Comments on: "Education is not part of the cost of treating a patient" http://www.kevinmd.com/blog/2007/09/education-is-not-part-of-cost-of.html Tue, 14 Feb 2012 21:39:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/09/education-is-not-part-of-cost-of.html#comment-80365 Anonymous Mon, 24 Sep 2007 16:13:00 +0000 http://clients.emmense.com/kevinmd/2007/09/education-is-not-part-of-the-cost-of-treating-a-patient.html#comment-80365 Tuition and the hospital's own private funding. I knew doctors, pre-Medicaid, who worked primary care for a few years to save enough to pay their own way through specialty training.<br/><br/>Relatively speaking, an advantage was a motivation to keep the training time short and learning effective.<br/><br/>Disadvantage, fewer specialists.<br/><br/>The 500 B.C. part, read the Hippocratic Oath: <br/><br/>"....To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art...."<br/><br/>I think I see how Hippocrates planned his retirement account and children's educational expenses. Tuition and the hospital’s own private funding. I knew doctors, pre-Medicaid, who worked primary care for a few years to save enough to pay their own way through specialty training.

Relatively speaking, an advantage was a motivation to keep the training time short and learning effective.

Disadvantage, fewer specialists.

The 500 B.C. part, read the Hippocratic Oath:

“….To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art….”

I think I see how Hippocrates planned his retirement account and children’s educational expenses.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/education-is-not-part-of-cost-of.html#comment-80346 Anonymous Sun, 23 Sep 2007 23:29:00 +0000 http://clients.emmense.com/kevinmd/2007/09/education-is-not-part-of-the-cost-of-treating-a-patient.html#comment-80346 Medicare has been around since 1965. The medical profession since 500 BC. How was training paid for before? Medicare has been around since 1965. The medical profession since 500 BC. How was training paid for before?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/education-is-not-part-of-cost-of.html#comment-80315 Anonymous Sun, 23 Sep 2007 00:50:00 +0000 http://clients.emmense.com/kevinmd/2007/09/education-is-not-part-of-the-cost-of-treating-a-patient.html#comment-80315 Interesting. It was because Medicare provided support to residency training programs that the case was made to restrict payments to those same institutions for care rendered by resident physicians but billed through their supervising, and legally responsible, attendings. The argument was based on not having to pay twice, since the resident was already being paid by Medicare. What followed were big audits, large fines and compulsory repayments and much stricter guidelines on what services could be billed against Medicare from academic teaching programs.<br/><br/>Now it seems Medicare wants both ways at once. Somehow that is not likely to work. Interesting. It was because Medicare provided support to residency training programs that the case was made to restrict payments to those same institutions for care rendered by resident physicians but billed through their supervising, and legally responsible, attendings. The argument was based on not having to pay twice, since the resident was already being paid by Medicare. What followed were big audits, large fines and compulsory repayments and much stricter guidelines on what services could be billed against Medicare from academic teaching programs.

Now it seems Medicare wants both ways at once. Somehow that is not likely to work.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/education-is-not-part-of-cost-of.html#comment-80299 Anonymous Sat, 22 Sep 2007 18:58:00 +0000 http://clients.emmense.com/kevinmd/2007/09/education-is-not-part-of-the-cost-of-treating-a-patient.html#comment-80299 For all the talk about MD's, DO's, IMG's and all that, most of the time that's like talking about where you went to high school. The residency is what counts. Where you went to med school is ancient history.<br/><br/>Graduate medical education is the choke point. Talk about being dependent on government money, it's postgraduate training that's most vulnerable. For all the talk about MD’s, DO’s, IMG’s and all that, most of the time that’s like talking about where you went to high school. The residency is what counts. Where you went to med school is ancient history.

Graduate medical education is the choke point. Talk about being dependent on government money, it’s postgraduate training that’s most vulnerable.

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