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That’s the rumor anyway. Anyone heard similar?
That’s the rumor anyway. Anyone heard similar?
Brace yourselfThe market will always regulate itself.
I don’t know… even the IMG application rates were down 20%Brace yourself
Unmatched IMGs are coming
Yeah but I’m thinking more those that didn’t match in other fields. I’m sure for a lot of people being an EM doctor in America still beats being a doctor in many (not all) countries, even if it is not the best field right now in the US.I don’t know… even the IMG application rates were down 20%
Ya but when they have no choice, em is better than being in BangladeshI don’t know… even the IMG application rates were down 20%
What's the total number of spots again?
Outstanding. The fire rises.219 total spots
Now... Eliminate any empty spot.2921 total
No reason to see this as anything but a loss for EM – still going to end up being an increase in the rate of oversupply once the majority of those open positions fill.2921 total
Is there any way to find out which programs went completely unfilled?There was more than one program that went completely unfilled, Even some big names that haven't had to SOAP in years had unfilled spots. A large margin of HCA programs went unfilled as well.
Not at the moment (without a Match violation).Is there any way to find out which programs went completely unfilled?
Yes. Don’t need a sloe to soap and any warm body is better than an infilled spot especially at an HCA shop where residents ability to generate profit is what guarantees the PD their job.Do you think the program directors will take people without SLOEs to fill their slots?
Seriously, dude? They, totally, mean something. You can't just discount it like that.As stated already, unfilled spots doesn't mean anything.
Seriously, dude? They, totally, mean something. You can't just discount it like that.
Now... Eliminate any empty spot.
If any program filled zero spots, they're gone.
Completely agree but this is wishful thinking. There is no body or group or anything with the ability to just go close these dump programs as far as I know. The RRC will take their money, make sure they checked the boxes in their application to meet their paltry minimum standards, and certify them. Abem has said they won't do anything as it's not their role. Acgme same. Who are the police?Not EM, but 100% agree.
If a program can’t convince even a single person to rank to match the program is a complete dumpster fire. That’s incredible.
Think about how naive we all were applying to our fields/residencies? You didn’t really know what was important and were swayed by location, fellowship availability, and general “feel” of the program/attendings. Matching no one screams that a program completely failed everything; terrible location, terrible clinical experience, terrible feel. It couldn’t sway pie in the sky naive medical students with smoke & mirrors.
Close those programs. But not even just for supply/demand mismatch reasons, they clearly can’t provide a reasonable EM training experience, they obviously will graduate substandard physicians.
The residencies might go unfilled but the attending jobs won’t. When there are 10k too many plus IM FM and NPs ready to work it won’t happen. I can see a shortage of residents as the EM “career” looks bleak and other options are available.For a long time, EM paid well enough to compensate for it's known difficulties. Then, as pay dropped, gaslighting of recruits kept the specialty alive. Now, the pay and job availability have dropped below a threshold where even gaslighting of EM hopefuls is starting to buckle under weight of the specialty's problems. FMGs and mid-levels will tamponade the bleeding effectively enough for any meaningful change in the near future.
Until 1/3 of EM programs and attending jobs are unfilled, causing hospital system collapse, meaningful change isn't likely to occur. In fact, the powers that be may find FMGs fill the role better, in that their expectations are lower, in comparison to the health systems they're leaving behind.
No doubt. Would love to see how many spots remain unmatched. Some of the new programs will try to fill after the scramble as well.It will be interesting to see what Friday brings. I'll admit ignorance of the details but I think people underestimate the barriers between an FMG and these positions and overestimate how eager the FMGs in a position to take these spots will be.
this is one thing my profession actually does right - they release publically which programs have open spots before phase twoNot at the moment (without a Match violation).
Someone could post something on Friday, I guess...
Seriously...not sure why this is supposed to be so secret. If you suck, future residents should have the right to know which one didn't match and figure out why programs didn't fill, whether it was clinical program, poor recruitment initiatives or just plain unlucky.this is one thing my profession actually does right - they release publically which programs have open spots before phase two
Because the NRMP cares more about making participating programs happy than it cares about current or future applicants. Most applicants only use their service once. Programs are regular customers.Seriously...not sure why this is supposed to be so secret. If you suck, future residents should have the right to know which one didn't match and figure out why programs didn't fill, whether it was clinical program, poor recruitment initiatives or just plain unlucky.
Though if you managed to match zero, you just very clearly plainly suck and need to shut down. How embarrassing is that!
Now... Eliminate any empty spot.
If any program filled zero spots, they're gone.
Penn anesthesia filled zero spots in 1996. Now they’re thriving. Nothing lasts forever.
View attachment 351880
Penn anesthesia filled zero spots in 1996. Now they’re thriving. Nothing lasts forever.
View attachment 351880
Rhetorical question, but yes. Agree.Because the NRMP cares more about making participating programs happy than it cares about current or future applicants. Most applicants only use their service once. Programs are regular customers.
I wish I could disagree. Sadly, I cannot.Because the NRMP cares more about making participating programs happy than it cares about current or future applicants. Most applicants only use their service once. Programs are regular customers.
Has anesthesia ever had an oversupply problem or too many residencies? The anesthesia/radiology "coming back from the dead" arguments don't work for EM.
They will take any warm bodyDo you think the program directors will take people without SLOEs to fill their slots?
Already happening on the Reddit soap threadDo you think the program directors will take people without SLOEs to fill their slots?
I don't know many IM docs that want to work in the ED...The residencies might go unfilled but the attending jobs won’t. When there are 10k too many plus IM FM and NPs ready to work it won’t happen. I can see a shortage of residents as the EM “career” looks bleak and other options are available.
Unfortunately, physician career is 30-yr long. No one wants to wait for 10+ yrs for their career to take off.Penn anesthesia filled zero spots in 1996. Now they’re thriving. Nothing lasts forever.
View attachment 351880
Unfortunately, physician career is 30-yr long. No one wants to wait for 10+ yrs for their career to take off.
Em included? Serious question. It’s a different animal imo. Medicine is not what it was.Good chance things will be turned around by the time your training is done. It’s like buying low in the market when everbody else is selling. Those who matched anesthesia in 1996 (when the sky was purportedly falling) had very good timing. Based on the demographics of the USA, I think the future looks bright for every specialty and medicine is a good choice of career for young people.
Family medicine? I know a bunch of I’m docs who want to work em or have. The younger crowd less so. The jobs available to them are fairly terrible now but they used to be able to get decent gigs.I don't know many IM docs that want to work in the ED...