why do some attendings/residents ignore med students?

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LOL.

Have you taken the USMLEs? Having taken training, licensing and certification exams in two countries, I can tell you that the USMLE and ABS exams were much easier than the Royal College exam which has a 30% pass rate.

The reason the Caribbean schools target Americans is because we are closer, have more money, more interest in medicine and are willing to pay for it. I suspect the reason Saudi pays for positions here is 1) the US welcomes money from Saudi and 2) the NHS likely prohibits people paying for training or its too hard to figure out.

There's no doubt that the US has great training and certainly better than many countries, but is it the best in the world? There are certainly great places outside of the US and on par with our education here.
I'm assuming that's because you have to fight a kangaroo and win to pass...
 
You bring up good points. I agree there needs to be a place for the physician-scientist. However, when that person is on service, they really ought to make an effort to teach, even if they are not that good at it.

Your selective quote of my post strikes me as strange, because the overall point of my post is basically in line with yours.

Nonetheless, as @ProfMD pointed out, even if someone is only on service for 6 weeks a year, that doesn't mean they get to ignore the parts of the job they dislike.

If you're on service and your job requires teaching, then you must do your job. Not sure how it's even possible to argue against that.

I'm not saying that they shouldn't attempt to teach, I'm just saying that the attitude of "no teach = don't take an academic position" ignores reality and the career pressures physician scientists face. There are essentially no other options for most physician scientists other than academic medicine and certainly those that are available (NIH, industry, etc) aren't for those coming out of training if they aren't MD/PhD (and even then you better doing extraordinary stuff).

If students want to increase their exposure to academicians who really enjoy teaching, they would almost certainly be better served by NOT attending top 20 institutions. The people who enjoy teaching for teaching's sake and aren't interested in bench research usually don't end up at the Hopkins, Harvards and UCSF's of the world.
 
i am guilty.
i did not use to ignore med students. in fact, i used to get lots of strong evals that i was a great teacher etc.
as i move up the ladder, it seems like there is less connection between the students and i
also, there is increasing amount of work related stressors that i just cant find as much time for medical students anymore
hopefully in the distant future when there is less service responsibilities i will be able to dedicate more time to the students again
 
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