Now that it's getting close to Halloween, we're running a contest to hear your scariest stories! These can be scary stories that you've experienced or stories that you've heard and the story with the most reactions will win!
I don't know the exact numbers, but every year a whole lot of US grads and FMG's sign up for Non-designated prelim surgery positions. I guess they intend to slip into a catagorical position when a space opens up. That happens quite often but at a much lower rate than the yearly inflow of prelim applicants. What happens to the rest of them? Are the majority of them destined to be unceremoniously discarded or do most of them really get a catagorical spot in the next year's match with experience earned as a prelim. Does anyone have numbers for the chances of a non designated prelim actually becomming a surgeon? I'm just curious about this. It seems to be an unnecessarily wastfull and cruel process.
Case in point: I have a friend that did a surgery prelim year at a program that is coming under investigation. He worked 120+ hours/week and realized surgery was not for him. He liked it, but did not eat, breathe, and $#!t it. So now he is doing OB/GYN (go figure ) and loving only having to work 80 hours/week.
There is a whole netherworld of people bouncing from prelim to prelim. At some point they either: - land a gig in a rural ED (essentially as a GP) - work at a 'doc in the box' - earn a living on subsistence farming (aka insurance physicals) - enter a family practice residency - do another prelim in the hopes to become a surgeon
While there are some RRC limits on the number of non-designated prelims, there seem to be a good number of surgery residencies (ab)using them to maintain their pyramid scheme. Abolishing them alltogether would probably not be a big loss to medical education (it would however be a financial loss to the institutions participating in this game).