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Message
re: My solution to fix the Primary Care Physician shortage
Posted on 7/28/14 at 8:41 pm to Scruffy
Posted on 7/28/14 at 8:41 pm to Scruffy
quote:
Where the frick are you going to school?!
American University of the Caribbean. Tuition and fees come to 190k. Not bad compared to the DO schools I interviewed at they came out to be ~160K. The living is where it gets expensive. The dorm is ~1500/month for a single which is what I got for the upcoming semester (that was all that was available). The decent apartments will cost around a $1000/month for a one bedroom or 1800-2000 for a 2 bedroom. Everything else on the island is costs alot. I plan on doing my 3rd and 4th year in nyc so it ain't cheap. The 2 AUC grads doing their residency in Jackson Ms who I went out for drinks with the other day told me they had ~300K in debt. Then you add on my debt for a masters degree at a private school. I should come out between 325-340K depending on how I live.
This is a blog run by a recent AUC grad about going to school there.
quote:LINK
Med school is no doubt very expensive, and for international medical graduates like me, living in the Caribbean where cost of living is high and traveling around to different clinical rotation sites does not help the amounting debt that we build up during our training. After four strenuous years, I now have an MD degree, a Dr. in front of my name, an intern position at a hospital, and over $317,000 of increasing med school debt. The only thing I know that is not increasing is the number of strands of hair on my head. - See more at: https://www.caribbeanmedstudent.com/2014/05/loan-repayment-programs/#sthash.ZLwMO6fB.dpuf
LINK
I wish I hadn't dicked off so much in undergrad
3
Posted on 7/28/14 at 8:42 pm to WeeWee
(no message)
This post was edited on 3/18/15 at 7:28 pm
Posted on 7/28/14 at 8:45 pm to Scruffy
quote:
We all do.
Best of luck to you. It gets better once you get to 3rd year.
thanks
Posted on 7/28/14 at 8:45 pm to WeeWee
Damn dude 
I have a sugar momma and will get out with just over 100k in debt
I have a sugar momma and will get out with just over 100k in debt
Posted on 7/28/14 at 8:48 pm to Roger Klarvin
quote:
Damn dude
its not too bad. I am planning on joining the navy once I finish my residency (unless I get married and have a family to tie me down). The navy offers a $400K signing bonus to any doctor that serves 4 years. I always wanted to serve anyway but I wanted to go to med school so this looks like a good option.
Posted on 7/28/14 at 8:48 pm to WeeWee
quote:You should have gone to Business School first. You would have learned ROI maybe the first year or two.
WeeWee
Posted on 7/28/14 at 8:51 pm to Roger Klarvin
quote:And I'm gonna prescribe you a lifetime supply of "Go frick Yourself" 500 mg TID.
Damn dude I have a sugar momma and will get out with just over 100k in debt
This post was edited on 7/28/14 at 8:51 pm
Posted on 7/28/14 at 8:51 pm to Diamondawg
quote:
However when you are staring $350K (undergrad, grad, med school like myself$40,000 a year while in school? Ever heard of Ramen Noodles?
No shite!! I came out of school owing $32k. My wife finished pharmacy school with $38k in loans. We ate a shite ton of deer, duck and fish. Not to mention shite outta my grandparents garden and we both worked some and lived in a one bedroom apt. Nice to be debt free by age 30. Too many students take waaaaaay to many loans.
Posted on 7/28/14 at 8:54 pm to SmackoverHawg
quote:
No shite!! I came out of school owing $32k. My wife finished pharmacy school with $38k in loans. We ate a shite ton of deer, duck and fish. Not to mention shite outta my grandparents garden and we both worked some and lived in a one bedroom apt. Nice to be debt free by age 30. Too many students take waaaaaay to many loans.
did you get abunch of scholarships to cover the tuition?
Posted on 7/28/14 at 9:00 pm to WeeWee
quote:
did you get abunch of scholarships to cover the tuition?
Some. Mainly used that money for living expenses, books, etc. Our in state tuition isn't bad. The wife's was a little more because of loans from college. I made money of my college scholarships. Not many scholarships in med school but I did get some for having highest GPA in class 2 of 3 years we're graded and a few classes had cash prizes to student with highest score. Spent a lot of that on beer and at titty bar though.
Posted on 7/28/14 at 9:02 pm to WeeWee
quote:
Step3: Let medical schools accept students right out of high school.
As it stands now, you can get into a medical school without a bachelor's. You have to be an outstanding candidate, and I doubt you could do it without ANY college at all.
18 year olds are very crappy decision makers. I don't even think they should be entering college right after high school, let alone medical school. Best to take a year off to work in the real world so you can factor that into your decision regarding major, etc. THe human brain isn't even fully mature until age 25.
The best way to attract more GP's is to pay for their medical school through loan forgiveness, or by straight up gubment subsidies to their pay. Non-refundable tax credits would probably be good enough as most of them pay plenty of taxes.
This post was edited on 7/28/14 at 9:04 pm
Posted on 7/28/14 at 9:03 pm to Scruffy
That's a whole lot of self-fricking
Posted on 7/28/14 at 9:04 pm to SpidermanTUba
quote:That and quit paying such shitty rates with Medicare/Medicaid.
The best way to attract more GP's is to pay for their medical school through loan forgiveness.
Posted on 7/28/14 at 9:04 pm to WeeWee
Or we could just pay PCPs more? 
Posted on 7/28/14 at 9:06 pm to Scruffy
quote:
quit paying such shitty rates with Medicare/Medicaid.
This
Posted on 7/28/14 at 9:07 pm to SmackoverHawg
quote:
Some. Mainly used that money for living expenses, books, etc. Our in state tuition isn't bad
yeah I wished I hadn't dicked off so much in college so I could have gotten in to one of the LSU's right out of school. It would have saved me a shitload of $$$.
Now the 2 AUC grad I talked to last week said that with the NHSA and other loan repayment programs one said he will get out and probably only have to pay back $60k himself. The adminstrator at my local hospital told me that if I came back there they would pick up my whole debt as long as it was under $400K but I would have to make a 10 year commitment but I don't know if I want to work at there.
Posted on 7/28/14 at 9:07 pm to SpidermanTUba
quote:
The best way to attract more GP's is to pay for their medical school through loan forgiveness, or by straight up gubment subsidies to their pay. Non-refundable tax credits would probably be good enough as most of them pay plenty of taxes.
Nope. They already do this. They need to pay FP's for what they do. You can make good money but you can make a helluva lot more in the subspecialties. I mean there are FP's making high 6 figures and 7 figures but they are few and far between. AND they are in the rural areas!!! And now they are flooding the market with piss poor NP's and PA's to further water it down.
Posted on 7/28/14 at 9:08 pm to Scruffy
quote:
That and quit paying such shitty rates with Medicare/Medicaid.
Can make good money on medicare if you do procedures, code appropriately, and keep overhead low. Medicaid is complete shite.
Posted on 7/28/14 at 9:16 pm to WeeWee
quote:
yeah I wished I hadn't dicked off so much in college so I could have gotten in to one of the LSU's right out of school. It would have saved me a shitload of $$$. Now the 2 AUC grad I talked to last week said that with the NHSA and other loan repayment programs one said he will get out and probably only have to pay back $60k himself. The adminstrator at my local hospital told me that if I came back there they would pick up my whole debt as long as it was under $400K but I would have to make a 10 year commitment but I don't know if I want to work at there.
We did have some good luck too. When wife finished, I was still in school (I married an older sugar mama). And Walgreens paid off a chunk of hers to recruit her. Then when I finished residency the local hospital paid off my entire debt-$32k. I paid off what was left of hers shortly after getting my license and started moonlighting in ER's and started a night clinic in the town I was gonna practice in.
Posted on 7/28/14 at 9:19 pm to SpidermanTUba
quote:
As it stands now, you can get into a medical school without a bachelor's. You have to be an outstanding candidate, and I doubt you could do it without ANY college at all.
quote:
18 year olds are very crappy decision makers. I don't even think they should be entering college right after high school, let alone medical school.
like I said they would have to maintain a high gpa in the prereqs like above a 3.75 and do well on the mcat. Also alot of european schools do it.
quote:LINK
In Germany, the average age of medical students is 21.4 years when they start medical school [14]. There are several reasons for this. Germany still has mandatory service of nine months for men either in the military or an alternative civilian service [Zivildienst] for conscientious objectors. Additionally due to waiting time or professional training in other areas, a significant proportion of students are older. Although there is no formal regulation, an age of 40 years is considered the upper limit for entering medical school. Similar to many other countries, the number of women studying medicine has increased steadily and is now exceeding the proportion of male students [15]. This however is not yet reflected in higher academic ranks.
In the US for DO schools the average age given is 25. I don't remember the average for md school but studentdoc is saying 24 for alot of schools. LINK
quote:
The best way to attract more GP's is to pay for their medical school through loan forgiveness, or by straight up gubment subsidies to their pay. Non-refundable tax credits would probably be good enough as most of them pay plenty of taxes.
The $$$ difference between GP's and specialies is so huge that there needs to be more done to recruit them.
Also there are alot of pa students that could have been md/do but they didn't want to spend 7 years in school/residency compared to 30 months so there really needs to be a way to shorten the whole process.
This post was edited on 7/28/14 at 9:24 pm
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