Hey hey HEY. These people who get rich off of this NEED to buy more yachts, Okay?? Stop being so SELFISH. Think of their empty wharves and shipyards! You need to get right with the lord, pronto. Now give us your money.
Fun fact: In 2002, a brave few medical students filed suit against the AAMC for running what was essentially a monopoly on applying to residency positions. That suit was tossed in 2004. Why? Congress added a last-minute rider that exempts the AAMC from antitrust action to a must-pass pension bill. So the AAMC is a legal monopoly supposedly for patient safety. Happy ERAS day everyone!
Wow, it's almost like the wealthy elite own the US government and deliberately influence its policymaking to prevent average people from accumulating wealth or enjoying their alleged freedom.
How the hell was Congress allowed to do that?? What differentiated AAMC from any other monopoly, legally speaking, that allowed them to straight up exempt them from the law?
Non-profit is often a code word meaning that you want someone to pay you for your pet project or hobby which would not make it as a bona fide business.
It's been known for years nonprofits can easily turn into scams. It's usually in a fundraiser-like form like a local establishment that pitches a specific cancer a local had.
Yeah, it's truly unfortunate. I think the B-corp hybrid model is ultimately the most constructive since it seems to generally involve more accountability than filing as nonprofit does (depending on where you do it, I assume). All my best dreams for how to help people & save the world are based mostly on playing the for-profit game & just using profits for good 🤷 so B-corp all the way for me lol
SOMEBODY SAID IT. I swear so many attendings just have amnesia about what med school and residency was like. Even young ones who’ve been out for only 5-10 years. My husband had to save up credit card points for the four years of med school to pay for travel expenses. Had to get a loan from family to cover ERAS applications. Thank you, Dr. G, for still remembering the residents who are still going through the system.
In Germany, where University only costs 300€ per Semester, most of which is the subsidized student ticket for public transport, we apply for "residency" just like for any other job, because that's what it is. It's so weird to me that you have to pay an agency in order to apply for a job.
It's worse, you pay exhorbitabt sums to this same company to even take the test to get into med school (after already entering debt to finish a bachlor's). You also have to pay them for the test materials, and practice questions.
@@eneveasi "The new guy made us think about our greed" "So what, how do you think we are drinking only the finest of Champagne?" "You are so right my friend* *crab rave party begins*
I'm literally filling out my ERAS application now, wondering why in the world I have to pay so much money to potentially not even land a spot in residency. My entire tax refund is going to residency applications, and I have to figure out how to budget the pitiful remainder so my family can still eat for the rest of the semester. Not to mention travel costs for interviews, paying double rent while I do away rotations, traveling back to campus 12 hours away for an OSCE... Happy ERAS day. *sad kazoo noises*
Just keep your eye on the prize. After residency you'll be at least in the top 5% of income earners or even top 1% if you can land a speciality paying over 450k
@@mustang8206 That's all well and good for the future, but I'd like to not have to choose between applying to another program and buying a box of diapers for my kiddo.
Hopefully one day you have 10 million subscribers to start putting some pressure on the healthcare industry to change. Then of course, respectively, once you get to 100 million followers, you can take over the world.
Assuming that not every subscriber comes from the US, I don't think 10 million subscriber will be enough. Don't worry, we only need more subscribers (20 million subscribers, for example) and more examples of other countries shitty application systems xD
@@DGlaucomflecken while you're at it, can you please do more with rheumatology? Autoimmune patients need your brand of straight-shooting humor that illustrates what's wrong with the system too!
@@chrissih.4068 I think the viewer demographics are probably more meaningful with Dr. G than other TH-camrs/influencers out there. I'm just guessing that the average age of the audience member is like 10 years older than most other TH-camrs and we have a little more say in our society than kids. Maybe? That's just a theory anyways.
First year intern, borrowed $600 from family that didn’t have it, put some in credit cards too. Spent the first couple of months of residency trying to dig myself out of that hole. Completely agree with this
Don't forget the money spent to then go fly to interview at each place. Other than a few specialties (thank you peds), most places won't pay for your lodging the night before either. Then there's NRMP! You have to pay them to rank even a single program. As a good friend said, it's like going to the store for milk, paying the farmer because he milked the cow, then paying the store because they have the milk, and then paying the clerk to sell you the milk, each with their own bill.
So are interviews back in person again for residency? I know that for IM fellowship programs everything is basically still virtual which saved us a TON.
Just in case anyone wondered: if you apply for 31 or more programs you'll pay $26 EACH just to apply. That means you'll pay at least $806 just to apply. Then you'll have to pay for travel if you are interviewed, and with far more applicants and interviews than accepted residents, prospective residents usually go to ALL the interviews. Current guidance is to apply to 100 to 200 programs and you might get 10 interviews. That's maybe $15,000 for what is described as a "reasonable" chance to be accepted into a residency program. And if it doesn't work out you get to do it all again next year... Our system is crazy...
Even high school kids wanting to apply to a number of good colleges to increase their chances of getting into one easily spend over $1000 on application fees, including me.
It's even better when you have places like Goodwill who have the 'not-for-profit' tag, which is just a tagline and not a legal label. All the marketing for 'non-profit', none of the restrictions.
So relevant. As a foreign med graduate, even harder to pay in US dollar but need to apply more programs to have more chance to get accepted. So brutal system.
Dr. G, you get how our system works so well, and call it out for those who don’t know. Thank you!! And great point on non-profits. No different than for-profits!No share holders, but just internal stakeholders that profits go to.
Medicine was just one big trauma. From the overnight calls, the malignant surgical housestaff, the giant student loan, the sad nursing home realities, the hospital administrators, the 15 min/visits, etc. I can’t even.
4th-year med student here. Anytime I go over the magic number 30, I start worrying about how much each added residency program will cost and how many ramens I have to buy to last each day.
Can you explain this to me. Don't you only get interviews at residency programs if you do well in your rotations, and do well on your shelf exams. I'm not in the medical field. Just what I have pieced together from bits of info here and there? If so I thought u do like maybe 5-10 rotations a year, in 3rd and 4th year where are 80 possible programs coming from?
@@moneybuas4942 You do those rotations at your home medical school's hospital(s), but when you apply to residency programs, you are applying for postgraduate training at many programs outside of your immediate area, often across the whole country. Your rotation/shelf scores are just your grades, just like your school grades, your college grades, etc. The 2 have absolutely nothing to do with each other.
"You can still bonus your executives however much money[word not in subtitles] you want." I was expecting "That's a great idea!" as a response and not acknowledging one's greed.
I was also expecting, "Wait. We get bonuses?" That's because he's one of the executives none of the real executives likes and thus gets no bonus. Plus he's the public face punching bag the resident doctors and nurses can use to loose their anger and frustration on rather than the important executives because that's what peasants are for. Why else would he be honestly answering questions about the system if he didn't have to?
My husband and I were just discussing this with school. Our daughters paid for their 2 years of junior college and we took out the loans for the last 2 years to get one her BSN and one who is unsure right now. She wants to be a radiography tech. 2 years of more school. I think we are going to be poor forever. My husband said how can we do that to them because they will spend the rest of their lives in debt. So instead we get to spend the rest of our lives in debt.
I'm so sorry for my colleagues in the US! Here I am, a German med student from a working class background, who just spend a whole frustrating week filling out the government student financial aid forms. That might be an annoying task, but they'll lend me enough money to live and eat while studying. They have no interest charges and cap my dept at 10.000€. And paying for applying for Residency??? Man, I'll just write applications like for any other job.
In India I paid 6$ a year for med school I think. It is government sponsored. Post graduation I got paid though it was not a lot. Never had to pay a big fee for applying for anything. There is a tough entrance exam for everything but we put our heads down and put the work in as do all med students all over the world do. Makes me sad that in first world countries young people are put through so much strain for something good.
Applied to 72 programs for around $1500. Insane that it started spiking after 25 or so just to push some more electrons around. I estimate the cost of residency application including travel was around $8000-10000. To then work 80-100+ hour weeks, oftentimes being yelled at and feeling belittled as an intern/ junior resident. And all the while cranking up almost 6% interest on school loan debt.
There was a time I wanted to be a doctor. But then I researched. Too many suicides, too many "medical" agencies bending over medical students and doctors. (They arnt protecting against mid-level creep. Some of the people training midlevels are doctors.) The residency hours are insane. Makes sense since the program was essentially created by a coke-head. Fyi, I got mad respect for you folks. Y'all been through the ringer and most of you make it out. I just feel some of that suffering is unnecessary.
I'm sorry that you and the other young doctors are so exploited, Bill, by a corrupt system. God bless you and free you from debt soon. Don't give up. You are helping many people. US system needs to change. Japanese model is the best I've found.
I'm sorry the US system is so corrupt that hundreds of qualified young doctors do not have a residency program. Hang in there. You will be helping many. Keep your chin up and God bless you, friend.
The sad thing is it’s even worse for med school applications and then they have you pay a secondary application fee for many of the schools just to reject the application before even interviewing.
I'm a older med student in Denmark. The set up is very different. Residency is a job you apply to and there for need a CV that matches. I'm on my neurology rotation now. They say it takes about 5 years after med school to build a CV that gets you into neurology. Most do a PhD to get in..
My sister in law here in Jamaica got a scholarship to med school in China, was there in the middle of COVID-19 pandemic spent the last year in Zambia being harassed by Attendants, and home now studying for her residency application for the US and I really thought hard after watching this video
I was an international medical graduate. I applied to over 200 programs. I matched but it cost me dearly. Financially. But really, can you do a video on EPIC or the situation that is the terrible electronic health record systems that we're forced to suffer? Because they drive me absolutely insane and it seems the execs behind them are no less corrupt. They need a hazing.
I paid $3958.50 for applications this year through ERAS. I was also forced to a $455 English exam by ECFMG where the speaking test was conducted by a non-native English speaker. I'm born/raised in Canada and previously worked in healthcare in Canada for well over 10 years, pretty sure my English is fine. $925 for ECFMG to certify me for the exams they told me to take, $80 for ERAS to receive and process my USMLE marks, $70 to register for NRMP, and the list goes on. I never imagined this level of predatory greed from the organizations that masquerade as our advocates prior to entering medical school.
Very good! It's so interesting to me how you can get a message across while making us laugh! Now that I think of this issue..college apps are the same way....never mind the SAT and ACT. Thank you!💙😂😂
Bob 1: "So... what you do here is you take the applications from the graduates, along with their money, and you send 'em out to the residency programs." AAMC: "Ye, yes, that's right." Bob 2: "Well then I just have to ask: why couldn't the graduates just send them directly to the residency programs?"
"Because!" "Fair enough!" I visualized this with the Pitch Meeting characters somehow lol. Our boy Glauc is great, but one of Ryan George's wide-eyed pauses just makes such a great fit for this theme 😆
PLEASE, a skit about the ECFMG. after cancelling Step 2 CK, they replaced it with OET as a language proficiency test, AND $925 to certify (temporarily) for the match season. They made the certificate temporary (unlike before), and now you will just have to repay $925 when/if you needed to reapply or just decided to not apply this year.
Wow. That may be one of the most financially predatory things I've ever heard of. And I'm saying that as an unhoused person & major geek about public services & public health in my & other chronic trauma populations ... so I have a lot of basis for comparison when it comes to shocking predatory practices lol. Wow
I know his sketches are top-notch and fucking hysterical, but it's also nice to FINALLY have someone casually yet effectively exposing how messed up the American medical system is.
I’m a nurse with a potty mouth (it’s a prerequisite in college): THAT IS SO F#%ED UP TO DO THAT TO YOU GUYS🤬 For nurses, after we’ve completed two years of prerequisites, we are encouraged to apply to as many good programs as possible and I don’t even think I paid an application fee. If I did, it was like $30. It’s been so long I can’t remember
Well played sir. Between this, MOC requirements, professional organization fees, and so on, and so on - it’s all more examples of Bloated American Healthcare system costs as the house of cards continues to collapse
Public health students also have to apply to grad schools using SOPHAS. It’s another monopoly. And you have to pay hundreds for each school you apply to.
here in Spain, my fellow doctors and I, are always complaining about the low salary of a doctor, compared to the USA. Around 3,000-4,000 € per month, depending on specialty, shifts, or extra hours... Enough to live comfortably in Spain. We always forget that we can study medicine in quality public universities for around 6,000-7,000 € for a full degree. Then, we pay about 90 € to take a national exam to choose residency, no interviews, no influence peddling. Once working, no prior authorizations, no economic restrictions on tests and treatments for patients who need it. So God bless the tax-financed Welfare State and the Public Health Sistem. I really hope you can get them one day in the USA.
I think the equivalent service in Australia (PMCV) is free (at least for nurses, nurses use the same system for their graduate year). But there is a limit to how many places you can apply.
We dont pay for residency application and some training hospital even give applicants pocket money.. but then again we are in the philippines and healthcare sucks..
Excuse me what ?! Not only do you have to pay in the US for med school, but on top of that to apply for residency ?! That is so foreign and shocking for me, I’m a med student in France and basically everything is free in those studies. For us only the grades count on choosing our speciality, the better you are the better are the chances that you can have the speciality and the city you want. That’s all.
man this is really starting to make me wonder how there are even remotely enough doctors in america? Not just this of course, but the no sleeping crazy hours perfect grades 100's of thousands in debt as a normal etc. It's like the system tries really hard to prevent anyone from making it through sane and semi-healthy. Why is not sleeping such a normal thing? Isn't it dangerous to do certain things when you haven't slept in 24+ hours or only get 2 hrs a night?
I remembered filing 300 applications in the first year. Didn't get a residency though. Nor the 2nd year, nor the 3rd year, and so on. I realized I was dumping literal tens of thousands every year into what is essentially a death spiral and got out. Haven't applied for like 5 years now. :D
New guy is such a party pooper! lol. All jokes aside, the system for everything is insane and terrible. Don't even know if there's a way to fix it, though.
LOL. I try to explain to my non-medical peers the level of greed involved in the medical field. Paying hundreds for study material and exams. Students paying hundreds to thousands to take a test prep course, taking out small private loans to travel to interviews (pre-pandemic), and paying to apply for a job. Preparing for exams that show stronger correlations with socioeconomic status than how good of a physician you are. Feels like it was designed to keep the rich kids in the more selective/higher earning specialties. Oh well, I guess that’s what I get for being from a poor family 🙃
Holy crap you guys have an insane system! I had no idea. It's absolutely obvious that system would never cost so much even in it's first year of operation. The land of the free (capitalism) strikes once again.
The 'greed' line was beautiful! I got all the context necessary, from the clip, but reading the comments - what is WRONG with the US? It's like the system is designed to actively _discourage_ people from becoming doctors! Don't you WANT them? It's insanity piled on insanity - the more I learn, the more horrified I become!
For 2021, according to AAMC, average public med school graduate debt is $194,280 and $218, 746 for private med school graduates. Hmmm, Japanese public medical school graduates pay $36,000 total for six years of post-secondary med school.... And the Japanese people have the best longevity in the world and their healthcare cost are 1/2 to 1/3 of American profit-driven healthcare. Time to change American healthcare to common good not phony non-profit. Thank you for bringing up the corruption of health insurance companies and med schools, Glauckomflecken! God bless and heal you.
The whole Match is a warped system set up for the benefit of everyone but the applicants. Just saying. I went through it 30 years ago. I hoped there would be something better by now.
"the new guy made us think about our greed", yea, I cant see that happening, they would never think they're greedy
But they really NEED that second home on the coast. It’s an investment!
Hey hey HEY. These people who get rich off of this NEED to buy more yachts, Okay?? Stop being so SELFISH. Think of their empty wharves and shipyards! You need to get right with the lord, pronto.
Now give us your money.
@@sopyleecrypt6899 Well, you have a point, they really need that money...
Correction, they just wouldn't feel bad about it if presented to them.
Ascension has enter the chat. The billing department staff is a chimera of half Mafioso and half Yakuza.
Fun fact: In 2002, a brave few medical students filed suit against the AAMC for running what was essentially a monopoly on applying to residency positions.
That suit was tossed in 2004. Why? Congress added a last-minute rider that exempts the AAMC from antitrust action to a must-pass pension bill. So the AAMC is a legal monopoly supposedly for patient safety.
Happy ERAS day everyone!
what
the
fuck
It just gets better and better, doesn't it.
Wow, it's almost like the wealthy elite own the US government and deliberately influence its policymaking to prevent average people from accumulating wealth or enjoying their alleged freedom.
How the hell was Congress allowed to do that?? What differentiated AAMC from any other monopoly, legally speaking, that allowed them to straight up exempt them from the law?
@@huntermagnuson8062 Short answer? Lobbying
Finally! Someone mentions why not for profits are not inherently moral!
Rarely moral. Just a different mechanism of profit handling.
Non-profit is often a code word meaning that you want someone to pay you for your pet project or hobby which would not make it as a bona fide business.
It's been known for years nonprofits can easily turn into scams. It's usually in a fundraiser-like form like a local establishment that pitches a specific cancer a local had.
I would argue the most corrupt. Wolves in sheeps clothing. At least for profits are honest with their intentions.
Yeah, it's truly unfortunate. I think the B-corp hybrid model is ultimately the most constructive since it seems to generally involve more accountability than filing as nonprofit does (depending on where you do it, I assume). All my best dreams for how to help people & save the world are based mostly on playing the for-profit game & just using profits for good 🤷 so B-corp all the way for me lol
SOMEBODY SAID IT. I swear so many attendings just have amnesia about what med school and residency was like. Even young ones who’ve been out for only 5-10 years. My husband had to save up credit card points for the four years of med school to pay for travel expenses. Had to get a loan from family to cover ERAS applications. Thank you, Dr. G, for still remembering the residents who are still going through the system.
Not amnesia per se, but "motivated reasoning is a helluva drug" as my grandmother would say.
In Germany, where University only costs 300€ per Semester, most of which is the subsidized student ticket for public transport, we apply for "residency" just like for any other job, because that's what it is. It's so weird to me that you have to pay an agency in order to apply for a job.
It's worse, you pay exhorbitabt sums to this same company to even take the test to get into med school (after already entering debt to finish a bachlor's). You also have to pay them for the test materials, and practice questions.
The only unrealistic part is cancelling the party.
I thought so too. They wouldn’t care so much
@@eneveasi
"The new guy made us think about our greed"
"So what, how do you think we are drinking only the finest of Champagne?"
"You are so right my friend*
*crab rave party begins*
@@gandalf_thegrey Ahahahaha totally xD
I'm literally filling out my ERAS application now, wondering why in the world I have to pay so much money to potentially not even land a spot in residency. My entire tax refund is going to residency applications, and I have to figure out how to budget the pitiful remainder so my family can still eat for the rest of the semester. Not to mention travel costs for interviews, paying double rent while I do away rotations, traveling back to campus 12 hours away for an OSCE...
Happy ERAS day. *sad kazoo noises*
Just keep your eye on the prize. After residency you'll be at least in the top 5% of income earners or even top 1% if you can land a speciality paying over 450k
Wishing for you to find a happy match in the process! **Happy Kazoo noises?**
@@mustang8206 That's all well and good for the future, but I'd like to not have to choose between applying to another program and buying a box of diapers for my kiddo.
How much does it cost?
And give us your Venmo so we can help?
Hopefully one day you have 10 million subscribers to start putting some pressure on the healthcare industry to change. Then of course, respectively, once you get to 100 million followers, you can take over the world.
Almost there!
Critical mass is a very tiny percentage. It only amounts to about a million or so people. We can all affect great change if we work together.
Assuming that not every subscriber comes from the US, I don't think 10 million subscriber will be enough. Don't worry, we only need more subscribers (20 million subscribers, for example) and more examples of other countries shitty application systems xD
@@DGlaucomflecken while you're at it, can you please do more with rheumatology? Autoimmune patients need your brand of straight-shooting humor that illustrates what's wrong with the system too!
@@chrissih.4068 I think the viewer demographics are probably more meaningful with Dr. G than other TH-camrs/influencers out there. I'm just guessing that the average age of the audience member is like 10 years older than most other TH-camrs and we have a little more say in our society than kids. Maybe? That's just a theory anyways.
Ohhhh, I feel this pain! Just spent $1900 on my 80 applications. Keep your fingers crossed for me!!
Good god
That's disgusting. 🤢
Best of luck
Good luck 🦄
Good luck! I hope you get the assignment you want.
Was just talking about this with a friend about this. She's applying to ~100 programs. That's $2339 she has to spend to APPLY FOR A JOB.
First year intern, borrowed $600 from family that didn’t have it, put some in credit cards too. Spent the first couple of months of residency trying to dig myself out of that hole. Completely agree with this
Don't forget the money spent to then go fly to interview at each place. Other than a few specialties (thank you peds), most places won't pay for your lodging the night before either. Then there's NRMP! You have to pay them to rank even a single program. As a good friend said, it's like going to the store for milk, paying the farmer because he milked the cow, then paying the store because they have the milk, and then paying the clerk to sell you the milk, each with their own bill.
This is the perfect analogy to why health care in the US is ridiculously expensive.
Well when you think about it you are paying for all those things when you buy milk it's just one bill
So are interviews back in person again for residency? I know that for IM fellowship programs everything is basically still virtual which saved us a TON.
@@BN-cr5bh We still don't know. Each program has the choice to go with virtual or in-person interviews, most haven't announced it yet.
@@mustang8206 Now imagine you have no guarantee of even getting milk at the end of the transactions.
Just in case anyone wondered: if you apply for 31 or more programs you'll pay $26 EACH just to apply. That means you'll pay at least $806 just to apply. Then you'll have to pay for travel if you are interviewed, and with far more applicants and interviews than accepted residents, prospective residents usually go to ALL the interviews.
Current guidance is to apply to 100 to 200 programs and you might get 10 interviews.
That's maybe $15,000 for what is described as a "reasonable" chance to be accepted into a residency program.
And if it doesn't work out you get to do it all again next year...
Our system is crazy...
As a current 4th year, this video literally made my stomach drop IMMEDIATELY when he said ERAS opened today (it's the 28th everyone, false alarm!! 😅😅)
Why are people saying they just sent their applications?
@@hausofjulian You can submit applications before the 28th but residencies can't see them until the 28th
Same!! My hear skipped a beat when I saw it and I frantically searched for a calendar.
@@1lovlyK oooh got it
Why does it matter if you have them in on the first day? Don’t interviews take months to complete?
Jeez I had no idea you had to pay for applications in the US. And I thought the UK application system was terrible 😭
Even high school kids wanting to apply to a number of good colleges to increase their chances of getting into one easily spend over $1000 on application fees, including me.
Wait what.
You pay for everything in the US - they love fees. I just paid a $150 “administrative fee” to pick up the keys to my new flat lol
@@pipariini That's disgusting, somehow it's become a new way to inflate the prices of everything (tickets to events more and more recently too)
it is the same everywhere, even in Africa where I live. it is also getting harder to find slots.
Always amazes me how much people are tricked by "non-profit" tag in a company.
It's even better when you have places like Goodwill who have the 'not-for-profit' tag, which is just a tagline and not a legal label. All the marketing for 'non-profit', none of the restrictions.
So relevant. As a foreign med graduate, even harder to pay in US dollar but need to apply more programs to have more chance to get accepted. So brutal system.
Dr. G, you get how our system works so well, and call it out for those who don’t know. Thank you!! And great point on non-profits. No different than for-profits!No share holders, but just internal stakeholders that profits go to.
Medicine was just one big trauma. From the overnight calls, the malignant surgical housestaff, the giant student loan, the sad nursing home realities, the hospital administrators, the 15 min/visits, etc. I can’t even.
4th-year med student here. Anytime I go over the magic number 30, I start worrying about how much each added residency program will cost and how many ramens I have to buy to last each day.
I feel that... I am at 29 right now and I am sweating
Can you explain this to me. Don't you only get interviews at residency programs if you do well in your rotations, and do well on your shelf exams. I'm not in the medical field. Just what I have pieced together from bits of info here and there? If so I thought u do like maybe 5-10 rotations a year, in 3rd and 4th year where are 80 possible programs coming from?
@@moneybuas4942 You do those rotations at your home medical school's hospital(s), but when you apply to residency programs, you are applying for postgraduate training at many programs outside of your immediate area, often across the whole country. Your rotation/shelf scores are just your grades, just like your school grades, your college grades, etc. The 2 have absolutely nothing to do with each other.
"You can still bonus your executives however much money[word not in subtitles] you want."
I was expecting "That's a great idea!" as a response and not acknowledging one's greed.
I was also expecting, "Wait. We get bonuses?"
That's because he's one of the executives none of the real executives likes and thus gets no bonus. Plus he's the public face punching bag the resident doctors and nurses can use to loose their anger and frustration on rather than the important executives because that's what peasants are for. Why else would he be honestly answering questions about the system if he didn't have to?
My husband and I were just discussing this with school. Our daughters paid for their 2 years of junior college and we took out the loans for the last 2 years to get one her BSN and one who is unsure right now. She wants to be a radiography tech. 2 years of more school. I think we are going to be poor forever. My husband said how can we do that to them because they will spend the rest of their lives in debt. So instead we get to spend the rest of our lives in debt.
Keep shining the light into the cesspool of U.S. education system.
Yep!! Executive bonuses are one of the major things crippling healthcare - not the "price" of travel nurses!
I'm so sorry for my colleagues in the US! Here I am, a German med student from a working class background, who just spend a whole frustrating week filling out the government student financial aid forms. That might be an annoying task, but they'll lend me enough money to live and eat while studying. They have no interest charges and cap my dept at 10.000€. And paying for applying for Residency??? Man, I'll just write applications like for any other job.
In India I paid 6$ a year for med school I think. It is government sponsored. Post graduation I got paid though it was not a lot. Never had to pay a big fee for applying for anything. There is a tough entrance exam for everything but we put our heads down and put the work in as do all med students all over the world do. Makes me sad that in first world countries young people are put through so much strain for something good.
I did not know that that’s how non-profits worked. Thank you for sharing as I doubt I’m the only one. I appreciate it.
Hopefully we get more ophthalmologists. There is a dearth of them in this area. Four months out for an appointment.
Maybe you need more Jonathans
Not likely, as ophtho is one of the most competitive specialties (they also have a separate match day that isn’t ERAS I believe)
The dearth is by design. That's how most competitive specialties are. Less residents -> less physicians -> higher demand for low supply -> $$$$$$$$
They’re all to busy making youtube videos
Applied to 72 programs for around $1500. Insane that it started spiking after 25 or so just to push some more electrons around. I estimate the cost of residency application including travel was around $8000-10000.
To then work 80-100+ hour weeks, oftentimes being yelled at and feeling belittled as an intern/ junior resident. And all the while cranking up almost 6% interest on school loan debt.
There was a time I wanted to be a doctor. But then I researched. Too many suicides, too many "medical" agencies bending over medical students and doctors. (They arnt protecting against mid-level creep. Some of the people training midlevels are doctors.)
The residency hours are insane. Makes sense since the program was essentially created by a coke-head.
Fyi, I got mad respect for you folks. Y'all been through the ringer and most of you make it out. I just feel some of that suffering is unnecessary.
I'm sorry that you and the other young doctors are so exploited, Bill, by a corrupt system. God bless you and free you from debt soon. Don't give up. You are helping many people. US system needs to change. Japanese model is the best I've found.
Indeed, Japanese model is better. We need to raise voice against it :((
Untiy of medical students against this will definitely help us change system.
This is just...perfection. I wish there was a better word to describe how amazingly, spot-on this truly is.
As someone who did not match last year, yes, I will be applying to a bunch more programs this year and spending a whole lot more money I do not have.
I'm sorry the US system is so corrupt that hundreds of qualified young doctors do not have a residency program. Hang in there. You will be helping many. Keep your chin up and God bless you, friend.
Now I know why my doctors are grumpy and burned out
IT IS SO PAINFUL!!! I'm doing 160 programs (way more than normal due to split choice)... 5000$...
Holy shit
@@flux.aeterna 😳 yes, holy shit!
The sad thing is it’s even worse for med school applications and then they have you pay a secondary application fee for many of the schools just to reject the application before even interviewing.
I'm a older med student in Denmark. The set up is very different. Residency is a job you apply to and there for need a CV that matches. I'm on my neurology rotation now. They say it takes about 5 years after med school to build a CV that gets you into neurology. Most do a PhD to get in..
My sister in law here in Jamaica got a scholarship to med school in China, was there in the middle of COVID-19 pandemic spent the last year in Zambia being harassed by Attendants, and home now studying for her residency application for the US and I really thought hard after watching this video
I was an international medical graduate. I applied to over 200 programs. I matched but it cost me dearly. Financially.
But really, can you do a video on EPIC or the situation that is the terrible electronic health record systems that we're forced to suffer? Because they drive me absolutely insane and it seems the execs behind them are no less corrupt. They need a hazing.
It's not that I don't feel your pain, its just that EPIC is probably in the top 3 of the oh-my-god absolutely awful EMRs that are out there.
Finally! A subject I can 100% understand on this channel! 🎈🎊
I remember back in my day (12 years ago) 20 applications was bordering on crazy…
That is absolute INSANITY 🥸
I paid $3958.50 for applications this year through ERAS. I was also forced to a $455 English exam by ECFMG where the speaking test was conducted by a non-native English speaker. I'm born/raised in Canada and previously worked in healthcare in Canada for well over 10 years, pretty sure my English is fine. $925 for ECFMG to certify me for the exams they told me to take, $80 for ERAS to receive and process my USMLE marks, $70 to register for NRMP, and the list goes on. I never imagined this level of predatory greed from the organizations that masquerade as our advocates prior to entering medical school.
Very good! It's so interesting to me how you can get a message across while making us laugh! Now that I think of this issue..college apps are the same way....never mind the SAT and ACT. Thank you!💙😂😂
I applied to 12. Thank God for family medicine.
Did you get into residency?
@@shovanabajracharya Oh yeah, but that was 10 years ago lol
Bob 1: "So... what you do here is you take the applications from the graduates, along with their money, and you send 'em out to the residency programs."
AAMC: "Ye, yes, that's right."
Bob 2: "Well then I just have to ask: why couldn't the graduates just send them directly to the residency programs?"
"Because!"
"Fair enough!"
I visualized this with the Pitch Meeting characters somehow lol. Our boy Glauc is great, but one of Ryan George's wide-eyed pauses just makes such a great fit for this theme 😆
Because when they used to send them directly, all the same (top) applicants were offered positions.
PLEASE,
a skit about the ECFMG. after cancelling Step 2 CK, they replaced it with OET as a language proficiency test, AND $925 to certify (temporarily) for the match season.
They made the certificate temporary (unlike before), and now you will just have to repay $925 when/if you needed to reapply or just decided to not apply this year.
Wow. That may be one of the most financially predatory things I've ever heard of. And I'm saying that as an unhoused person & major geek about public services & public health in my & other chronic trauma populations ... so I have a lot of basis for comparison when it comes to shocking predatory practices lol. Wow
Oh my god, yes. That was so toxic. And the OET isn't in any way cheap, it's approx. $500 on its own.
I know his sketches are top-notch and fucking hysterical, but it's also nice to FINALLY have someone casually yet effectively exposing how messed up the American medical system is.
I’m a nurse with a potty mouth (it’s a prerequisite in college): THAT IS SO F#%ED UP TO DO THAT TO YOU GUYS🤬 For nurses, after we’ve completed two years of prerequisites, we are encouraged to apply to as many good programs as possible and I don’t even think I paid an application fee. If I did, it was like $30. It’s been so long I can’t remember
Dang. Once again regretting not going for a BSN instead of biology as my undergrad degree...
@@meganofsherwood3665 It’s not too late
God bless our new residents. X-ray is with you all the way.
Well played sir. Between this, MOC requirements, professional organization fees, and so on, and so on - it’s all more examples of Bloated American Healthcare system costs as the house of cards continues to collapse
Public health students also have to apply to grad schools using SOPHAS. It’s another monopoly. And you have to pay hundreds for each school you apply to.
I just want a piece of that cake!
here in Spain, my fellow doctors and I, are always complaining about the low salary of a doctor, compared to the USA. Around 3,000-4,000 € per month, depending on specialty, shifts, or extra hours... Enough to live comfortably in Spain.
We always forget that we can study medicine in quality public universities for around 6,000-7,000 € for a full degree. Then, we pay about 90 € to take a national exam to choose residency, no interviews, no influence peddling.
Once working, no prior authorizations, no economic restrictions on tests and treatments for patients who need it.
So God bless the tax-financed Welfare State and the Public Health Sistem.
I really hope you can get them one day in the USA.
Just submitted my ERAS application! Those application fees definitely add up (pain........) but here's hoping it'll be worth it.
I think the equivalent service in Australia (PMCV) is free (at least for nurses, nurses use the same system for their graduate year). But there is a limit to how many places you can apply.
IT was free in Canada, or at least cheap enough not to remember - probably included in the total cost
We dont pay for residency application and some training hospital even give applicants pocket money.. but then again we are in the philippines and healthcare sucks..
Oh good, I've been binge watching and was just about to run out of skits
Where's the skit?
!!!! ONE OF THE BEST POST YOU HAVE EVER MADE!!! MORE! MORE! MOER! ERAS! PLEASE !!!! PLEASE!!!!
Excuse me what ?! Not only do you have to pay in the US for med school, but on top of that to apply for residency ?!
That is so foreign and shocking for me, I’m a med student in France and basically everything is free in those studies.
For us only the grades count on choosing our speciality, the better you are the better are the chances that you can have the speciality and the city you want. That’s all.
Just submitted my applications. You literally couldn't have timed it better.
He knows
I'm an artist and this still hits close to home. Time poverty and grant/award app fees are killer.
Great video. Well done doc. God bless you doctor
someone please send this to AAMC.
-sincerely, an MS3 already saving up for ERAS *crying face*
The whole educational system is like this😅 thank you for speaking out! The system's going to have to change
Awesome. Thanx for putting the truth out there.
The average number of apps/student for my specialty was ~80 last year. I'm planning for 80-90. It's going to cost me more than 2 months of rent.
Same with the AMA back in the 80s lobbying for tougher enrollment requirements to med school
Their data is public too. Make about $220 million each year, with ~5% to executives and ~33% to other employees. Where does the rest go? 🤷
to uncle "Bob" in ""
Got the message Doc!!😎👍 but why am I still laughing!!🤣LOL!! 😎❤️💯‼️
And how true that is. Now let's think about who is greedy? Yup, executives because they want bigger bonuses
man this is really starting to make me wonder how there are even remotely enough doctors in america? Not just this of course, but the no sleeping crazy hours perfect grades 100's of thousands in debt as a normal etc. It's like the system tries really hard to prevent anyone from making it through sane and semi-healthy. Why is not sleeping such a normal thing? Isn't it dangerous to do certain things when you haven't slept in 24+ hours or only get 2 hrs a night?
Very likely your surgeon hasn't slept for 2 days lmao
In the UK the foundation programme (our version of residency) is completely free to apply to, and you're guaranteed a place :)
Savage. Just Savage. If Iwas that AAMC I would be very very concerned about these optiics
Another great video from the doctor. Thanks
I remembered filing 300 applications in the first year. Didn't get a residency though. Nor the 2nd year, nor the 3rd year, and so on. I realized I was dumping literal tens of thousands every year into what is essentially a death spiral and got out. Haven't applied for like 5 years now. :D
Where u an IMG? If so which country? And did you take out loans from med skl? What are you currently doing?
Thank you for bringing attention to issues like this one.
How DARE he make you think about your greed! The sheer audacity!
New guy is such a party pooper! lol. All jokes aside, the system for everything is insane and terrible. Don't even know if there's a way to fix it, though.
Thank you for calling out non profits. It is so silly to respect a company just because they are a non profit
Just Stating the truth ! Is crazy the whole system is a joke. STAY SAFE ALL ! ER doc here
I wonder if anyone from the AAMC watches the whole short without spitting their $8 macchiatto
Good on the new guy! Hopefully this'll convince you to budget your already insane budgets wisely! LOL.
If it was that easy to confess someone’s own greed! 😂😂😂
And the SF match is even more expensive!
LOL. I try to explain to my non-medical peers the level of greed involved in the medical field. Paying hundreds for study material and exams. Students paying hundreds to thousands to take a test prep course, taking out small private loans to travel to interviews (pre-pandemic), and paying to apply for a job. Preparing for exams that show stronger correlations with socioeconomic status than how good of a physician you are.
Feels like it was designed to keep the rich kids in the more selective/higher earning specialties. Oh well, I guess that’s what I get for being from a poor family 🙃
say 👏it👏for👏the👏folks👏in👏the👏back👏
I that case, I'm so lucky to study medicine in Europe. It has its downsides but after all I think it's more humane here 😥
Holy crap you guys have an insane system! I had no idea. It's absolutely obvious that system would never cost so much even in it's first year of operation.
The land of the free (capitalism) strikes once again.
Gotta love those legal bottlenecks that promote artificial scarcity
Same with the dental applications. 💸💸
ERAS is also the name of a niche, newly developed doctrinal stance on the Trinity, so i was thrown for a loop
(I don't like that ERAS either)
That’s the subject of my next video
@@DGlaucomflecken ;-; oh man
Going through my own nightmare. 6 months its taken to apply to my local ambulance service but at least its free (uk)
The 'greed' line was beautiful!
I got all the context necessary, from the clip, but reading the comments - what is WRONG with the US? It's like the system is designed to actively _discourage_ people from becoming doctors! Don't you WANT them?
It's insanity piled on insanity - the more I learn, the more horrified I become!
For 2021, according to AAMC, average public med school graduate debt is $194,280 and $218, 746 for private med school graduates. Hmmm, Japanese public medical school graduates pay $36,000 total for six years of post-secondary med school.... And the Japanese people have the best longevity in the world and their healthcare cost are 1/2 to 1/3 of American profit-driven healthcare. Time to change American healthcare to common good not phony non-profit. Thank you for bringing up the corruption of health insurance companies and med schools, Glauckomflecken! God bless and heal you.
Damn new guy!
The new guy made us think about our greed lmfaooooo 🤣🤣🤣
What’s worse is for IMGs . Have to apply atleast 200 programs to match and costs 4000-5000 USD ( which took you a year to save up that money ).
Wait you pay to apply to residency in the US? Wow!
GOD Bless the King
Now you understand
All such videos make me want to go live on a farm.
The whole Match is a warped system set up for the benefit of everyone but the applicants. Just saying. I went through it 30 years ago. I hoped there would be something better by now.