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> They need warm bodies (residents are cheap labor) to run the hospital (the money machine that gets thousands of dollars per xray, per drug, etc). A steady sup

> They need warm bodies (residents are cheap labor) to run the hospital (the money machine that gets thousands of dollars per xray, per drug, etc). A steady supply of med students who are already situated in NYC saves them the cost of recruiting residents from afar. And who knows how much money they save by cutting the bureaucracy to administer tuition, loans, Sally Mae compliance, etc. This is a rather elaborate conspiracy theory, and one that falls apart entirely once you think about the actual costs of residency programs, the mechanics of matching students, and the real ROI that they would make in the process. It's absurdly out of proportion with what would be needed to make this theory work.

CindyCarlson 8y ago
> This is a rather elaborate conspiracy theory I wish it was. > and one that falls apart entirely once you think about the actual costs of residency programs What are the `actual` costs of residency program? > the mechanics of matching students As someone who has seen how the sausage is made ... the junior attendings (usually paid like shit because it's an academic institution) sort through a few thousand ERAS applications who narrow it down to a few dozen candidates. We hold a few interview dates and have a dinner at somewhat nice place. We have a meeting. We make a rank list. An algorithm matches our residents. That's it. Consider that what the average applicant spends on traveling for interviews (I'd guess ~5-15k, more if couples matching or competitive specialty; many take out loans for this)... I don't feel bad for the programs holding a few interview dinners. > real ROI that they would make in the process What are you basing this on? Most teaching hospitals would fall over without cheap resident labor. In practice, my experience is that residents function like extremely cheap, slightly-more capable mid-level providers.

CindyCarlson 8y ago

> This is a rather elaborate conspiracy theory I wish it was. > and one that falls apart entirely once you think about the actual costs of residency programs What are the `actual` costs of residency program? > the mechanics of matching students As someone who has seen how the sausage is made ... the junior attendings (usually paid like shit because it's an academic institution) sort through a few thousand ERAS applications who narrow it down to a few dozen candidates. We hold a few interview dates and have a dinner at somewhat nice place. We have a meeting. We make a rank list. An algorithm matches our residents. That's it. Consider that what the average applicant spends on traveling for interviews (I'd guess ~5-15k, more if couples matching or competitive specialty; many take out loans for this)... I don't feel bad for the programs holding a few interview dinners. > real ROI that they would make in the process What are you basing this on? Most teaching hospitals would fall over without cheap resident labor. In practice, my experience is that residents function like extremely cheap, slightly-more capable mid-level providers.