dr.smurf

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Congratulations on the match everyone! How did everyone do this year?

I got my top choice so cant complain!
 

Pepe

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Dr. Smurf,
Congratulations, Where did you end up? I got my top choice as well which is Washington hospital in Washington Pa. We had about 11 people go into FP from my school in San Antonio.
 

dr.smurf

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congratulations!! i ended up at Providence Hosp in MI. thats a long way from san antonio. im from tx...corpus christi. you?
 
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HamSandwich

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I will happily be going to Brown in Rhode Island

Mitch: Wow. Cheese, is that you?
Dean Pritchard: Hello, Mitch. Bernard. I see you guys haven't changed much.
Beanie: Who's this?
Mitch: Beanie, remember Cheese, Rodney's kid brother?
Dean Pritchard: Actually, my name's not Cheese anymore. It's Gordon Pritchard.
Beanie: Oh yeah. Cheeeeeese. Yeah, didn't we lock you in the dumpster one time?
Dean Pritchard: I got out.
 

tofurious

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How do the USMGs who matched into Family Med residencies feel about the high number of un-filled spots and the perhaps increase in underqualified applicants scrambling into those spots?
 

Pepe

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Tofurious,
I will admit that I do have some concern about the number of unfilled spots. I actually think that FP is one of the more difficult specialties, or at least can be if you either don't automatically refer, or can't refer because you are in an isolated location. Having unqualified applicants only makes FP look worse which is the last thing we need right now. With that said, some of the foriegn medical graduates I've worked with in FP have been awesome and some of them have had extensive training in other fields before FP.
I think it might be a good idea to eliminate some of the programs that don't even come close to filling. I have also some PD say that there is consideration of making it a four year residency.
What would y'all do to fix what ails FP right now?
 

BellKicker

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Originally posted by tofurious
How do the USMGs who matched into Family Med residencies feel about the high number of un-filled spots and the perhaps increase in underqualified applicants scrambling into those spots?
If it's okay to comment by IMGs, I'll say honestly that it's making me a little worried. What really bugs me is the way many IMGs use FP as a springboard to other specialties. Maybe there are just too many FP spots right now.
 

BellKicker

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Ok, so it might actually be turning around?

The number of spots offered in the match is probably a measure of spots given away as pre-matches. That's a definite sign of weakness, I think (not that I would mind one).

Wasn't FP the hottest thing back in the 1980's?
 

dr.smurf

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again i totally agree with pepe! i think fp is one of the hardest specialties you can go into and certainly not just b/c i did. fp and em are trully the only general specialties where you have to know alot about ALOT! its the most diverse specialty one can go into.

i mean anyone can be a lazy fp and refer everything out, but come on. why would you want to do that? i mean your pts arent going to feel comfortable having you as their doctor, your colleagues are going to make you the talk of the next party, and your HMO's and are going to be like "no money for this idiot"! and pts hate to be bounced back and forth to doc to doc. they really do...i have seen it on their faces and heard it from their mouths. but, dont get me wrong sometimes you have to.

so i dont really know why people dont go into it more. i think there is a big misconception. well i know there is...i hear it all the time from friends and colleagues. i was doing a GI elective and my attending asked my what i was going into b/c he knew it was eras time...and i said fp. and im not kidding he stopped the rounds and threw down his pt list and said "son your too smart for fp...Im wants you". i was like huh... shouldnt it be the other way around. shouldnt the smart people go into the field that you have to know SOO much about?? i still ponder that. but, thats coming from an IM guy..well at one time.

so what is it then? well im sure its money too. FP is one of the lowest paid specialties. and im a strong advocate for more money b/c hey ...frankly we deserve it. but, thats not how the big dogs think of it.

so who thinks we will get more money one of these days? there are loan repayback programs and things like that. ???
 

Pepe

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I don't think we will get a whole lot more money, but I do think specialist will get less money in the future. If thats the case maybe some of the people who are specializing b/c of the financial rewards might switch to primary care. I also like the idea of help with loan repayment.
 

catdograccoon

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Dr Smurf, you are right on the money about the knowledge and skills needed in our specialty. This is something I try to explain to family and friends who asked me why I was going into this area.
-- Austin TX (AMEP) bound--:cool:
 

tofurious

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Originally posted by Pepe
I don't think we will get a whole lot more money, but I do think specialist will get less money in the future.
I don't think specialists will be paid more, unless the supply of specialists exceeds the need for specialty referral. Specialists (as I will be one) are sort of in the business of creating more ways to do things better or to deal with diseases we have considered "incurable" in the past. Often this involves new technology, new drugs, and new techniques, all of which cost $. This $ will be passed onto the patients if they demand such new therapies.

Of course, when we talk about "specialists", the lifestyle specialists - derm, rad, anesthesiology - greatly outnumber medicine and surgery specialists. I don't think there is really a sufficiently large number of patients to support the number of people going into these 3 specialties now, but the mismatch probably won't present itself for another 20 years. The question obviously becomes whether FPs are willing to significantly increase their referrals to specialties such as derm to create the demand, or to manage everything from acne to low grade skin cancers on their own. Increased referral seems more likely if 1) few US grads are going into FP and IMGs are using FP as a stepping stone onto something else, and 2) NPs and PAs are taking over the role of PCPs from FPs and will not be able to handle some of the more complicated medical conditions.

Are the FP professional organizations addressing these concerns and what some people may see as the diminished need for FP (if economics dictates less access to more skilled FPs and therefore direct collaboration between NPs and specialists may be enough)?
 
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