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Discrimination based on medical degree

Discussion in 'Medical Students - DO' started by nostromo, Mar 8, 2001.

  1. nostromo

    nostromo Member
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    As I was browsing the classifieds in the journal "Family Practice News" a few weeks ago, I noted a very disturbing ad placed by the Department of Family Practice at the University of Alabama at Birmingham.

    They are apparently seeking a Residency
    Director.

    According to the classified, the requirements are as follows: M.D. degree, graduation from an LCME accredited medical school and board certificiation by the ABFP.

    In a letter that I wrote to the Chairman of the Department, Dr. Jerry McKnight, I expressed my dismay in that:

    1. Not all physicians who are licensed in the state of Alabama have the M.D. degree. Some are D.O.'s and still others may possess the MBBS or equivalent degree.

    2. Not all medical schools are accredited by the LCME. Yet, LCME accreditation is not a measure of the quality of a medical school.

    3. Not all family medicine specialists are accredited by the ABFP. Some are boarded by the osteopathic board of familly medicine. Still others, who may have trained in a foreign country, may not have gone through either of these governing bodies.


    The point of this is that this classified seems to blatantly discriminate based not only on medical degree, but on where one received residency training.

    In my letter, I expressed my opinion that the measure of a physicians qualification SHOULD be:

    1. Eligibility to practice medicine and surgery, unrestricted, in the state of Alabama.

    2. Proof of graduation from ANY accredited medical school. I can assume if one is eligible for a state license, that this is already assumed.

    3. Graduation from any residency program where the physician demonstrates competence and has passed any state equivalency exam. Of course, the residency should be accredited by SOME accrediting body, but why on earth does it HAVE TO BE THE ABFP?


    At any rate, to this date, I have not received a reply from Dr. McKnight, which to me, speaks volumes.

    I forwarded the letter to both the AOA and AMA for their review. Still awaiting their reply.

    Let this be a warning for all you non M.D., LCME, ABFP doctors out there:


    The University of Alabama doesn't want you!!
     
  2. Note: SDN Members do not see this ad.

  3. Rusty

    Rusty Member
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    As you mentioned, this advertisement was seeking a residency program director for the allopathic Family Practice Residency Program at the University of Alabama. The ABFP is the allopathic organization which certifies graduates of this program. The ABFP requires that ALL physicians who serve as residency program directors of ABFP-approved programs must have completed a ABFP-approved residency program. Also, the AOBFP requires that all AOA/AOBFP-approved residency programs must have residency program directors who are AOBFP-approved.
     
  4. ADRIANSHOE

    ADRIANSHOE Senior Member
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    heh heh heh heh heh.....ok, where to start...hmmmmm.

    FIRST: nostro, a director of a program advertising for a residency director of an "MD" residency, asking for an MD instead of saying, MD, DO, BO, PO, etc..strikes me as extremely intelligent rather than being "discriminatory". Put yourself in their shoes....They may already HAVE someone in mind for the job (happens a lot, they write the advertisement because they are usually required by policy to do so)
    Also, they may feel that its a lot easier to sell new residents who may be mostly MDs going to this MD residency on the residency if the residency director all things being equal is an MD. A lot of DO students at KC and Nova seem to have a lot of problem with patterson having a pHD rather than being a DO. It may be the advertiser is saving money in that unlike here ADVERTISEMENTS often charge by the line or even the word.
    he might not even have THOUGHT about a DO, because all the previous directors, his children, his friends and colleagues etc..are mostly MDs so HE DOESNT HAVE ANY IDEA HOW DEEPLY HURT AND OFFENDED SOME DO MED STUDENT MIGHT GET. put yourself in his shoes and this also answers WHY he didnt write you back. He wasnt ignoring you, mostly likely he just thought you were a paranoid crackpot whose opinion wasnt worth an answer...probably had NOTHING to do with whether you are a DO a DO student or a premed.
    Sometimes we DO folk become through our paranoia our own worst enemies...lets not turn every single act into a racist allegory.

    Lastly, arent MDs gonna supposedly be in competition with us for marketshare? why should they advertise positions and openings in their programs to us? doesnt make any sense....looking for MDs to advertise for DOs would make as much sense as a DO school going out and hiring MD teachers when DO ones might be available. its only common sense to promote your own.

    and before you take this personally, remember this: i wrote you back.
     
  5. nostromo

    nostromo Member
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    PARANOID!!!!

    I'M NOT THE ONE BEING PARANOID, YOU'RE THE ONE BEING PARANOID!!!!


    Dude, just kidding...


    Appreciate your responses.

    My issue with this is simply that in the majority of classifieds for physician recruitment, generally the requirements are merely a physician who is BC/BE, with residency training and experience in that specialty area.

    To me, anyway, the MD/LCME/ABFB requirements seemed a bit rigid.

    After all, wouldn't the University want someone who is most qualified/the best candidate?

    I'm merely saying that the best candidate for the job may not necessarily posess those requirements.

    As for being a crackpot, perhaps...

    I'm no lawyer, but it occurs to me that a residency program which receives Federal funding for Medicare/Medicaid reimbursement may be in danger of losing that funding if it is found that the program is discriminating based on medical degree.

    Many State Medical Boards specifically prohibit discrimination based on type of medical degree. I know the state of Texas does, for one.

    At the bottom of the classified, in bold print, it is written: AA/EOE. Perhaps, they need to be more specific.

    As a tax payer, I certainly wouln't want my money going to a program that discriminates.

    You may think I'm being hyperbolic, but, then again, if crackpots like me don't look out for guys like you, who else will? The AOA? HA! Don't make me laugh!

    Whoops, key board a bit sticky. Just spilled Diet Coke all over the place.

    Later
     
  6. sidebentleft

    sidebentleft Junior Member
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    DO's "discriminate" equally (or even more) than this against MDs.

    MDs can't even apply for residencies at DO hospitals (not that they would want to).
    MDs cant be residency director at a DO hospital.

    Don't use such a strong word as discrimination for a case like this. You belittle the true cases of discrimination that do occur.

    Would you be happy if they let DOs apply, spend their time and money traveling to visit/interview, only to not be considered for the job in the end?

     
  7. nostromo

    nostromo Member
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    Very good point, sidebent.

    Doubtless, the AOA has done a wonderful job shooting itself in the foot.

    But, for the purposes of this discussion, I still believe the word discrimination is appropriate.

    Again, look at the requirements.

    There are D.O.'s and foreign trained physicians who may have completed an ABFP residency.

    What about the M.D.'s who've completed 2 of 3 requirements, yet, have not attended an LCME approved medical school.

    Do you see my point?

    With so many permutations and pathways to licensure and board certification, it doesn't make much sense to be so inflexible.

    And, I agree with the positions that if a University has these particular requirements, it should be allowed to seek such a physician, as long as it doesn't violate state medical by-laws.


     
  8. Dr. P

    Dr. P Member
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    I can't believe you are making an inssue of this. Guess what, medicine and politics go hand in hand. Discrimination is a part of medicine, get used to it.
     
  9. nostromo

    nostromo Member
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    You're absolutely right, Dr. P.

    I can't believe I made an issue out of this.

    It'll never happen again.

    I promise.


    Sincerely,

    nostromo
     
  10. Stephen Ewen

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    Ditto.


    ------------------
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    http://www.lukeproject.org

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  11. joe_nycom

    joe_nycom New Member

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    Try not to have such a chip on your shoulder - because they dont mention DO's doesnt necessarily mean they disciminate against DO's. Usually its ignorance on their part and I personally dont think that being so defensive helps osteopathic medicine. In cases like this I believe educating these people is more important.

    Its also important for DO's not to assume that anytime something dosent go their way they should assume they are being discriminated against because of their degree - this makes us seem insecure. People often blame their DO degree for shortcomings that they have, regardless of what is after their name.


     
  12. Toran

    Toran Senior Member
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    Just because you haven't heard back yet doesn't mean that they haven't taken your thoughts in to consideration. And, as said above just because they didn't say DO specifically doesn't mean that an osteopathic physician is less desirable.

    Toran
     

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