Cheer up guys

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msion

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Yeah, I know we have this crazy residency shortage now, but we will see what will happen at the end. Meanwhile I am gonna post this from Podiatry eTalk. It's basically a forum for current attendings. I would suggest if any pre-pods who have questions about the future of this field, go on there and see for yourself. The bottom line is, the sky won't fall, especially for us SDNers. So cheer up guys! 😀

PA Podiatrist Among Highest Paid by Big Pharma

A Philadelphia foot doctor was named one of a few dozen physicians across the nation who have earned more than $200,000 in lucrative part-time speaking and consulting work for drug companies. Dr. Warren S. Joseph, of Huntingdon Valley, was No. 5 on ProPublica's list of "Top Earners." ProPublica is a non-profit news organization devoted to investigative journalism. The list of doctors is the latest in their series, Dollars for Docs.

Joseph practices podiatry at Roxborough Memorial Hospital and the Coatesville VA Medical Center, according to ProPublica. During the last four years, Joseph reaped $652,412 in speaking, consulting, travel, and other fees from three pharmaceutical companies. In a 2010 story in the Inquirer, Joseph acknowledged receiving drug company money. He pointed out that diabetic foot ulcers cause more than 80,000 amputations each year. By getting the word out, "I'm saving limbs," he told reporter Faye Flam.

Source: Sam Wood, Philly.com [3/12/13]


Not that I want all these money, but it would at least prove that podiatry is a viable profession. The residency shortage back in the 80's was a lot severer, yet the profession still survived and advanced. Although I am not a current student/resident, I am still very optimistic about the education I will receive starting this fall. I believe that we will be valued for our skills, and there are plenty of options available. Just my 2¢.
 
A strawman argument of an anecdotal example of a financial/ more mainstream outlier (ID foot discussant) does not accurately represent the podiatric profession.

"podiatry is still a viable profession"--that was also quoted back in the 90's with the former admin of the former OH school trying to defend podiatry once again.108, one-hundered eight are without residencies, 2013. History keeps repeating itself in podiatry.

As stated numerous times, it is time for a complete overhaul of the profession. Capsize it. Enough of neponomics, same old names, bloated salaries of foot clubs, "scientific" directors, and other do little/nothing folks as students are required to pay through the nose for more empty promises, hang in theres, keep smiling, keep shining, ...does not pay the huge student loans.

For $250,000+, students/residents/practitioners deserve a lot more of something substantive, rather than more of nothing, same old, promises, chest thumping, and committeess to form study groups and more committees.


Where's the outrage,...and action by all those masters/famers/"leaders"?!
How does hastenly "creating" apprecticeships/preceptor nonsense help with project PR 2015?

Where is the critical thinking?
 
A strawman argument of an anecdotal example of a financial/ more mainstream outlier (ID foot discussant) does not accurately represent the podiatric profession.

"podiatry is still a viable profession"--that was also quoted back in the 90's with the former admin of the former OH school trying to defend podiatry once again.108, one-hundered eight are without residencies, 2013. History keeps repeating itself in podiatry.

As stated numerous times, it is time for a complete overhaul of the profession. Capsize it. Enough of neponomics, same old names, bloated salaries of foot clubs, "scientific" directors, and other do little/nothing folks as students are required to pay through the nose for more empty promises, hang in theres, keep smiling, keep shining, ...does not pay the huge student loans.

For $250,000+, students/residents/practitioners deserve a lot more of something substantive, rather than more of nothing, same old, promises, chest thumping, and committeess to form study groups and more committees.


Where's the outrage,...and action by all those masters/famers/"leaders"?!
How does hastenly "creating" apprecticeships/preceptor nonsense help with project PR 2015?

Where is the critical thinking?

Damn, I don't know what to say. I am not saying he is the norm for all practicing podiatrists, but looking back in history, you have to admit that this filed has gained a lot more recognition. What's wrong with me believing that the future is good? :scared: Nothing is a gurantee, but why not use your knowledge and skills to a full extent? Being a consultant for Pharma companies is only one option of the many, all I am saying here is that everything is what you make out of it, and I gave an example.
 
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Damn, I don't know what to say. I am not saying he is the norm for all practicing podiatrists, but looking back in history, you have to admit that this filed has gained a lot more recognition. What's wrong with me believing that the future is good? :scared: Nothing is a gurantee, but why not use your knowledge and skills to a full extent? Being a consultant for Pharma companies is only one option of the many, all I am saying here is that everything is what you make out of it, and I gave an example.

He is a troll that seems to bring up this odd rants.

Anyway I am sure there is at least one pod out there that is making more than a million a year. I would just take from this is you will probably do alright in this field.
 
He is a troll that seems to bring up this odd rants.

Anyway I am sure there is at least one pod out there that is making more than a million a year. I would just take from this is you will probably do alright in this field.


May I ask: what was "odd" about that "rant." Is critical thinking still taught in undergrad/grad/american schooling?

Rather than critically think about the post, you engage in a misdirect, and use a strawman argument, an aunt sally, anecdotal example.
" I know a friend of a friend who's vet's brother won the lottery,s o you should play the lottery too." the strawman, auntie sally.

Or, are sheeple rewarded for silence, compliance, and obedience as long as dues, fees are paid and status quo is propagated to polly annas.

80s, and the 90s, and now 2013---104-108 students are without residencies--which are now required to practice. The "leadership" should be tarred and feathered--is this a troller? Facts? Analysis?

Critical thinking, an independent thought? Neponomics, $440,000+ foot club salaries, and 108 students are without training, scrambling, preceptoship ramp ups, etc...project PR 2015?!

~$250,000+ for schooling, and 108 students without residencies--that IS disgusting, or is that a troller?

Again, the students, residents, and patients suffer.

Reality is what exists when you stop believing it.
 
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So is it official, 108 graduating podiatrists were unable to obtain a residency? Or did 108 podiatrists fail to match and are currently scrambling? What are the final numbers for this year?

I know DO/MD's also go through a scramble both domestic and abroad if they fail to match. I just want to confirm facts before jumping to any conclusions.
 
104 after scramble, did not get a residency.
 
I believe that 104 number is after the scramble, so podiatry graduates without residencies period.

It's true that MD/DO students go through a scramble but they have a much higher residency placement (%-wise) and much greater lobbying power than podiatry so we will get hit before them 10 times out of 10.
 
😵

I guess Traum is right then.

I am really surprised the statistics are this low. That will be 104 new students competing next year. I can see this snowballing quickly. I am still in shock. I could see odds being this low for foreign MDs via Caribbean but US pod school having that large of a problem, its a real eye opener.
 
That will be 104 new students competing next year. I can see this snowballing quickly.

No, it will not be 104 new students. 59 students from previous years are in the match. That is including over 20 that were not eligible last year because of having failed Part 2 twice. They are in the match this cycle for the first time.

We don't know how many students from 2013 will be added to that 59 or how many of the 59 will match this year.


I could see odds being this low for foreign MDs via Caribbean but US pod school having that large of a problem, its a real eye opener.

The odds for first time FMGs are much, much worse than first time pod applicants.


I can appreciate that some people are (rightly) a little on edge about tomorrow, but it would be nice if everyone could lay off the hyperbole just a wee bit, mmkay?
 
I dont understand, why are there so many students then? Shouldnt each school accept around 50 that way theres enough spots for students? It makes no sense to me honestly.
 
I suppose of these 104 how many failed a part of the board and would not even be eligible for residency.


You have to remember also POD schools I will admit take on people with dodgy stats. There are some 15MCAT scores and possibly some sub 2.75 GPAs. There will be a certain segment that while they pass it is not by much. In the eyes of certain programs if you just muddled through school how well would you do in residency
 
You have to remember also POD schools I will admit take on people with dodgy stats. There are some 15MCAT scores and possibly some sub 2.75 GPAs.

Some schools are very upfront about their admissions requirements, others not so much.
 
I suppose of these 104 how many failed a part of the board and would not even be eligible for residency

All 104 were eligible.... That's the scary part... There are probably others out there that will take boards again and pass the next time so they can try and match for 2014....
 
hey guys, im new to sdn and have been considering podiatry as well as nurse practitioner/pa as a career. I'm a bit worried to hear about this residency shortage, may i ask if this problem is going to be solved? If, so, when??? Over 100 students w/o a residency seems quite shocking. I'd like pursue this field, but i need assurances that if i successfully pass then I will obtain a residency, 300k and 4 years is too big of an investment. I look forward to your replies. Thankyou.
 
hey guys, im new to sdn and have been considering podiatry as well as nurse practitioner/pa as a career. I'm a bit worried to hear about this residency shortage, may i ask if this problem is going to be solved? If, so, when??? Over 100 students w/o a residency seems quite shocking. I'd like pursue this field, but i need assurances that if i successfully pass then I will obtain a residency, 300k and 4 years is too big of an investment. I look forward to your replies. Thankyou.

According to current attendings on Podiatry eTalk, there was also a residency shortage back in the 80s in which the situation was a lot uglier than this (about half of the class weren't able to obtain residencies). But that was back in the time when post-graduate training wasn't required to practice. However, since then the field did advance a lot and incorporated surgical skills into the training. Podiatrists are now able to obtain hospital privileges, sitting as chief surgeon, etc. Although we still don't have a uniformed scope (mainly a handful of states that won't allow ankle or amputations), this field evolved pretty fast over the past two decades. The residency shortage is being addressed, as new spots are being created. The situation is kinda ugly this year due to unexpected hospital closures (probably funding issues due to sequestration), a high board passing rate which brings more qualified applicants into the pool, plus the unmatched students from past year.

Although I am not happy with how things are this year, I feel that the situation will get better in the coming years. A sufficient number of residencies is critical to the success of this field, or any medical specialty. And from the efforts made to this field in the past years, I do think that the administration (APMA, CPME, etc.) will have this issue resolved.
 
According to current attendings on Podiatry eTalk, there was also a residency shortage back in the 80s in which the situation was a lot uglier than this (about half of the class weren't able to obtain residencies). But that was back in the time when post-graduate training wasn't required to practice. However, since then the field did advance a lot and incorporated surgical skills into the training. Podiatrists are now able to obtain hospital privileges, sitting as chief surgeon, etc. Although we still don't have a uniformed scope (mainly a handful of states that won't allow ankle or amputations), this field evolved pretty fast over the past two decades. The residency shortage is being addressed, as new spots are being created. The situation is kinda ugly this year due to unexpected hospital closures (probably funding issues due to sequestration), a high board passing rate which brings more qualified applicants into the pool, plus the unmatched students from past year.

Although I am not happy with how things are this year, I feel that the situation will get better in the coming years. A sufficient number of residencies is critical to the success of this field, or any medical specialty. And from the efforts made to this field in the past years, I do think that the administration (APMA, CPME, etc.) will have this issue resolved.

Thank You for your reply, however "think" it will get better isn't good enough for me, not enough assurance. I would need to know exactly, in detail how they are addressing this issue. Obama care hasn't even kicked in yet. Chances are this problem will be compounded, the people who don't have a residency this year will move into the next and the cycle continues. Hospitals are only going to continue downsizing and scaling back there employees that fill non-urgent positions, like podiatry. I think it will be very difficult to open new residencies in this economy, just using common sense..It seems schools will have to cut there class sizes by at least 10-20%. If people in authority let this situation get as bad as it is, that means they have failed the profession. Again thanks your your reply, but i think i will stick with pa/np, it is more secure. I could just become a PA and specialize in orthopedics. If i were you, u should make sure you know what your getting into and the risks involved.
 
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3 trolls combined on this thread and the match day 2013 thread. Betting it's the same person.

lol believe me, im not a troll, but if sum1 tries to misinform me, then yes, i have a right to be angry. Your talking about people's lives/careers at stake here. Wake up and smell the coffee. Law school is facing the same problem with no relief in sight but at least their coming out publicly. I want to hear solutions being made not what you "think", im not concerned with what you think will happen. The here and now is more impt. Also don't ever accuse me of being a troll.
 
Also don't ever accuse me of being a troll.

'Don't ever'? Like you are talking to some wayward kid? Who do you think you are?
 
No, it will not be 104 new students. 59 students from previous years are in the match. That is including over 20 that were not eligible last year because of having failed Part 2 twice. They are in the match this cycle for the first time.

We don't know how many students from 2013 will be added to that 59 or how many of the 59 will match this year.

I don't know the trends from year to year. Is there a post on this forum that lists the match rate each year? Otherwise when I finish work today I will try to go digging for it.

Here is what I am still confused about then...

This year 59ish people applied a 2nd time for residency (this population is comprised of individuals who are eligible to match: exams passed, passing grades etc).

Now 104 people did not match this year (mixture of class 2013, 2012....)

Would it be a correct assumption that those the vast majority (80+%) of those 104 will try again match 2014? That's a huge investment to throw away unless they found jobs in some other capacity.

This is where I was thinking BASED ON 2 DATA POINTS that this situation might snow ball.

Assuming the 9 schools graduate a similar number of students... and lets say 80 out of the 104 people will attempt to re-apply with them for the 2014 cycle, yet according to a different thread on SDN, about 10 new residencies are created per year. Could we anticipated (unless something changes) that even more students will not match in 2014, 2015, 2016....

Now what I am hoping for is some one to post, "No pod101 you have it wrong, here is why." 🙂

As always thank you for your time.
 
Thank You for your reply, however "think" it will get better isn't good enough for me, not enough assurance. I would need to know exactly, in detail how they are addressing this issue. Obama care hasn't even kicked in yet. Chances are this problem will be compounded, the people who don't have a residency this year will move into the next and the cycle continues. Hospitals are only going to continue downsizing and scaling back there employees that fill non-urgent positions, like podiatry. I think it will be very difficult to open new residencies in this economy, just using common sense..It seems schools will have to cut there class sizes by at least 10-20%. If people in authority let this situation get as bad as it is, that means they have failed the profession. Again thanks your your reply, but i think i will stick with pa/np, it is more secure. I could just become a PA and specialize in orthopedics. If i were you, u should make sure you know what your getting into and the risks involved.

It is funny when people come on here and say I am considering Pod school or (enter your choice-usually PT or nursing or PA school). Then they demand to know the situation will be better for one or the other. You are in a 'PRE POD" forum on SDN, settle down. We haven't even gone to school yet! Ask a pod in your area, ask lots of pods. Make your own decision, don't base it off of a bunch or pre pod opinions, whether they are trolls or not. I understand the shortage isn't awesome news but it will get worked out and the cream rises to the top in any field. If you don't want the pressure then yes go a different route, thats ok.

And don't worry I am not calling you a troll, I would never do that because you said not to LOL.

I agree with you though, you should become a PA.....and I will become a Pod.
 
Would it be a correct assumption that those the vast majority (80+%) of those 104 will try again match 2014? That's a huge investment to throw away unless they found jobs in some other capacity.

This is where I was thinking BASED ON 2 DATA POINTS that this situation might snow ball.

Assuming the 9 schools graduate a similar number of students... and lets say 80 out of the 104 people will attempt to re-apply with them for the 2014 cycle, yet according to a different thread on SDN, about 10 new residencies are created per year. Could we anticipated (unless something changes) that even more students will not match in 2014, 2015, 2016....

Now what I am hoping for is some one to post, "No pod101 you have it wrong, here is why." 🙂

As always thank you for your time.

I think it would be reasonable to expect that many of them will reapply next year. However, I'm assuming you haven't applied yet, and so the only thing you can do at this point is wait and see. There is no reason to abandon the proverbial ship yet, because we don't know what the future holds. This is b especially true with those of us already deposited. It's too b late this cycle to apply to any other school so we aren't losing anything by at least seeing the progress on the next five months....
 
Again, no offense to you guys but you are not students, you don't know what your saying and probably don't know what your getting yourself into. Unless I had it on paper that yes, you will obtain a residency upon graduation, then to me that's too risky. Schools are not going to downsize class sizes, you know how many faculty/staff would lose their jobs if they did? It's simple economics. Then they are the ones going to be angry, so in the end sum1 is going to be upset. I just think you have to realize the emotional and psychological toll something like this has on a podiatry student with no residency, believe me, i know 2 ppl in this situation, and boy are they upset. The law profession is facing a similar crisis but at least their trying to work out solutions, like creating residencies for them.
 
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Again, no offense to you guys but you are not students, you don't know what your saying and probably don't know what your getting yourself into. Unless I had it on paper that yes, you will obtain a residency upon graduation, then to me that's too risky. Schools are not going to downsize class sizes, you know how many faculty/staff would lose their jobs if they did? It's simple economics. Then they are the ones going to be angry, so in the end sum1 is going to be upset. I just think you have to realize the emotional and psychological toll something like this has on a podiatry student with no residency, believe me, i know 2 ppl in this situation, and boy are they upset. The law profession is facing a similar crisis but at least their trying to work out solutions, like creating residencies for them.

Not even Harvard Med will write on paper that you are assured a residency.
I do agree that the schools will not reduce enrollment. While that would be the ethical way to go and I would actually like to see some sort of law that requires any professional school to adjust enrollment based on job market demand (tax payers pay when a student defaults) I now that would never happen.

So lets put it in perspective ~110 students did not get residencies out of 500-600 in the class of 2013 (if my numbers are wrong please correct me) so that shows as long as you are not in the bottom of your class you are probably fine. It is like anything in life if you are in the bottom of any group you will stall quickly. If you are confident you can land in the top half of your class you will probably be fine. For those who just got in on a shoe string because the school needed a warm body to fill the chair, I would be concerned.
 
I was talking to the pod that i shadowed and he told me that in the next 4-5 years there should be some sort of solution and he also told me that for example KSUCPM has residencies affiliated with their school in the cleveland area and the other schools might be lobbying for something along those lines. To make things simple, he said it should get better in the near future because they are looking for a solution.
 
The thing i don't get is if you have 105-110 students with no residency for 2013, those will be pushed into 2014, some of the class of 2014 already wont get a residency, let's say 60 of the lowest ranking students. Let's say you create 50 additional residencies btwn now and 2014, you have about 170 students in 2014 looking to obtain a residency. You created 50, so that still leaves you with 120 stranded in 2014. Creating 50 residencies in this economy in less than 1 year to me is impossible...10-20 tops. Were not even including the people that couldn't take the boards due to low gpa and the people that failed the boards and didn't qualify to apply for a residency this year. You already have 100+ "eligible" students with no residency. So it's more like 200+ students in reality. The sequester as well as obamacare and high student loans is going to only compound the problem. I am very much interested in the field, but i dont like it when ppl say what they think. Your dealing with ppl's future lives and well-being here, this isn't a joke. If sum1 can post the final #'s in regard to residencies for 2013 and most importantly the projection of students that may not obtain a residency in 2014, I would greatly appreciate it. thanks.
 
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I would actually like to see some sort of law that requires any professional school to adjust enrollment based on job market demand (tax payers pay when a student defaults) I now that would never happen..

Not to turn this into a political argument, but where in the constitution of the USA does it give congress the authority to regulate podiatry admissions?

I know that might seem like a silly question, but think of the intended consequences it would have!

Students perspective: I am guaranteed a residency regardless of how well I do in school. If I don't get one, the government will "bail me out" and pay for my loans!!

Schools: we can only accept x (a seemingly arbitrary number that the AAMC orthopedic lobbyists in Washington determined was the job demand for pods) numbers of students, but we need x+20 to keep our doors open. Knowing that the personal outcome of our students is irrelevant (they are guaranteed a residency/loan repayment, so our numbers ALWAYS look good), let's cut half our clinical staff and never upgrade our facilities again!

Taxpayer: why am I paying for the loans of a flunkee podiatry student?
Or: I don't believe in western medicine why am I paying for their loans?
Or: I was born without legs, why am I paying for a podiatry Student's education when I will never need him/her?

The government should NOT enforce regulations on podiatry education. If you don't think you can get a residency after podiatry school, don't go. And that isn't meant to be condescending or rude, it's a legitimate personal question that you need to answer for yourself, not the government answering it for you.
 
The thing i don't get is if you have 105-110 students with no residency for 2013, those will be pushed into 2014, some of the class of 2014 already wont get a residency, let's say 60 of the lowest ranking students. Let's say you create 50 additional residencies btwn now and 2014, you have about 170 students in 2014 looking to obtain a residency. You created 50, so that still leaves you with 120 stranded in 2014. Creating 50 residencies in this economy in less than 1 year to me is impossible...10-20 tops. Were not even including the people that couldn't take the boards due to low gpa and the people that failed the boards and didn't qualify to apply for a residency this year. You already have 100+ "eligible" students with no residency. So it's more like 200+ students in reality. The sequester as well as obamacare and high student loans is going to only compound the problem. I am very much interested in the field, but i dont like it when ppl say what they think. Your dealing with ppl's future lives and well-being here, this isn't a joke. If sum1 can post the final #'s in regard to residencies for 2013 and most importantly the projection of students that may not obtain a residency in 2014, I would greatly appreciate it. thanks.

From all the numbers so far as long as you aren't on the bottom of your class you should be fine. I think we all know pod schools accept a nice handful of unqualified applicants.
 
From all the numbers so far as long as you aren't on the bottom of your class you should be fine. I think we all know pod schools accept a nice handful of unqualified applicants.

Your right but there's really no way to determine the future prospects of the profession. If you have a lot of students not obtaining residencies, eventually your going to reach a bubble or a point of no return, this could undermine the profession significantly. Image matters. Also there's no real way of telling how your going to do, gpa and board wise, many ppl study work hard and still manage to fail. It happens. There's a lot of factors involved.
 
Here is something that dtrack22 posted on the pod students forum:



I'm not sure where this 104 people with no residencies is coming from, but even so, as long as you have no red flags and aren't at the bottom 15% of the class, you will get a residency. That should be reassuring for everyone.

PM News reported a quote from Dr. Edwin Wolf....
 
Your right but there's really no way to determine the future prospects of the profession. If you have a lot of students not obtaining residencies, eventually your going to reach a bubble or a point of no return, this could undermine the profession significantly. Image matters. Also there's no real way of telling how your going to do, gpa and board wise, many ppl study work hard and still manage to fail. It happens. There's a lot of factors involved.

i think this could be said about many of the professions on SDN. On all the different subsets of this website there is some kind of crisis going on, just some worse than others. with all the healthcare reforms i think all of the healthcare professions are on some what shaking grounds. whether it being about finding a job, getting a residency, decrease in reimbursement, to much debt etc. the list goes on. there needs to be some serious reform in all the healthcare professions, greed is causing the decline and hurting all future health professionals.
 
If you're coming into first year with a high undergrad GPA and 23+ MCAT, wouldn't you be expected to perform well and will?

the problem with podiatry is that a 23 is not even good and the schools except people with even lower stats than that. I know the schools need to fill the seats for economical reasons, but damn does that hurt the image of our profession.
 
I'd rather take the risk and become a podiatrist than nursing/pa. For me I found the profession boring. I would have had to do the NP to be my own boss in certain situations and although that was fine, the profession wasn't for me. Neither was PA, always working under someone. But good luck with it of its what you want.
And like someone earlier said, this is a pre pod forum, and in any forum don't take their word for gold, look it up yourself!
 
Here is something that dtrack22 posted on the pod students forum:



I'm not sure where this 104 people with no residencies is coming from, but even so, as long as you have no red flags and aren't at the bottom 15% of the class, you will get a residency. That should be reassuring for everyone.

Also, your quote was from over a week ago which was before official numbers were released....
 
Every medical profession on SDN has their own crisis.

Podiatry is facing several issues: 1 of them is 2013 residency shortage. Yes, I hear 89% of the class 2013 managed to place a residency, congrats to them. However, I wish that number was higher. I want that number to be higher and I think podiatry should be there.

On a side note: I hear a higher % of podiatry students passed the boards this year then in previous years, so congrats to the schools & students. Now we need to fix the residencies.

As for Podiatry accepts <23 mcats, the quality of students lower argument...

MCAT was designed for one purpose: to diagnose how well you can take a standardized test. It allows schools to predict how well you will pass the boards. It looks like the class of 2013 did exceptionally well in that department. So really who cares what their mcat score was?

The problem I care about is the residency shortage. So ...how is this residency shortage going to get fixed. What can we pre-pods due to help? Write to congress, more public awareness...what?
 
The problem I care about is the residency shortage. So ...how is this residency shortage going to get fixed. What can we pre-pods due to help? Write to congress, more public awareness...what?[/QUOTE]

👍
 
The problem I care about is the residency shortage. So ...how is this residency shortage going to get fixed. What can we pre-pods due to help? Write to congress, more public awareness...what?

👍[/QUOTE]

I just saw that on March 14 the house reintroduced a bill that would increase Medicare supported GME residency positions by 15,000 positions over 5 year span. I'm assuming they would do it by either protecting GME funding from being cut or maybe expand it, not entirely sure though. Next question would this help fund podiatry residencies along with MD/DO graduate training?

https://www.aamc.org/newsroom/newsreleases/330948/031413.html
 
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