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re: Why are there not more medical schools or higher acceptant rates?

Posted on 3/23/15 at 7:06 am to
Posted by jheine2
lafayette
Member since Oct 2006
460 posts
Posted on 3/23/15 at 7:06 am to
quote:

Doctors have a kick arse union, the AMA, keepin' the supply low and the price high


Not sure if a troll? Most doctors hate the AMA for many reasons. Physicians historically have about the least representation of any group. They can't organize. Mainly because to busy.



Posted by yellowfin
Coastal Bar
Member since May 2006
98408 posts
Posted on 3/23/15 at 7:16 am to
You can't throw a rock here without hitting a doctor.

No shortage
Posted by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 3/23/15 at 7:53 am to
quote:

It's called tuition money bruh. Mom and Pops pay for it, you get a loan, or you get a scholarship


Well this is pure ignorance.

No medical school survives on tuition alone, bruh.
Posted by jose
Houma
Member since Feb 2009
29371 posts
Posted on 3/23/15 at 8:01 am to
quote:

Jose must be sweating then



Knew I would get thrown into the mix here

I'm a little nervous yea, but my school has a good reputation for preparing us adequately.

Unlike most Caribbean schools, we don't accept 200+ each class and just throw them to the wolves. Our class sizes are a bit smaller.

I think the problem with the Caribbean grads, and any other IMGs for that matter, getting residencies is their lack of English. I'm not saying I would get picked over an American for a residency spot, but I would get picked over someone who can't speak English proficiently who had the same STEP1 score as me.
Posted by yellowfin
Coastal Bar
Member since May 2006
98408 posts
Posted on 3/23/15 at 8:06 am to
My cousin starts his residency this fall at Vanderbilt
Posted by WeeWee
Member since Aug 2012
42758 posts
Posted on 3/23/15 at 8:12 am to
quote:

I can cold call both urology groups in BR this morning and have an appointment with probably 4 or 5 by the end of the week. And if it is YOUR urologist I can guarantee its not 4 months.


quote:

A survey of physician practices in 15 metropolitan areas across the country, which was taken before the health law expanded coverage, found that the average wait time for a new patient to see a physician in five medical specialties was 18.5 days. The longest waits were in Boston, where patients wait an average of 72 days to see a dermatologist and 66 days to see a family doctor. The shortest were in Dallas, where the average wait time is 10.2 days for all specialties, and just five days to see a family doctor.
LINK
Posted by Boats n Hose
NOLA
Member since Apr 2011
37248 posts
Posted on 3/23/15 at 8:14 am to
Residencies are the bottleneck, not medical school acceptance.
Posted by hillcountrywanderer
Buda, TX
Member since Jul 2014
529 posts
Posted on 3/23/15 at 9:47 am to
From what I understand, there's a shortage of residencies.

From what I hear, there's also a shortage of GPs in Louisiana. They are actually considering building a medical school in Lafayette that trains GPs.

LSU Medical School in Lafayette
Posted by jose
Houma
Member since Feb 2009
29371 posts
Posted on 3/23/15 at 9:56 am to
quote:

From what I understand, there's a shortage of residencies.



You didn't get that info from this thread??? Kidding
Posted by LSU fan 246
Member since Oct 2005
90567 posts
Posted on 3/23/15 at 10:24 am to
Call Dr Bridges at olol and see if you can get in
Posted by Martini
Near Athens
Member since Mar 2005
49197 posts
Posted on 3/23/15 at 1:19 pm to
I'm not his patient.

But I just called BR Urology and I can see Hollier on Thursday or Posner on Friday.

LaUrology I can see Walker or Taylor next Monday unless it is an emergency in which case they would "fit me in."

I said I'll get back to you. This is a cold call, no referral, not previous patient and neither asked if I had insurance, which I do.

Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/23/15 at 2:12 pm to
In this instance, you're talking about an adequately served population center. In LA, if you aren't in Shreveport, Monroe, Alexandria, Lake Charles, Lafayette, Baton Rouge, New Orleans, and then maybe the North Shore (rough list, don't quote me for accuracy but if you search "medically underserved areas in Louisiana" you'll probably get a better list), you'll be dealing with an area that's underserved. And it's not across all specialities either. Some groups are over/under represented. Even in some of those areas, something like a Rheumatology (a "non-sexy" and relatively low-paying subspecialty of Internal Medicine) appointment could easily take you 6 weeks or more.

It's really hard to weigh all specialties, their need, and their prevalence and report what is in need on a large scale, so the word "shortage" gets thrown around, even though many fields are far from short. And, again, Baton Rouge is one of a handful of areas in the state that isn't said to be "underserved."
Posted by Martini
Near Athens
Member since Mar 2005
49197 posts
Posted on 3/23/15 at 6:18 pm to
I agree Baton Rouge like most metropolitan areas is well served but has its issues as well. I needed to see an endocrinologist and had to pull some favors to get in it is certainly a specialty that under represented in our area.

However urologist, nephrologist, cardiologist , gastroenterologist are not hard to see at all in most metro areas. My ENT guy for my sinuses I can call the morning of and see him or someone in his group when sinuses flare up that's exactly what I do.
Posted by white perch
the bright, happy side of hell
Member since Apr 2012
7447 posts
Posted on 3/23/15 at 6:26 pm to
quote:

They are actually considering building a medical school in Lafayette that trains GPs.


they built the med school in Shreveport for this very reason.
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
17178 posts
Posted on 3/23/15 at 6:28 pm to
Scruffy is correct.

Plus, as others have said, the national board exams are very difficult as well.

No sense in allowing someone to get $2000,000 in debt and then they still can't practice medicine because they failed the licensing exams.
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
17178 posts
Posted on 3/23/15 at 6:33 pm to
quote:

) I know this will sound sexist but it is true. The acceptance rate used to be very low for females into medical school. Now it is near 50/50. The problem is that most females only practice full time for a few years then move to part time because they want a family (nothing wrong with this) but it leads to a shortage. It used to be that every Physician coming out would practice basically until he became senile and because of the above that has changed. .


You and I are about to stir up a hornets nest.

In my graduating medical school class, we had 7 females in our study group.

1 Went into medical administration.
2 married other doctors and retired from medicine.
2 began a job share (part time) work
1 retired from medicine due to a serious illness (not her fault at all. Just unfortunate)
1 is working full time as a dermatologist but only works 4 days a week. Her male office partner sees patients five days a week and consults in the hospital on 2 Saturday's a month.

This trend occurs everywhere. Women generally do not work full time after residency. It is creating a physician vacuum that no one wants to talk about.

Just being honest here but one of those women is my wife and she retired to stay home with our kids. Great for us, but bad for the patients in our area. She was a tremendous physician.
This post was edited on 3/23/15 at 6:39 pm
Posted by usc6158
Member since Feb 2008
37777 posts
Posted on 3/23/15 at 6:34 pm to
Increasing the number of med school spots would be irresponsible. A JD is a much more flexible degree than an MD. Having an MD without a residency slot is disastrous.
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6320 posts
Posted on 3/23/15 at 7:14 pm to
quote:


Plus, as others have said, the national board exams are very difficult as well.


They get easier the further up you are.

As the old saying goes:
Step 1 - 2 months
Step 2 - 2 weeks
Step 3 - 2 pencils
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 3/23/15 at 7:26 pm to
quote:

My wife was on the admissions committee of a medical school, there were always many more equally qualified applicants tha there were spots in the class. Most schools could easily increase their admissions, as has been stated several times the problem is lack residencies.



Medical school applicants can apply to upwards 10-15 schools depending on the competitiveness of both their application and the caliber of schools they are applying.

So while there may be several qualified applicants applying to her school not all are going to be attending that particular institution.
This post was edited on 3/23/15 at 7:27 pm
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 3/23/15 at 7:29 pm to
quote:

I think the problem with the Caribbean grads, and any other IMGs for that matter, getting residencies is their lack of English. I'm not saying I would get picked over an American for a residency spot, but I would get picked over someone who can't speak English proficiently who had the same STEP1 score as me.


You would be surprised the connections that some of those non-english speakers have within certain institutions.
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