WSJ: Medical School Applications Soaring: Implications for Pain?

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drusso

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  1. Attending Physician

"The New Jersey native has applied to more than 30 schools, for medical programs starting in the fall of 2021. Finishing his undergraduate degree remotely has left more time on his hands, he said, giving him more time to apply. Medical-school applications had been rising slowly since the 2008 recession, AAMC data show, but this year’s application cycle—which runs through the fall—has rocketed to nearly 50,000 through August."
 

Ibram X. Kendi and Nikole Hannah-Jones prominently displayed on their website.

I guess AAMC wants woke docs
 

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it was all doom and gloom when i contemplated going into medicine 2 decades ago. its still a good job.

as fas as pain medicine implications? meh. wont impact us for 10 years anyway, but i suspect a larger portion of applicants will head towards primary care
 
it was all doom and gloom when i contemplated going into medicine 2 decades ago. its still a good job.

as fas as pain medicine implications? meh. wont impact us for 10 years anyway, but i suspect a larger portion of applicants will head towards primary care

As MD's made the shift to hospital employment, you haven't seen our profession slowly erode in terms of authority and prestige?
 
As MD's made the shift to hospital employment, you haven't seen our profession slowly erode in terms of authority and prestige?

i could care less about prestige.

but yes, our authority in terms of insurance hoops to jump through, etc has eroded. i think that is true for medicine in general, not just pain medicine.

and i will agree that it is getting harder and harder for an independent practice to survive, which is not good for our system.
 
i could care less about prestige.

but yes, our authority in terms of insurance hoops to jump through, etc has eroded. i think that is true for medicine in general, not just pain medicine.

and i will agree that it is getting harder and harder for an independent practice to survive, which is not good for our system.

it's good for Washington to control
 
There is little to no prestige in medicine anymore, not that I really care. I still have friends who are confused that I'm both a physician and an anesthesiologist because "I thought nurses do anesthesia". Patients in the office largely don't care if they see a NP or the doc.

The only people who find prestige in being a doctor are the parents of physicians, Ivy league researchers who think they're better than the rest of us, and chiropractors.

I think you're right that more people will go into primary care, but only because those will be the only residency spots left open. Then they'll be bitter that a PA/NP is taking their job.

Medicine is still a very rewarding career and I love what I do, but I still wouldn't recommend it to anyone else unless it's their passion. There are much better opportunities both financially and for leisure time elsewhere.
 
Depends on where you live. This year I moved from LA to a smaller town in the Rocky Mountains.

People here still have significant respect for physicIans. Reminds me of when I was a kid.

Complete 180 from LA, where an Ivy League trained physician was lower on the totem pole than working at an Internet startup or being in the “Industry“ in some small way.
 
Depends on where you live. This year I moved from LA to a smaller town in the Rocky Mountains.

People here still have significant respect for physicIans. Reminds me of when I was a kid.

Complete 180 from LA, where an Ivy League trained physician was lower on the totem pole than working at an Internet startup or being in the “Industry“ in some small way.

Why on Earth did you leave LA?
 
pennsylvania to LA to colorado.

i thought LA had all the eye candy? next to impossible to have a successful PP in LA?
 
eye candy?

i dont want to put words in his mouth, but he had stated that one of the reasons for going to LA was for the women. as good a reason as any, i suppose
 
Why wouldn't you leave LA? Imo, the only reason to be in California AT ALL is the weather.



Why on Earth did you leave LA?
pennsylvania to LA to colorado.

i thought LA had all the eye candy? next to impossible to have a successful PP in LA?
eye candy?
i dont want to put words in his mouth, but he had stated that one of the reasons for going to LA was for the women. as good a reason as any, i suppose
Why wouldn't you leave LA? Imo, the only reason to be in California AT ALL is the weather.




I wish I had lived in Southern California during the beach boys days. Would have killed to lived there 50-60 years ago but the place has now completely gone to hell.

Insane housing prices, insane office leasing prices, insane taxes, insane traffic, everything costs double what it should, from contractors to haircuts.
Not as sunny or warm as you would think if you lived next to the ocean as I did.
Most insurance pays less than medicare. People absolutely everywhere. You can't even escape to go on a hike on the weekend, (hiking is a passion of mine) without running into 500 people, and 1/5 of them carry minature stereos that blast ****ty music inconsiderately, while the rest of us are trying to enjoy nature. Headphones cost like $10 but no one could bother with those. Sorry, but it was middle eastern people doing this 90% of the time. Was ready to throw their stereos off the side of a mountain more than once.

The only way you can make a decent living practicing pain in Socal is to completely sacrifice your ethics. Guys who do nothing but PI and follow the lawyers orders like sheep, or guys who do stem cells on people who should be treated with common and reasonable surgeries, guys who do prp for Medicare patients with severe facet degeneration because it pays better than RF, but doesn’t work as well, or guys who will give you a stimulator for a sore toe.

And the referral networks are hard to break as the other physicians don't care if you’re the best doctor since Hippocrates. If you don't benefit them financially, they will never send you a patient. I got most of my referrals from PT and online. I got by, but I wasn't going to be able to save for retirement and I'm in my 40s so that is a concern.

I won't get into the political side of things, but the state is grossly mismanaged. And it just kills me to see how they waste such an enormous amount of taxes, as the state functions like its funded by the income of mongolia, not the 5th largest economy in the world.

I did meet a lot of interesting people in LA, indulged my passion for sailing, hiking, and racing cars, ate some great meals, dated a number of lovely ladies, one of which moved with me to the Rocky Mountains, which reminds her of where she grew up in Europe.

So it was a worthwhile few years in SoCal for her alone, but I'm happy to not go back there for a long time.
 
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I wish I had lived in Southern California during the beach boys days. Would have killed to lived there 50-60 years ago but the place has now completely gone to hell.

Insane housing prices, insane office leasing prices, insane taxes, insane traffic, everything costs double what it should, from contractors to haircuts.
Not as sunny or warm as you would think if you lived next to the ocean as I did.
Most insurance pays less than medicare. People absolutely everywhere. You can't even escape to go on a hike on the weekend, (hiking is a passion of mine) without running into 500 people, and 1/5 of them carry minature stereos that blast ****ty music inconsiderately, while the rest of us are trying to enjoy nature. Headphones cost like $10 but no one could bother with those. Sorry, but it was middle eastern people doing this 90% of the time. Was ready to throw their stereos off the side of a mountain more than once.

The only way you can make a decent living practicing pain in Socal is to completely sacrifice your ethics. Guys who do nothing but PI and follow the lawyers orders like sheep, or guys who do stem cells on people who should be treated with common and reasonable surgeries, guys who do prp for Medicare patients with severe facet degeneration because it pays better than RF, but doesn’t work as well, or guys who will give you a stimulator for a sore toe.

And the referral networks are hard to break as the other physicians don't care if you’re the best doctor since Hippocrates. If you don't benefit them financially, they will never send you a patient. I got most of my referrals from PT and online. I got by, but I wasn't going to be able to save for retirement and I'm in my 40s so that is a concern.

I won't get into the political side of things, but the state is grossly mismanaged. And it just kills me to see how they waste such an enormous amount of taxes, as the state functions like its funded by the income of mongolia, not the 5th largest economy in the world.

I did meet a lot of interesting people in LA, indulged my passion for sailing, hiking, and racing cars, ate some great meals, dated a number of lovely ladies, one of which moved with me to the Rocky Mountains, which reminds her of where she grew up in Europe.

So it was a worthwhile few years in SoCal for that alone, but I'm happy to not go back there for a long time.

I'm a Native Californian and left CA for med school and never looked back. People should realize that politics and ideology matter. Unless we elect the right leaders, the rest of the country could follow in CA's foot-steps.
 
Look the kids are idiots. I was one too. Unfortunately they’ll need to waste the next 10 years of their lives before they figure out it isn’t worth your time.

Now not only are they book smart and a little awkward now their “woke”.

They say all the right things and don’t ask the hard questions. The last thing I want is one of these little Robespierre peering over my shoulder as I examine patients. Who knows maybe they’ll just have virtual clinic.
 
Grass is always greener on the other side. What’s a better job out there with guaranteed high salaries? Yes you can make a lot working in investment banking, consulting, or a high level engineering job but I can guarantee you they don’t just work 9-5 M-F if they’re making >200k (to be able to compete with minimum physician salary

Prestige has dwindled away with the corporatization of medicine and the robust expansion of the role of mid-levels.
 
Grass is always greener on the other side. What’s a better job out there with guaranteed high salaries? Yes you can make a lot working in investment banking, consulting, or a high level engineering job but I can guarantee you they don’t just work 9-5 M-F if they’re making >200k (to be able to compete with minimum physician salary

Prestige has dwindled away with the corporatization of medicine and the robust expansion of the role of mid-levels.

Most physicians don’t be work 9-5 though. I’m in at 7 and leave at 5 on a exceptionally good day. Otherwise it’s 6 plus if I’m on call forget it.
 
I'm a Native Californian and left CA for med school and never looked back. People should realize that politics and ideology matter. Unless we elect the right leaders, the rest of the country could follow in CA's foot-steps.
So you went to Portland? :laugh:
 
I'm a Native Californian and left CA for med school and never looked back. People should realize that politics and ideology matter. Unless we elect the right leaders, the rest of the country could follow in CA's foot-steps.

i hate the liberal policies of california. im leaving. oregon, here i come.
 
Most physicians don’t be work 9-5 though. I’m in at 7 and leave at 5 on a exceptionally good day. Otherwise it’s 6 plus if I’m on call forget it.

yeah that was my point. Physicians make decent money but work a lot of hours, but so do those other high-income fields (for the most part)
 
Grass is always greener on the other side. What’s a better job out there with guaranteed high salaries? Yes you can make a lot working in investment banking, consulting, or a high level engineering job but I can guarantee you they don’t just work 9-5 M-F if they’re making >200k (to be able to compete with minimum physician salary

Prestige has dwindled away with the corporatization of medicine and the robust expansion of the role of mid-levels.
It's more about the opportunity cost. How many years did you work for peanuts during medical school, residency, and fellowship while the student loans just kept growing? Yes, I have a solid income with reasonable hours (of course I work in a "lifestyle" specialty) but I also have $500K in school debt. My CRNA brother has been making bank for years doing shift work and he paid his loans off long long ago.
 
I went to Texas first. It was great.

Why did you leave Texas for Oregon?

No offense, but it seems that Oregon is on the same path as California not just socially/politically, but also with “woke” self certified intellectuals interfering in scientific medicine, denying things like SCS, etc, while they convince the state to pay for reiki, chiropractic, and moon worship!
 
Why did you leave Texas for Oregon?

No offense, but it seems that Oregon is on the same path as California not just socially/politically, but also with “woke” self certified intellectuals interfering in scientific medicine, denying things like SCS, etc, while they convince the state to pay for reiki, chiropractic, and moon worship!

The scenery mostly. But, I agree, a lot of Biden-Harris supporters promoting very anti-physician agendas...

1601057986435.png
 
The scenery mostly. But, I agree, a lot of Biden-Harris supporters promoting very anti-physician agendas...

View attachment 319105

Biden Harris supporters instantly make that scene far less enjoyable.

Imagine taking in this scene while they screw you over everyday in Salem. I’d rather look at a flat piece of land
 
Why did you leave Texas for Oregon?

No offense, but it seems that Oregon is on the same path as California not just socially/politically, but also with “woke” self certified intellectuals interfering in scientific medicine, denying things like SCS, etc, while they convince the state to pay for reiki, chiropractic, and moon worship!
I also moved from a very conservative to very liberal state. The political orientation of my local government is a miniscule part of my real life.
 
I also moved from a very conservative to very liberal state. The political orientation of my local government is a miniscule part of my real life.

That’s the way it should be. I love the outdoors and I could be as happy living in Utah as Colorado or Wyoming as Montana. I also crave sunshine or I could have considered Appalachian mountain states, whether they be red or purple.

However California has been ruined by overpopulation and decades of terrible deep blue government.

Despite their natural beauty I specifically avoided Oregon and Washington during my job search, partially due to their gloomy skies but partially due to their deep blue politics, as this affects my ability to treat pain patients, and keep my hard earned money.


Here is a humorous discussion of the recent accomplishments of California.

 
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Despite their natural beauty I specifically avoided Oregon and Washington during my job search, partially due to their gloomy skies but partially due to their deep blue politics, as this affects my ability to treat pain patients, and keep my hard earned money.

Very smart of you. Culturally, the Pacific Northwest pretty much jumped the shark shortly after Kurt Cobain died. There have been some bright spots with food, beer, and cannabis but its mostly a downhill slide into socialism. Hardcore Biden-Harris supporters don't understand how to govern in a fiscally responsible manner that doesn't eventually feed upon itself.
 
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That’s the way it should be. I love the outdoors and I could be as happy living in Utah as Colorado or Wyoming as Montana. I also crave sunshine or I could have considered Appalachian mountain states, whether they be red or purple.

However California has been ruined by overpopulation and decades of terrible deep blue government.

Despite their natural beauty I specifically avoided Oregon and Washington during my job search, partially due to their gloomy skies but partially due to their deep blue politics, as this affects my ability to treat pain patients, and keep my hard earned money.


Here is a humorous discussion of the recent accomplishments of California.


Hah, yeah the politics are definitely a factor to consider. But geography, cultural aspects, climate, etc are also very important to happiness.

I think generally that youth and diversity and dynamism are associated with liberalism and that wisdom, experience, and stability are more associated with conservatism. I attribute that mostly to the way we socialize our children, in a herd and getting "educated" en masse by publicly funded institutions.
 
Hah, yeah the politics are definitely a factor to consider. But geography, cultural aspects, climate, etc are also very important to happiness.

I think generally that youth and diversity and dynamism are associated with liberalism and that wisdom, experience, and stability are more associated with conservatism. I attribute that mostly to the way we socialize our children, in a herd and getting "educated" en masse by publicly funded institutions.
As I was once told: "If you aren't a liberal in your twenties then you don't have a heart. If you aren't a conservative after you turn 30 then you don't have a brain."
 
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