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[deleted] t1_j1zupnw wrote

Reply to comment by LonelyGnomes in How do shifts work on really long medical operations? by TerjiD

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wishingtoheal t1_j1zx4pg wrote

This reads like someone who isn’t familiar with how physicians are trained.
The number of residency slots is effectively stipulated by the Medicare budget. There are more and more medical school grads who go unmatched to postgraduate training because there simply aren’t enough spots.

The answer to our healthcare woes is not to relax medical school standards and physician licensing standards.

The increasing degree burden you’re speaking of has nothing to do with physicians. Non physician provider education has been increasingly bloated by degree inflation for the sake of monetary gain on the part of the educational system. An NP, for example, used to require many years of bedside nursing followed by a masters degree. Now, you have for profit universities churning out new grad nurses who have gone straight from undergrad into all online “doctoral” NP program that allows them to practice unsupervised in some states, while having fewer than 500 clinical hours.

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jfichte t1_j20erri wrote

Exactly, medicare funding needs to increase and be updated accordingly to allow for more residents, which would on turn increase the number of medical students, and ultimately, trained doctors.

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wishingtoheal t1_j20h6zj wrote

Perhaps in the long term, but not necessarily in the short term. The process of medical school accreditation is separate from the number of residency slots, increasing program sizes, or creating new residency programs.

There are still MDs who go unmatched into programs and the job market for general practice without being board certified is very limited. I think it’s pretty illogical that in many states midlevels (usually NPs) can gain fully independent practice (FPA) shortly after graduating while physicians cannot (licenses require 1-2 yrs of residency training before you qualify for licensure).
A lot of this comes down to lobbying, unfortunately.

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JewishSpaceTrooper t1_j218mko wrote

ABSOLUTELY 💯 agree!!! The for-profit institutions, specifically the Nurse Practitioner schools, that, for the sake of aforementioned profit, have dropped pre-requisite skills and experience, to virtually the bare minimum. And, let’s not mention the ONLINE education slide (of abomination) from BSN to NP…how the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN) signed off on this is beyond me. Soon enough, the poor people in this country, will only see a physician very rarely….while NPs already handle cases far too complicated for their expertise. What a time to be alive

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