3 ms·

"May be AHA shouldn't limit number of doctors educated..." Do you realize that to become a doctor requires years of medical residency working with a team of ex

"May be AHA shouldn't limit number of doctors educated..." Do you realize that to become a doctor requires years of medical residency working with a team of experienced doctors. the limit isn't simply bureaucratic... it's a limit on the number of available mentors.

mikeyouse 6y ago
They’re getting their misinformed rants wrong too - the usual theory is that the AMA (not AHA) is restricting the supply of doctors which isn’t true and hasn’t been for ~25 years. There’s a literal budget line in the Medicare omnibus that could double the number of residents trained every year.
DaiPlusPlus 6y ago
I think it’s reasonable to discuss lowering of standards - not all doctors do the same kind of work so we shouldn’t hold them all to the same high-standards that coincidentally place, what I feel, are unreasonably high barriers to entry to working as a doctor in the US. For example, I understand that (and please correct me if I’m wrong) that all foreign-trained and foreign-qualified doctors regardless of age, experience, and position (and country of origin, country of education, etc) have to go through the same rigorous process as a fresh-faced med-school grad in the US - even though most US doctors would fail the same process if they were also 5+ years out of med-school. Personal anecdote: my sister is a GP in London. I asked her if she’d ever consider working here in the US and she said she considered it but she didn’t want to spend a full year or more having to re-qualify from scratch, despite her professional qualifications and experience (she has her medical masters from LSHTM and is a published researcher with her papers in the US’ PubMed). We have international portability of licensing for drivers licenses - and many places allow for portability of professional engineering licenses too - it seems arbitrary (if not outright protectionist) to not have some degree of medical license portability in the US.

mikeyouse 6y ago

They’re getting their misinformed rants wrong too - the usual theory is that the AMA (not AHA) is restricting the supply of doctors which isn’t true and hasn’t been for ~25 years. There’s a literal budget line in the Medicare omnibus that could double the number of residents trained every year.

DaiPlusPlus 6y ago

I think it’s reasonable to discuss lowering of standards - not all doctors do the same kind of work so we shouldn’t hold them all to the same high-standards that coincidentally place, what I feel, are unreasonably high barriers to entry to working as a doctor in the US. For example, I understand that (and please correct me if I’m wrong) that all foreign-trained and foreign-qualified doctors regardless of age, experience, and position (and country of origin, country of education, etc) have to go through the same rigorous process as a fresh-faced med-school grad in the US - even though most US doctors would fail the same process if they were also 5+ years out of med-school. Personal anecdote: my sister is a GP in London. I asked her if she’d ever consider working here in the US and she said she considered it but she didn’t want to spend a full year or more having to re-qualify from scratch, despite her professional qualifications and experience (she has her medical masters from LSHTM and is a published researcher with her papers in the US’ PubMed). We have international portability of licensing for drivers licenses - and many places allow for portability of professional engineering licenses too - it seems arbitrary (if not outright protectionist) to not have some degree of medical license portability in the US.