..not to mention elitist, and bigoted. FMGs were holding down the fort long before the current Influx of AMGs into the field based on *perceived* Lifestyle accompaniments. And guess who will be holding down the fort again in the future as reimbursements will inevitably decline, coupled with the insidious proliferation of MBA managed AMCs? Oh, I'm sure it will be the 230+ AMGs right? Or will they suddenly find their calling in whatever is paying best at that time....IR perhaps, or the coveted derm/plastics/Rad. Onc?
Get over yourself. All Doctors in this country pass standardized tests and you are no better than any of them, although if thats what you need to believe to maintain a hard-on, be my guest. When Malcolm S. Forbes surmised that "the purpose of education is to replace an empty mind with an open one" he unwittingly had your particular brand of ignorance in mind.And yet you've learned nothing have you? You may have enjoyed the closing Segment of Bill Mahers "Real Time" show last week entitled "new rules" In it, he appealed to all the touters of "America being #1 at well....everything" to bear a few statistics in mind. Essentially it went like this: # 42 at A, #95 at B, #76 at C etc. I suspect you don't watch that show, but thats not important. What is important is that you wake up, and realise that being an american graduated doctor makes you no better than anyone else. And much like the individuals Maher had in mind please remember that just because you keep saying you are 'numero Uno' does not objectively make it so.
As I continue to be judged by those who likely did not graduate from the U.S., let me propose this- I can imagine you have endured far more prejudice, undeserved limitations and presumptions than I ever will. But please, don't build up steam based on your years of oppression only to throw it at my flimsy comment. I responded to a CLEARLY offensive, prejudiced, misinformed, petty dig at a population of caregivers that I believe play a vital role in our healthcare system. Frankly, I find it ironic that someone (OP) who I perceive to be educated outside the U.S., based on their grammar and syntax, can have such feelings. I'm not responsible for the sum of the years of hard times you have obviously received while a resident of the U.S. Don't pile your feelings on me.
I'm not an elitist. I'm not a bigot. Those are sweeping statements to save for a person displaying a series of actions or comments. I would hate to see a judgment of your life based on one sentence in an internet forum.
"Holding down the fort?" I disagree. Sure, once anesthesia (or any other hot specialty) drops in popularity, it might get so low that the few interested grads from American schools will be unable to fill the spots. And those spots will be filled by grads from other countries. And when that happens, I will continue to believe that most of the FMGs are not interested in anesthesiology
per se, but in becoming a physician in the U.S. I think that a certain number of FMGs entering the U.S. will take whatever residency spot is offered them, in whatever field. That cannot be good for anesthesiology or any other specialty. I guarantee that you would prefer your field to be filled by the best of the best, as opposed to the group who gets last pick. THAT is why I have a problem with what happened 10 years ago. And THAT is why I can say, "I am glad there are fewer FMGs in anesthesiology". Because that reflects the fact that the people currently training in anesthesiology residencies are there because they have proven to be the best, not that they have proven to be the only ones left willing to go into a field with a questionable future.
Regarding your comment which calls to question my erectile abilities, I assure you that, based on board scores, I am well under the national average. My corpora cavernosa do just fine, nonetheless. Bill Maher? Don't suppose A-N-Y-T-H-I-N-G about my TV habits. He's just the most recent in a long line of comedians with savvy writers feeding them the truth about America. I was watching Dennis Miller when you were probably learning multiplication tables, "but that's not important". You would be hard pressed to find too many people in these forums that are more critical of the U.S., or anything else in the world, than I am.
Thanks for the lesson on objective v. subjective. I certainly know I have never, in any post, claimed to be numero uno, numero once, or numero dos ciento y uno. If you read my Dean's letter, however, I am closest to the latter. You'd think I would want the stage to be set like it was a decade ago, when I could still walk into whatever town I wanted. Deep down inside, though, I am happy that my specialty, for now at least, is being filled with some of the brighter minds graduating from medical school, both inside and outside the U.S. That means I'll have colleagues I can trust.
And please, I'm really tired of the "wake up!" joke. Har-dee freakin' har. I GET IT!!! Anesthesiologists put people to sleep. Some anesthesiologists have been known to fall asleep. Let's try something new. Let's try having an honest, open discussion about what I have said, instead of name-calling, assumptions and your own little ball of misery built on how you have been treated by a hundred other people, but not me.
Where's all the slander for the OP? As I mentioned before, his comments were far more offensive than anything I have said. If your mind is so open, I would think you might be defending the NPs, PAs, etc. What have you got against the mid-level practitioners?
"It's a fact". Whatever that means.
