Glad someone brought up the residents. Guarantee any IM or surgical resident taking care of you at SF general, Columbia, NYU, Mass Gen, UPMC, etc. is spending a

Glad someone brought up the residents. Guarantee any IM or surgical resident taking care of you at SF general, Columbia, NYU, Mass Gen, UPMC, etc. is spending at least 80hrs/week in the hospital and probably at least 10 more a week studying when they get home. They even grind the pediatrics residents into dust and there is no payout on the other end for pediatricians who only make 180k on average. Hospitals are hiring more and more nurse practitioners, who study for 18 months, part time, online while working full time as nurses, who are only required to get 500hrs of "clinical experience" aka shadowing (only 3mos at 40/wk...), and have somehow managed to get independent practice to harm you in >20 states. Schools have no requirement to be a nurse beforehand (not that experience being a nurse is the same as coming up with treatment plans as a doctor...) and have 100% acceptance rates. A quarter to a third of the credit hours they take are courses that boil down to how to lobby state governments for independent practice. Hospitals love them because, to make up for their complete lack of experience, they order a ton of imaging, labs, and referrals which all generate more $$$ for the hospital at your expense (and they don't know how to interpret). You pay the same for an MD/DO vs an NP/PA, but only one group is trained well. All of this is to say, that the payout at the end of residency is going away quickly for a lot of specialties, particularly ones like peds where mismanagement isn't as obvious to lay people as it is in neurosurgery. Resident salaries are more like 55-70k nowadays but minimum wage at $15/hour would mean a pay raise for a lot of residents.