Residency rules do they work?

[DadofDr2B]

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I just did a count of the resident match list at MCG and found only 53 out of 169 matches actually are continuing in the State of Georgia with their training as residents. The idea about in state resident rules for admissions looks pretty foolish when most don't stay for further training. Maybe they should admit the best applicants without regard to residency. Just a thought.

 

[Gut Shot]

I just did a count of the resident match list at MCG and found only 53 out of 169 matches actually are continuing in the State of Georgia with their training as residents. The idea about in state resident rules for admissions looks pretty foolish when most don't stay for further training. Maybe they should admit the best applicants without regard to residency. Just a thought.

There are no state residency preferences when it comes to the match.

 

[Isoprop]

sometimes better programs are out of state.

 

[Captain Fantastic]

I just did a count of the resident match list at MCG and found only 53 out of 169 matches actually are continuing in the State of Georgia with their training as residents. The idea about in state resident rules for admissions looks pretty foolish when most don't stay for further training. Maybe they should admit the best applicants without regard to residency. Just a thought.

Do you have data on how many docs that graduated from MCG returned to practice in Georgia? I think you'll find a larger percentage that the match list.

 

[Law2Doc]

Do you have data on how many docs that graduated from MCG returned to practice in Georgia? I think you'll find a larger percentage that the match list.

It would be tough to find such a list, but actually I'd think it's a smaller because folks tend to be of the age to put down roots, get married and start a family during residency, so you see more people staying put at that point than at the med school graduating age. You get less geographically mobile the older you get.

 

[flip26]

I don't think preferential in-state residency rules are simply about home growing physicians. Probably has more to do with the state funding and the politicians demanding preferential treatment for taxpayers...

My state schools let in a huge amount of out-of-staters. I wish I lived in one of those hard line states that don't let anybody in from out of state...

 

[Captain Fantastic]

It would be tough to find such a list, but actually I'd think it's a smaller because folks tend to be of the age to put down roots, get married and start a family during residency, so you see more people staying put at that point than at the med school graduating age. You get less geographically mobile the older you get.

Often it's not an option to stay put after residency. The market surrounding medical schools and teaching hospitals is often saturated. Most of the residency class will move away from the area when they finish; a significant number of those not doing a fellowship will head closer to "home."

When I was interviewing I read some literature that stated more Missouri docs graduated medical school from the Univ. of Missouri than any other institution.

 

[Captain Fantastic]

I don't think preferential in-state residency rules are simply about home growing physicians. Probably has more to do with the state funding and the politicians demanding preferential treatment for taxpayers...

My state schools let in a huge amount of out-of-staters. I wish I lived in one of those hard line states that don't let anybody in from out of state...

It's not simply about home grown docs, but definitely the politicians promise the tax payers that the medical school will provide more doctors for the state. That's how the citizen's convince themselves to ante up the dough. On the other side, the medical school in one of hundreds of entities competing for limited state resources. They constantly must lobby the legislature to maintain funding levels. Fulfilling its mission to provide docs that stick around tremedously helps their cause.

 

[dd128]

I would guess it's mostly just about statistics. Someone who's lived in a state, has ties, family, etc. is just more likely to ultimately end up back in the state practicing than someone who moves to Georgia to attend MCG get their education then go back to their home.

 

[NAVYLABTECH08]

I just did a count of the resident match list at MCG and found only 53 out of 169 matches actually are continuing in the State of Georgia with their training as residents. The idea about in state resident rules for admissions looks pretty foolish when most don't stay for further training. Maybe they should admit the best applicants without regard to residency. Just a thought.

Huh! Was I asleep for far too long. I know that MCG is very strict on in stae applicants for their MD school, but residency? If you look at a lot of MCG residents, they are not chosen becasue of their in state status, but becasue the flow of applicants tend to lean toward in state applicants from in state medical school. How many people from Hawaii are really applying to MCG residency programs compared to Emory, Mercer and MCG grads. Now, Emory is one of those big names and the ATL is a big name city that may attracy some outters, but Emory is private and dosen't care where you come from as long as you are competitive.

 

[Law2Doc]

I would guess it's mostly just about statistics. Someone who's lived in a state, has ties, family, etc. is just more likely to ultimately end up back in the state practicing than someone who moves to Georgia to attend MCG get their education then go back to their home.

I still think more people put down roots during the residency years (average ages 26-31) than during their med school years (22-25) when they tend to be younger and less tied down. It gets harder to move once you marry someone with a local job and/or start a family. So you tend to stay closer to your residency.

Captn Fantastic's notion that you can't stay close to residency is a false one -- in most of the country you are as likely to be able to stay close to where you do residency than to move elsewhere. Most teaching hospitals are in big cities or population centers. People either keep practicing in those cities or move to join practices in the suburbs. It's not like people move more rural because the market is saturated. If they did that, we wouldn't have any problem with underserved areas. But we do. A good part of the problem with healthcare is precisely that people aren't moving to less desirable parts of the country where there is demand.

 

[dd128]

I still think more people put down roots during the residency years (average ages 26-31) than during their med school years (22-25) when they tend to be younger and less tied down. It gets harder to move once you marry someone with a local job and/or start a family. So you tend to stay closer to your residency.

I have little doubt you are ultimately right. I got into a state school in a different state than where I live. While I would love to stay in that state after med school, I don't have any serious qualms about moving away if I get a better residency somewhere else.

Residency rules work for schools in the regard they generally keep out of staters in low proportion, I think the title of the thread should be, what's the point of them?

 

[Law2Doc]

Residency rules work for schools in the regard they generally keep out of staters in low proportion, I think the title of the thread should be, what's the point of them?

It's a money thing. State schools are usually somewhat subsidized by the state. If you are going to provide reduced tuition or other subsidized services, you need to be giving preference to children of the folks who are bearing that tax burden. They let OOSers in though, because a state school whose numbers sink below average doesn't stay in good regard for very long, so they take as many great applicants as they can from their own state but won't dip below a certain threshold and lose their competitive stature. The OOSers are usually the buffer that allows an ocaisional instater with slightly lower numbers to get in.

 

[Captain Fantastic]

Not specifically on state residency, but here are the numbers on who stays in state after training:

67.3% :: completed medical school and residency in the state
45.2% :: graduated from a public medical school in the state
45.0% :: completed their residency or fellowship in the state
39.7% :: graduated from any medical school in the state

http://www.ama-assn.org/amednews/2008/01/28/prca0128.htm

 

[DadofDr2B]

Not specifically on state residency, but here are the numbers on who stays in state after training:

67.3% :: completed medical school and residency in the state
45.2% :: graduated from a public medical school in the state
45.0% :: completed their residency or fellowship in the state
39.7% :: graduated from any medical school in the state

http://www.ama-assn.org/amednews/2008/01/28/prca0128.htm

I think the number of in state residents in the Medical College of Georgia that matched this year into Georgia for residency was about 40%. 25 states and the District of Columbia were represented. 2 to Washington State and 1 to Honlulu. So much for keeping them in state. Why not educate the best and do away with all of the residency requirements? Get the best and I think you will end up with better doctors. JMO.