Caribbean medical school's proposal stirs controversy in Texas

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offwestheimer

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http://www.statesman.com/news/educa...posal-stirs-controversy-in-texas-2397333.html

Caribbean medical school's proposal stirs controversy in Texas
By Ralph K.M. Haurwitz
Published: 7:44 p.m. Sunday, June 10, 2012

A proposal by a medical school on the Caribbean island of St. Maarten to send some of its students to Texas for clinical training has divided the governing board of the state's higher education agency, led to a review by the attorney general and prompted key lawmakers to weigh in.

Leaders of the state's nine medical schools — eight of them public and one private — and the Texas Medical Association, which represents nearly 45,000 physicians and medical students, have responded to the proposal by the for-profit American University of the Caribbean School of Medicine with alarm.

Although the Texas Higher Education Coordinating Board has stipulated that only students who had graduated from a Texas high school would be eligible, the medical school leaders and association officials say an influx of students from foreign schools could displace students at Texas medical schools from required training slots that are already in short supply.

In addition, they say, the Texas schools could wind up having to pay more to hospitals for additional slots or engaging in a bidding war with the foreign schools, with higher tuition to cover those expenses a likely result. The issue arises as the state's medical schools are increasing enrollment in an effort to address a shortage of physicians. At the same time, new medical schools have been proposed for Austin and the Lower Rio Grande Valley.

The staff of the Coordinating Board had recommended approving the proposal submitted by the St. Maarten school, which is owned by DeVry Inc., a publicly traded education company based in Illinois. It would have been the first time the state agency had granted a so-called certificate of authority allowing a foreign medical school to operate in Texas.....

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http://www.statesman.com/news/educa...posal-stirs-controversy-in-texas-2397333.html

Caribbean medical school's proposal stirs controversy in Texas
By Ralph K.M. Haurwitz
Published: 7:44 p.m. Sunday, June 10, 2012

A proposal by a medical school on the Caribbean island of St. Maarten to send some of its students to Texas for clinical training has divided the governing board of the state's higher education agency, led to a review by the attorney general and prompted key lawmakers to weigh in.

Leaders of the state's nine medical schools — eight of them public and one private — and the Texas Medical Association, which represents nearly 45,000 physicians and medical students, have responded to the proposal by the for-profit American University of the Caribbean School of Medicine with alarm.

Although the Texas Higher Education Coordinating Board has stipulated that only students who had graduated from a Texas high school would be eligible, the medical school leaders and association officials say an influx of students from foreign schools could displace students at Texas medical schools from required training slots that are already in short supply.

In addition, they say, the Texas schools could wind up having to pay more to hospitals for additional slots or engaging in a bidding war with the foreign schools, with higher tuition to cover those expenses a likely result. The issue arises as the state's medical schools are increasing enrollment in an effort to address a shortage of physicians. At the same time, new medical schools have been proposed for Austin and the Lower Rio Grande Valley.

The staff of the Coordinating Board had recommended approving the proposal submitted by the St. Maarten school, which is owned by DeVry Inc., a publicly traded education company based in Illinois. It would have been the first time the state agency had granted a so-called certificate of authority allowing a foreign medical school to operate in Texas.....

Like. No foreign med students
 
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As we all know, Texas takes care of it's own far more than outsiders, so my guess this isn't going to happen.
 
not a good trend. another devry school just bought a bunch of slots in calif
http://www.bakersfieldnow.com/news/...llions-of-dollars-for-training-154219375.html
Ross University School of Medicine to pay KMC $3.5 million a year, and for KMC to provide 100 rotation slots a year for Ross students.

I wouldn't call 100 spots a year (11 to 12 slots per 6 week rotation) at a hospital in the middle of no where and not near any medical school to be a "bunch of slots." The article said that UCLA sends some students there way, but I get the feeling it's for electives and not core rotations.
 
Who cares, there are will be no residencies in a few years for carib students. Even if this did happen, in 5-10 years it will not be a problem.

As soon as a few classes have 95% of their students NOT match, the entire carib med education system will fall apart.
 
Who cares, there are will be no residencies in a few years for carib students. Even if this did happen, in 5-10 years it will not be a problem.

As soon as a few classes have 95% of their students NOT match, the entire carib med education system will fall apart.

Never overestimate people.
 
Who cares, there are will be no residencies in a few years for carib students. Even if this did happen, in 5-10 years it will not be a problem.

As soon as a few classes have 95% of their students NOT match, the entire carib med education system will fall apart.

Do you have any actual data to back up that claim? Hundreds of spots are added a year.
 
Do you have any actual data to back up that claim? Hundreds of spots are added a year.

Alright, spend a few minutes of free time to dig up the stats.

My first point

First here is a graph of residency applicants and residency spots across the past few decades:

Main2011.jpg


Note that the PGY-1 is not increasing at a very high rate. Its indisputable that the majority of medical residency funding comes from government (medicare). As a transient population, residents dont really have a strong lobby or motivation to get more funding/spots (especially in this economy).

Any additions (a few hundred a year?) are a very small percent of the whole picture.

My second point


table.png


The AAMC and LCME, are the two primary organizations governing medical schools enrollment numbers, etc. In the early 2000s they decided they wanted to increase the medical school enrollment numbers.

Most public medical schools are dependent somewhat on government for funding. However, they can simply increase tuition costs for increased funding. Therefore, the number of med student spots is primarily dependent on the LCME/AAMC, NOT government funding.


My third point

Most (not all) carib med students are those who couldn't make into a US MD/DO. Therefore, on average they are not great at standardized test taking, etc.

However, FMGs from foreign countries often are as smart as top US grads (i.e. high standardized test scores). Therefore, if there only remains a very few number of "extra" spots, it is going to be very difficult for carib to take all of these spots.

Take home point

1. Residency spots barely increasing.
2. Residency spots more likely to be cut by congress than increased
3. US med students will soon be very close to number of residency spots
4. Increasing international competition for the few remaining spots.

Result --> People starting carib med school in the next few years will likely have almost zero chance at matching regardless of doing rotations in Texas, acing step 1, etc. It is very analogous to the US mortgage/housing crisis of the past decade...characterized by an insidious onset where people dont realize they are ****ed until its too late.
 
However, FMGs from foreign countries often are as smart as top US grads (i.e. high standardized test scores). Therefore, if there only remains a very few number of "extra" spots, it is going to be very difficult for carib to take all of these spots.

The more ethical answer is to let those countries keep their talented doctors so their people don't die of malaria... Better yet, we should export the AUC grads as humanitarian gifts, just like what Cuba is doing
 
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