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Thread: Residency slots trends

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    Residency slots trends

    "I believe that banking institutions are more dangerous to our liberties than standing armies... " - ****** Jefferson

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    Quote Originally Posted by Shiz77 View Post
    Guys PLEASE this is not about flame wars, it's about residency seats and potential expansions that are CRUCIAL to all caribbean med students.

    when will this be put in effect? I haven't seen any expansion in this current match. Talk is cheap, the US government is talking about a residency expansion as well, where is that residency expansion? I say wait until something actually happens before posting. cause right now this is all meaningless.
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    axiomofchoice is offline Senior Member 6116 points
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    The article is very short.... it says within the next 5 years, and it was approved by the UT board. So I would say that this is a very significant post that not only gives a credible link but is directly related to the reason everyone is on this site (unless of course you are in this years match or done completely, I know you are in the former category). However, if this isn't worth talking about then what is..... "will i get into XYZ carib school".......
    Excellent post. Thanks Shiz

    Quote Originally Posted by RussianJoo View Post
    when will this be put in effect? I haven't seen any expansion in this current match. Talk is cheap, the US government is talking about a residency expansion as well, where is that residency expansion? I say wait until something actually happens before posting. cause right now this is all meaningless.

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    Let's all hope for the current legislation (Physician Reduction Act) to pass! H.R. 2251: Resident Physician Shortage Reduction Act of 2009 (GovTrack.us) S. 973: Resident Physician Shortage Reduction Act of 2009 (GovTrack.us) Shizz- whats the difference b/n these two bills? Are they the same?
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    Quote Originally Posted by med etudiant View Post
    Let's all hope for the current legislation (Physician Reduction Act) to pass! H.R. 2251: Resident Physician Shortage Reduction Act of 2009 (GovTrack.us) S. 973: Resident Physician Shortage Reduction Act of 2009 (GovTrack.us) Shizz- whats the difference b/n these two bills? Are they the same?
    They are sponsored by two different senators and although I have not read the details of the bills they might have differences in details but are more or less the same. S.973 is by Senator Nelson and has only 7 cosponsors. HR 2251 is by Senator Crowley and I believe one of the bills is supported by Harry Reid, the leader of the Democratic caucus. HR 2251 has 43 co sponsors, of which many are republican. This is great news as it illustrates bi partisan support . However I did not see Senator Baucus' name as a potential cosponsor on either bill and he holds quite a bit of sway in terms of health care reform.

    Both the bills were deemed 'dead' on arrival because of their 10 billion dollar price tag. But if you really want health care reform it would be wise to pass them. Several articles from think tanks are calling for an increase. I believe we should expect to see an increase in seats, albeit at a lower number than both the bills ask for, over the next few years. This is because the COGME (council of graduate medical education) does not think it is necessary for a great increase and in fact they were the people who stated reditribution of slots as a strong option which is what is outlined in the current reform package. One other thing, this redistribution IMO will come from many unfilled osteopathic slots as many many are left empty every year and I think they are also funded by medicare. So expect a better growth in residency slots over the next couple of years for us allo students.

    As to RJ, the plan was approved by the school. In one city alone they plan on increasing atleast 170 seats soon and to a total possible 300 seats withing 5 years. To get a final 'official' estimation of slots one would have to wait for annual NRMP match stats to see the trend, until then these articles seem to be our only other source of information. And I believe I read that the plans for redistribution will not be taken into effect until July 2011, so I don't think we will see an increase until the 2012 or 2013 match.
    Last edited by Shiz77; 10-19-2009 at 05:14 PM.
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    nydoc70 is offline Junior Member 510 points
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    Quote Originally Posted by Shiz77 View Post
    Guys PLEASE this is not about flame wars, it's about residency seats and potential expansions that are CRUCIAL to all caribbean med students.
    residencies in the US are financed by CMS (www.cms.gov) with state and federal subsidies...each state receives a different amount based on the 1996 rates...the current US budget will slash residency slots in many teaching hospitals...on a more positive note, PRIMARY CARE programs will be increased...notwithstanding the fact that carib grads will lose residency positions to DOs who are applying to MD programs...check the ECFMG facts on the number of USIMGs and IMGs matching every year against the number of US grads matching...almost 30000 applicants for 13000 positions every year? how many are left for foreign grads yearly?...study hard, do research, do legitimate US clinicals...get a diploma from a reputable foreign medical school!

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    Quote Originally Posted by nydoc70 View Post
    residencies in the US are financed by CMS (www.cms.gov) with state and federal subsidies...each state receives a different amount based on the 1996 rates...the current US budget will slash residency slots in many teaching hospitals...on a more positive note, PRIMARY CARE programs will be increased...
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    it's not as simple as a medical school wanting to increase residency spots so bam! they increase them. these spots have to be approved by the ACGME and that's not an easy task to accomplish. Lots of planing and work goes into increasing residency spots even by 1 spot. the school needs to prove to the ACGME that they have enough patient population and diversity so that each resident will get an equal training experience and that there are enough call rooms and other things supplied. Simply having a medical school say that they want to increase residency spots means nothing. Everyone would want to increase residency spots, residents are cheaper than nurses and have the authority of doctors, they're the cheapest medical labor in the hospital. Any hospital would much rather increase the number of residents than have to pay a board certified attending to work there. The problem is that many of these residency increases are turned down because the ACGME feels that an increase in residents will hinder their learning and training, if the patient load is low or the patient variety is low and the current residents have a tough time filling the numbers of different patient types in order to graduate then the ACGME will be very reluctant to increase residency spots even by 1. So even though UT med wants to increase residency spots it's ultimately not up to them and the decision lies with the ACGME.
    Last edited by RussianJoo; 10-20-2009 at 05:30 PM.
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    Texas legislature approves increase in GME

    UNTHSC should add M.D. program to its Fort Worth campus | Editorials | Star-Telegram.com

    From the article

    'To combat this, Senate Bill 1, passed during this year’s legislative session, included an 18 percent increase in state support for GME, as well as a significant increase in support for family practice residencies. A Fort Worth M.D.-conferring degree program would be positioned to capture more of those new GME slots. '


    Glad to see states are taking initiative.
    "I believe that banking institutions are more dangerous to our liberties than standing armies... " - ****** Jefferson

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    My God, its about time! Thanks for the post Shiz.
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