It very likely amounts to nothing
I don't know man. You keep showing how great your school and class is but i'm worried if it's just an exception
They got support from students from other schools though. They badly presented their case and made the situation worse for everyone
I meant the students in your class whose views are completely opposite to social media simping? That looks rare to me
Twitter i'm highly surprised
I don't think this is any different from every generation to come before. My generation thought that the group before us was awful. Now your generation is starting to think we're awful. The endless hamster wheel that seems to make a complete revolution every ten years or so.
Flooding the market with more doctors will EVENTUALLY make the market so saturated that the only available positions are in rural America, but that is neither the best nor the most efficient way to do what you're asking. Like at all. The distribution of all of those new doctors does not follow patient need.
You need to pay rural doctors more money than urban doctors by a much wider margin than we already do, and de-emphasize procedural/CPT based reimbursement in favor of more capitated/salaried models.
Meh. Disagree. That's exactly what we should be teaching them - as leaders of the group. We should be throwing in an MD student, a PA student, an NP student, and a nurse student or two into a group and telling them here's your patient and here's what's wrong with them this morning when nurse A walks in before change of shift with nurse B and the patient has a serious change in condition, how do you all respond to this as a team? We should be teaching them what their roles are in that group instead of pretending one another does not exist.
That is a good point. I was mistaken.
@Matthew9Thirtyfive see my point?
Accepting to use the term provider in place of physician is implicitly degrading the value of physicians in favor of midlevels
... wow
Saturating the market with physicians won’t fix the problem though. The biggest issue is that the most medically underserved areas simply don’t have the volume needed to justify practicing there with the exception of primary care +\- general surgery. That and the payor mix is usually terrible.
What about saturating the PCP market
That was a side effect of how they built it, that was not its purpose. Those EMRs were all designed before NPs or PAs could sign and bill notes in large systems. All of those systems are designed to bill efficiently and nothing more, anyone in Epic (or any other EMR, but the Epic guys will generally comment on the medicine sub on Reddit) will tell you that. Making NPs 'attendings' was the way to do it without rebuilding a lot of code. An Epic build dude actually addressed that about a month ago.
The military has been using NPs/PAs/CRNAs independently for like decades though haven't they? I know for Allscripts/Cerner/Epic this was not intentional but for yours it may have been intentional.
Now i want to see how the Epic reddit guys respond to this
I'm still not sure I would put much stock in that. That's just a function of being the admitting person. I had someone crashing in the ER and they needed to admit them to transition so they could put inpatient orders in instead of being in the ERs system and I did not know who was on call so I told them to admit to me. I was a PGY3 resident and listed as the attending physician.
It’s a cerner platform.
Having used both AHLTA/essentris and Genesis, I really like genesis. It’s not as good as epic for sure. But it is way better than AHLTA, and I really like how easy it is to put notes together with all the pertinent details, labs, imaging, etc. Once you get used to it, it’s pretty nice actually.
I don’t understand your question. My point was that primary care would be the only field that could actually survive residency expansion because they can actually work in real rural areas (not the sdn version of rural). But you need hospitals with equipment, staff, backup specialists from other fields, and volume of more complex cases for the majority of other specialties.
A lot of the issues lie with distribution problems, so i'm thinking if saturating the PCP market will help and also heavily reduce the presence of midlevels
It’ll definitely improve care for underserved areas that need it by forcing physicians into those areas. But probably not crowd out midlevels too much. The majority of midlevels don’t practice in rural areas. And if the ER glut has taught us anything, it’s that a surplus of docs doesn’t translate to less midlevels.
At the expense of us. Look at income differences now between major coastal cities and everywhere else. Increasing the number of physicians will not only make that worse it will screw up the job market everywhere else.
I think the best way to increase access to primary care in rural areas is to do what Florida has attempted. Give unmatched IMG/FMG a limited license so can only practice medicine in facilities designated by the state.
