3 ms·

USA has an extremely inefficient system of training for doctors which wastes literally years of human potential. First you go to university from 18-22 but not e

USA has an extremely inefficient system of training for doctors which wastes literally years of human potential. First you go to university from 18-22 but not even 2/3rds of the year. The rest of the year is some level of waste for most students. You often purposefully dumb down and study less rigorous subjects than an engineer because you need all top grades to be get into medical school and can't risk it. Then medical school is an excessively long four years which has further periods of time waste and a lack of integral training until late in the process. Then there is a highly unfocused three year residency with what are widely understood as illegal discriminatory labor requirements holding on to their anachronistic 1910 white-male origins by a proverbial thread. So at age 29 you can finally be a GP after many unnecessary years of wasteful, repetitive, unfocused study, vacations and debt. This exclusivity and opportunity hoarding results in a reasonably high skill at a very very unnecessary level of cost and personnel shortages.

ako 5y ago
Dutch system is quite similar: 3 years bachelor, 3 years masters, including 18 months coschappen (residency), and then 3 years of specialization to GP (other specializations take longer). (https://universitaire.bachelors.nl/faq/ik-wil-dokter-worden/ https://universitaire.bachelors.nl/faq/ik-wil-dokter-worden/) Many specializations come with very low job opportunities, being a GP is very stressfull: low paid assembly line type of work, a GP is expected to see 6 patient per hour, do home visits, follow up with patients and hospitals, and run a practice, manage employees, follow lots of trainings, etc. Having your own practice as a GP is not very popular any more, a lot of GP just want to freelance part time, not having the additional stress of running a practice.
- erosenbe0 5y ago
  Reimbursement for GP services in the USA runs $150-$300/hour depending on whether you are seeing elderly patients or people on employment plans, and a doctor will see about half that, plus or minus depending on the setup. Hence $200k per year if a doctor sees about 6 or 7 hours of patients plus a few hours of paperwork, calls, and emails 5 days a week.

ako 5y ago

Dutch system is quite similar: 3 years bachelor, 3 years masters, including 18 months coschappen (residency), and then 3 years of specialization to GP (other specializations take longer). (https://universitaire.bachelors.nl/faq/ik-wil-dokter-worden/ https://universitaire.bachelors.nl/faq/ik-wil-dokter-worden/) Many specializations come with very low job opportunities, being a GP is very stressfull: low paid assembly line type of work, a GP is expected to see 6 patient per hour, do home visits, follow up with patients and hospitals, and run a practice, manage employees, follow lots of trainings, etc. Having your own practice as a GP is not very popular any more, a lot of GP just want to freelance part time, not having the additional stress of running a practice.

erosenbe0 5y ago
Reimbursement for GP services in the USA runs $150-$300/hour depending on whether you are seeing elderly patients or people on employment plans, and a doctor will see about half that, plus or minus depending on the setup. Hence $200k per year if a doctor sees about 6 or 7 hours of patients plus a few hours of paperwork, calls, and emails 5 days a week.