Unmatched doctor does direct primary care in Missouri

[PathDoctor]

Missouri is the 32nd state to legalize medical marijuana.

Before moving to Kansas City two years ago, Bubenik was a nurse and a doctor in Oregon, one of the first states to legalize marijuana for medical use and, later, recreational use. She said physicians in other states have become more comfortable with it.

Bubenik is part of Missouri’s assistant physician program, a first-of-its-kind law that allows medical school graduates who haven’t done residency to practice under the supervision of another physician.

Medical marijuana also won’t be covered by insurance, but Bubenik said that’s less of an issue for her patients than for others. She runs a direct primary care clinic, which means patients pay her a monthly membership fee rather than billing insurance. Clinics like hers often attract patients who either have no coverage or high deductibles.

https://www.kansascity.com/news/business/health-care/article221763945.html

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[GoSpursGo]

Old news. Several threads about the assistant physician program in Missouri:

Working as an Assistant Physician in Missouri

There seem to be a lot of threads on residents being terminated. I wondered if a resident that was terminated would be able to work as an Assistant Physician and apply for residency again (after several years of experience and training). This is assuming the individual did well working as an...

forums.studentdoctor.net

Assistant Physician Questions

I wasn't really sure which subtopic to address this under, but am hoping someone here might have some additional information. For a little background, I graduated medical school this past May and chose not to pursue residency at that time due to my wife becoming very sick, though I am hoping to...

forums.studentdoctor.net

Seems like since the last thread, some people have actually been making this program work. Unclear to me how easy it is to make it happen.

 

[deleted480308]

NOT A DOCTOR, JUST AN M.D.

notadoctorjustamd.blogspot.com

board failure, but a US MD. Still don't think a doc should be practicing without a structured residency any more than NPs/PAs should be independent. I'm having trouble buying that they couldn't pull at least a prelim/transitional year

 

[Mass Effect]

I'm a fan of the program in MO for a limited amount of time. I think docs who don't match should have another chance at the match and in the meantime, they can help fill a void in primary care, under the supervision of an attending. However, I don't think this should be just a random option for people who don't want to do a residency. In my view, the program should allow people a 3-year limit. After that, if they don't match, they need to explore other avenues if they wish to try again.

 

[PathDoctor]

Of the 25 assistant physicians with a collaborative agreement, all were IMGs, and 20 were working in health professional shortage areas.

Regarding USMLE performance first-attempt pass rates,

• on Step 1, assistant physicians had a 70 percent pass rate compared with 94 percent for all U.S. medical graduates and 78 percent for all IMGs;
• on Step 2 clinical knowledge, the pass rate was 42 percent for assistant physicians versus 96 percent for U.S. graduates and 81 percent for IMGs;
• on Step 2 clinical skills, the pass rate was 50 percent for assistant physicians versus 96 percent for U.S. graduates and 79 percent for IMGs; and
• on Step 3, the pass rate was 66 percent for assistant physicians versus 96 percent for U.S. graduates and 86 percent for IMGs.

The authors noted that Step 3 is not required for licensure in Missouri.

Study Reveals Troubling Test Scores of Assistant Physicians

Researchers found that a new category of medical licensure in Missouri drew individuals with lower pass rates on standard licensing exams and did not adequately address the problem of medically underserved areas.

www.aafp.org

 

[deleted480308]

Of the 25 assistant physicians with a collaborative agreement, all were IMGs, and 20 were working in health professional shortage areas.

Regarding USMLE performance first-attempt pass rates,

• on Step 1, assistant physicians had a 70 percent pass rate compared with 94 percent for all U.S. medical graduates and 78 percent for all IMGs;
• on Step 2 clinical knowledge, the pass rate was 42 percent for assistant physicians versus 96 percent for U.S. graduates and 81 percent for IMGs;
• on Step 2 clinical skills, the pass rate was 50 percent for assistant physicians versus 96 percent for U.S. graduates and 79 percent for IMGs; and
• on Step 3, the pass rate was 66 percent for assistant physicians versus 96 percent for U.S. graduates and 86 percent for IMGs.

The authors noted that Step 3 is not required for licensure in Missouri.

Study Reveals Troubling Test Scores of Assistant Physicians

Researchers found that a new category of medical licensure in Missouri drew individuals with lower pass rates on standard licensing exams and did not adequately address the problem of medically underserved areas.

www.aafp.org

I’m confused that anyone is confused that they have lower pass rates