FACT POLICE: Residency applicants and residency positions
ฝัง
- เผยแพร่เมื่อ 18 ต.ค. 2024
- Are there enough residency positions for all U.S. medical graduates? Is the number of residency positions growing at the same rate as medical school enrollment? The answer to both of these question is “yes” - but if you hang around online, you’ll meet people who will lead you to believe otherwise.
In this video, I’ll perform my constabulary duties as the Sheriff of Sodium by fact-checking the actual numbers of residency applicants and residency positions as well as the growth rate of GME.
NOTES:
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MUSIC:
“Clutch,” by Nicolas Major.
A man who presents his findings with DATA
Thank you for your amazing videos
Thank you for taking the time to watch (and for the kind words).
There are more residencies but many of them are extremely toxic because they fill their classes with desperate IMGs, so it’s not like U.S. graduates are being picky, they’re simply looking for residencies that will actually train them instead of abusing them as cheap labor.
I’m not sure I agree that toxicity is the reason U.S. medical graduates avoid certain programs - I’m sure there are very supportive family medicine programs that nonetheless get zero interest, for instance. But I think your general point - that all residency positions aren’t equally desirable to applicants - is absolutely true, so there will be ruthless competition over the limited number of Ivy League dermatology positions and IMG-friendly community internal medicine positions (just between different segments of the applicant pool).
Thank you for such detailed video. As a medical student from Ukraine it is really useful to hear about the US approach to residency system and process of matching.
Actually, we will be having some sort of match system introduced in Ukraine next year, so no one knows what to expect, but there are lots of similarities as I can get from your video.
Interesting fact, that our standardized testing system was developed with the US assistance at the end of the 90s, and our tests even are named krok, which translates literally as step.
What i love about your videos is data.. pure 'beautiful' data
I think something to consider is how many of those residency spots are only PGY1 positions, isn’t there 1000s more PGY1 spots then what is needed for the number of advanced spots
Hey sherif ,amazing breakdown on so many important facts. Can you give us your two cents on how step 3 could influence the match in the upcoming years ,as I see many imgs are taking the exam now before the match. (I’m not sure if u have been following the recent quarrels on twitter about this same idea which was made by some Pds!)
Great question… I actually decided to answer it in my latest Mailbag! I’ll put the link below, but the short answer is that it’s hard to see USMLE Step 3 becoming an important factor in selection since the only applicants who will have a Step 3 score at the time they apply for residency will be international medical graduates. You won’t be able to use Step 3 to compare U.S. medical graduates to IMGs - only IMGs to other IMGs. I’m sure there are some programs who will value Step 3 scores - such as the one you mention from Twitter/X - but I can’t see it becoming a major factor.
Here’s the new Mailbag:
th-cam.com/video/co05HNjJUPQ/w-d-xo.htmlsi=H106mYSbfWn6XdMc
Where is your video on the physician shortage rebuttal ? Very interesting vid thanks
Why should foreign IMGs be treated the same as US citizens? Why does it have anything to do with Diversity?
IMHO, US should and must enhance its educations, especially medical schools, so that there will be more US MD and DO seniors and US citizen IMGs to join the work force. Then qualified foreign IMGs can come in and fill in the gap. This is current US migration policy for all other jobs. Am I wrong here?
Great video 👌
Thank you for watching.
Many academic medical centers may strive for diversity in their residency class and then automatically screen out all international medical graduates.
“We’re deeply committed to increasing diversity among residents in our program.”
[IMGs apply]
“No, no, not like that!!!”
Well yeah, it's not really fair for the US students who worked their asses off in undergrad, and then take out hundreds of thousands in loans for med school, if IMGs are treated equally. Those people who may have entered med school easily at 18 after high school, and have no or low tuition fees. It's reasonable to give US students preference, especially because the US is quite diverse on its own.
IMG's aren't treated equally anyway, generally speaking, a PD will pick a USMD/DO over an IMG easily. @@Mein_KampfyChair
@@Mein_KampfyChairwhat country offer free medical education?
Why should foreign IMGs be treated the same as US citizens? Why does it have anything to do with Diversity?
IMHO, US should and must enhance its educations, especially medical schools, so that there will be more US MD and DO seniors and US citizen IMGs to join the work force. Then qualified foreign IMGs can come in and fill in the gap. This is current US migration policy for all other jobs. Am I wrong here?
Does the 1997 act implies that new programs accredited after this date are not paid by medicare (for ex resident salary)?
Missing fact: there are non-US medical schools that receive US federal loans. These graduates have worse match outcomes than US graduates.
Whether that should be addressed via more spots or other policy changes is another point of discussion.
Excellent point. I’ve thought about doing a post on how that policy came to be.
@@sheriffofsodium please do a video on this. I am hoping to write a policy paper on this in the future. Any additional insights would be very much so appreciated.
The match should be run twice. First for us md do students . The remaining spots in a second run for all other candidates
still sounds like it would run afoul of the 14th Amendment by the same logic that is made in the video.
This isn't really needed. No offense to IMG applicants, but a USMD/DO has to be a pretty bad candidate to get passed over for an IMG.
Tell me you didn't watch the whole video without telling me you didn't watch the whole video