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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Med school admissions has become so ridiculously and farcically impossible that some very smart, accomplished people have been forced to resort to other paths to becoming physicians. It has truly reached the point of absurdity. [/quote]

It was always hard.[/quote]
Yes, but it is next level now. [/quote]

I keep hearing that it’s so much harder, but the med students really haven’t gotten any better over the last 15 years since I’ve been on the faculty of two different medical schools.

The 4 or 5 Caribbean med school grads and DO trainees that I have worked with on a daily basis are fine. I would go to one for most things.
They haven’t been the top of the top with regard to intellectual curiosity, but most doctors aren’t - regardless of what school they attended. All have been very diligent and hard workers.[/quote]
Of course they are not actually “better” at being doctors, probably worse. But, they have become better only at taking tests, grade grubbing, and extracurricular box checking, and other opportunistic BS.  :roll: 
[/quote]

It really is that US med schools are picking worse candidates yet at the same time making it harder for smart, socially adjusted students to get in....its pathetic...[/quote]
Since these kids apply to like 40 schools now just to make sure they get in somewhere, each gets thousands of applications for 200 measly seats. They are lazy and take the predictable path of least resistance, so they mostly consider hours and statistics. These individuals may be good students and resume builders, but they will not necessarily make the best doctors. I predict that most people will not be satisfied with their physicians in 15 or 20 years since they are keeping a lot of great people out in favor if the gunners. [/quote]

Even in the 90s most people that I knew applied to about 20 med schools. Mostly because it seemed like there wasn’t always rhyme or reason to who did and who did not get into good schools.
I went to a top SLAC, and don’t know anyone who ended up in a DO school or the Caribbean, though.
Now we get a fair number of residency applicants who went to Ivy league schools for undergrad, but went to a Caribbean med schools. It seems odd to me; that did not happen in the 90s.

The residents seem so lazy and entitled to me for the last 5 years or so, but becoming an attending has a way of sharpening their focus (the power of fear!), so I’m hoping that they all snap out of it when they finish training. I do feel like I spend less time with the residents and fellows than I used to. They will reject my attempts to go over complex cases and discuss issues after 5 PM - which is when I can take a minute to discuss without being continuously interrupted - because they just want to go home. I’m afraid to push it because they come in early, so if I keep them after 6 then they can report me to the ACGME for learner mistreatment. That said, the junior faculty seem more likely to seek out mentoring and advice now.
 
And gunners have been gunning since at least the mid 90s (when I started med school). They’re a constant! :)[/quote]

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