sven said:
you're missing the big picture. while yale claims to choose "atypical applicants" (thereby trying to pick future leaders in medicine), they end up failling in the respect that their class is full of private practice/specialty gunners like every other school in the country. admissions criteria is ultra suspect, especially when you see the match lists at many so-called "top schools." yale, you're matriculants aren't that special, they're like everyone else. sorry to burst your bubble, guys. if you wanted to save the world, 99% of the time you wouldn't go into derm.
I think that you misunderstand my point.
First off, I don't think that Yale's claiming that it's students are unique or somehow exempt from the pressures to specialize and to earn a good income. Rather, they are willing to bet on candidates with unusual profiles -- as compared to some other similarly ranked schools -- because they believe that these candidates have the potential to become good doctors. And they believe and hope that some of these will become true humanitarians and/or leaders in academic medicine. It's ridiculously naive to assume you can pick a talented class and not have a significant number of students go for the competitive, lifestyle-friendly specialties. Trends in the physician workforce are such that young doctors are increasingly seeking shorter hours and more flexible schedules so that they can spend more time with their families and on other passions in life. And yes, many people -- even those with "unusual profiles" -- will prefer more money to less money.
But despite all of this, Yale does manage to have one of the highest percentages of its graduates go into academic medicine. And from the Yale website re the 2005 Match: "Angoff also noted that this year's graduates are bucking a national trend by choosing residencies in generalist fields43 students chose internal medicine, primary care or pediatrics" -- so no, not everyone winds up doing derm. No Yale's not unique in terms of the people that it gets. All schools like to trumpet their "special" features because ultimately they have to sell themselves to candidates, but advertising aside I don't think that anyone at Yale would be stupid enough to tell you that it's people walk on water or some s*it like that. You're really not bursting anyone's bubble. Part of their mission is to produce leaders, and they happen to do it a just a little bet better than a number of other schools. And there are certainly a number of schools out there that probably do it a little bit better than Yale.
And c'mon, guys. Some of your peers will choose to go into derm. I personally have no interest in derm, but they're not gonna be fake doctors. They're not all gonna be money grubbers and glorified pimple poppers. Show some professional respect -- because chances are that somewhere down the line you'll be calling in some of these guy and gals for consults for your patients. And yes, there are important leaders in derm just like in all other medical fields. And, shockingly, some even have ethical and humanitarian interests.