I think we can safely say that there will be a discrepancy between the education at an established medical school versus the education one will receive at a newly opened Oakland/WMU/CMU. But I'm confident that the newer schools will quickly establish successful programs. At the end of the day, they will still be taking competitive and competent students. One interesting point you brought up was about residencies... If you realllllllly get down to the bare bones of it, doctors aren't made during their 4 years at medical school. Most residents will tell you that the biggest things isn't necessarily the school you went to or even if you honored everything while at school, bur rather your Step 1 will dictate the doors that open up to you. No matter what school you go to, newly accredited or not, you will still match at a good program if you do well on your step 1. I'm sure these schools will be just fine, but I'd still rather graduate from Wayne than from a newly accredited school.
As far as the competition to land a residency spot goes... I think the new health care "reform" has tried to address that issue, but I think it will only add fuel to the fire. Besides the other 4329823 that are raising health care costs, we are told that problem-based medicine is expensive. The argument is that we should focus more on preventive medicine and the solution to this is first: patient education and second: personal accountability. And this should start in the most primary area of care giving... with your primary care physician, which there is a known growing shortage of. So the health care "reform" bill has allotted for more funding for community health centers. Essentially these are tax-payer funded centers that provide affordable/free health care to the disadvantaged of poor and rural areas. The physicians working in these centers are typically primary-care physicians who are actually salaried employees. The health bill in conjunction with Obama's student loan "reform" will give incentives for physicians to join these community health centers. If you have applied to enough medical schools like I have, you will see that these types of programs are already in place: You agree to practice in a rural area and in return you'll get some interest knocked off your loans or you'll receive a stipend while in school. So, yes, while we may have more residents in the next few years, the government will also create new primary care openings with those community health centers. But surely, we will see an increase in the number of hospitals/health offices opening. We cannot deny the recent overlap between medicine and business. With the amount of money that will be flooding the health care sector, I'm sure we will see a continued increase in health care delivery centers. I mean... look at the state of Michigan's economy, yet Providence is still building, as is Beaumont.
If you are at all interested in health care delivery, the business of health care, or if you are just interested in your future vocation, I'd suggest reading "The Innovator's Prescription" by Clayton Christensen. The author is a graduate of Oxford and Harvard and has a MBA and DBA.. the guy knows what he is talking about. Christensen, at times too systematically, breaks down what today's health care system is really about, the problems with it and provides some solutions. Pretty sweet book. We've got a few months before classes start, so why not.
Yea, I would agree... many come here because they can't get in elsewhere. It all depends on how many people applied this year. Everyone says when the economy goes bad, people go back to school. We'll see if the economy was bad enough to force people to move to Detroit
Cali residents are definitely well represented among schools throughout the country. From my understanding, its pretty difficult for even Cali residents to get into a Cali school. Compare that to Texas schools. My cousin went to UT-Houston. Texas residents have it pretty good when applying to medical school. My cousin knew soooooo many people who got into Houston with 25s, 26s, and 27s.
I don't know how much of a financial advantage it is for Wayne to take OSS students. Public universities get a kick-back from the state government for taking in-state students. I'm not sure how much this monetary compensation is, but for whatever reason, I'm sure something has changed the minds of the admissions committee. I'm not sure if the state of Michigan has the funding to encourage Wayne to take more in state students, but I'm sure state legislatures have been encouraging them nonetheless. I dont think the 30% drop in OSS acceptance rate can be attributed solely to the Detroit's current degree of.... ****ty-ness. The state probably wants more IS students so Wayne is giving them more IS students. And the state definitely wants more Michigan physicians... hence OU, WMU, and CMU. Think about it... there were around 42,000 of us applying to medical school each year (at least for the past few years). Only 18k or 19k get in.. You are telling me that Wayne couldn't find an extra 40 or 50 OSS students to fill spots to make more money? From the 30,000 students who didn't get accepted, I'm sure you could find someone to come.. I don't care where you are from... You could be living in Fiji with Kim Kardashian and the Olsen twins... I would still move to ****ty ol' Detroit if it was the only medical school that accepted you. I think the decrease in acceptance was purposeful.
I hope I get pulled off the damn waitlist tomorrow so I can stop writing novels to you guys.