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	<title>Comments on: Where have all the ER specialists gone?</title>
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	<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html/comment-page-1#comment-70776</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 24 Jan 2007 00:43:00 +0000</pubDate>
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		<description>FMGs have to pass the english competency test as well.  That is unless you want to abolish that and don&#039;t want people to understand a single word their  physicians says.  That seems like a great way to take U.S. medicine.</description>
		<content:encoded><![CDATA[<p>FMGs have to pass the english competency test as well.  That is unless you want to abolish that and don&#8217;t want people to understand a single word their  physicians says.  That seems like a great way to take U.S. medicine.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html/comment-page-1#comment-70766</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 23 Jan 2007 19:33:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/where-have-all-the-er-specialists-gone.html#comment-70766</guid>
		<description>&quot;A FMG neurosurgeon would be happy to work for 80k in the USA. They could greatly undercut american specialists.&quot;&lt;br/&gt;&lt;br/&gt;You are utterly clueless. That might be a fine way to hire a landscaper, but not a specialist surgeon.&lt;br/&gt;&lt;br/&gt;First of all, no one with training of an adequate quality to be a neurosurgeon would work here for that amount of money. Period. There are other places that would pay far more. Second, you don&#039;t just get to train as a neurosurgeon somewhere else, even in countries where care and training standards are similar to those here and walk on for a job as a neurosurgeon. You have to train here if you want to get board certified here. Neurosurgery slots are hard to get and are very long residencies, usually 7-8 years, minimum, without a fellowship (following medical school, realize, as you seem not to understand the training requirements). So there is a natural scarcity, and absolutely no reason a qualified residency graduate would accept that kind of pay. That will never happen. Ever.&lt;br/&gt;&lt;br/&gt;Opening the floodgates to FMGs will not solve this problem. You cannot get foreigners to come here and work for nothing any more than you can get native-born physicians to do the same. FMG does not mean desperate or stupid or willing to work for peanuts.</description>
		<content:encoded><![CDATA[<p>&#8220;A FMG neurosurgeon would be happy to work for 80k in the USA. They could greatly undercut american specialists.&#8221;</p>
<p>You are utterly clueless. That might be a fine way to hire a landscaper, but not a specialist surgeon.</p>
<p>First of all, no one with training of an adequate quality to be a neurosurgeon would work here for that amount of money. Period. There are other places that would pay far more. Second, you don&#8217;t just get to train as a neurosurgeon somewhere else, even in countries where care and training standards are similar to those here and walk on for a job as a neurosurgeon. You have to train here if you want to get board certified here. Neurosurgery slots are hard to get and are very long residencies, usually 7-8 years, minimum, without a fellowship (following medical school, realize, as you seem not to understand the training requirements). So there is a natural scarcity, and absolutely no reason a qualified residency graduate would accept that kind of pay. That will never happen. Ever.</p>
<p>Opening the floodgates to FMGs will not solve this problem. You cannot get foreigners to come here and work for nothing any more than you can get native-born physicians to do the same. FMG does not mean desperate or stupid or willing to work for peanuts.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html/comment-page-1#comment-70750</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 23 Jan 2007 15:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/where-have-all-the-er-specialists-gone.html#comment-70750</guid>
		<description>&quot;INstead of paying docs more, what the govt will eventually do is let open the floodgates to FMGs (foreign medical grads).&quot;&lt;br/&gt;&lt;br/&gt;The floodgates are already open to FMGs that want to come here and practice. Curiously, your childlike dream of a river of fictitious surgeons flooding the country is not happening.</description>
		<content:encoded><![CDATA[<p>&#8220;INstead of paying docs more, what the govt will eventually do is let open the floodgates to FMGs (foreign medical grads).&#8221;</p>
<p>The floodgates are already open to FMGs that want to come here and practice. Curiously, your childlike dream of a river of fictitious surgeons flooding the country is not happening.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html/comment-page-1#comment-70744</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 23 Jan 2007 14:30:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/where-have-all-the-er-specialists-gone.html#comment-70744</guid>
		<description>INstead of paying docs more, what the govt will eventually do is let open the floodgates to FMGs (foreign medical grads).  &lt;br/&gt;&lt;br/&gt;A FMG neurosurgeon would be happy to work for 80k in the USA.  They could greatly undercut american specialists.</description>
		<content:encoded><![CDATA[<p>INstead of paying docs more, what the govt will eventually do is let open the floodgates to FMGs (foreign medical grads).  </p>
<p>A FMG neurosurgeon would be happy to work for 80k in the USA.  They could greatly undercut american specialists.</p>
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		<title>By: Okulus</title>
		<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html/comment-page-1#comment-70732</link>
		<dc:creator>Okulus</dc:creator>
		<pubDate>Tue, 23 Jan 2007 02:15:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/where-have-all-the-er-specialists-gone.html#comment-70732</guid>
		<description>Goodness, with ideas like that, a fella&#039;s likely to stir up trouble!&lt;br/&gt;&lt;br/&gt;Funny how ideas that work anywhere else seemingly without a hitch get such stubborn resistance when it comes to medical care. &quot;You mean I should have to pay you for getting out of bed to see me in the middle of the night? Don&#039;t you make enough already?&quot;</description>
		<content:encoded><![CDATA[<p>Goodness, with ideas like that, a fella&#8217;s likely to stir up trouble!</p>
<p>Funny how ideas that work anywhere else seemingly without a hitch get such stubborn resistance when it comes to medical care. &#8220;You mean I should have to pay you for getting out of bed to see me in the middle of the night? Don&#8217;t you make enough already?&#8221;</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/where-have-all-er-specialists-gone.html/comment-page-1#comment-70730</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 23 Jan 2007 01:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/where-have-all-the-er-specialists-gone.html#comment-70730</guid>
		<description>I have a simple solution, increase the nightly stipend until you fill the spots. It is a novel idea called market pricing. Additionally, the hospitals could also entice doctors by paying for thier annual malprac insurance. There it is, problem solved.</description>
		<content:encoded><![CDATA[<p>I have a simple solution, increase the nightly stipend until you fill the spots. It is a novel idea called market pricing. Additionally, the hospitals could also entice doctors by paying for thier annual malprac insurance. There it is, problem solved.</p>
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