.
Riiiiiiiiiiiiiiight
Given that we don't any data in that regard, it's pretty difficult to say for sure. I think it's also become obfuscated in recent years by increases in hospitalist salaries- it's hard to justify three extra years of training when you can already pull 300k in a lot of areas as a hospitalist. Couple that with the fact that DO students are, on average, older than their MD counterparts, and there is probably a good deal of people selecting themselves out of doing a fellowship. I really love critical care, but the farther along things get, the more I realize that I'd probably be better off just being a hospitalist until my loans are paid off, care of that lovely student loan interest that would balloon during fellowship. It's kind of insulting these days that general internists are looked at as failed specialists- there's a good number of them that either want to do general IM or actually wanted to do hospitalist work.
"A total of 5,722 students participated in the 2014-2015 Entering Student Survey from 29 COMs and branch campuses. The preliminary count of new students is 6,477; the response rate for the Entering Student Survey is approximately 88.3%"
Or we have a different profile than many of the other COMs, that's entirely possible. We have a much higher placement rate into primary care than other COMs by far- the average in your paper is 32%, while 57% of our students enter FM, peds, or IM. We're definitely a far stretch from the average, both in outcome and in intent.
His dissertation was probably just a really long troll post on this site.
The squeeze will begin to take place as the smaller DO residencies that cannot me LCME standards become dissolved. This shift will probably take about 5 years until trend of umatched DO is evident. There will be a significantly lesser amount of residency spots (worse than now....yikes) as the osteopathic machine continues to grow. DO will become the mainstay of acgme primary care spots and there will become more bias towards DOs in order to protect more competitive spots.
Exactly this!!! At my school, professors to clinician faculties to guest lectures keep presuming that every single student here is going to primary care. I don't go on a week here without hearing someone said, "Since you guys are going to primary care or most family doctors need to know these stuffs or these materials here are pertinent to primary care careers, blah blah blah primary care/FM this, blah blah blah primary care/FM that." Moreover, I get emails for volunteer or work opportunities at some outpatient FM clinics or in rural places, but never see anything related to research or position to work with other specialties. The attitude is like, "Oh, you're interest in non-primary care? Sorry, we can't help. You're on your own."
This paper is not surprising at all. It also doesn't tell you much. An increase of 12% of people wanting FM, and a decrease of 11% of people that were undecided at schools whose mission is to fill PC and tell you everyday how great it is. Hmmmm
Yes. It could. We'll have to see how things turn out, but things are going to go down across the board, with MDs getting hit the least, DOs in the middle, and IMGs taking the brunt.
Plus, on rotations (at least at my school), many of our sites have unopposed FM residents- they're who we get to know best, and what we see the most of. It's pretty multifactorial, really.
