Blog Archive

Tuesday, August 1, 2017






Help Create the Tsunami of Outrage / Residency Shortage
 
https://www.youtube.com/watch?v=BOK9A7WdZvA

My last blog delineated the problems in bringing the Residency Shortage to the Nation’s attention.  No “one” person can solve this crisis, it involves too many variables:  ACGME accrediting, Medicare funding, and states legislation to “preserve” unmatched doctors.  My solution was to create a “Tsunami of Outrage” to bring the Residency Shortage to “the table”. 

This blog was first published on Jan. 31, 2017. To use “wave” terminology, it began with a “ripple” of readers.  In 5 months, the readership has increased to a small “wave”, reaching 232 readers during the first week of July.  Here are the statistics I am going to use to set a goal for dissemination and education about the Residency Shortage via the “NoMatchMDs” blog:

2017

  • US Population – 321 million
  • Total Professionally Active Physicians in US – 923,308
  • US Congress – 535 Representatives and Senators
  • Combination of  (MDs +  Congressmen = 923,843) -  about 1 million
  • 200 million registered voters in US
Let’s visualize what it would take to reach a goal of 1 million readers of this blog, the total number of MDs and Legislators combined.  It is only through knowledge of the Residency Shortage that we can work toward a timely solution.  Here are my calculations.  If those 232 readers from the first week in July were to contact only 6 doctors or legislators EACH, and each of those contacts would make 6 contacts of their own, etc., etc.:

232 X 6 = 1,392

1,392 X 6 = 8,352

8,352 X 6 = 50,112

50,112 X 6 = 300,672

300,672 X 6 = 1,804,032

With only 5 cycles of contact, over 1.8 million people would have been reached with this information.  This is what it would take, 6 doctor/legislator contacts by each of 232 blog readers to theoretically contact “every” doctor and congressman in the US today…

This same story could extend to the education of the voting public.  If this process continued for 8 cycles, the total number contacted would rise to 390 million, almost twice the number of contacts than registered voters!

If you have followed this blog and find the cause of the Residency Shortage “compelling”, we cannot just let the message end with each one of us.  Knowledge without action is useless.  This “story” is too complex to explain it in “one sentence”.  The circumstances are many and varied.  Education of this travesty leading to a solution is the one and only goal of this blog.

At the end of each prior blog, I have asked the readers/listeners to contact the doctors and legislators in their local area to create action for the Residency Shortage.  Today, I am going to ask each of you to personally contact 6 doctors +/or legislators that you know.  Provide the link to this blog, “NoMatchMDs.blogspot”, and request that they in turn contact 6 more of their colleagues/legislators, etc., etc.  Tell them they can listen to this blog on their cell phones while commuting.  Just click on the YOUTUBE link with each blog.  Ask them to keep this “wave” going, with hopes that we will reach our goal of 1 million doctors + legislators.  Wouldn’t it be unbelievable if the cycle went 8 rounds and reached all 200 million registered voters??  It goes without saying that any “sharing” you may include in all your social media would be an added bonus.

So there we have it, a measurable goal.  Make 6 contacts each, ask your contacts to do the same and continue the cycle, and reach more than 1 million doctors and legislators in the US today.  Now that is a “TSUNAMI”!!

www.NoMatchMDs.blogspot.com
 

1 comment:

  1. I think that the medical establishment, ACGME, AHA, AMA, and other components created this problem. After all, congress and state medical boards delegated substantial authority to the ACGME over the GME by allocating medicare fund and licensing doctors, respictively, only to residency programs accredited by the ACGME. The medical establishment proved that it cannot police itself. I am not a lawyer, but I believe that the judicial review has a role to play here. The state medical licensure is a form of regulation and therefore is subject to the judicial review.
    I think that experienced lawyers can build strong class-action case on behalf of the unmatched doctors who are for all intensive purposes are unemployed doctors for lack of licensure against the state medical boards. The state medical boards should not be able to require for licensure something doesn't exist without alternative. The ACGME accredited training positions don't exist for the unmatched doctors. The court would evaluate the cost benefit analysis, the alternative and other factors involved in the regulation. I think that the large number of unemployed doctors is high cost for the regulation while there is a good proven alternative like the Missouri law of assistant physician. The court may very well order the state medical boards to do what Missouri did volunteerilly. Furthermore, if physician assistant and even nurse practitioner can practice, I don't know why not unmatched doctor.

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