Please stop derailing the forum... not useful information at all.
Did anyone hear back at 12?
My apologies. I wish you all the best in finding a spot. This will be my final post in this thread as to not further derail. If anyone has interest in continuing, make a new thread to debate the merits of the match.
never said to abandon the certification and tests and training. that still needs to be there.
what i am trying to say is by eliminating the match, there will be no limited amount of spots.and each person apply and the hospital pick what they best fit, such as a normal employer seeking an employee. that is my personal choice. and yes it may create problems, but like i said i wish i have all the answers.
I don't understand what point you are trying to make. The match isn't magic. There are always limited number of spots for residency, for jobs at companies etc. Companies don't have unlimited jobs, nor do residency programs. The match process is really not much different than the job search.
Medicine:
Submit central application to prospective employers -> Interview -> Hospital picks who they think fits best -> Ranks applicants accordingly and ends up all at once with the top X candidates they could get that fill their openings.
Normal Business:
Submit multiple applications to prospective employers -> Interview -> Company picks who they think fits best -> Ranks applicants and offers them jobs sequentially until they fill their job openings.
The only thing the match does different is streamlines the submission of applications by creating a centralized and standardized form, and it expedites the process of filling the job openings with applicants as it removes the waiting period for the applicant to decide to take the job. IT CHANGES NOTHING ABOUT SELECTION OF APPLICANTS.
all i see now is the matched resident sees the match as the best system, for likely obvious reasons because one has a job and a residency. but one who did not match, are cast away and labelled "bad usmle scores" "red flags", etc and no compassion and help are offered after they too were your friends and colleagues through med school. most of these people such as myself are left out. life happens, tragedy happens, sometime we are force to take gaps between stuff, but once we do, it is a "red flag". the friends and colleagues we made in med school are happy and off with their training. it is kind of sad and sadistic in my opinion for what we called ourselves doctors.
Again, the match does not exacerbate red flags or poor candidates anymore than a normal system would. In fact, it allows for people to move along and make plans faster rather than delaying lost hope as a normal business would.
To again illustrate:
Medicine:
You receive interviews, match day comes, you find out you don't match at a standardized time in 3 months before positions begin.
Normal Business:
You receive interviews, they start to offer their jobs to preferred candidates. If you have red flags, you'd more often than not be closer to the bottom. They would keep sending job offers until their amount of jobs were all taken. Meanwhile, you are waiting around for an offer for potentially months and in the end, STILL NOT HAVE AN OFFER.
by opening up, at least in my mind it may create more of a fair system. heck i may be way wrong on my delusional thinking, but i at least admit our system is messed up. to a matched resident, you may not think so.
look i am not here to create any divisions. just trying to help others as i have gone thru it twice, and it isnt fun. also trying to share my opinions on what i have learned personally about our healthcare system since that is part of my job as a consultant, wish i have all the solutions but like i said, we all work together in healthcare, we all need each other and call consults. if you think there are better fixes to our healthcare and the match, i am all yours, as long as it gets started and fixed, i careless who does it and where the solutions came from
The match works for the vast amount of people. The small minority of those who it doesn't work for, will inherently blame the system. You are suggesting making it worse for 90+% of the people, based on your own personal bias rather than objectivity about the pros of the match system as above.
My final thoughts for a better system then I'm done with this thread: Very simple, if NPs and PAs can practice right after their limited training why can't MDs.
Because our training model requires residency training. You want to tout the knowledge and better quality that an MD has, yet you want to abandon the model.
At least in primary care, there should be a government instituted freeze in hiring of PAs or NPs until ALL qualified medical school graduates are hired. Save the GME funding for specialty residencies and give the primary care JOBS to the MDs who want to stay in primary care! If the doctor shortage is as critical as they say it is then NO MORE RESIDENCY FOR PRIMARY CARE and save the match for those that want to become speciality docs! Very simple, very do-able. Its a win-win situtation for many;
I think we're going to disagree on the definition of qualified.
Its actually insulting to Primary Care doctors that you think you can do their job after only completing medical school. It is a 3 year residency for a reason. Who loses? The patients who get poor care from untrained doctors.
QUALITY in primary care INCREASES due to the influx of REAL MDs, with no primary care residencies GME FUNDING INCREASES to all other specialty residencies, finally, the govt and economy win because medical graduates with $200,000+ in student debt will have a way to pay back their private and GOVT loans!
Quality in primary care would decrease overall. You would have a marginal # of doctors in primary care, but they would be insufficiently trained.
The government will get its 200k regardless. There aren't ways to discharge the debt through bankruptcy.
