of rotation spots. [/quote]

So to me there seems to be a gap here that I’m not understanding.  We have a fairly low medical school acceptance rate, but we are importing doctors to do jobs Americans supposedly don’t want.  Further, those foreign doctors are graduating from medical school with fewer years of training and less expensive training (undergrad and medical school is free in many countries), no shadowing, etc. This doesn’t make a ton of sense.  [b]Why don’t we admit more Americans on the basis that they will take those primary care jobs?[/b]  Why don’t we make medical school more affordable so people can better understand the community they serve?[/quote]

[b]Because they won't. [/b]

They will not take primary care jobs in BF Nowhere Town, Flyover State that do not pay enough to pay back their loans.

So yes -- you are not understanding. [/quote]

[b]How do you know? [/b] Don’t quite a few doctors go into the army on the basis of having their medical school paid for?  If medical school were cheaper on the basis of doing your residency in nowhere town a lot of regular, middle class people who might not afford medical school otherwise may take it.  We’ve created this hyper-elitist system with a certain set of incentives and then we’re not willing to adjust the incentives, we’ll just get foreign labor.[/quote]

Because I work at a med school and spend a lot of time discussing applications/interviews/match with M4s.

And I've taught at USUHS as well (which is what you are talking about when you refer to "quite a few doctors go into the army on the basis of having their medical school paid for").[b] That is a very unique set of students.[/b] [/quote]

What do you mean they are unique?  Are they not doctors?  Why aren't incentives given to American trained doctors to practice family medicine in remote places instead of importing doctors?  [/quote]

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