WoundupKnight
Full Member
- Joined
- Sep 24, 2018
- Messages
- 221
- Reaction score
- 205
Source: https://www.aacom.org/docs/default-...-2018-19-comattritsumm.pdf?sfvrsn=a4416197_12 , page 12
Any guesses which schools 21, 26, 27 and 34 are?
View attachment 260365
Source: https://www.aacom.org/docs/default-...-2018-19-comattritsumm.pdf?sfvrsn=a4416197_12 , page 12
Any guesses which schools 21, 26, 27 and 34 are?
I'm going to have to disagree. I'd much prefer to have my degree and use that as a way into non-clinical jobs if unmatched as opposed to 1-3 years of medical school debt and the blemish of being dismissed and no diploma or show for it.You know what is a lot worse than attrition? ...Allowing marginal students with one or more red flags to graduate, and then go unmatched. Review the SOAP threads, and the looking for a residency position threads, to see some disheartening posts like the ones below (from both MD & DO graduates).
From an Unmatched MD Grad:
I am a American medical graduate from University of Texas Health Science Center at San Antonio, class of 2014, seeking PGY 1 position in FM, IM, Pedi or Psych, even Pre-lim. I have passed all my Steps, including Step 3 with attempt in step 1 and step 2. However, I am very hard working, resilient, dedicated and compassionate when it comes to patient care and medicine. Please give me a chance. Even willing to do intern year for FREE!
Please contact me at [email protected], if you know any program or know of any available position. Moving or location is not an issue.
Thank you,
Marriyam Jawad, MD
From an Unmatched DO Grad:
Willing to work for work.
There are many more examples like this on the SOAP and looking for a residency position threads.
I concurI'd like to think NYITCOM would be one of them... maybe WCUCOM?
100000000% agree. I'm more than willing to accept a higher attrition rate for MS1 and 2 than let someone get mired in four years of med school debt and never be a doctor. It's cruelty to allow people to do this.You know what is a lot worse than attrition? ...Allowing marginal students with one or more red flags to graduate, and then go unmatched. Review the SOAP threads, and the looking for a residency position threads, to see some disheartening posts like the ones below (from both MD & DO graduates).
From an Unmatched MD Grad:
I am a American medical graduate from University of Texas Health Science Center at San Antonio, class of 2014, seeking PGY 1 position in FM, IM, Pedi or Psych, even Pre-lim. I have passed all my Steps, including Step 3 with attempt in step 1 and step 2. However, I am very hard working, resilient, dedicated and compassionate when it comes to patient care and medicine. Please give me a chance. Even willing to do intern year for FREE!
Please contact me at , if you know any program or know of any available position. Moving or location is not an issue.
From an Unmatched DO Grad:
Willing to work for work.
There are many more examples like this on the SOAP and looking for a residency position threads.
Preclinical course failure is a bar that varies wildly between schools, and therefore cannot be the most reliable metric of who makes a good doctor. And don't forget about the complete nonsense that is the COMLEX PE. Acting school rejects who grade 3 of the 4 components of that exam should not be the gatekeepers of medicine.I concur
Neither is an ideal situation, but I refuse to acknowledge that schools kicking students to the curb only because they speculate that they may not match
Students aren't dismissed because of fear they won't match. They're dismissed because they FAIL. Multiple times. They're simply people who, for whatever reason, shouldn't be doctors.
Can't comment in full right now, cuz I have to take my son to work. But not everyone is entitled to be a doctorPreclinical course failure is a bar that varies wildly between schools, and therefore cannot be the most reliable metric of who makes a good doctor. And don't forget about the complete nonsense that is the COMLEX PE. Acting school rejects who grade 3 of the 4 components of that exam should not be the gatekeepers of medicine.
Can't comment in full right now, cuz I have to take my son to work. But not everyone is entitled to be a doctor
This was never my assertion. I'm saying YOU admitted them, seemingly for a reason, to your school so I think more care should be taken before wantonly destroying someone's life. My initial point was I'd rather be unmatched with a degree in hand than dismissed, so let the residency selection process or residency itself decide who is truly unfit. Pre-clinical coursework is a far cry from the actual practice of medicine so that's mighty arrogant of you to think you can make that distinction so early on and then brag on here about how many you let go. Particularly when mere months prior you were welcoming them to your school as a qualified applicant. Your m.o. sounds suspiciously similar to what the Caribbean schools are doing.Can't comment in full right now, cuz I have to take my son to work. But not everyone is entitled to be a doctor
I agree with Roxas, the ultimate reason students are kicked is because the schools are afraid they won't match. If you could match with 5 failed classes and repeated boards, I imagine there would be many DO schools willing to keep taking your tuition money. Its when you look like your in danger of not being able to complete in 6 years (i.e. no more fed money) or will not match thus discouraging future students from coming that this becomes a real issue.I concur
Neither is an ideal situation, but I refuse to acknowledge that schools kicking students to the curb only because they speculate that they may not match
Students aren't dismissed because of fear they won't match. They're dismissed because they FAIL. Multiple times. They're simply people who, for whatever reason, shouldn't be doctors.
Dumping 10%+ of third year students is fairly horrendous. I have to imagine that has more to do with failing boards and counting that as a third year loss rather than actual clinical failures.View attachment 260365
Source: https://www.aacom.org/docs/default-...-2018-19-comattritsumm.pdf?sfvrsn=a4416197_12 , page 12
Any guesses which schools 21, 26, 27 and 34 are?
If 10% of your class is failing boards enough times to warrant dismissal (I'd guess most have a 3 strike rule, although mine is 2) then the school is admitting too many academically weak students or doing a piss-poor job of preparing their students (or both). Either way they need to change the playbook.Dumping 10%+ of third year students is fairly horrendous. I have to imagine that has more to do with failing boards and counting that as a third year loss rather than actual clinical failures.
No argument hereIf 10% of your class is failing boards enough times to warrant dismissal (I'd guess most have a 3 strike rule, although mine is 2) then the school is admitting too many academically weak students or doing a piss-poor job of preparing their students (or both). Either way they need to change the playbook.
That's what LOAs are forI think this is somewhat of a cop out comment that's extra administrative. Medical school is hard, but what's harder is to deal with the fact that life easily throws you slip ups that our curriculums rarely seem to be able to cope with.
too real, I am dying over here. I could totally see my admin doing this. 🤣Knowing my school admin, it probably went along the lines of:
Admin 1: Hey, our level 1 pass rate is 92%. How do we increase it?
Admin 2: Let's make class attendance mandatory.
[Following year]
Admin 1: Our pass rate dropped to 85%. what are we doing wrong?
Admin 2: I think we give them too much dedicated time off. Let's cut it from 5 weeks to 3 and put in a mandatory ACLS/BLS
course during dedicated.
[Following year]
Admin 1: Whoops, it's 80% now.
Admin 2: Clearly, the students are getting lazier. They're not fit to be doctors. They should be dismissed.
[Following year]
Admin 1: Now that the level 1 problem is taken care of and they're all dismissed. What are we gonna do to increase our 94% level 2 pass rate?
...
That's what LOAs are for
Here is the sad voice of experience, not authority. There are simply too many students who do NOT seek out help when they are flailing and floundering, because they view this as a loss of face, a sign of weakness or they're afraid that somehow PDs will find out about thier mental health issues and deny them and won't invite or rank them.No one wants to take a LOA. They need people to check in on them when they start to slip and make sure they are supported through things and then lastly be encouraged to take an LOA.
As an incoming MS1, this thread scares the **** out of me.
I wouldn't be scared. It's not hard to be average in DO school and match averagely. However this depends on a lot of things going right too, which usually for the average middle class student they should.
Is it assumed that if you work hard and take care of your mental health, you’ll be fine?
I'm going to have to disagree. I'd much prefer to have my degree and use that as a way into non-clinical jobs if unmatched as opposed to 1-3 years of medical school debt and the blemish of being dismissed and no diploma or show for it.
Neither is an ideal situation, but I refuse to acknowledge that schools kicking students to the curb only because they speculate that they may not match is anything other than sadistic, although it's frequently touted as if they're being merciful.
Eff that noise.
Is it assumed that if you work hard and take care of your mental health, you’ll be fine?
Ya kinda going off of this, there are a lot of things you can do with a medical degree without practicing medicine.
e.g.) if - god forbid - I end up not being able to land a residency program, I'm going to sell useless collagen supplements to rich middle-aged women.
Yes, exactly!Is it assumed that if you work hard and take care of your mental health, you’ll be fine?
The good news is your school will definitely make it a priority to tell you to take care of your mental health, while simultaneously going out of their way to do things that destroy your mental health.Is it assumed that if you work hard and take care of your mental health, you’ll be fine?
I've yet to see a shred of evidence that it's about the human wreckage or being merciful at all. Sounds like your dean realized (like every other school admin) that they want to doctor their numbers to look as good as possible and the best way to do that is get suspected trouble makers out. They don't care whether it's 1st year or 4th year, or how many Teslas in debt that can buy.Here is the sad voice of experience, not authority. There are simply too many students who do NOT seek out help when they are flailing and floundering, because they view this as a loss of face, a sign of weakness or they're afraid that somehow PDs will find out about thier mental health issues and deny them and won't invite or rank them.
We can't make them go for help. All we can do is encourage.
Now layer onto this the denial that tons of people indulge in, and then you have failing students who think "if I get a 98 on the final exam, I'll pass the course!"
And just to verify something, attrition does NOT solely mean dismissal or withdrawal. It means, as define in the attached PDF in the OP "who take a leave of absence or withdraw from their medical school" Withdrawal or dismissal is the LESS common of the two attrition criteria.
So take a step back and what we're seeing is more accurately [for the majority] "delay in graduation". We see this in MD schools as well. and people delay for the following:
pregnancy
illness (physical and mental)
injury
research fellowship (more common for MD students)
teaching fellowships
Step failures
Course failures
family issues (I had a student who suffered not one but two deaths in the family in a short period of time). Clobbered them for two years. Managed to graduate and is now in private practice.
Now Roxas, I vehemently disagree with you that it's less cruel to cut students loose early on than letting them go all the through when we know that they'll never match. These kids will have debt to the tune of 3-4 Tesla's and won't be able to practice Medicine. At that point, it's a worthless degree. I mean, how HMOs are going to need administrators with such a terminal degree?
When my Dean first came on board, he thought exactly like you like you...we need to do everything in our power to get them to graduation.
But in seeing the human wreckage that resulted from this, he changed his tune and we feel that it's more humane to cut them loose early.
Do some COMs take in students they shouldn't? Of course? there's a limit to how many med school capable there are in this country. And the newest schools in the southeast seem to be the biggest culprits. I'm talking at you, LMU and WCU.
You've never taught, I see. And spare us the "we as bad as the Caribs!" hysteria. We're not failing out 50% of the Class and then having only half of the survivors go on to residency. If we got even remotely close to that COCA would shut us down.I've yet to see a shred of evidence that it's about the human wreckage or being merciful at all. Sounds like your dean realized (like every other school admin) that they want to doctor their numbers to look as good as possible and the best way to do that is get suspected trouble makers out. They don't care whether it's 1st year or 4th year, or how many Teslas in debt that can buy.
And maybe landing a decent job as an unmatched graduate is difficult. But at least that person has options instead of the person having to fight the uphill battle of explaining to every other graduate program they apply to why they were dismissed from medical school. The latter person is at a much bigger disadvantage.
I'm not even making the argument that every matriculant deserves to graduate. There are definitely people that genuinely can't hack it and fall by the wayside. However, the above data regarding attrition is downright disturbing and, as I said, is starting to make DO schools look no better than the Caribbean. @Goro if that's how you want your school to be I guess that's fine, but own it. Don't pretend you're doing anything remotely altruistic here.
The numbers aren't there yet (insert Mathew McConaughey meme) but it's trending that way and the attitude is clearly the same. I would be delighted to be shown I'm wrong, but I won't hold my breath.You've never taught, I see. And spare us the "we as bad as the Caribs!" hysteria. We're not failing out 50% of the Class and then having only half of the survivors go on to residency. If we got even remotely close to that COCA would shut us down.
Knowing my school admin, it probably went along the lines of:
Admin 1: Hey, our level 1 pass rate is 92%. How do we increase it?
Admin 2: Let's make class attendance mandatory.
[Following year]
Admin 1: Our pass rate dropped to 85%. what are we doing wrong?
Admin 2: I think we give them too much dedicated time off. Let's cut it from 5 weeks to 3 and put in a mandatory ACLS/BLS
course during dedicated.
[Following year]
Admin 1: Whoops, it's 80% now.
Admin 2: Clearly, the students are getting lazier. They're not fit to be doctors. They should be dismissed.
[Following year]
Admin 1: Now that the level 1 problem is taken care of and they're all dismissed. What are we gonna do to increase our 94% level 2 pass rate?
...
Of course, but a 20 year old who couldn't get into acting school and has 0 qualifications can decide if someone is fit to be a doctor?Can't comment in full right now, cuz I have to take my son to work. But not everyone is entitled to be a doctor
If you can't follow a simple script for a clinical encounter, why should you be a doctor?Of course, but a 20 year old who couldn't get into acting school and has 0 qualifications can decide if someone is fit to be a doctor?
The actors grade the history and physical. No one double checks it.If you can't follow a simple script for a clinical encounter, why should you be a doctor?
Aren't those encounters filmed and reviewed?
Knowing my school admin, it probably went along the lines of:
Admin 1: Hey, our level 1 pass rate is 92%. How do we increase it?
Admin 2: Let's make class attendance mandatory.
[Following year]
Admin 1: Our pass rate dropped to 85%. what are we doing wrong?
Admin 2: I think we give them too much dedicated time off. Let's cut it from 5 weeks to 3 and put in a mandatory ACLS/BLS
course during dedicated.
[Following year]
Admin 1: Whoops, it's 80% now.
Admin 2: Clearly, the students are getting lazier. They're not fit to be doctors. They should be dismissed.
[Following year]
Admin 1: Now that the level 1 problem is taken care of and they're all dismissed. What are we gonna do to increase our 94% level 2 pass rate?
...
The actors have a rubric that you, as the testee have to follow. Sounds simple to me.The actors grade the history and physical. No one double checks it.
You mean no one will double check if you fail a domain based on an actor's scoring? Seems sketch, considering how often our SPs don't give us credit for something we explicitly did (and is seen on the video that we did). At my school when we have graded SP encounters, if anyone fails the faculty will review the videos to make sure that the SPs graded correctly.The actors grade the history and physical. No one double checks it.
I pretty well remember emailing someone from AACOM asking about why the residency match rate data presented by AACOM was school-specific but anonymous (I am thinking of this thread: One school only placed 91.91% of grads into residency) and I recall being told that if they had required schools to be identified then they wouldn't give the data or would fudge the numbers. I looked for the post where I talked about this and the email where I asked them though, and couldn't find either, so maybe I made it up. But I think it happened...Why are the schools in the study anonymous? Why are they not required to identify themselves and publish their attrition rates for prospective students to see?
And why is "total attrition" just the average of the percentages for each year? What sort of lousy trickery is that?
Regardless, schools should clearly be required to post accurate outcomes.
Dumping 10%+ of third year students is fairly horrendous. I have to imagine that has more to do with failing boards and counting that as a third year loss rather than actual clinical failures.
And maybe landing a decent job as an unmatched graduate is difficult. But at least that person has options instead of the person having to fight the uphill battle of explaining to every other graduate program they apply to why they were dismissed from medical school. The latter person is at a much bigger disadvantage.
there's no physician (watching the camera) doing part of the grading?The actors grade the history and physical. No one double checks it.
Greater attrition is also better, IMO. Fewer applicants for Match positions that are (arguably) weaker in the classroom and at bedside who may snag a residency position from someone who is (arguably) more qualified.
It is my understanding that the SP alone grades 3/4 of the encounter, and the camera is to only help watch for any sort of academic dishonesty.there's no physician (watching the camera) doing part of the grading?