tag:blogger.com,1999:blog-7132427796601033173.comments2022-04-03T09:17:14.074-04:00No Match MDsNoMatchMDhttp://www.blogger.com/profile/03321491139587924555noreply@blogger.comBlogger40125tag:blogger.com,1999:blog-7132427796601033173.post-48310801242203028972018-12-06T00:12:56.424-05:002018-12-06T00:12:56.424-05:00Enormous blog you individuals have made there, I e...Enormous blog you individuals have made there, I entirely appreciate the work.<a href="http://www.schnauzer-nain.net/communication-will-keep-walk-clinic-near/" rel="nofollow">walk in clinic in new york</a>lizza kimhttps://www.blogger.com/profile/02928622427364243457noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-60052004528225861772018-12-01T05:29:32.218-05:002018-12-01T05:29:32.218-05:00I really enjoy reading and also appreciate your wo...I really enjoy reading and also appreciate your work.<a href="https://sites.google.com/view/urgent1/home" rel="nofollow">urgent care open now</a>lizza kimhttps://www.blogger.com/profile/02928622427364243457noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-58166135190287480342018-11-28T12:38:33.695-05:002018-11-28T12:38:33.695-05:00Me and my companions have completely delighted in ...Me and my companions have completely delighted in this blog.<br /><a href="http://www.ilawjournals.com/mason-soiza-commits-to-political-awareness-initiative-for-youth" rel="nofollow">Mason Soiza</a><br />alex petarhttps://www.blogger.com/profile/01776711159538392466noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-17272360123993421582018-11-24T06:04:31.669-05:002018-11-24T06:04:31.669-05:00keep it up keep it up anonymoushttps://www.blogger.com/profile/05752790295251753500noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-44520271499664652602018-11-24T06:03:07.693-05:002018-11-24T06:03:07.693-05:00keep it upkeep it upanonymoushttps://www.blogger.com/profile/05752790295251753500noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-39879661039493905642018-11-24T05:55:51.840-05:002018-11-24T05:55:51.840-05:00keep it up keep it up anonymoushttps://www.blogger.com/profile/05752790295251753500noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-17068521552971459732018-09-14T07:46:31.159-04:002018-09-14T07:46:31.159-04:00Exciting blog posting! Simply put your blog post t...Exciting blog posting! Simply put your blog post to my favorite blog list and will look forward for additional updates. <a href="https://www.txmhealthcare.co.uk" rel="nofollow">locum agency milton keynes</a><br />rohanrjhttps://www.blogger.com/profile/10707564218581362070noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-73802098140028843712018-05-13T02:29:50.139-04:002018-05-13T02:29:50.139-04:00Wow, great post.Wow, great post.David Millerhttps://www.blogger.com/profile/10713668230449949178noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-53310468237484868662017-11-14T10:56:43.704-05:002017-11-14T10:56:43.704-05:00Not that there are not residency and doctor shorta...Not that there are not residency and doctor shortages, because there are, but the special interest groups in the medical establishment would argue to death that there are not because they don't want the unmatched doctors to enter the practice. Unlike the unmatched doctors, the special interest groups are powerful and more vocal. Therefore, the unmatched doctors should argue that the patients need more choices of doctors not less and that would be consistent with the principle of second opinion. Unfortunately, with the opposing forces to the unmatched doctors I don't see other than the court, in the foreseeable future, that can intervene and give justice to the unmatched doctors. At least they can win a class-action lawsuit against the state medical boards to practice medicine in similar capacity of the PAs. Also, they can argue, shortages or not, that they are qualified and have the right to licensure and subsequently to practice if it wasn't for the artificial barrier, namely, the residency bottleneck.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-82591885531791196972017-11-08T01:13:40.882-05:002017-11-08T01:13:40.882-05:00I think that the lawyer should look also at the st...I think that the lawyer should look also at the state medical boards. These boards should allow the unmatched doctors to practice medicine at least in similar capacity of the PAs. Also, I think that there's something wrong in the policy of the boards. They limit the number of licenses indirectly by requiring residency training only with accreditation from the ACGME when they know that the accredited training doesn't absorb the unmatched doctors who constitute nearly 30% of the registered applicants according to the NRMP 2017. The denial of a license, the requirement of a license, or the procedures required to obtain a license may be challenged in court. It is true that the agency responsible for issuing the license can control the number of licensees. This function is important for activities such as hunting, where the licensing of too many hunters may deplete wildlife populations and put hunters in danger of stray bullets. But I don't think that this reasoning is valid in medicine. On the contrary, more licensees means more choices for the patients especially when they exercise their right to see second opinion. I think that the court may ask the state medical boards to consider different accreditation from the ACGME's so that the qualified doctors can do their training or the boards may choose to negotiate with the ACGME to remove some of the unnecessary regulations. Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-24797135936232777632017-10-31T12:53:01.597-04:002017-10-31T12:53:01.597-04:00I would add to the conversation about the solution...I would add to the conversation about the solution to the Residency Shortage two things:<br />1) Removing the medical establishment's monopoly on residency training in the name of regulation or accreditation by the ACGME. The medical establishment has monopoly on training residents and that is why training a resident is expensive. Training a resident is a product that the resident should be able to buy it, or pay for it, from any credible hospital including in Europe just as he/she can buy German or Japanese car. I believe that many residents are willing to pay for it out of their pockets, because it is much cheaper, and to submit themselves to US standard test regarding the training that they got in order to meet reasonable standards for licensure.<br />2) Building a class-action lawsuit against the state medical boards on behalf of the unmatched doctors on the basis of equal opportunity under the law, these doctors should be able to practice medicine at least in the capacity of the Physician Assistants (PAs).Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-65160642347916832902017-10-25T17:54:25.129-04:002017-10-25T17:54:25.129-04:00I listened to your clip on 10/23/17 about Med. Sch...I listened to your clip on 10/23/17 about Med. School Loans. I thank you for the notion of a class-action lawsuit on behalf of the unmatched doctors. This is the first time I hear somebody is talking about that and I thank you again for it.<br />I believe that the unmatched doctors suffered a lot of injustice and they have legal standing on many bases. For example, the unmatched doctors can win a class-action lawsuit against the state medical boards in order to practice medicine at least in similar capacity of the Physician Assistants on the basis of equal opportunity under the law. The State Medical Boards can only require evidence-based requirements for licensure, the requirements can't be arbitrary and preferential. If such a lawsuit is filed I would predict that the trial would be a battle between expert witnesses on both sides and given that the PAs have only one year of medical knowledge and one year of clinical rotations while the MDs have 2 years of medical knowledge and 2 years of clinical rotations I believe that the court eventually would order the state medical boards to do what Missouri did voluntarily, namely, the Missouri law of Assistant Physician.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-11547935985958285902017-09-26T09:35:14.469-04:002017-09-26T09:35:14.469-04:00I think that MDs without residency can win litigat...I think that MDs without residency can win litigation to practice medicine in some capacity under supervision in the court of law against the state medical boards on the basis of equal opportunity under the law. The licensure of medical practice can't be arbitrary and preferential, if the PAs can practice the MDs without residency should be allowed to practice in some capacity under supervision.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-34547034624159472912017-09-13T11:29:24.812-04:002017-09-13T11:29:24.812-04:00With regard to the assistant physician law of Miss...With regard to the assistant physician law of Missouri, It seems to me that Dr. Nasca is concerned more about his job and leverage than the patient safety and quality because his argument defies logic. How can the physician assistant who has only one year of medical knowledge and one year of clinical rotations practice medicine but the assistant physician who has two years of medical knowledge and two years of clinical rotations can't in roughly the same capacity? I think that laws like Missouri's worry Dr. Nasca because they bypass his role and render his organization less relevant.<br />Given the existence of a lot of conflicts of interests inside the medical establishment, I believe that the court should intervene because the unmatched doctors have strong case to practice in comparison with the physician assistant. The state medical boards can't mandate arbitrary requirements for licensing, if the physician assistant can practice medicine the unmatched doctor should be able to. Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-54810768795798404202017-09-12T13:33:03.387-04:002017-09-12T13:33:03.387-04:00Dr. Nasca should resign because he has his own bia...Dr. Nasca should resign because he has his own bias against the IMGs. It is none of his business to pass judgment on the IMGs. The ECFMG disagrees with him about the qualities of IMGs and if the IMGs were not qualified and ready to do the job the ECFMG would not have certified them. Dr. Nasca has his own agenda to exclude the IMGs from the residency training, even his international branch the ACGME-I as he says is to accredit international programs in order to keep the IMGs outside the United States. With his extreme views about the IMGs, how can we be reassured that his accreditation process for the domestic residency programs is not fine-tuned to exclude the IMGs from the residency training as much as possible?. Again, I believe that for the sake of the fairness and for keeping the public trust in the ACGME Dr. Nasca should resign. Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-77670629012890329432017-09-05T10:01:19.958-04:002017-09-05T10:01:19.958-04:00The program directors as represenetives of the hos...The program directors as represenetives of the hospitals would shift the blame on Congress by enacting the BBA of 1997. They would tell you that Congress funded only 2 positions for the 3 students whom you mentioned and one of them has to be without position but they forgot that there were unmatched doctors before the BBA oF 1997 and Congress didn't tell them to keep qualified doctors out of residency. I think that until adult supervision by Congress or the court intervenes to make a reform to the GME, a better argument can be made that the 3 students above have 2 years of medical knowledge and 2 years of clinical rotations, much better than the physician assistant who has only one year of medical knowledge and one year of clinical rotations. If the physician assistant can practice medicine the 3 students above should be able to practice at least in the same capacity.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-32764595124570840322017-08-29T09:39:25.404-04:002017-08-29T09:39:25.404-04:00The argument of the Social Contract is legitimate ...The argument of the Social Contract is legitimate and strong argument and you can make it anywhere. But the best place to make it is in the court of law because only the court can enforce the Social Contract that you are talking about.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-13095108608729547852017-08-26T14:31:40.164-04:002017-08-26T14:31:40.164-04:00Very nice post.really I apperciate your blog.Thank...Very nice post.really I apperciate your blog.Thanks for sharing.keep sharing more blogs.<br /><br /><a href="https://horror-movienew.blogspot.com/" rel="nofollow">หนังผี</a>vaiyborahttps://www.blogger.com/profile/05095754542895387700noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-20001921029541236212017-08-26T14:20:19.394-04:002017-08-26T14:20:19.394-04:00Very helpful suggestions that help in the optimizi...Very helpful suggestions that help in the optimizing topic,Thanks for your sharing.<br /><br /><a href="https://horror-movienew.blogspot.com/" rel="nofollow">หนังผี</a>vaiyborahttps://www.blogger.com/profile/05095754542895387700noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-80986914059465847682017-08-26T12:23:28.204-04:002017-08-26T12:23:28.204-04:00Thanks for providing good information,Thanks for y...Thanks for providing good information,Thanks for your sharing.<br /><br /><a href="https://horror-movienew.blogspot.com/" rel="nofollow">หนังผี</a>vaiyborahttps://www.blogger.com/profile/05095754542895387700noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-43207854287437392472017-08-24T13:10:19.614-04:002017-08-24T13:10:19.614-04:00I think that the best thing to do for the U.S. unm...I think that the best thing to do for the U.S. unmatched doctors is to hire attorney for them to see if they have legal standing which I believe they do. It is obvious from reading your writings that you know the issue very well and passionate about it. Therefore you have the ability to explain it to the attorney so that he/she can take it from there. There are many interested parties, including civil organizations, in supporting the cause to the degree that it will not be a problem in raising the fund for the legal case. If you wait for the AMA and AAMC to solve the problem you will wait very long because the issue of unmatched doctors is the last thing on their minds.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-46065971590888345742017-08-22T12:20:05.508-04:002017-08-22T12:20:05.508-04:00The answer for your last 3 questions is: Because n...The answer for your last 3 questions is: Because no one represents the interest of the unmatched U.S.citizen IMGs. There is a lot of conflicts of interests in the medical establishment and advocating for increasing the federal funding of GME by the AMA and AAMC would not solve the problem. The interest of U.S. Med. GRADs is protected by the AAMC, AACOM, AMA and even by the Program Directors.<br />Even though 25% of practicing physicians in the US are IMGs, the IMGs, if at all, don't have %25 influence in the AMA and in the medical system as a whole.<br />The AAMC and AACOM don't want high matching rate of the U.S. Citizen IMGs because that would diminish their leverage in the market, the prospective med. student doesn't need them, he/she can enroll in med. school overseas and still can match. The unmatched U.S. Citizen IMGs have no association to protect their interest. At this point, only a good lawyer can represent their interest in the court of law. I believe that at least they can win easily the case of practicing medicine in a capacity similar to the capacity of physician assistant or nurse practitioner. Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-20176451932456724332017-08-20T14:10:54.328-04:002017-08-20T14:10:54.328-04:00The particular plans must are based upon a pc veri...The particular plans must are based upon a pc verification making use of frequent criteria, just like Step two results, to cut back how many software they will <a href="http://www.imresidency.net/our-services/internal-medicine-residency-cv/" rel="nofollow">internal medicine residency cv</a> evaluate.Mazibulhttps://www.blogger.com/profile/08180285508085425403noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-82974933127080390582017-08-15T23:31:48.887-04:002017-08-15T23:31:48.887-04:00There were unmatched doctors before the BBA OF 199...There were unmatched doctors before the BBA OF 1997. We can't ask Congress to throw money at the problem. The medicare funding for the GME of 1965 was meant to be temporary until the medical establishment would be able to get its acts together. The Congress trusted the medical establishment too much as it gave it to the "professionals" to take care of the GME. Congress could, for example, distribute the fund to the trainees as vouchers instead of paying the hospitals directly. At this point, I think that the only thing left is intervention by the judicial system to solve the problem.<br />The judicial system can be invited by a good attorney who can raise the profile of the problem and take it from "under the radar" to "on the radar" by building a class-action case on behalf of the unmatched doctors. Instead of being mortified and despondent, The unmatched doctors will be encouraged and optimistic if they are contacted by the attorney for building the case. Finally, I would hope that one post be devoted to discussing the prospect of intervention by the judicial system.Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.comtag:blogger.com,1999:blog-7132427796601033173.post-29358393631709276622017-08-09T12:21:07.452-04:002017-08-09T12:21:07.452-04:00I felt that I needed to make another comment.
In a...I felt that I needed to make another comment.<br />In a response to the recent Google engineer’s manifesto, Anita Hill said in an article titled "Class Actions Could Fight Discrimination in Tech" in The New York Times yesterday: "We can’t afford to wait for the tech industry to police itself — and there are few indications that it will ever do so".<br />The reason for mentioning that is that although the treatment of women in the Silicon Valley is different problem from the problem of the unmatched doctors they have the same venue for the solutions which is the judicial system.<br />As I mentioned in a previous comment the medical establishment, whether public or private sector, cannot police itself. There is something wrong in the GME system, how can they deny a qualified doctor from not only a path to license but also to employment by simple bureaucracy that there is no residency position to him/her?<br />How can physician assistant and nurse practitioner practice but unmatched doctor can't?<br />I strongly believe that with experienced lawyers not only the unmatched doctors can win justice in class-action lawsuit in the court of law but also the problem of shortage of doctors would be resolved and that would be good for the patient care and for the healthcare system as a whole.<br /><br /> <br /><br /> Jack Williamshttps://www.blogger.com/profile/16058408234852989136noreply@blogger.com