2023 Match Data

[BLADEMDA]

Proof that meritocracy isn’t dead, it merely changed form. Haha. This is what I always suspected to be the case.

Med school was really the time I realized working hard simply wasn’t going to be enough.

I’ve seen orthos version of DEI. It’s basically the same culture but now with females. Same basic attitude though.

Most AOA White/Asian Males will have a much tougher time Matching in the "elite" specialties. Spots are now "reserved" for DEI applicants with mediocre credentials. I have seen the impact of DEI on those high metric applicants and they are aware of the paradigm shift. This is the exact same shift which occurred at the Med School level years ago. The residency class must be reflective of society in general so spots no longer go to the highest scoring/best applicants based on metrics alone. The MATCH in 2023 is no longer a meritocracy or even pretends to be one. The students must factor DEI into their calculations of whether to apply for a certain specialty based on metrics, research, DEI and LORs. Depending on which side of the fence you sit on, DEI is a blessing or a curse.

‘Michigan Promise’ Aims to Diversify, Strengthen Surgical Field

Michigan Medicine launches Michigan Promise, a transformative long-term effort to reshape the culture of hiring, mentoring and advancement of early-career surgeons.

www.michiganmedicine.org

Diversity

med.stanford.edu

Diversity Strategy, Definition and Goals

The University of Wisconsin School of Medicine and Public Health is a diverse, inclusive academic community.

www.med.wisc.edu

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Members don't see this ad.

 

[BLADEMDA]

I am not against DIVERSITY or DEI in the sense we should never discriminate against anyone based on race or gender, but this type of DEI is based on lowering standards and discriminating against those with superior metrics. The MATCH in 2023 has a huge component of reverse discrimination built into it in the name of DEI and fairness. I object to "equity" which discriminates against anyone in the name of equality. I do think that 2 applicants with similar metrics competing for the same position should be evaluated by including some points for DEI but not to the point that the biggest factor is based on race or gender as it is done today. Regardless of my opinion, the pressure is too much for the programs and directors to not select DEI candidates over more qualified White/Asian males.

Look at the PGY-5 Class vs the PGY-1 Class and see if you can spot the difference:

Current Orthopaedic Surgery Residents

Meet the current residents in Wake Forest School of Medicine's Orthopaedic Surgery Residency

school.wakehealth.edu

 

[BLADEMDA]

Making the Case (Again) for Gender Equity

If we really want to improve gender equity and increase the number of women in orthopaedic surgery, we must devise plans and execute them at the local, state, and federal levels. We must continue to expose young women to orthopaedic surgery and encourage and mentor them, but that does not...

www.aaos.org

I can assure that DEI will be alive and well in the upcoming 2023 MATCH. Regardless of Metrics, the MATCH will reflect DEI.

 

[dannyboy1]

Most AOA White/Asian Males will have a much tougher time Matching in the "elite" specialties. Spots are now "reserved" for DEI applicants with mediocre credentials. I have seen the impact of DEI on those high metric applicants and they are aware of the paradigm shift. This is the exact same shift which occurred at the Med School level years ago. The residency class must be reflective of society in general so spots no longer go to the highest scoring/best applicants based on metrics alone. The MATCH in 2023 is no longer a meritocracy or even pretends to be one. The students must factor DEI into their calculations of whether to apply for a certain specialty based on metrics, research, DEI and LORs. Depending on which side of the fence you sit on, DEI is a blessing or a curse.

‘Michigan Promise’ Aims to Diversify, Strengthen Surgical Field

Michigan Medicine launches Michigan Promise, a transformative long-term effort to reshape the culture of hiring, mentoring and advancement of early-career surgeons.

www.michiganmedicine.org

Diversity

med.stanford.edu

Diversity Strategy, Definition and Goals

The University of Wisconsin School of Medicine and Public Health is a diverse, inclusive academic community.

www.med.wisc.edu

I’m opposed to this DEI bull$hit. Keep in mind though, EM was quite competitive back when i graduated med school (about 10 years ago). Look at it now. Same for radiation oncology. Plenty of people who failed to match into EM in past years and scrambled into something else are now thanking their lucky stars. And we all know that nepotism runs rampant in GME. Not exactly a meritocracy….

 

[dannyboy1]

Making the Case (Again) for Gender Equity

If we really want to improve gender equity and increase the number of women in orthopaedic surgery, we must devise plans and execute them at the local, state, and federal levels. We must continue to expose young women to orthopaedic surgery and encourage and mentor them, but that does not...

www.aaos.org

This is largely self selected. Most surgical fields require devastatingly long hours in training, both in terms of years and actual hours/week. The vast majority of women are just not interested in that. There is nothing wrong with that. I’m a man who was also not interested in that life and did not even consider a surgical career. Can’t we just let people decide what is best for themselves?

 

[deleted1156722]

The current situation is not only that the GME and residency programs are actively seeking and making diversity or “DEI” as one of their most important objectives. Simultaneously, the residency applicants are also progressively seeking this institutional diversity information and applying accordingly.

As per the study in the Journal of Graduate Medical education, between 2008 and 2017, the percentage of applicants citing diversity as a consideration when applying to interview increased from 22.3% to 33.8% for institutional diversity. Moreover, during this same period, the residency applicants' mean ratings of importance of institutional diversity increased from 2.4 to 4.2 when ranking programs for diversity.
DEI seems to be the major factor that both ACGME/Program Directors and the residency applicants are seeking, based on the above data.

 

[nimbus]

In my day, all the women with “ortho stats” would go into ophtho/ENT/derm/IM. Not a single woman in my med school class went into ortho. So I’m glad to see that changing.

As an aside, we had more grads go into IM than any other specialty. That was true for AOA members too and we had more women than men in AOA.

 

[GravelRider]

The goal for most med students after med school is to get a job. For many, they want a good job and the student gets to define "good." If the job prospects in that specialty are poor with low pay and low demand that will deter many students. If Matching into that residency is NOW based on DEI plus some metrics that will change the applicant pool as well.

Look at Orthopedics for example. DEI is now a huge factor in who the programs will accept. No longer will the top metrics and bro culture be the norm in the vast majority of programs. Neurosurgery has also fully embraced DEI in terms of applicants. This leaves fewer spots for the traditional White/Asian male applicant with very high metrics. In fact, in many of these former elite specialties, only 1/2 the spots are available for the traditional applicant.

So, where are these applicants supposed to Match? Urology and ENT are also paying attention to DEI. These applicants must turn to Radiology, IM, and General Surgery if they want a job after med school. Heck, even Anesthesiology is now an option for those who can't get survive the DEI initiatives of 2023.

The WOKE agenda has arrived to Residency programs across the USA and this has a huge impact on Med Students. The combination of DEI and the job market will play major roles in deciding a med Student's specialty. Of course, hard metrics still matter to some degree but a lot less today than it did in 2020.

Step 1 is now Pass/Fail and many schools don't issue grades. Eventually, programs will simply use the Woke agenda to decide those who get to Match and those who don't. All that is left is to make Step 2 Pass/Fail and the transformation from objective to subjective, DEI, will be complete.

You turning this thread into a commentary on “woke agenda” was more of a sure bet than betting on a 1 seed against a 16 seed in the NCAA tournament.

 

[BLADEMDA]

I will refrain from any more comments on DEI and Wokeness in this thread. The Match is tomorrow, March 17, and I hope the 4th years did well this year. There will be both joy and pain tomorrow but I truly hope those who frequent SDN all get spots.

 

[Dr. Rude]

Can’t believe they pay residents 70-90k a year now. I looked up some gme salaries

Back in my days in expensive top 7 metro population area (hint not Texas which was cheap cost of living). I made in the low to mid 30s as resident working 80-120 hours a week.

Congrats to those who matched. And don’t complain about pay and work hours. And if you single. Get a roommate to cut housing costs down.

I would rather be a resident 30+ years ago (I was) with a salary of 25-30K with the prospects that I had then and the more brutal schedule that I had then and the debt load that I had then as compared to a new grad with the current debt load, current resident salary and work hours, and current prospects.

 

[Arch Guillotti]

I will refrain from any more comments on DEI and Wokeness in this thread. The Match is tomorrow, March 17, and I hope the 4th years did well this year. There will be both joy and pain tomorrow but I truly hope those who frequent SDN all get spots.

Even if they are DEI? Get woke!

 

[anbuitachi]

When I graduated anesthesiology 2014 there was a lot of doom and gloom about being replaced by CRNAs. That’s still an issue of course, but suddenly there’s a shortage and anesthesiology is more desirable? What happened?

covid happened. but at same time i think covid accelerated crna push for independent practice

theres a new article saying 100k in nyc is like earning 33k...

but im pretty sure anesthesiologist who started decades ago will be financially more sound than those graduating now...

if you put your money anywhere (stocks, home, crypto, nba team etc) after your first job of 220k, you wouldve done amazing.

 

[anbuitachi]

Can’t believe they pay residents 70-90k a year now. I looked up some gme salaries

Back in my days in expensive top 7 metro population area (hint not Texas which was cheap cost of living). I made in the low to mid 30s as resident working 80-120 hours a week.

Congrats to those who matched. And don’t complain about pay and work hours. And if you single. Get a roommate to cut housing costs down.

dont worry i can guarantee you housing prices went up faster than salaries 😉

 

[aneftp]

dont worry i can guarantee you housing prices went up faster than salaries 😉

2004 home prices in USA were around 220k
2023 home prices in USA around 370k

2004 Average gme salary 40k
2023 average gme salary 60k

Seems pretty close to me. And I’m not even comparing peak housing 2005

 

[Shimmy8]

I bet you also did residency before there were EMRs and when you could show up with a crayon in your hand write your name and pass step 1. Medical information is at light speed now for residents with EMRs and they had to make step1 pass fail because it was a nuclear arms race of competition that was unsustainable. I bet you'd get boat raced by these new kids on a standardized test.

I'm only 5 years out. There is already a culture change. No one wants to work. No one wants to take call. They all want lifestyle jobs.

You take your standardized aced tests and actually DO something with them.

 

[Maz777]

I'm only 5 years out. There is already a culture change. No one wants to work. No one wants to take call. They all want lifestyle jobs.

You take your standardized aced tests and actually DO something with them.

Very true. Our residents go out in the real PP world these days and get shocked. Wait, someone wants us to work more than we did as a resident and take call? Preposterous.

 

[dannyboy1]

Very true. Our residents go out in the real PP world these days and get shocked. Wait, someone wants us to work more than we did as a resident and take call? Preposterous.

Good. The less people want to work the better the rate for those that will work. Hopefully this attitude dosen’t spill over to the surgery side. We need those surgeries to keep demand high….

 

[2Fast2Des]

I don't begrudge the kids today getting more pay and better hours. There is sky high inflation and the shift to work-life balance has occurred even at the residency level. But, the training in some fields is simply inadequate like Surgery and even some Anesthesiology residencies. The trainees need exposure to cases and adequate hours at work. The new surgical graduates I have seen are in general extremely weak vs the ones from 20+ years ago. There are some things you simply can't learn from a You Tube Video.

I wouldn't trade my decades of experience for all the book knowledge in the entire field. Nothing makes you a better Anesthesiologist than actually being on the ground doing cases, preferably some solo cases, day after day and year after year. I would add the caveat that skills and/or mental acuity do start to decline for most at some point in their 70's. I do hope the next generation and the one after that continues to advance the field to an even higher level.

I see this too often, I'm only 5 years out but it's scary how residents I see now in general are weaker, cannot make decisions, and everything is now attending-driven, taking away any sense of autonomy and skill development. I keep hearing that these students have sky high scores and qualifications coming into medical school but I'm not seeing how that is translating into becoming a strong skilled physician. Once this generation of physicians in their late 40s to 60s retire, I fear for the fate of us all who are going to be subject to the new grads of residents. There is something to be said about working, which the younger generation doesn't want to do anymore, but it's the only way to gain experience and skill, there is no way around that.

I'm only 5 years out. There is already a culture change. No one wants to work. No one wants to take call. They all want lifestyle jobs.

You take your standardized aced tests and actually DO something with them.

What is the paycut compared to a full call position for these lifestyle jobs? I would like to cut back from doing call if the price is right

 

[Beeftenderloin]

I see this too often, I'm only 5 years out but it's scary how residents I see now in general are weaker, cannot make decisions, and everything is now attending-driven, taking away any sense of autonomy and skill development. I keep hearing that these students have sky high scores and qualifications coming into medical school but I'm not seeing how that is translating into becoming a strong skilled physician. Once this generation of physicians in their late 40s to 60s retire, I fear for the fate of us all who are going to be subject to the new grads of residents. There is something to be said about working, which the younger generation doesn't want to do anymore, but it's the only way to gain experience and skill, there is no way around that.

What is the paycut compared to a full call position for these lifestyle jobs? I would like to cut back from doing call if the price is right

“This next generation is the worst generation” said every older generation ever about the generation that came after them.

The boomer mentality is alive and well on this thread.

 

[RedandBlack7]

honestly looking at highest paid specialties, anesthesiology isnt' particularly high up.
in fact , accounting for our #s worked, we are paid pretty low compared to other specialists. the fields below us are mostly generalists. (Peds, IM, FM, etc).

Is that really true? Most people are making around or over 400k for 50-60 hours a week.

 

[Dr. Rude]

“This next generation is the worst generation” said every older generation ever about the generation that came after them.

The boomer mentality is alive and well on this thread.

Except on this board the Millenials and Generation X think that the generation that came before them is the worst generation. Congratulations on breaking new ground.

 

[nimbus]

I’ve said this before. A lot of our new hires work really hard by choice. Some of them voluntarily take 5-6 nights of OB call in addition to their usual allotment of work. But we are in a VHCOL area and we have 100% production based compensation+stipends. Also in the past, it was rare to see women who sign up for extra call but that is more common now.

 

[dannyboy1]

Is that really true? Most people are making around or over 400k for 50-60 hours a week.

You need a new job. I’m making well over 400 for 4 hours no nights/weekends. If I did 50 would be close to 550

 

[Beeftenderloin]

Except on this board the Millenials and Generation X think that the generation that came before them is the worst generation. Congratulations on breaking new ground.

No disagreement here. I’ll opt to take this as a compliment.

 

[Anesthesia_Guy]

You need a new job. I’m making well over 400 for 4 hours no nights/weekends. If I did 50 would be close to 550

Oh yeah?! Well YOU need a new job because I get $750k to do one case a week.

 

[dannyboy1]

Oh yeah?! Well YOU need a new job because I get $750k to do one case a week.

Unless you are 1:1 with an experienced CRNA you are getting screwed.

 

[Dr. Rude]

Unless you are 1:1 with an experienced CRNA you are getting screwed.

I own an AMC so I don't have to do anything.

 

[Anesthesia_Guy]

Unless you are 1:1 with an experienced CRNA you are getting screwed.

I know but I gots bills to pay man!

 

[GravelRider]

I'm only 5 years out. There is already a culture change. No one wants to work. No one wants to take call. They all want lifestyle jobs.

You take your standardized aced tests and actually DO something with them.

It’s kind of like that quote from the movie with the guy from that western show “if you pay, they will come.” Call sucks, it should be well-compensated. I see jobs all the time that pay day timers the same hourly rate as call-takers. Why on earth would I sacrifice my nights and weekends if I can make the same money and still be able to get to the bank on time? All these posts about the whippersnappers and the “lazy youth” seem to forget basic economic principles.

 

[anbuitachi]

2004 home prices in USA were around 220k
2023 home prices in USA around 370k

2004 Average gme salary 40k
2023 average gme salary 60k

Seems pretty close to me. And I’m not even comparing peak housing 2005

you are comparing pre tax numbers to post tax spending. per your #s, pretax income went up 50%. post tax is 42% gain
post tax home prices went up 68%. thats a 26% difference. pretty big

 

[anbuitachi]

I'm only 5 years out. There is already a culture change. No one wants to work. No one wants to take call. They all want lifestyle jobs.

You take your standardized aced tests and actually DO something with them.

i like the change. its time we prioritize more on life. many people got sick and some died during covid. its not worth it

 

[anbuitachi]

I see this too often, I'm only 5 years out but it's scary how residents I see now in general are weaker, cannot make decisions, and everything is now attending-driven, taking away any sense of autonomy and skill development. I keep hearing that these students have sky high scores and qualifications coming into medical school but I'm not seeing how that is translating into becoming a strong skilled physician. Once this generation of physicians in their late 40s to 60s retire, I fear for the fate of us all who are going to be subject to the new grads of residents. There is something to be said about working, which the younger generation doesn't want to do anymore, but it's the only way to gain experience and skill, there is no way around that.

What is the paycut compared to a full call position for these lifestyle jobs? I would like to cut back from doing call if the price is right

i see the opposite. the 'newer' grads here are far stronger than the 50-70 year olds. s o maybe institution specific.

also if residents suck, attendings also have to take some of that blame. maybe the teaching just sucks? i know many places where residents are just used as cogs, instead of getting properly educated.

how much do you teach your ca 1 2 3s in the OR? a hour a day? 2? 3?

 

[anbuitachi]

Is that really true? Most people are making around or over 400k for 50-60 hours a week.

thats less than most other specialties if you dont include primary care stuff,

 

[aneftp]

post tax home prices went up 68%. thats a 26% difference. pretty big

spread the mortgage payments over 30 years. The mortgage on those homes is only on average is around $700 more a month even with higher home prices.

So your increase in income will offset the current higher Average home prices. Interest rates were the same in 2004 as 2023 as well

Tax rates are lower in 2023 for lower income earners with 2017 trump tax changes as well. Bigger standard deduction. Child tax credit $2000-4000 for those making less than 400k plus.

Bam. I know my taxes codes.

Every one makes fun of me when I say I pay around 15% as self employed effective taxes.

And only 21% as a w2 employee.

 

[anbuitachi]

spread the mortgage payments over 30 years. The mortgage on those homes is only on average is around $700 more a month even with higher home prices.

So your increase in income will offset the current higher Average home prices. Interest rates were the same in 2004 as 2023 as well

Tax rates are lower in 2023 for lower income earners with 2017 trump tax changes as well. Bigger standard deduction. Child tax credit $2000-4000 for those making less than 400k plus.

Bam. I know my taxes codes.

Every one makes fun of me when I say I pay around 15% as self employed effective taxes.

And only 21% as a w2 employee.

700 more a month is a lot of money on a 60k income!

 

[whosehouse]

https://www.nrmp.org/wp-content/uploads/2023/03/2023-Advance-Data-Tables-FINAL.pdf

According to this, a 69% match rate for USMD seniors

 

[aneftp]

700 more a month is a lot of money on a 60k income!

700 more a month is a lot of money on a 60k income!

And trump double child tax credit from $1000 to $2000 per child

Trump doubles the standard deduction by $6000 for singles and 12k for couples!

You realize that’s $4000 tax credit for family of 4 if you are a resident.

You likely are taking the 24k standard deduction as a couple or 12k as a single. Vs 12k/6k

What to know ur tax savings as married resident making 60k under trump taxes $4000 plus 12k (4k tax savings). So you are saving a whopping 6k-7k in taxes in real money under trump tax plans as a resident making 60k in 2023.

You are basically coming out the same in 2023 buying a 370k home on a 60k salary vs buying a 220k home on a 40k salary during 2004 tax laws in net money.

Damn. I am so good. Like I always tell people. Don’t mess with me and taxes. I know the tax code even better than my own accountants. I’ve only used two accountants over 20 plus years. I know the tax adjusted numbers. I have to correct my own accounting firm almost every tax season because I am right most of the time. But I still use them just to double check the work.

 

[anbuitachi]

And trump double child tax credit from $1000 to $2000 per child

Trump doubles the standard deduction by $6000 for singles and 12k for couples!

You realize that’s $4000 tax credit for family of 4 if you are a resident.

You likely are taking the 24k standard deduction as a couple or 12k as a single. Vs 12k/6k

What to know ur tax savings as married resident making 60k under trump taxes $4000 plus 12k (4k tax savings). So you are saving a whopping 6k-7k in taxes in real money under trump tax plans as a resident making 60k in 2023.

You are basically coming out the same in 2023 buying a 370k home on a 60k salary vs buying a 220k home on a 40k salary during 2004 tax laws in net money.

Damn. I am so good. Like I always tell people. Don’t mess with me and taxes. I know the tax code even better than my own accountants. I’ve only used two accountants over 20 plus years. I know the tax adjusted numbers. I have to correct my own accounting firm almost every tax season because I am right most of the time. But I still use them just to double check the work.

yes it can be a lot. but also a rosy picture. could be regional, most anesthesia residents i work with are not in a family of 4. actually most of them are single with no kids... but yes trump tax changes help lower income

but if you dive further in, new grads are drowning in debt. tuition is growing much faster than tuition! so the post tax amount is probably going to your student debt first. heck i dont even know if banks will give you a mortgage for that much as a resident making 60k with 200k student debt..

 

[IlDestriero]

What is the paycut compared to a full call position for these lifestyle jobs? I would like to cut back from doing call if the price is right

We just looked into benchmarking what people pay for late/call work and it seems like 20-30% of total income. Though I’m sure they only looked at academic practices. PP structure may be very different because of profit sharing, etc.

 

[GassYous]

Is that really true? Most people are making around or over 400k for 50-60 hours a week.

I think that's an underestimate. My rough rule of thumb is h/w x 10 as a floor. Many people make more than that and many people make less. But it should be more, especially in this market.

 

[nimbus]

We just looked into benchmarking what people pay for late/call work and it seems like 20-30% of total income. Though I’m sure they only looked at academic practices. PP structure may be very different because of profit sharing, etc.

We have call takers and non call takers in our practice. And we are paid the same $/unit whether we are a call taker or not. But we pick our own daily lineup based on our call position so only call takers get access to the first 4 most lucrative and efficient lineups and only call takers get access to call stipends. So our delta is probably in the 30-40% range.

 

[Shimmy8]

i like the change. its time we prioritize more on life. many people got sick and some died during covid. its not worth it

That’s fine. I’m totally ok with that. But we have to adjust payment and expectations for this.

 

[gcc322]

I think this thread goes to show what a good career anesthesiology actually is. You can bust your butt, pickup extra call and make 750+ or you can get a lifestyle ASC job and pull down 425..all depending on the location and employment situation. To finish residency after 4 years and have those salaries available combined with the flexibility to change jobs/location is unheard of in medicine. Congratulations to all who matched. This is a great field.

 

[random123321123321]

Most AOA White/Asian Males will have a much tougher time Matching in the "elite" specialties. Spots are now "reserved" for DEI applicants with mediocre credentials. I have seen the impact of DEI on those high metric applicants and they are aware of the paradigm shift. This is the exact same shift which occurred at the Med School level years ago. The residency class must be reflective of society in general so spots no longer go to the highest scoring/best applicants based on metrics alone. The MATCH in 2023 is no longer a meritocracy or even pretends to be one. The students must factor DEI into their calculations of whether to apply for a certain specialty based on metrics, research, DEI and LORs. Depending on which side of the fence you sit on, DEI is a blessing or a curse.

‘Michigan Promise’ Aims to Diversify, Strengthen Surgical Field

Michigan Medicine launches Michigan Promise, a transformative long-term effort to reshape the culture of hiring, mentoring and advancement of early-career surgeons.

www.michiganmedicine.org

Diversity

med.stanford.edu

Diversity Strategy, Definition and Goals

The University of Wisconsin School of Medicine and Public Health is a diverse, inclusive academic community.

www.med.wisc.edu

As a white male 26x/28x who just failed to match at my top 4 “elite” programs I think this is probably accurate. Maybe it was something else in my interview but I had many advisors tell me I would go anywhere I wanted. All of those “elite” programs strongly promote diversity with included dei curriculums in the anesthesia residencies. Instead I fell to a middle of the road program.

Burner account for obvious reasons.

 

[pgg]

thats less than most other specialties if you dont include primary care stuff,

View attachment 367907

Where did you get this ridiculous chart and why do you believe the numbers on it?

 

[chessknt]

As a white male 26x/28x who just failed to match at my top 4 “elite” programs I think this is probably accurate. Maybe it was something else in my interview but I had many advisors tell me I would go anywhere I wanted. All of those “elite” programs strongly promote diversity with included dei curriculums in the anesthesia residencies. Instead I fell to a middle of the road program.

Burner account for obvious reasons.

You can't tell from posters on message boards but I promise you at the end of your training when you look back and think about what makes you a good doctor it won't be how well you scored on a test. There is a very good chance some of the best doctors you will know didn't score well on these tests either (not that you would ever really know).

Trying to look beyond test scores at the people and stories behind the application isn't something to be dismissed out of hand nor are scores on tests they only useful measure in how successful someone will be in their career. You were competing against thousands of the best applicants in the entire country for that handful of spots--do you really think the only thing they had on you was ethnicity?

 

[BLADEMDA]

As a white male 26x/28x who just failed to match at my top 4 “elite” programs I think this is probably accurate. Maybe it was something else in my interview but I had many advisors tell me I would go anywhere I wanted. All of those “elite” programs strongly promote diversity with included dei curriculums in the anesthesia residencies. Instead I fell to a middle of the road program.

Burner account for obvious reasons.

Metrics/Stats are no longer the entire story. These days Metrics account for about 1/2 or 60% of the application. The other 40% include research, DEI, likability, interview, etc so I can see how you ended up in a mid tier program. The good news is that mid tier programs will still get you to your goal of being an excellent anesthesiologist. The bad news is that your CV would have looked better with a top 4 program on it especially for academics.

 

[deleted1156722]

As a white male 26x/28x who just failed to match at my top 4 “elite” programs I think this is probably accurate. Maybe it was something else in my interview but I had many advisors tell me I would go anywhere I wanted. All of those “elite” programs strongly promote diversity with included dei curriculums in the anesthesia residencies. Instead I fell to a middle of the road program.

Burner account for obvious reasons.

I would say that there is no clearly stated assigned percentage of Cognitive Metrics/ experience/ LORs and attributes/Interview performance/ DEI metrics in a “holistic” admissions process. The weight on objective scores/ cognitive metrics could be 50% or could be weighed 10% depending on the adcoms/ PDs goals. This kind of “holistic” admissions criteria negatively affects White/Asian students disproportionately.

The LCME and ACGME have required US schools and residency programs to bolster students, residents and faculty diversity and teach cultural competence- since 2009 they have aggressively pushed forward on this measure to the extent of ignoring other purposes and goals of academic medical institutions.
When the DEI metrics singularly overwhelms the fundamental purpose of medical education and academic freedom for the institutions, which are under threat to lose accreditation if they don’t satisfy the assigned metrics, it is very concerning. When the ACGME/ LCME treat DEI socio-political issues such as health disparities and social inequalities as “settled medical questions” and aggressively infiltrates medical education and training, it only serves to politicize medicine, instead of actually helping the individual medical schools, residency programs and its academic community find unique, independent and relevant solutions for the programs/ communities they serve.

The ACGME and LCME would not be moving the needle on any of the social determinants of health for our patients and communities with these DEI measures by propounding the worldview of social justice activists.

The real fix needs to start at the level of elementary schools, local communities and neighborhoods, and the local political bodies and with our elected officials. We need to create the equality of opportunities for everyone regardless of their race, sex/gender, or religion-and not by resorting to getting the desired outcomes by social engineering.

 

[Anesthesia_Guy]

How are job outlooks affected for someone who graduates from a lower tier ( like HCA ) residency. I’d imagine if locks you out of academics but what does it look like for PP?!

Nothing these days. You got a pulse, you got a job.

 

[ucladoc2b]

How are job outlooks affected for someone who graduates from a lower tier ( like HCA ) residency. I’d imagine if locks you out of academics but what does it look like for PP?!

No issue for most. You can still become a good doc, even coming from HCA.