Comments on: Academia responsible for the primary care shortage? http://www.kevinmd.com/blog/2008/07/academia-responsible-for-primary-care.html Wed, 15 Feb 2012 00:27:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/07/academia-responsible-for-primary-care.html#comment-86830 Anonymous Wed, 30 Jul 2008 03:16:00 +0000 http://clients.emmense.com/kevinmd/2008/07/academia-responsible-for-the-primary-care-shortage.html#comment-86830 I'm a canadian doing internal medicine residency. When I asked my parents (who still live in canada) what I should specialize in, they said "Be a family doctor- they are the most important ones, right?" They sincerely meant it, bc they see their PCP as their main dr, and the specialists as the consultants...but if you ask an avg american who their dr is, they are confused and often ask "who do you mean?" bc they often have a PCP and 6 specialists, all separately dictating care...in canada, there are strict quotas to ensure a healthy number of med students enter a primary care field. But with the free for all in the US, it is definately difficult to choose PC when you see NPs setting up their practices out of CVS. I’m a canadian doing internal medicine residency. When I asked my parents (who still live in canada) what I should specialize in, they said “Be a family doctor- they are the most important ones, right?” They sincerely meant it, bc they see their PCP as their main dr, and the specialists as the consultants…but if you ask an avg american who their dr is, they are confused and often ask “who do you mean?” bc they often have a PCP and 6 specialists, all separately dictating care…in canada, there are strict quotas to ensure a healthy number of med students enter a primary care field. But with the free for all in the US, it is definately difficult to choose PC when you see NPs setting up their practices out of CVS.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/07/academia-responsible-for-primary-care.html#comment-86826 Anonymous Tue, 29 Jul 2008 23:44:00 +0000 http://clients.emmense.com/kevinmd/2008/07/academia-responsible-for-the-primary-care-shortage.html#comment-86826 Sorry, but "academia" is innocent of the medical Luddites allegations. <br/><br/>The basic problem is that medical students are (generally) not as stupid as the single payer totalitarians would like. They observe NPs, Medicaid, Medicare and the corrupt lawyer industry. <br/><br/>The medical students simply are making decisions based upon obvious facts of life. Sorry, but “academia” is innocent of the medical Luddites allegations.

The basic problem is that medical students are (generally) not as stupid as the single payer totalitarians would like. They observe NPs, Medicaid, Medicare and the corrupt lawyer industry.

The medical students simply are making decisions based upon obvious facts of life.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/07/academia-responsible-for-primary-care.html#comment-86814 Anonymous Tue, 29 Jul 2008 17:10:00 +0000 http://clients.emmense.com/kevinmd/2008/07/academia-responsible-for-the-primary-care-shortage.html#comment-86814 Not to me mention the 800 pound gorilla- the fact that much (?most) primary care is provided by advanced practice nurses and PAs. Not to claim that they do it as thoroughly or as well, just that it is. That is not what most people go to medical school to do. The relatively low reimbursement just seem to make sense under these circumstances. Not to me mention the 800 pound gorilla- the fact that much (?most) primary care is provided by advanced practice nurses and PAs. Not to claim that they do it as thoroughly or as well, just that it is. That is not what most people go to medical school to do. The relatively low reimbursement just seem to make sense under these circumstances.

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