The ERAS Death Spiral

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  • เผยแพร่เมื่อ 31 ธ.ค. 2024

ความคิดเห็น • 38

  • @stoopadre820
    @stoopadre820 11 หลายเดือนก่อน +40

    This channel is seriously underrated. As a MS1, I have been more informed about residency and the AAMC through sheriff than anywhere else (even and especially my own school). From my arguably limited experience, no one more thoroughly informs and/or advocates on behalf of residency applicants/medical students than sheriff. Especially as I get closer to applying, I will be following this channel closely.
    Also, just thanks for calling out the AAMC. It needed to be done.

    • @sheriffofsodium
      @sheriffofsodium  11 หลายเดือนก่อน +11

      Thank you for the kind words. I’ve been talking about this stuff for a while now in various places (here, Twitter/X, my website, etc.), but one challenge I’ve found is that there’s a new group of people I’d like to reach every year (since new students come in, existing students match, residents finish residency, etc.). If something resonates with you, it definitely helps to spread the word.

    • @stoopadre820
      @stoopadre820 11 หลายเดือนก่อน +3

      @@sheriffofsodium For sure. In fact, I only heard about this channel because a med school friend who follows you on Twitter/X was answering a question I had at the time that I could not find anywhere else (details on matching with the new preference signaling & geographic preferences). I will for sure be spreading the word.

  • @idgit608
    @idgit608 11 หลายเดือนก่อน +20

    Always a good day when The Sheriff drops🎉

    • @sheriffofsodium
      @sheriffofsodium  11 หลายเดือนก่อน +2

      Thank you for watching.

  • @RuskieBlues
    @RuskieBlues 11 หลายเดือนก่อน +21

    Gotta love the vapid, shallow, corporatized announcement put out by the AAMC proclaiming their virtue, AND denying that the decision to lower their prices was in fact NOT a response to the lower prices of the OBGYN app service, but rather a favor to all of us students who are forced to use their overpriced services. Honestly it would be laughable if it weren’t so insulting.

  • @MusaMindset
    @MusaMindset 11 หลายเดือนก่อน +56

    All my homies hate the AAMC.

  • @elisabethdarcy1985
    @elisabethdarcy1985 10 หลายเดือนก่อน +5

    Bravo. So well stated. Thank you!

    • @sheriffofsodium
      @sheriffofsodium  10 หลายเดือนก่อน

      Thank you for watching. The AAMC definitely perceives a threat from OB/GYN’s new system. Earlier today I shared screenshots of a ‘Not for Distribution’ e-mail from an AAMC VP to deans, asking for their help to prevent “fragmentation” in the residency application process. It included attachments with talking points and even an e-mail template for deans to send to their faculty.
      x.com/jbcarmody/status/1765118274604314720?s=61&t=26I8DpCR65k8SG5Fx81zVg

  • @RuskieBlues
    @RuskieBlues 11 หลายเดือนก่อน +9

    Thank goodness. More competition is almost always a good thing. Love these videos - keep up the good work Sheriff 🫡🫡

  • @ysebasefue
    @ysebasefue 9 หลายเดือนก่อน +1

    thank you! will forever share, until we change it!

  • @avikohanzadeh3917
    @avikohanzadeh3917 10 หลายเดือนก่อน +1

    Very informative video! Thanks Sherif!

    • @sheriffofsodium
      @sheriffofsodium  10 หลายเดือนก่อน

      Thank you for watching.

  • @victorspitz9765
    @victorspitz9765 3 หลายเดือนก่อน

    Sheriff, please make a video about how all of these corporations came about… I think you’re the only person in this game that can enlighten us medical students and residents on why we have so many different fronts for medical education: AAMC, NRMP, NBME, AACOM, NBOME and the list goes on…

  • @Adductor_Magnus
    @Adductor_Magnus 11 หลายเดือนก่อน +7

    Love your content!! Has anyone ever commented on the high-pitched ringing sound in the background of your videos? I wonder if there is some way to remove this on your end! I often only make it halfway through your videos because it drives me crazy. Just wanted to give some constructive feedback!

    • @sheriffofsodium
      @sheriffofsodium  11 หลายเดือนก่อน +2

      Yes. And I’m sorry. I’m sure it’s obvious that I’m just a guy with opinions who makes videos - not anyone with any particular AV expertise. I need to find a new microphone that will work with my iPad.

    • @ArgzeroYT
      @ArgzeroYT 11 หลายเดือนก่อน +3

      @@sheriffofsodium Could get an editor for the videos. I'd guess a TH-camr out there could probably refer you to one.
      Some comments on the audio at least: a new mic alone is not going to be enough. You will need to record in an environment without that environmental sound, filter it out, or use some tools to make the mic pick up your voice well above the background for easy editing. Some of the noise can be removed using a free program called Audacity. You need a few seconds of the background noise alone with no other sounds alongside your recording at the same amplification. Use the Noise profile tool.

    • @sheriffofsodium
      @sheriffofsodium  11 หลายเดือนก่อน +2

      @@ArgzeroYT Thank you for what, I’m sure, is good advice… though I’m gonna be honest, most of what you said sounds like it’s beyond my level of technical expertise.

    • @ArgzeroYT
      @ArgzeroYT 11 หลายเดือนก่อน

      There's the easier option of renting a recording studio and having someone do the technical work for you.

  • @tifi29
    @tifi29 2 หลายเดือนก่อน

    I'm one of those students who got the Fee Assistance Program discount for ERAS bc I was approved for FAP during the AMCAS application. And I will says that not that many of people qualified for the FAP and that's pretty evident based on the fact that almost 75% of applicants come from the top 2 highest family income quartiles. So even though this program is good, it only impacted a tiny portion of the overall applicant pool given that there's such little number of applicants from low-income/working class backgrounds.

  • @jjjjjjjyang
    @jjjjjjjyang 8 หลายเดือนก่อน +1

    If a specialty like OB/GYN leaves eras and they pocket application fees themselves, do they spend their revenue on different items as well (such as spending money on their own specialty’s interests)

    • @sheriffofsodium
      @sheriffofsodium  8 หลายเดือนก่อน +1

      Good question. Just like with ERAS, the profits go to the parent company (AAMC), not the programs. So the financial beneficiary of OBGYN’s new system will be Liaison International, which is a for-profit entity with private equity backing. I believe the OBGYN PDs feel strongly about keeping costs down, but they may face pressure if the product is successful.

  • @user-ib8qh5jr8m
    @user-ib8qh5jr8m 2 หลายเดือนก่อน +1

    AAMC had little progress if you can call it that over the years due to a gigantic shitshow of constant re-orgs, terrible business logic, unwillingness to collaborate, piss poor upper management, a bunch of MBAs that have no idea how to run a business let alone an important non-profit organization, corporate greed, internal politics, and the list goes on.
    Anyone trying to improve things would be swallowed in politics (don’t sway out of your lane!), resource constraints, resistance to changing the status quo, meetings upon meetings, outdated technology, etc. Anything you can think an inefficient business does the AAMC does it in spades and C suite seems to be proud of it for some reason.

  • @ArgzeroYT
    @ArgzeroYT 11 หลายเดือนก่อน

    The existence of competition is great and all but the "price the market will bear" is already too high. Any business person looking to cash in on this will not give it for a substantially lower price because they have little incentive to do so and there'd be issues of price being so low it might create a legal issue.

  • @AshutoshUpadhyayaisgeeky
    @AshutoshUpadhyayaisgeeky 11 หลายเดือนก่อน

    If all specialty start having their own application portal, will this not encourage candidates to apply multiple specialty as they can chose what part of their experience they want to show to whcih specialty. I am talking from IMG perspective who mostly apply 2 or more years after completing medical school.

    • @anneclinton2928
      @anneclinton2928 11 หลายเดือนก่อน

      Personally, I think it’s more likely that specialties just jump ship to one or a few services (the service OB/Gyn is going to, San Francisco Match, maybe another one or two pop up). I doubt we’ll see, say, a whole service dedicated to derm - there just aren’t enough applicants in many specialties to make it a sustainable model.

  • @EndoExcision
    @EndoExcision 11 หลายเดือนก่อน +1

    I gotta say Atul Grover was the most dismissive of criticism of anyone I’ve ever talked to at AAMC. Skorton isn’t really responsive at all and that’s part of the problem.
    It’s time AAMC went down too. Their salary data is bogus and is used to artificially limit physician compensation too.

  • @ysebasefue
    @ysebasefue 9 หลายเดือนก่อน

    id bet the aamc will resort to cyber attacking new systems around critical dates

  • @DiosMios915
    @DiosMios915 11 หลายเดือนก่อน +8

    They take enough money from poor medical students

    • @Doc4_life
      @Doc4_life 11 หลายเดือนก่อน +1

      The price is for all students, not a difference made if you are a poor student or not.

    • @ArgzeroYT
      @ArgzeroYT 11 หลายเดือนก่อน +5

      @@Doc4_life My guess is they meant in the sense of being taken advantage of rather than financially rich or poor but med students in general give a lot of money to their schools to go after already paying for undergrad. Its not that strange to assume many of them have debt of some kind.

  • @ArgzeroYT
    @ArgzeroYT 11 หลายเดือนก่อน +5

    "Coincidence" is laughable.

    • @sheriffofsodium
      @sheriffofsodium  11 หลายเดือนก่อน +5

      They’ve been working on it for two years, Sir

    • @ArgzeroYT
      @ArgzeroYT 11 หลายเดือนก่อน +2

      Definitely should raise an eyebrow or two

  • @Heropsychodream
    @Heropsychodream 11 หลายเดือนก่อน +2

    I'm definitely concerned about obgyn's application system. They've been pretty quiet about it and they have conflicting information about it on their FAQ page. If it has any issues, you bet ERAS will jump on that as evidence that it's better to stay with ERAS. As a medical school admin, I've been disappointed that they aren't using this spring to lay out instructional materials to help us help our students. For how much ERAS sucks, they at least provide plenty of opportunities to applicants and schools to learn to use their service.

    • @DrBorev
      @DrBorev 11 หลายเดือนก่อน

      Agreed. I'm not sure many OBGYN programs are going to actually switch over, at least not in the first year. People need to test it first. Why would they risk it?

    • @anneclinton2928
      @anneclinton2928 11 หลายเดือนก่อน

      How well this new launch goes will likely influence ERAS’ future - if it’s a disaster, my guess is a lot if specialties will chose to stick with the devil they know. For the sake of my best friend applying in to OB, I hope it goes well.

  • @mindango4092
    @mindango4092 9 หลายเดือนก่อน +4

    If the AAMC were using that huge profit margin and net revenue from ERAS to advocate for physician compensation and health care reform, I could get on board with it. The fact that they ship it straight to executive compensation is not surprising but still disappointing.
    @sheriffofsodium1005 If you had the power to allocate the funding that the AAMC had, how would you spend it?