Other US Doctors Shortage : Upstate New York

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FaisalResidency

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http://www.timesunion.com/tuplus-opinion/article/Shortage-of-doctors-treatable-9652170.php

Upstate New York desperately needs doctors. More than 60 percent of the region's hospitals and clinics lack enough primary care physicians. A staggering 86 percent of upstate emergency departments have to send some patients elsewhere because of a shortage of specialists.

Yet state officials are worsening this shortage. The New York Board of Regents has instituted a moratorium on paid clinical clerkships, preventing international medical school students from participating in medical training. These students — who are predominantly American citizens and permanent residents who chose to study abroad — want to serve in upstate communities that need them. Denying them that opportunity is senseless.

Cities and towns across upstate face a doctor shortage of crisis proportions. There are only 98 primary care doctors for every 100,000 upstate patients. Buffalo and Syracuse have fewer physicians than the national average. In rural areas, the ratio falls to just 81 primary care doctors per 100,000 patients.

New York City, by contrast, has 123 primary care physicians for every 100,000 residents.

This dearth of physicians isn't unique to New York. America will lack up to 94,700 doctors by 2025. One-third of that shortfall will be in primary care — a category that includes pediatrics and family medicine.

Surely, state officials would try to mitigate this crisis by encouraging doctors to train and practice in the Empire State, right? Think again.

Under pressure from New York's medical schools, the Board of Regents is considering a ban on paid clerkships — the clinical rotations that students complete in their final two years of medical school. Hospitals usually provide these training services to American medical schools for free. Foreign medical schools — often based in the Caribbean — pay U.S. hospitals to offer their students clerkships.

Some medical school administrators oppose paid clerkships on ethical grounds, arguing that it amounts to treating human illness as a commodity. This line of attack is preposterous. If paying for a medical education is immoral, then U.S. medical schools should stop charging tuition.

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http://www.timesunion.com/tuplus-opinion/article/Shortage-of-doctors-treatable-9652170.php

Upstate New York desperately needs doctors. More than 60 percent of the region's hospitals and clinics lack enough primary care physicians. A staggering 86 percent of upstate emergency departments have to send some patients elsewhere because of a shortage of specialists.

Yet state officials are worsening this shortage. The New York Board of Regents has instituted a moratorium on paid clinical clerkships, preventing international medical school students from participating in medical training. These students — who are predominantly American citizens and permanent residents who chose to study abroad — want to serve in upstate communities that need them. Denying them that opportunity is senseless.

Cities and towns across upstate face a doctor shortage of crisis proportions. There are only 98 primary care doctors for every 100,000 upstate patients. Buffalo and Syracuse have fewer physicians than the national average. In rural areas, the ratio falls to just 81 primary care doctors per 100,000 patients.

New York City, by contrast, has 123 primary care physicians for every 100,000 residents.

This dearth of physicians isn't unique to New York. America will lack up to 94,700 doctors by 2025. One-third of that shortfall will be in primary care — a category that includes pediatrics and family medicine.

Surely, state officials would try to mitigate this crisis by encouraging doctors to train and practice in the Empire State, right? Think again.

Under pressure from New York's medical schools, the Board of Regents is considering a ban on paid clerkships — the clinical rotations that students complete in their final two years of medical school. Hospitals usually provide these training services to American medical schools for free. Foreign medical schools — often based in the Caribbean — pay U.S. hospitals to offer their students clerkships.

Some medical school administrators oppose paid clerkships on ethical grounds, arguing that it amounts to treating human illness as a commodity. This line of attack is preposterous. If paying for a medical education is immoral, then U.S. medical schools should stop charging tuition.

Don't other nations also need doctors too? I'm sure India, where a large number of FMGs come from, has a tremendous need for physicians. Are you suggesting we allow FMGs to pay for clerkships here? That seems insane. Why does the US owe physicians from another nation anything I guess? First and foremost, opportunities in the US need to be mainly focused on US trained, AMGs. This is the US after all. shouldn't other countries provide their own citizens for opportunities?
The truth is that FMGs have the desire to make more $ in the US than their own countries as physicians, it's not some especially innate, intrinsic desire to do good. Just because opportunities lack in their native countries does not mean the US needs to provide opportunities for them. That seems preposterous. Not to mention that already as it is, there are not enough residencies for MD, DO and FMGs. With more and more spots for MDs, DOs in sight, fewer and fewer FMGs will be able to secure positions. Why would the US allow FMGs then to pay for clerkship experiences that will lead nowhere?
 
Dude, come on.

international medical school students from participating in medical training. These students — who are predominantly American citizens and permanent residents who chose to study abroad

No American citizen that is actively able to get education in the states is going to other countries for training by choice. It's too hard to get back, and most other countries (especially outside of Western Europe) provide dubious training. This has been debated before, in many of your previous threads. Every foreign grad faces the same challenges - you really should focus your attention at securing a US-residency.
 
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Dude, come on.



No American citizen that is actively able to get education in the states is going to other countries for training by choice. It's too hard to get back, and most other countries (especially outside of Western Europe) provide dubious training. This has been debated before, in many of your previous threads. Every foreign grad faces the same challenges - you really should focus your attention at securing a US-residency.

Precisely. I am also personally annoyed by the thought that the US "owes" every foreign national an opportunity, and that anyone who disagrees is somehow racist, or unfair, etc. This is the US. Opportunities for US citizens first. The US does more than most other nations for foreigners already. It's not the US' fault that other nations fail to provide resources and opportunities for their citizens. Sure it may suck, but the US cannot be the saving lifeforce of the world.
And again, there is no intrinsic goodness that foreign grads have to help anyone once they get established here. I don't know of a single foreign grad that I know that has actually done anything very spectacular as far as helping others once they get established here.
 
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