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Year in and year out, Penn's matchlist is probably the one that impresses me the most.
wtf, more derm than family med, more rad-onc than family med, more opthal/rads than family med
wtf, more derm than family med, more rad-onc than family med, more opthal/rads than family med
What, exactly, about that is unbelievable? That the types of people who intend, and have the talent, to match in to the most competitive specialties end up concentrated at the most competitive, finest medical schools? As much as we need good family medicine physicians, we also need excellent specialists. Penn, rightfully, makes more of the latter than the former.
lol @ this. While I agree with the gist of this -- that's a rather disingenuously good way of quelling cognitive dissonance about a school's mission, its selection criteria, and whether it aligns with general societal demands.
Perhaps a truer statement might have read: "That the types of people who intend, and have the talent, to match in to the most well-compensated lifestyle specialties end up concentrated at the most competitive, finest medical schools?"
Penn makes no promise to address the primary care shortage, and openly broadcasts the fact their primary goal is to generate physician-scientists and leading academicians (unsurprisingly, since that's what their rep is based on). So I don't have a problem with their match results. However, at the same time, it's not hard to see why it might draw some concern.
I'm just surprised they got 9 derm and 7 radonc. That's a lot even for a top school
"General Society" demands outstanding care in some specialties, as evidenced by their willingness to spend significantly to get their hands on it. That high-achieving students seek out those opportunities would seem to be market clearing at its very best. Free markets = win.
So the two that matched into maxface surg, are they straight MD or are they MD/DDS?It is, but that tells you more about interest then student quality. I've always found the most telling thing to be what the average internal med or peds match is.
Here's Pitt's match list. http://www.medschool.pitt.edu/pdfs/sa/announcements/MATCHRESULTbyspecialty2011.pdf
In general, I've found that the "average" match for any school is pretty much equivalent to the general ranking or prestige of the school. You can match anywhere from any US MD school, but the differences in lists is pretty telling.
The bolded premise from which your following propositions rest, is extraordinarily contentious AT BEST. But since I do not want to turn this thread into why the current US physician reimbursement system has more to do with proceduralist political power than "free market" demand, I'll just leave it at that.
Strong Match List for 2011
Dermatology U Florida COM-Shands Hosp*
Dermatology Hershey Med Ctr/Penn State-PA*
Dermatology U Tennessee COM-Memphis*
Dermatology Mayo School of Grad Med Educ-MN*
Dermatology Hershey Med Ctr/Penn State-PA*
Dermatology Boston Univ Med Ctr-MA*
Dermatology Geisinger Health System-PA*
Orthopaedic Surgery UPMC Medical Education-PA*
Orthopaedic Surgery Carolinas Med Ctr-NC*
Orthopaedic Surgery Massachusetts Gen Hosp*
Orthopaedic Surgery Hershey Med Ctr/Penn State-PA*
Orthopaedic Surgery Hershey Med Ctr/Penn State-PA*
Orthopaedic Surgery U North Carolina Hospitals*
Otolaryngology UPMC Medical Education-PA*
Otolaryngology U Illinois COM-Chicago*
Otolaryngology Thomas Jefferson Univ-PA*
Otolaryngology Ohio State Univ Med Ctr-OH*
Otolaryngology Case Western/Univ Hosps Case Med Ctr-OH*
Otolaryngology/Research Barnes-Jewish Hosp-MO*
not too surprising Penn is has a good but not great Family Med program (it's one of the very few places where we at Jeff beat them )... but the Penn students I met on the interview trail weren't kidding when they said they almost had as many people doing Rads as IM. Gotta say I'm impressed.
/I'm still slowly putting together a Jefferson list... slowly. Why is our class so huge?
Lots of derm this year.
Because global warming = more sunlight = more skin cancer?
INT MED/LEARN & EARN (I have no idea what this is)
Einstein/Beth Israel Med Ctr-NY
Really appreciate your efforts in compiling the list. Eager to see it!
dammit, I gave up because it was taking too long... now you've guilted me into finishing. (can't promise it'll be up for a while though).
wtf, more derm than family med, more rad-onc than family med, more opthal/rads than family med
I know, it's really sad. :-/
It's not sad at all. If you haven't noticed yet, family medicine is a mixture of under-compensated time, patients that won't do anything to fix their own problems, and enough headaches to make you want to give up medicine all together.
I'm happy for the guys at my school that matched into Derm, Ortho, Optho, Rads, etc.
Ah, neat! Thank you for looking into that.I've never heard of it. A quick google makes it sound pretty cool if you wanted to do Internal Med though.
"LEARN AND EARN" WORK STUDY PROGRAM
In addition to our traditional residency training program in internal medicine, Beth Israel Medical Center offers a parallel approach to internal medicine training. This approach is a combination work-study program, which we call our Learn and Earn program. Training begins with the standard straight medicine categorical internship. Following the internship, the two years of a medical residency are distributed over three years, eight months each year. The participant spends four months of each year (after the internship) working as a physician in a Beth Israel Medical Center-affiliated inpatient or outpatient facility. A New York State license is required for this role. Therefore, applicants must be eligible for licensure in New York State after their internship. During training months, the resident is paid at the house officer rate corresponding to his or her total months of training. During working months, the resident is paid at the augmented rate of a full-time house physician, resulting in over $100,000 in incremental income over that provided by the residency. The resident continuously receives house officer benefits throughout the four years, including housing and disability, as well as health and malpractice insurance.
This approach accomplishes several goals for Beth Israel, such as increasing the number of high-quality physicians providing primary care in non-training settings and providing new avenues for recruiting residents. However, the Learn and Earn program also offers advantages to residents. Their quality of life is greatly improved and residents may emerge debt-free from training. The resident matriculating in the Learn and Earn program will be joining a well-established, accredited residency training program in Internal Medicine. Timing and financial rewards are the only real differences in training between this program and Beth Israel's traditional training program in Internal Medicine.
Exactly! The current state of medicine in the US.
Where did you find a family med program ranking? I would like to know where you got your data, thanks in advance.not too surprising Penn is has a good but not great Family Med program (it's one of the very few places where we at Jeff beat them )... but the Penn students I met on the interview trail weren't kidding when they said they almost had as many people doing Rads as IM. Gotta say I'm impressed.
/I'm still slowly putting together a Jefferson list... slowly. Why is our class so huge?
Where did you find a family med program ranking? I would like to know where you got your data, thanks in advance.
also...what relevance do match lists have for pre-allo peeps/incoming M1s? Just wondering because I'm not sure what I'm supposed to conclude from looking at this data.
yeah I guess it's kind of like the same satisfaction of watching game shows like Wheel of Fortune.There is of course the USNEWS hospital ranking, which should be taken with a HUGE grain of salt. For the most part the "better" program is the result of subjective opinions.
As for what you should take from this? "Work hard and you could be at any of these places" I guess. After the stress of the past week posting and reading these lists are more for fun than anything.
It's more complicated than simply reimbursement. Medical students (the ones with options) are not stupid, and they realize that they have options that exist past the fields of primary care. In 20 years, will NP's and PA's be the backbone of family medicine? Will MD's, in that field, become even more like managers and less like practitioners, than they already have to do?
The landscape is changing, and MD's are becoming the specialists while NP's are going to become the face of primary care.
Just my feeling on the matter.
Very strong placement into competitive specialties from PSU... More proof that an "unranked" school can absolutely deliver into some of the most competitive residencies in the country.
So from the way it looks, it DOES matter what school you go to.
I feel like the name of the school gets downplayed a lot when deciding where to go. People talk about "price-tag" and "happiness" and location. Charting Outcomes or one of those NRMP studies show that being a "top 40" NIH school barely makes a difference and has less impact than grades or Step 1. However, looking at these match lists it seems like it's not so. Schools that are higher quality match better. USMLE avg are not that different across the board. Neither are 3rd year grades since an Honors is an Honors and purely subjective unless schools like Penn give 99% honors.
Should there be a higher emphasis on quality of school and not just all the other factors?
Umm, from what I hear, Step 1 averages are most definitely different. I doubt Penn has an average in the 220s. Your average podunk med. school probably has an average in the 210s or 220s. Med. school really has nothing to do with it. Penn attracts the academically talented students to begin with, and they gain those competitive residencies with their skills. Even the so-called "worst med. school" will have people matching in to top specialties. It's an individual game.So from the way it looks, it DOES matter what school you go to.
I feel like the name of the school gets downplayed a lot when deciding where to go. People talk about "price-tag" and "happiness" and location. Charting Outcomes or one of those NRMP studies show that being a "top 40" NIH school barely makes a difference and has less impact than grades or Step 1. However, looking at these match lists it seems like it's not so. Schools that are higher quality match better. USMLE avg are not that different across the board. Neither are 3rd year grades since an Honors is an Honors and purely subjective unless schools like Penn give 99% honors.
Should there be a higher emphasis on quality of school and not just all the other factors?
What are you talking about?
2 Neurosurgery
4 Urology
7 Rads
4 ENT
11 Ortho
10 Ophthal
8 Derm
etc.
Not bad for a small state school with a ranking of 71st.
So from the way it looks, it DOES matter what school you go to.
I feel like the name of the school gets downplayed a lot when deciding where to go. People talk about "price-tag" and "happiness" and location. Charting Outcomes or one of those NRMP studies show that being a "top 40" NIH school barely makes a difference and has less impact than grades or Step 1. However, looking at these match lists it seems like it's not so. Schools that are higher quality match better. USMLE avg are not that different across the board. Neither are 3rd year grades since an Honors is an Honors and purely subjective unless schools like Penn give 99% honors.
Should there be a higher emphasis on quality of school and not just all the other factors?
# matched does not equal quality of match. All that tells me is that your school has a large number of people interested in competitive specialties, and that your school (like most US MD schools) is good enough that smart, motivated people can get into the specialty of their choice.
The difference is that while students at the top of their class at a mid-tier school may match MGH/Hopkins/UCSF (yes I know that they aren't top for all specialties), at top schools middle/bottom of the pack students may still match into the top programs.
You could argue that this is because only the best get into the top med schools, but I would disagree with that. People that get into Harvard/Hopkins/UCSF et al. tend to be hardworking, impressive people, but being impressive doesn't necessarily translate into med school smarts (namely the ability to memorize massive quantities of information). Thus the fact that almost everyone at those schools matches into ridiculously awesome residency programs means that the school does play a pretty big role.