Young doctors in debt

Or, why medical students don't choose primary care:

But for this generation of doctors, and for Meg and Chris in particular, financial security won't come guaranteed with their medical licenses. As health-care economics squeeze physician salaries, rising college and med school tuitions are putting young doctors ever deeper in the hole.

Chris and Meg live frugally, work hard and are making the kind of investments in their future that ...


A physician surplus?

A refreshing take. The argument here is that there are not enough physicians in primary care:

Increasing medical school enrollments isn't going to solve the problem. You'll just end up with proportionally more cardiologists, more gastroenterologists, more cardiac surgeons to flood an already supesaturated metropolitan market. Until we compensate primary care/family practice in such a way wo make it financially appealing to medical students, there's still ...


Orac compiles a list of culprit medical institutions. (via Dr. RW)

"It's the gift of medical school and residency."

In medical school, it is emphasizes that the chief complaint be phrased in the patients own words. Here are some of the dangers of using patient quotations without context.

Gross anatomy of the future?

Some medical schools in Europe are using sophisticated virtual anatomy lessons. Here's a sample pic:

Dr. Wes argues they can't be totally prevented, no matter how hard we try:

Errors, as difficult and as unfortunate as they may be, remain critical to our development as doctors. Although no one wants them to occur, they do have benefits to developing a mature perspective and technique to medical practice. Critical review of inevitable medical errors should remain a critical part of our medical school curricula.


Physician's don't care about making the EMR the centerpiece of the patient encounter:

"You have to realize that physicians have been trained four years in med school, then three to seven years in post-graduate training. The funny thing is that they want to take care of patients. They don't want to become specialists in creating medical records. They look at the medical record as an incidental cost of doing business. ...


It's ridiculously expensive for one thing:

The answer is that we have priced a medical education well beyond the reach of most middle-class students. In 2004, tuition and fees at a public medical school averaged $16,153. Students who attended a private school paid $32,588 according to a 2005 study published in The New England Journal of Medicine.

The author, Dr. Gail Morrison, Vice Dean for Education at University ...


A Harvard medical student frets about choosing where her 3rd year clerkship is going to be. The one wrinkle is a new "longitudinal approach" that Harvard is taking, where all the rotations are at one hospital.

Get some perspective.

Harvard medical students are choosing between Massachusetts General Hospital, BI/Deaconness, and Brigham and Women's. That's like being forced to choose between a Porsche, Mercedes or a ...


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