How the Medical Residency Shortage began, its unintended consequences, and what we have to do to FIX IT...
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Biography
I thought I was “retired”.
I turned 66 years old, the kids were raised, and the mortgage paid. I was planning to “coast” for the twilight
years of my life. But then something
inconceivable came to my attention.
Something that would cause me to undergo one of the steepest learning
curves of my life! Suddenly, “coasting”
was no longer an option.
I have heard the intricacies of resident applicants, their extra credentials and life experiences, and how the candidates were ranked in the National Resident Matching Program. I would await the results of the “Match” and hear how far down the rank list the program had to go for their matches. And then there were the “unfilled” slots which were filled by a “Scramble” (before S.O.A.P.), and many phone calls to fill the remaining slots. So this topic is very familiar to me.
In the course of my research, I have come to realize there are a lot of misconceptions about the residency shortage. Many doctors who are aware of the residency shortage just say, “Let them re-apply next year…” or “They must not have been a strong candidate…”
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It is a classic case of
bureaucracy where the right hand does not know what the left hand is
doing. In 1997 the Federal Government’s
“Balanced Budget Act” put a freeze on Medicare reimbursement for medical
residency training slots. Yet, with a projected
doctor shortage of up to 90,000 physicians in the next decade, the number of
medical schools was INCREASED. What a surprise! The number of medical schools increased at
the same time as the number of required post-graduate training slots was REDUCED! This catastrophe has left more than 40,000
graduate doctors, over the last 5 years alone, with no where to go!!
These unmatched graduate doctors
fall into a “limbo” where they cannot complete their training. They cannot obtain a medical license without
a residency. They can’t even work as
Physician Assistants! Their school loans
are due, an average of $180,000, with no viable means of employment. They are in a real “Catch 22”.
And we, the American public, are
in for a real surprise as we age with the impending doctor shortage!
This blog is designed to educate
the public about this travesty. It is a
call to action to those who can help rectify this ongoing catastrophe. The voices who can help include: State and US Legislators, State and National
Medical Societies, US and Foreign medical school deans, Residency Directors,
Medical students, Physicians, Public Health Departments, and finally the MEDIA.
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