I don't have a huge problem with AVMA's response. Honestly, I kinda agree that the article points out all the bad aspects and minimizes the positive. I'm not excusing the poor treatment and I'm not saying the system doesn't need change, but the reality is it's a buyer beware system right now and that fact isn't hidden. I did my research and my internship had two days off a week where you weren't asked to come in (maybe one intern on one occasion), 3 sick days, 5 days off, and 5 days to go to a conference/job interview/outside rotation (all of which you actually got to use!). Mentorship was great, we had defined goals and our issues were listened to.
Did I work ridiculous hours for a stupidly small amount of pay? Absolutely. Did I feel like a paperwork slave on many services? Yeah, sometimes and it sucked...especially on one service where 90-100 hour weeks were frequent (70-80 was more common on other services). Was there a mentality of 'I suffered through it so you need to buck up'? From some specialists, yeah. Do I regret doing it? Not at all, even though it sucked at times and I do wish I'd made more money while doing it, that $2-3/hr salary calculation isn't a lie. My take-home pay was about $1800/month after taxes and my apartment was $1100+utilities and I couldn't have made it without help from my family. But I wouldn't be near the doctor I am today without an internship. I know it's not the right choice for everyone but it was a great choice for me.
My feelings may have been different if I'd landed at one of the toxic places, but I can't regret doing one. Out of 7 full-time doctors at my practice, I really only felt one took advantage and had unrealistic expectations of us and what we could do each day. Unless there are guidelines and an overarching governing body like in human med, I seriously doubt things will change nor will salaries improve. Maybe I'm 'part of the problem' and excusing everything by saying 'it's worth it for the learning opportunity,' I don't know, but I don't regret it and painting all internships with a broad brush of 'horribly abusive' rubs me the wrong way because there are programs trying to do what they can to improve QOL/salary for interns. The interns that replaced my intern class got a $2,000/yr raise. It doesn't sound like much, but that was a 7% raise for them compared to us and comes out to an extra $100-200/month. It needs to go up more for that area, but at least it's a start. I was on a discussion panel with administration at my university less than a month ago where we talked about how they could help interns and residents do better/be happier/promote wellness. We didn't come up with much that could actually be implemented, but at least there are discussions occurring and people are thinking about it. Hopefully things will keep changing.