3 ms·
I'm a surgical intern right now, it's not fun. I'll be doing radiology next year, and very much looking forward to it. I'm biased, but I don't agree with the p
by aabajian 9y ago
I'm a surgical intern right now, it's not fun. I'll be doing radiology next year, and very much looking forward to it.
I'm biased, but I don't agree with the premise of the article; Doctors should be among the highest earners in any country, it's the price you pay to ensure the brightest students are attracted to medicine despite the long training. I do agree with the following:
A second route would be to end the requirement that foreign doctors complete a U.S. residency program in order to practice medicine in the United States. This means setting up arrangements through which qualified foreign doctors could be licensed to practice in the United States after completing an equivalent residency program in another country. The admission of many more doctors would put downward pressure on the pay of doctors in the United States, as insurers would have a new pool of physicians to add to their networks who will accept somewhat lower compensation.
I've met many foreign-graduates who have already completed residency. In makes ZERO sense to have these individuals repeat a residency in the U.S. They have already undergone 12+ years of training, actively treat patients in their home countries, and there's a need for physicians in the U.S. This is very much cartel-esque of the AMA. I know it would result in lower salaries, but this would (hopefully) translate into lower-cost medical school in the U.S.
This is a situation that may benefit from tech solution. There are already certain states allowing foreign medical graduates to practice in the U.S. If you're looking for a "startup pain point", let me present you with the two sided market:
1. There were ~7,500 international medical graduates who applied to residency in the U.S. (http://www.nrmp.org/wp-content/uploads/2016/09/Charting-Outcomes-IMGs-2016.pdf http://www.nrmp.org/wp-content/uploads/2016/09/Charting-Outc...) Presumably, these are individuals who want to practice in the U.S., but must undergo a U.S. residency. I don't know how many of them have already completed a residency in their home country, but let's conservatively say 25% or ~1,800.
2. The AAMC is estimating a physician shortage of 30,000 by 2030 (https://news.aamc.org/medical-education/article/new-aamc-research-reaffirms-looming-physician-shor/ https://news.aamc.org/medical-education/article/new-aamc-res...).
Even if all of the foreign train medical graduates were allowed to practice in the U.S. w/o residency, it still wouldn't be enough. Maybe there's a startup opportunity that matches foreign MDs to positions in the U.S. As I mentioned, states like Missouri have already allowed some non-residency-trained physicians to practice (https://www.statnews.com/2017/05/15/missouri-doctor-dearth/ https://www.statnews.com/2017/05/15/missouri-doctor-dearth/). My preference would be to have a foreign doctor who has undergone residency in his or her home country rather than a U.S. grad with no residency.