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re: Does Louisiana Have a Hard Time Keeping Docs In State?
Posted on 7/27/24 at 12:57 pm to financetiger
Posted on 7/27/24 at 12:57 pm to financetiger
quote:
LSU-NO used to be known for taking Louisiana kids and a majority would stay in Louisiana. Over the past several years they have been trying to get their numbers up by marketing themselves around the country to compete with some of the other high ranking schools. When you do this you start getting more out of state applicants which they want, which also means more out of state tuition $$$. They no longer have the same loyalty to the state, it’s about the money. Many more liberal students have started coming. This was told to me by someone who works for the LSU system. It’s really sad. They know these kids are coming from out of state just to go to med school and then will leave to go back to other states to practice. They don’t care bc they are making so much $$$ from of the out of state tuition. Last I heard, this wasn’t going on in Shreveport, just NO.
This started when I was in school. Honestly the biggest assholes I encountered in my class were from out of state.
2
Posted on 7/27/24 at 1:47 pm to Cosmo
quote:quote:
More money and a better patient pool elsewhere
Actually MD salaries are pretty high here, only way to attract them.
Payer mix is terrible but with the majority of docs on salary now it doesn't matter
My ex lived in upstate NY in the 90s. She said many doctors from up there were trying to move to the south and Louisiana specifically because the pay was much better for them back then. I have no idea now, though. I do know the friends I have who are doctors in Lafayette don't seem to be hurting for money. Of course the same is true for the lawyers I know
Posted on 7/27/24 at 1:55 pm to cwil177
Louisiana has many good MDS in Private practice. Ochsner has one of busiest liver transplant centers in United States. Tulane has a well renowned Bone Marrow Transplant center Children’s Hospital in New Orleans has really improved in last 10 yrs. UMC is still a great place to Train secondary to its volume and is much nicer than Old Charity there are breaat cancer surgeons on St Charles Avenue who attract people from all over the world for reconstructive surgery. LSU Urology has a great repututation as well as Tulane Ortho. LSU is a leader in care for carcinoid tumors . Louisiana has many problems but for size of the state it has alot of assets in medical field Sure there are problems attracting MDs to rural areas but that is a nationwide problem
Posted on 7/27/24 at 1:56 pm to GeauxTigers123
quote:As said previously, they go to where they get matched for residency as there are more graduates than residency slots.
They opened a DO school in Monroe claiming it would help the area. They graduated the first class and almost every single kids high tailed it from North Louisiana to somewhere else for residency.
The new residency program in Monroe only takes 15 each year though plenty find there way into the various LSU residency programs.
The ones that don’t get matched either go into research and try again next year or stay in research. They are still doctors but not eligible to be board certified and have patients.
Posted on 7/27/24 at 2:44 pm to TJack
quote:would you?
they don’t stay.
ignorant white trash and diabetic blacks are your patient pool. ERs are used as primary care. Less than half have private insurance. Healthy lifestyles are an anathema. Violence is rampant so trauma care is not only common but expected.
frick that.
plenty of good people but those are not the people filling up hospitals for chronic care
Posted on 7/27/24 at 3:01 pm to Bullfrog
quote:
The new residency program in Monroe only takes 15 each year though plenty find there way into the various LSU residency programs.
I think there are two residencies programs in Monroe at this point. I don't think the remainder have started yet.
Posted on 7/27/24 at 3:12 pm to GeauxTigers123
Off topic, but why are most doctors arrogant pretentious pricks? The way they talk to some nurses has me wondering how many of them don't get their asses kicked in the parking lot by some angry husbands.
I guess the poor girls dont want to lose their jobs. I know what happens to people who act like that in the oilfield and it those fkers would never survive
I guess the poor girls dont want to lose their jobs. I know what happens to people who act like that in the oilfield and it those fkers would never survive
Posted on 7/27/24 at 3:23 pm to bushwacker
quote:
Off topic, but why are most doctors arrogant pretentious pricks?
Some if it has to do with surgeons get worked like 100 hours a week and yelled at during residency, so then they grow up to yell at people in the workforce. Kinda like frats hazing the next batch every year.
I will say that I do not think it is "most" as I have worked in a number of hospitals and most doctors treat the staff decently from what I have seen. Yeah there are some jerks, but I dont think they are the majority.
Posted on 7/27/24 at 3:31 pm to SaintlyTiger88
Rural areas of Louisiana have it the worst. They can’t keep doctors for almost anything.
Posted on 7/27/24 at 3:37 pm to SaintlyTiger88
A doctor can practice most places and be happy. It’s the spouse that is usually the issue. There better be something for them to do.
Posted on 7/27/24 at 3:40 pm to SaintlyTiger88
I’m pretty sure LSUHSC released statement saying 50% of md grads were staying in state to complete their residency. Of course, they may jet out once that’s done.
Posted on 7/27/24 at 3:55 pm to lsursb
quote:
I’m pretty sure LSUHSC released statement saying 50% of md grads were staying in state to complete their residency. Of course, they may jet out once that’s done.
Training wise, local education is just as good as any other place IMHO (comparing with friends and colleagues who have trained outside of the gulf coast as well).
The issue comes when its time to deal with the attending life & completion of your training.
At least in NOLA, majority of the market is either being a LCMC employee or an Ochsner employee.
Ochsner has the most asinine noncompete clause, enforceable or not (legal or not) which then physically limits someone from staying if/when they get screwed over. Lots of people once they leave Ochsner, they leave the state due to it (and poor choices).
Within LCMC you would have to work for the private groups within WJGH, EJGH, NOEH, Touro or the academic world in LSU or Tulane.
Fewer and fewer private groups, however there are a few such as CCPI, DePaul, Jencare, etc.
Lafayette although nice is a big small city, which isn't everyones cup of tea.
Baton Rouge continues to grow, but the infrastructure can't sustain it; crime continues to be a problem.
- These two cities are at least competitive salary wise and job diversity...for those that intend to move back home or start roots there, its really good and seemingly everyone from that area moved back and are seemingly happy 5+ years later.
Posted on 7/27/24 at 8:38 pm to SaintlyTiger88
Well I went to lsu for residency at OLOL and left. Pay is shite in Louisiana
Posted on 7/27/24 at 8:53 pm to SaintlyTiger88
It’s typically not the doctors as they work non stop. It’s the gold diggers they’re married to that want to live in bigger cities so they can spend the doc’s money.
Posted on 7/27/24 at 9:00 pm to bushwacker
Can you give examples?
I’d imagine the oil field is more of a good ole boy type environment where you have to take shite and give shite to get along.
Most other professions don’t have time nor the patience for that. Particularly doctors.
I’d imagine the oil field is more of a good ole boy type environment where you have to take shite and give shite to get along.
Most other professions don’t have time nor the patience for that. Particularly doctors.
Posted on 7/27/24 at 9:52 pm to bushwacker
“why are most doctors arrogant pretentious pricks?”
I spent 35 years as a nurse.In my experience most Drs.are not pricks.It was
probably only about 10% of the Dr. population were consistently jerks.
General surgeons and neurosurgeons had the highest percentage of pricks.
CV surgeons were mostly ok.Orthopedic surgeons probably had the highest percentage of really nice,easy going Drs.
One general surgeon was particulary nasty and arrogant,most of the Drs.in the hospital didn’t even like him.
One day he was being particularly nasty to a nurse.I asked him if he was the nerdy twerp that everybody picked on when he was a kid. Several,nurses were around and started snickering,he got so mad he turned purple.He knew what I was getting at.
I spent 35 years as a nurse.In my experience most Drs.are not pricks.It was
probably only about 10% of the Dr. population were consistently jerks.
General surgeons and neurosurgeons had the highest percentage of pricks.
CV surgeons were mostly ok.Orthopedic surgeons probably had the highest percentage of really nice,easy going Drs.
One general surgeon was particulary nasty and arrogant,most of the Drs.in the hospital didn’t even like him.
One day he was being particularly nasty to a nurse.I asked him if he was the nerdy twerp that everybody picked on when he was a kid. Several,nurses were around and started snickering,he got so mad he turned purple.He knew what I was getting at.
Posted on 7/27/24 at 10:19 pm to LSUA 75
The answer to this is not straightforward.
For me, Louisiana didn't/doesn't have a residency anywhere near the caliber of training I was looking for (I would say this would be the case for most advanced sub-specialty training), nor does it have the proper patient population/hospital infrastructure to support my current practice. So I will never be a Louisiana resident again and just continue visit my family a couple times a year -- I'll always consider Louisiana home despite me now living out of state nearly as long as I grew up in Louisiana.
I would strongly disagree with this for many specialties. Louisiana has no hospital comparable to the top places on the annual US News ranking.
For me, Louisiana didn't/doesn't have a residency anywhere near the caliber of training I was looking for (I would say this would be the case for most advanced sub-specialty training), nor does it have the proper patient population/hospital infrastructure to support my current practice. So I will never be a Louisiana resident again and just continue visit my family a couple times a year -- I'll always consider Louisiana home despite me now living out of state nearly as long as I grew up in Louisiana.
quote:
Training wise, local education is just as good as any other place IMHO (comparing with friends and colleagues who have trained outside of the gulf coast as well).
I would strongly disagree with this for many specialties. Louisiana has no hospital comparable to the top places on the annual US News ranking.
This post was edited on 7/27/24 at 10:22 pm
Posted on 7/27/24 at 10:30 pm to SaintlyTiger88
(no message)
This post was edited on 5/4/25 at 6:13 pm
Posted on 7/27/24 at 10:33 pm to SaintlyTiger88
It’s true but more due to the amount of medical schools in the state per capita
Posted on 7/27/24 at 10:34 pm to cwil177
quote:
Honestly the biggest assholes I encountered in my class were from out of state.
You and I must be classmates
Anyone from Louisiana was great
The new out of state students they took except for the Texas ones were awful.
Thinking of one in particular. Absolutely insufferable.
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