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re: US doctor residency programs are being taken over by foreign nationals

Posted on 9/27/26 at 2:37 pm to
Posted by baldona
Florida
Member since Feb 2016
24537 posts
Posted on 9/27/26 at 2:37 pm to
quote:

My son is 19 and very mature, highly intelligent. Every doctor I work with told him don’t go to med school. Being a white straight male he’s at the bottom of the list to get in and tuition is too high. Quicker route to less debt and a better lifestyle in nursing then grad school. They even discouraged their own kids from med school.


I don’t believe this at all, come on. There’s a huge difference in making $225k a year as a nurse and making $600+ as a doctor. There’s a fair share of docs that aren’t great at making money, but there’s plenty of docs that are.

I think there’s going to be a strong future in docs going private cash only, and guess who people want to pay? White men
Posted by magicman534
The dirty dell
Member since May 2011
1933 posts
Posted on 9/27/26 at 3:14 pm to
quote:

I don’t believe this at all, come on. There’s a huge difference in making $225k a year as a nurse and making $600+ as a doctor. There’s a fair share of docs that aren’t great at making money, but there’s plenty of docs that are.


That gap is smaller than you think. Especially with big companies like Ochsner, lcmc, Kaiser swallowing up private practice specialties. And in 20 years sure the doc will be doing better financially. But the nursing/PA route is the quickest to a lifestyle. Kids now don’t want to grind for 12-15 years post high school.
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61960 posts
Posted on 9/27/26 at 3:23 pm to
Minimum 11 years post high school.

4 years college
4 year med school
3 year residency in like family med, internal med, pediatrics or emergency medicine.

More if they want to be a surgeon or pursue fellowships.
This post was edited on 9/27/26 at 3:24 pm
Posted by TomRollTideRitter
Member since Aug 2016
13274 posts
Posted on 9/27/26 at 3:24 pm to
quote:

I don’t believe this at all, come on. There’s a huge difference in making $225k a year as a nurse and making $600+ as a doctor. There’s a fair share of docs that aren’t great at making money, but there’s plenty of docs that are.


Other than CRNA - it’d be extremely rare for a nurse to making that.

I agree with your take generally though. Doctor is probably the most straightforward path to extreme wealth especially if you do a specialized field like cardiology. Lawyer at a major firm is next.

That’s not to say they are easy paths, but if your child has ambition but likely isn’t gonna be an entrepreneur, doctor and lawyer are about as formulaic as it gets for a path to near or above $1M compensation.
Posted by TomRollTideRitter
Member since Aug 2016
13274 posts
Posted on 9/27/26 at 3:30 pm to
quote:

Minimum 11 years post high school. 4 years college 4 year med school 3 year residency in like family med, internal med, pediatrics or emergency medicine. More if they want to be a surgeon or pursue fellowships.


It’s definitely a long haul, and I think that does cause doctors to be a weird bunch.

That said, I’d say on average the doctors I work with post residency are in the low $400s in their early 30s. Even lower specialties like pediatrics get to $250K post residency.

Those are really good comp numbers for a path that’s as formulaic as it gets.
Posted by DesScorp
Alabama
Member since Sep 2017
10792 posts
Posted on 9/27/26 at 3:31 pm to
Cant get American doctors for new patients in area hospitals here. New MD’s in the area are overwhelmingly from three countries: India, Pakistan, and Nigeria. My son needed a specialist, so I looked up their backgrounds. None of them did bachelors here, and about half did did med school in their native country but did their residency in a US hospital. Corners are being cut some places, I'm sure. We got lucky with my son’s new specialist, as he went to schools in the West.
Posted by StringedInstruments
Member since Oct 2013
21154 posts
Posted on 9/27/26 at 3:32 pm to
Wasn’t there a big scandal with international applicants cheating on the entrance test a few years ago?
Posted by magicman534
The dirty dell
Member since May 2011
1933 posts
Posted on 9/27/26 at 3:37 pm to
quote:

Minimum 11 years post high school. 4 years college 4 year med school 3 year residency in like family med, internal med, pediatrics or emergency medicine. More if they want to be a surgeon or pursue fellowships.


The timeline I mentioned was to represent specialties that paid closer to what baldonna posted.
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61960 posts
Posted on 9/27/26 at 3:45 pm to
I understand. The lower rings on the ladder are pediatrics and psychiatrists from what I’ve been told

Had a kid that was looking into that path.
This post was edited on 9/27/26 at 3:47 pm
Posted by chryso
Baton Rouge
Member since Jul 2008
14204 posts
Posted on 9/27/26 at 3:48 pm to
Are they staying here or are they leaving?
Posted by Fat and Happy
Baton Rouge
Member since Jan 2013
20304 posts
Posted on 9/27/26 at 3:57 pm to
Liberal white people truly have no idea how quickly they are screwing themselves over
Posted by jeffsdad
Member since Mar 2007
25462 posts
Posted on 9/27/26 at 4:54 pm to
Was in the LSU Shreveport med center last year in line for lunch. Little old lady went ahead of me. 3-4 mid eastern interns thought they could break in line in front of the lady. I put my hand on his shoulder and moved him back. He looked at me and I put my hand out for the lady to move forward, she did and thanked me. I went also.

Don't know why these aliens think they control anything, but I wasn't in the mood.
Posted by BeerMoney
Baton Rouge
Member since Jul 2012
9046 posts
Posted on 9/27/26 at 5:19 pm to
God help you if you have to get help from a MD nowadays. My wife has been in and out of hospitals over the past few months. Very few docs seem to know anything. You have to read, research and understand your own care to get results. You have to demand they see you, demand specialists, tell them what to do next. These people seem soulless in how they approach patients. They don’t speak like they’re recalling a form understanding of their subject often wanting to kick the can to the next doctor.
Posted by cwil177
Baton Rouge
Member since Jun 2011
30213 posts
Posted on 9/27/26 at 5:44 pm to
We have a massive primary care doctor shortage and these doctors are going to IMG heavy residency programs that US grads don’t want to go to (cherry-picked for the graphic). Most are practicing primary care specialties like internal and family medicine, pediatrics, and ObGyn. These docs then stay in the country permanently practicing medicine. While I think we could do a better job of prioritizing US grads (maybe have two match cycles, one for US grads and the other for foreign grads) I don’t look at this as a big problem in the same way OP does.
Posted by cwil177
Baton Rouge
Member since Jun 2011
30213 posts
Posted on 9/27/26 at 5:50 pm to
quote:

There’s a huge difference in making $225k a year as a nurse and making $600+ as a doctor.

600K+ is rare with the exception of ortho, neurosurgery, interventional cardiology, plastics, GI with lots of scopes, and some anesthesiologists/rads who grind hard. Most docs do not come close to that number. Midlevels make around 125K or so (some make more). The number you cite is more like CRNA pay, albeit some make more by working more.
This post was edited on 9/27/26 at 5:52 pm
Posted by pjab
Member since Mar 2016
5777 posts
Posted on 9/27/26 at 5:53 pm to
Bascom Palmer, the best ophthalmology residency, is on this list
Posted by cwil177
Baton Rouge
Member since Jun 2011
30213 posts
Posted on 9/27/26 at 5:56 pm to
quote:

Very few docs seem to know anything. You have to demand they see you, demand specialists, tell them what to do next.

Sorry about your wife but the doctors probably avoid you for a reason.
Posted by Dixie2023
Member since Mar 2023
5837 posts
Posted on 9/27/26 at 6:02 pm to
My mother just mentioned yesterday that it seems doctors aren’t really interested anymore. They stare at and read off questions from their laptops and not like they used to be interacting and holding a conversation about what’s going on. I visited a friend in the hospital last monty and the 2 doctors (students of some sort, I’d guess) rolled in, both foreign, and did not leave a good impression. The medical field has definitely sank.
Posted by AirbusDawg
Milton, Ga
Member since Jan 2018
3125 posts
Posted on 9/27/26 at 6:03 pm to
My daughter graduates med school this spring. Not many American kids want to put in the work and long hours/years it takes to become a doctor. Four years of college, four years of Med School and four years of residency, making about $70,000 per year. That's twelve years out of high school. Most want to do four years and become a dentist.
Posted by GeauxTigers123
Member since Feb 2007
3840 posts
Posted on 9/27/26 at 6:04 pm to
There are about 31k US MD and DO graduates every year. There are about 41k US residency spots (for first year every year).

Thats how you end up with 10k FMGs. From what I can tell India and Pakistan fill most of them because the people have a leg up learning English from a young age.
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