LIFESTYLE
Five Secrets Medical Schools are Keeping
Published: Monday, October 15th 2012
Medical schools are increasing enrollment, hoping to bring in more students and graduate more (sometimes even with shortened, three-year curriculums), and yet, still the U.S. is facing a physician shortage.
With enrollment up 17% since 2002, the increasing influx of medical students might want to get the down and dirty on what they can expect over the next few years of schooling. But medical schools are keeping secrets, according to Market Watch.
Given that the U.S. is trying to address a projected shortage of 90,000 physicians, medical schools might not want prospective students know the following things.
Here are five secrets from Market Watch’s list of things medical schools won’t tell students.
5. Medicine isn’t a prescription for riches
Once upon a time, students went into medicine for the money — and to help people, but money was also a good incentive. However, given the push to cut down on health care costs, experts are trying to find more cost-efficient ways to deliver medicine, which translates to changing pay structures for physicians.
Things can get worse too. Congress is prepared to let Medicare spending cuts go through, which will probably mean more payment cuts, plus jobs lost.
4. Indebtedness is a plague among doctors
In addition to payment changes, health care providers often have large amounts of debt from their schooling. According to the American Academy of Medical Schools (AAMC), 33% of 2011 graduates had at least $200,000 in undergraduate and medical school debt, which was up from only 27% in 2008. The average student loan debt load for all consumers under the age of 30 is about $20,000.
Luckily, the government is offering some help. There’s a loan forgiveness program that some may be eligible for, and there are loans available for students choosing to become primary care physicians and work some time in underserved areas.
3. Good luck getting a residency
Getting into medical school isn’t easy, but just getting in is only half of the battle. As it is, there are more graduates than open residency positions (95% were matched in March, 2012), and the gap between open residencies and graduates will only widen as enrollment increases, but the number of positions stays the same.
A newly proposed bill would increase the number of Medicare-supported residency training positions by 15,000.
2. People skills
Medical schools aren’t looking for the next Dr. House — a very smart, but socially abrasive individual. In addition to top-notch MCAT scores, students will now undergo a personality test since communication is being promoted more and more as a way to prevent mistakes and thus save money.
1. Bullying, teaching
The mistreatment students receive throughout their medical school careers is a long-standing tradition. Between 1996 and 2008 more than half of students reported some form of mistreatment, according to a study by the David Geffen School of Medicine at UCLA.
An AAMC study revealed that 33% of students said they were publicly humiliated at least once, 15% were the object of sexist remarks and 9% were required to run errands for doctors.
As the medical school population grows schools are looking to crackdown even more on doctors pushing around their young protégés, yelling at them or calling them derogatory names. Until then medical students better have thick skin.
What do you wish you had known about medical school before you went? Let us know in the comments!
See Market Watch’s full list here.
Eldon:
Read this.
Daddy
You will never get any graduating physician into primary care until you start paying them more. There is no way that they will be able to pay off $200,000-300,000 in student loan debt in their entire career. And the "loan forgiveness" programs they try and tout are underfunded and underpaying positions.
A friend I know whom is a very sucessful financial advisor with one of the big firms told me about the converns HE had for the future of medicine. He believed that it will be "dumbed down" by the acceptance of the less driven and less intelligent candidates as many of them will go where "the money is at" and, I would have to agree with him.
Although I get more pleasure out of helping people than I do in my financial success of 20 years of medical practice, it is amazing how some of the most intelligent and highly educated people in our country, Doctors, are having to struggle with the financial contraints of practice placed on them by the government and multi-billion dollar insurance companies (publically traded no less).