DNPs will eventually have unlimited SOP

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Have you seen the requirements for becoming an RN?

On some of SDN threads the nurses compare the classes they take as being similar to ours..

HAHAHAHAHAHA


:flame:

(I wanted to use this emoticon even if it is not particularly relevant)

That was my point

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http://www.statehealthfacts.org/comparebar.jsp?ind=593&cat=5

Legend with definitions of "hospital care" and "physicians and other clinical services" shows how flagrant this is

This is the latest 2009 data, the trend has been skewed even more since then.

Like you have to put serious effort into these types of data manipulation and just plain lying

And when APNs have same sop that means the basis for not allowing physicians to form labor unions is null. Its based on monopoly control of practice of medicine which is gone when half the states and the rest will follow for total APN authority or DNP so they can be called doctor in a clinical setting and a patient thinks they are a physician.
self identifying each other and selves as "physician" rather than "doctor" would help for this move, but in the end a physician labor union is the only thing to prevent this. Australia has a strong culture of labor unions and their physicians make twice our salary now a days .Residents 75-80k and fellows 115k. There dollar is also 5% stronger than ours currently.

Nothing intricate is needed as with subspecialization each board is better suited to serve the education and clinical goals of each other. But some basic terms with a strong voice when needed is the only thing to prevent getting squeezed further

And the AMA is not a labor union or even a union.

It has premed and med students mostly. In a real labor union u only have active laborers who need representation for current work terms as well as when retired. its just portrayed as a union. There is no power to negotiate with corporate greed and government corruption.

When an individual group of physicians allign in one particular hospital or group of hospitals the contract is kept confidential or the negotiations are. These are often just EM docs or IM or surgeons. Its better then nothing but a neurologist maybe one of 3 in a state and in separate hospital systems.

Reimbursement varies among services and specialties so alligning among specialty or board does little to prevent the squeeze as a whole.

Bc/be Physicians really arent that large a group where this should be a costly or treacherous endeavor as 2-3 million nurses or millions of teamsters.

And with payment coming from state and fed levels its the same issue as with just an "EM or IM" labor union. Your board is a separate thing and should stay that way. If there arose a physician labor group just in the state of michigan, it would be very easy for the fed/state to divert fed medicaid funds to another state with cutted reimbursement. Medicaid provider fees are not standardized and can change within and between states without changing the total budget. Medicare funding can be diverted through residency spots being transferred which transfers GME funding which is heavily relied upon besides the cheap labor of a resident.

Things are set up so fragmented and with so many level of admin to prevent any labor organization, even a healthy level.

:scared:
 
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that quoted post would be scarier.... except it don't grammar too good.


I hadnt thought about the labor union thing. That IS a valid point. If Mid levels want same SOP we should be allowed to form labor unions.
 
that quoted post would be scarier.... except it don't grammar too good.


I hadnt thought about the labor union thing. That IS a valid point. If Mid levels want same SOP we should be allowed to form labor unions.

You know it will never work this way.

And you know nurses 'collaborate' with physicians so when anything goes wrong, they can say 'what do I know, Im just a nurse?'
 
yeah. That is why liability needs to shift with scope of practice. They want to ability to do the procedures or manage cases but without the axe falling on their own neck when things go south. Its absurd.

In practice I'd be fine collaborating with DNPs. But a part of the contract would stipulate that they pay into my malpractice insurance premiums. No idea if that is kosher.... but it seems like a great idea :idea:
 
It does not matter if they pay into your premium. If your neck is on the line, even if it is settled, it will follow you forever when it comes to credentialing, licensing, etc.

There is not enuf money in the world for me to take vicarious risk like that.
 
It does not matter if they pay into your premium. If your neck is on the line, even if it is settled, it will follow you forever when it comes to credentialing, licensing, etc.

There is not enuf money in the world for me to take vicarious risk like that.

IIRC, the average doc is sued something like 10 times during their career. Or at least named in a suit against a hospital or something to that effect..... barring blatant negligence usually your neck isnt on the line to a great extent.
 
Wait until you try to get malpractice or apply for credentialing with any sort of blemish. You'll see. It follows you.
 
are you talking about private or what? I plan to do research so it is unlikely that I will not work for a hospital in the future. They will take care of the malpractice and I know several physicians who have been sued who have had no issue with re-certing (not sure what you mean by credentialing)
 
I will pm you as this is a tangent.

You sure got spooked after the infraction, huh?.... I don't know that it is too much of a tangent. The discussion was about DNP expansion and one of the key parts to that discussion is malpractice and liability .
 
If you were able to settle out of court or something would that count as a blemish?
 
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we did this to ourselves. We all went into a flawd/broken medical education system. Do we really need 4 years of "undergraduate education" before applying for medical school? Did I really need to take those difficult physics/chem/bio/orgo classes (which I worked my ***** off to get As in, while some other pre nursing student took the "nursing equivalent" of each of those classes). It is pretty disturbing if you realize how much of our lives we have wasted studying topics just so that we can proceed to the next level, without having them actually pay off. I took a year of biochem in college & took biochem during 1st year medschool. Did 2 years of biochem really pay off? Is it REALLY that useful for me as a med student/future clinician?

Its quite sad really. So far I've spent 6.5 years training to become a doctor, & i only have about half a years worth of clinical experience. The medical education system is a bit too set in its ways to make any dramatic changes to the requirements of becoming a doctor, which is stupid considering the shortage of doctors we have. Why would anyone want to spend 8 years in school + 2-10 years of training to become a doctor, when you can become a full fledged NP in LESS TIME with LESS LOANS & make just as much money, with the job market only IMPROVING in the future.

What medical education SHOULD be doing is making easier requirements for admission into medical school. They should NOT even look @ the science GPA, just the overall GPA so undergrad students are free to study something other than useless science that won't help them as a clinician (if you don't agree, please explain to me how 2 years of biochemistry/biophysical chemistry are going to help me as a doctor)

again guys, we did this to ourselves. We created a ****ty system for training doctors, & nurses just learned from our mistakes & found an easier/faster way to the same end goal. granted I think they should get more rigorous medical education, but they are right on the money for skipping past all the pre-med bull**** requirements.
 
we did this to ourselves. We all went into a flawd/broken medical education system. Do we really need 4 years of "undergraduate education" before applying for medical school? Did I really need to take those difficult physics/chem/bio/orgo classes (which I worked my ***** off to get As in, while some other pre nursing student took the "nursing equivalent" of each of those classes). It is pretty disturbing if you realize how much of our lives we have wasted studying topics just so that we can proceed to the next level, without having them actually pay off. I took a year of biochem in college & took biochem during 1st year medschool. Did 2 years of biochem really pay off? Is it REALLY that useful for me as a med student/future clinician?

Its quite sad really. So far I've spent 6.5 years training to become a doctor, & i only have about half a years worth of clinical experience. The medical education system is a bit too set in its ways to make any dramatic changes to the requirements of becoming a doctor, which is stupid considering the shortage of doctors we have. Why would anyone want to spend 8 years in school + 2-10 years of training to become a doctor, when you can become a full fledged NP in LESS TIME with LESS LOANS & make just as much money, with the job market only IMPROVING in the future.

What medical education SHOULD be doing is making easier requirements for admission into medical school. They should NOT even look @ the science GPA, just the overall GPA so undergrad students are free to study something other than useless science that won't help them as a clinician (if you don't agree, please explain to me how 2 years of biochemistry/biophysical chemistry are going to help me as a doctor)

again guys, we did this to ourselves. We created a ****ty system for training doctors, & nurses just learned from our mistakes & found an easier/faster way to the same end goal. granted I think they should get more rigorous medical education, but they are right on the money for skipping past all the pre-med bull**** requirements.

It's actually knowing all of that basic science stuff that makes us better than mid-levels. We are not the same and we shouldn't be.
 
It's actually knowing all of that basic science stuff that makes us better than mid-levels. We are not the same and we shouldn't be.

well we can make that excuse all we want, but the truth speaks for itself. There are NPs slowly taking over every field in medicine, even critical care! It really isn't necessary to have such a heavy background in science to know how to evaluate & treat many diseases. Most docs end up just following algorithms for treatment anyway. Once a diagnosis has been figured out any monkey can put the patient on the right medication. seriously has the 1 year of physics & organic chemistry really helped you understand medicine better? has it really paid off to memorize all the medications/side effects, when you can look up & learn what you use in daily practice instead?

Honestly the system we have is great for creating leaders in medicine. People who can travel to another part of the world & apply what they've learned in all disciplines (including microbiology) to treat disease. parts of the world where you are the ONLY physician in a 50 mile radius & you have to be the primary care doc, the cardiologist, pulmonlogist, ID, ER physician. But here in the US, if i want to know what bacteria is causing an infection, i send a sample to a lab & it comes back with name of the bacteria & what its susceptible to. There goes our 1 year education in microbiology, down the drain. Sure it makes us feel "superior" because we can read the report & have a deeper understanding about whats going on. But is that necessary? Just read the ****ing report & put the patient on the right drug. Again, any monkey can follow an algorithm for treatment.

The funny thing is that if you ask a cardiologist about ANYTHING outside of cardiology, he will tell you to defer to a specialist in that field. Is that what cardiologists spend 11 years training in general medicine (before they even specialize in cardiology!) for? so that they can say " you're better off asking your pulmonlogist about your asthma". I don't blame them for it, because the closest pulmonlogist is probably a few feet away, & can offer better advice than him for asthma.

We live in a world with fragmented health care. We don't have one doctor, we have a whole team, so I really DON'T think its necessary for each person to have such an indepth broad-scoped education, unless they are actively involved in research & furthering their fields.
 
well we can make that excuse all we want, but the truth speaks for itself. There are NPs slowly taking over every field in medicine, even critical care! It really isn't necessary to have such a heavy background in science to know how to evaluate & treat many diseases. Most docs end up just following algorithms for treatment anyway. Once a diagnosis has been figured out any monkey can put the patient on the right medication. seriously has the 1 year of physics & organic chemistry really helped you understand medicine better? has it really paid off to memorize all the medications/side effects, when you can look up & learn what you use in daily practice instead?

Honestly the system we have is great for creating leaders in medicine. People who can travel to another part of the world & apply what they've learned in all disciplines (including microbiology) to treat disease. parts of the world where you are the ONLY physician in a 50 mile radius & you have to be the primary care doc, the cardiologist, pulmonlogist, ID, ER physician. But here in the US, if i want to know what bacteria is causing an infection, i send a sample to a lab & it comes back with name of the bacteria & what its susceptible to. There goes our 1 year education in microbiology, down the drain. Sure it makes us feel "superior" because we can read the report & have a deeper understanding about whats going on. But is that necessary? Just read the ****ing report & put the patient on the right drug. Again, any monkey can follow an algorithm for treatment.

The funny thing is that if you ask a cardiologist about ANYTHING outside of cardiology, he will tell you to defer to a specialist in that field. Is that what cardiologists spend 11 years training in general medicine (before they even specialize in cardiology!) for? so that they can say " you're better off asking your pulmonlogist about your asthma". I don't blame them for it, because the closest pulmonlogist is probably a few feet away, & can offer better advice than him for asthma.

We live in a world with fragmented health care. We don't have one doctor, we have a whole team, so I really DON'T think its necessary for each person to have such an indepth broad-scoped education, unless they are actively involved in research & furthering their fields.

So why didn't you go to DNP school?
 
So why didn't you go to DNP school?

unfortunately you can't see into the future & realize the crap that you're getting yourself into until you're already through most of it :laugh:
 
But here in the US, if i want to know what bacteria is causing an infection, i send a sample to a lab & it comes back with name of the bacteria & what its susceptible to. There goes our 1 year education in microbiology, down the drain. Sure it makes us feel "superior" because we can read the report & have a deeper understanding about whats going on. But is that necessary? Just read the ****ing report & put the patient on the right drug. Again, any monkey can follow an algorithm for treatment.
I only had a semester of micro, ~4 months, and you're clearly taking for granted what you've learned. Simply reading the sensitivities is not all there is to treating an infection.
 
I only had a semester of micro, ~4 months, and you're clearly taking for granted what you've learned. Simply reading the sensitivities is not all there is to treating an infection.

perhaps, but how can you justify an entire biochemistry course, & all the years of pre-medical training? Did we really need such an extensive course in histology/pathology if we were not ever going to look into a microscope ever again? A physician in some 3rd world country might have to do that because there may not be a pathologist in the area, but we can just get a path report telling us exactly what is there & what it means.

There is a reason why some medical students can get 60s-70s on their exam (which means they really are not learning everything they should be) & go on to becoming doctors/practicing medicine. Alot of medical education can be removed & the training can be shortened. Also don't get me started on rotations during 3rd-4th year. If you know you're going into medicine, do you really need to waste 8+ weeks on surgery, peds, psych, & OB? I would much rather prefer to do my 2 years of pre-clinicals & then spend 3 months on medicine + whatever electives for the rest of the year & then jump into intern year by the 4th year.
 
perhaps, but how can you justify an entire biochemistry course, & all the years of pre-medical training? Did we really need such an extensive course in histology/pathology if we were not ever going to look into a microscope ever again? A physician in some 3rd world country might have to do that because there may not be a pathologist in the area, but we can just get a path report telling us exactly what is there & what it means.

There is a reason why some medical students can get 60s-70s on their exam (which means they really are not learning everything they should be) & go on to becoming doctors/practicing medicine. Alot of medical education can be removed & the training can be shortened. Also don't get me started on rotations during 3rd-4th year. If you know you're going into medicine, do you really need to waste 8+ weeks on surgery, peds, psych, & OB? I would much rather prefer to do my 2 years of pre-clinicals & then spend 3 months on medicine + whatever electives for the rest of the year & then jump into intern year by the 4th year.

The MD curriculum exists for people who want to have the deepest and most thorough understanding of medicine. If you don't want to learn all of that but still want to treat patients, there are other options now, such as NP and PA school. No one forced you to go to MD school. What's the problem with letting people learn more if they want to?
 
perhaps, but how can you justify an entire biochemistry course, & all the years of pre-medical training? Did we really need such an extensive course in histology/pathology if we were not ever going to look into a microscope ever again? A physician in some 3rd world country might have to do that because there may not be a pathologist in the area, but we can just get a path report telling us exactly what is there & what it means.

There is a reason why some medical students can get 60s-70s on their exam (which means they really are not learning everything they should be) & go on to becoming doctors/practicing medicine. Alot of medical education can be removed & the training can be shortened. Also don't get me started on rotations during 3rd-4th year. If you know you're going into medicine, do you really need to waste 8+ weeks on surgery, peds, psych, & OB? I would much rather prefer to do my 2 years of pre-clinicals & then spend 3 months on medicine + whatever electives for the rest of the year & then jump into intern year by the 4th year.

Pre medical training? :laugh:

Go to bed. You're drunk

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perhaps, but how can you justify an entire biochemistry course, & all the years of pre-medical training? Did we really need such an extensive course in histology/pathology if we were not ever going to look into a microscope ever again? A physician in some 3rd world country might have to do that because there may not be a pathologist in the area, but we can just get a path report telling us exactly what is there & what it means.

There is a reason why some medical students can get 60s-70s on their exam (which means they really are not learning everything they should be) & go on to becoming doctors/practicing medicine. Alot of medical education can be removed & the training can be shortened. Also don't get me started on rotations during 3rd-4th year. If you know you're going into medicine, do you really need to waste 8+ weeks on surgery, peds, psych, & OB? I would much rather prefer to do my 2 years of pre-clinicals & then spend 3 months on medicine + whatever electives for the rest of the year & then jump into intern year by the 4th year.

What was the point in learning how to spell things when we now have autocorrect? What was the point in learning how to add, subtract, multiply, and divide when we can just plug numbers into a calculator? Why did we have to learn algebra? Why did we have to take calculus in college? I certainly don't use calculus on a daily basis. Why did we have to learn history back in elementary, junior high, and high school if most of us aren't going to be historians? Why did we have to take English classes and read all those stupid novels if we didn't want to become English teachers or whatever else English majors normally do? Why even go to college unless you're doing an engineering or CS major where you can jump right into a job afterward?

I don't use calculus on a daily basis, but learning it changed the way I think about and approach problems. Sure, I don't use physics everyday, but it definitely helped me understand physiological systems conceptually. Same with chemistry: makes acid-base physiology much simpler to understand. How can you learn how to manage acidotic/alkalotic patients if you don't understand the underlying chemistry? I guess you could just memorize all the algorithms, but that would suck. Biochemistry? Well, pretty much every disease process comes down to biochemistry, doesn't it? Same with pharmacology. So, yea, maybe a good chunk of basic science is not something you'll use on a daily basis in the future. But it does build a foundation that helps shape the way you approach clinical problems.

I don't know where you attend school, but almost every resident and attending I've interacted with knows their basic sciences really well and can explain their clinical decisions using stuff we learn in the preclinical years (especially physiology/pathophysiology and biochemistry). Seems like an important foundation to have.
 
I haven't read this whole thread but I did want to chime in. I never thought of my pre-med coursework as preparing me for medical school. Some of it is nice to know I guess but I agree with a few other people that its not super necessary to do well in medical school.

It seemed to me that the pre-med recs were weeder classes. They are a long succession of hoops to jump to prove that you really want to do medicine and that you have the ability and tenacity to handle the career. It might not be a perfect system but it does select for a special type of person to get into medical school. People that are smart, motivated, and willing to sacrifice a lot to prove they can handle the requirements asked of them. Don't we want to be training that type of person to be a doctor?
 
What was the point in learning how to spell things when we now have autocorrect? What was the point in learning how to add, subtract, multiply, and divide when we can just plug numbers into a calculator? Why did we have to learn algebra? Why did we have to take calculus in college? I certainly don't use calculus on a daily basis. Why did we have to learn history back in elementary, junior high, and high school if most of us aren't going to be historians? Why did we have to take English classes and read all those stupid novels if we didn't want to become English teachers or whatever else English majors normally do? Why even go to college unless you're doing an engineering or CS major where you can jump right into a job afterward?

I don't use calculus on a daily basis, but learning it changed the way I think about and approach problems. Sure, I don't use physics everyday, but it definitely helped me understand physiological systems conceptually. Same with chemistry: makes acid-base physiology much simpler to understand. How can you learn how to manage acidotic/alkalotic patients if you don't understand the underlying chemistry? I guess you could just memorize all the algorithms, but that would suck. Biochemistry? Well, pretty much every disease process comes down to biochemistry, doesn't it? Same with pharmacology. So, yea, maybe a good chunk of basic science is not something you'll use on a daily basis in the future. But it does build a foundation that helps shape the way you approach clinical problems.

I don't know where you attend school, but almost every resident and attending I've interacted with knows their basic sciences really well and can explain their clinical decisions using stuff we learn in the preclinical years (especially physiology/pathophysiology and biochemistry). Seems like an important foundation to have.

you can explain ****ing quantum theories for all I care. It doesn't mean its necessary for the work that you do. "you could just memorize all the algorithms, but that would suck". Would it really? B/c from what I see we mostly sit on our ass for 2 years memorizing **** ANYWAY. & please don't assume that I or anyone I work with doesn't know our clinical sciences. The reason i'm ranting is because I know my clinical sciences, & now I realize how useless it truly is for daily practice.

I could understand the biochemistry behind how cholesterol works & the pathology of cholesterol plaques & the role of oxidized LDL, lipid laden macrophages, SMCs, etc.. & I could understand the complicated pharmacology of statins, how they inhibit HMG-CoA reductase & eventually cause an upregulation of LDL receptors in the liver, decreasing the concentration of LDL in the blood..........OR I could just do a ****ing lab test, realize that his LDL is high, follow a damn treatment algorithm, put the fatass on a statin & tell him to come back in a few months.

As scary as it is, you can just follow the spark notes version of medicine & do the same work in the end. Sure you might have a deeper understanding of what you're doing than a NP will, but if the NP can figure out what the diagnosis is, she can follow the treatment algorithm just as well as we can. This is the reason they're slowly getting more SOP & we're getting ****ed.

I do feel fortunate for having learned pre-clinicals, because it allows me to learn more about any disease process in the literature. But i DON'T think its necessary for general practice & treating patients.

also you lie. Your chemistry background doesn't help you understand jack ****. & physics helping you understand physiological concepts ? BULL****. the only overlap between physics/physio were the resistance equations, & even then it was a SMALL part of physiology. You can't possibly justify an entire year of physics, because it helped you understand a relatively easy concept in physiology. & "doesn't everything come down to biochemistry" it doesn't matter wtf everything comes down to. you're missing the point here. Theres 2 parts to practicing medicine -- part 1 is diagnosing disease, part 2 is reading the treatment protocol. THATS IT
 
I haven't read this whole thread but I did want to chime in. I never thought of my pre-med coursework as preparing me for medical school. Some of it is nice to know I guess but I agree with a few other people that its not super necessary to do well in medical school.

It seemed to me that the pre-med recs were weeder classes. They are a long succession of hoops to jump to prove that you really want to do medicine and that you have the ability and tenacity to handle the career. It might not be a perfect system but it does select for a special type of person to get into medical school. People that are smart, motivated, and willing to sacrifice a lot to prove they can handle the requirements asked of them. Don't we want to be training that type of person to be a doctor?

Agreed, pre-med are weeder classes. but doesn't it anger you that you jumped through hoops for 4 years to prove that you were "worthy of becoming a doctor". "people who are willing to sacrafice alot to prove they can handle the requirements asked of them". Again man, those comments are worrisome. I don't think anyone should spend any portion of their life proving to someone that they are willing to make sacrafices. Pre-medical training should be just that, training you to handle medical school. It shouldn't be hoops you jump through to prove that you really really want to study medicine. People shouldn't have to prove they want to be doctors. Schools should be happy that people want to be doctors & should let them. The only real requirement should be some sort of standardized exam & extracurriculars.

you're right, medical schools want the brightest of students to train/handle the rigorous curriculum, but the argument can also be made that the medical curriculum is unnecessarily intense. We keep justifying it & saying that its necessary to become a doctor. Well it may be necessary to become a doctor, but it isn't necessary to become a clinician & to treat patients. PAs & NPs can diagnose patients as well as we can, & with enough training they can learn to treat those diseases.
 
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Pre medical training? :laugh:

Go to bed. You're drunk

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:laugh: indeed. I'm glad you see my point. now you'll find it even funnier when you realize that physicians actually use it as a basis for why they are better than NPs.
 
What the class of 2015 guy doesn't realize is that in a few years he's going to be the raving lunatic once he realizes that yes, it was in fact a huge waste of time.
 
you can explain ****ing quantum theories for all I care. It doesn't mean its necessary for the work that you do. "you could just memorize all the algorithms, but that would suck". Would it really? B/c from what I see we mostly sit on our ass for 2 years memorizing **** ANYWAY. & please don't assume that I or anyone I work with doesn't know our clinical sciences. The reason i'm ranting is because I know my clinical sciences, & now I realize how useless it truly is for daily practice.

:laugh: Relax. You're getting way too worked up about this. I've personally found pathophys to be fairly conceptual. Sure, there's a good bit of memorizing, but there's a lot more conceptual understanding required than I had thought.

As scary as it is, you can just follow the spark notes version of medicine & do the same work in the end. Sure you might have a deeper understanding of what you're doing than a NP will, but if the NP can figure out what the diagnosis is, she can follow the treatment algorithm just as well as we can. This is the reason they're slowly getting more SOP & we're getting ****ed.

No, the reason we're getting screwed is because the nursing lobby is incredibly powerful (much, much more so than the medical lobbies). There aren't any adequately powered studies showing equivalency in outcomes between NPs and attendings. At least, I haven't come across any.

also you lie. Your chemistry background doesn't help you understand jack ****. & physics helping you understand physiological concepts ? BULL****. the only overlap between physics/physio were the resistance equations, & even then it was a SMALL part of physiology. You can't possibly justify an entire year of physics, because it helped you understand a relatively easy concept in physiology. & "doesn't everything come down to biochemistry" it doesn't matter wtf everything comes down to. you're missing the point here. Theres 2 parts to practicing medicine -- part 1 is diagnosing disease, part 2 is reading the treatment protocol. THATS IT

Really? Chemistry and physics didn't help you out at all? CV physiology is all fluid dynamics. You can explain how the heart and blood vessels work, how things change in disease states, etc, with a few equations. Pulmonary is all changes in pressure -- an easy concept covered in physics. Acid-base physiology is stuff from chemistry + Le Chatelier's principle. Neurophys comes down to E&M principles again. I've used concepts I learned in pre-reqs pretty frequently in physio and pathophys. Makes everything a hell of a lot easier. Like I mentioned before, the attendings and residents I've worked with so far have been able to explain most of their clinical decisions using basic science principles. For me, at least, it's much easier to do that than memorize sheets of algorithms. I'm not saying there aren't any protocols in medicine; obviously, there are, especially with this push towards EBM. There are also, at least from my point of view (and that of my mentors), lots of gray areas where a deeper understanding of the basic sciences is useful. I'm only an M2. Maybe I'll share your viewpoint in a few years. Who knows? At this time though, I respectfully disagree with what you're saying.

Again, relax. Don't get so heated over a silly internet argument. It's a waste of your energy.
 
What the class of 2015 guy doesn't realize is that in a few years he's going to be the raving lunatic once he realizes that yes, it was in fact a huge waste of time.

Maybe I'll share this viewpoint in a few years. I can't predict that. I haven't come across any resident or attending so far who's said that med school and residency was a huge waste of time.

:shrug:
 
Maybe I'll share this viewpoint in a few years. I can't predict that. I haven't come across any resident or attending so far who's said that med school and residency was a huge waste of time.

:shrug:

that is due to the subconscious-conscious rationalizations
why did i spend all that time studying/work? because it was worth it
if a doctor/resident admitted that med school and residency was a waste of time, they would be admitting that all their hard work and sacrifice was in vain. it is in their self-interest to give a biased view instead of an honest evaluation

also it is easy to belittle something after you have finished it.
 
:laugh: Relax. You're getting way too worked up about this. I've personally found pathophys to be fairly conceptual. Sure, there's a good bit of memorizing, but there's a lot more conceptual understanding required than I had thought.



No, the reason we're getting screwed is because the nursing lobby is incredibly powerful (much, much more so than the medical lobbies). There aren't any adequately powered studies showing equivalency in outcomes between NPs and attendings. At least, I haven't come across any.



Really? Chemistry and physics didn't help you out at all? CV physiology is all fluid dynamics. You can explain how the heart and blood vessels work, how things change in disease states, etc, with a few equations. Pulmonary is all changes in pressure -- an easy concept covered in physics. Acid-base physiology is stuff from chemistry + Le Chatelier's principle. Neurophys comes down to E&M principles again. I've used concepts I learned in pre-reqs pretty frequently in physio and pathophys. Makes everything a hell of a lot easier. Like I mentioned before, the attendings and residents I've worked with so far have been able to explain most of their clinical decisions using basic science principles. For me, at least, it's much easier to do that than memorize sheets of algorithms. I'm not saying there aren't any protocols in medicine; obviously, there are, especially with this push towards EBM. There are also, at least from my point of view (and that of my mentors), lots of gray areas where a deeper understanding of the basic sciences is useful. I'm only an M2. Maybe I'll share your viewpoint in a few years. Who knows? At this time though, I respectfully disagree with what you're saying.

Again, relax. Don't get so heated over a silly internet argument. It's a waste of your energy.

:laugh: getting headed = having passion for something. I wouldn't tell people not to get headed over a topic they feel strongly for, & spending years doing nothing but jumping through hoops is a reason to get heated :)

I see your point, there are overlaps between premed & med & it makes your life EASIER, but it does not justify 4 years of pre-med just to make your life easier. People can fail their pre-med classes & get through medschool just fine. I"m looking at this from the most efficient standpoint. Is studying all this unnecessary crap really a great use of your time? Its like people who take a year off before medical school & spend it studying anatomy. Is it goign to make your life easier? yes, but is it really worth wasting another year studying something you're going to learn & remember very little of later on? no...

also please explain to me how you have had such a vast exposure to attendings during your 2nd year. Most of the docs you're going to meet practicing medicine (maybe with the exception of big-egoed attendings) are not going to have remembered most of what they learned in pre-clinicals.

I can train a better clinician with 8 years of practical experience, than you can with 6 years of pre-clinical classroom learning + 2 years of practical experience.

that is due to the subconscious-conscious rationalizations
why did i spend all that time studying/work? because it was worth it
if a doctor/resident admitted that med school and residency was a waste of time, they would be admitting that all their hard work and sacrifice was in vain. it is in their self-interest to give a biased view instead of an honest evaluation

also it is easy to belittle something after you have finished it.

thank you for giving both sides of the coin. Noone in their right mind is going to spend 10 years working towards something, then say that it was a waste of time. but at the same time, I am taking for granted some of the things I have learned.

The best way to fix medical education is to completely overhaul it. & NPs have done just that. They've created a new route for learning medicine that doesn't involve all this **** an MD education has come to encompass.
 
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Maybe I'll share this viewpoint in a few years. I can't predict that. I haven't come across any resident or attending so far who's said that med school and residency was a huge waste of time.

:shrug:

I was responding to what tobi44 was talking about, that premed classes and all the various hoops (volunteering, interest groups, lab courses, etc) were productive and necessary as part of the screening process.

Nobody said med school and residency was a huge waste of time, even if some parts are low yield. In fact I think the opposite, since I have been absolutely horrified by what I have seen nurse practitioners do and at their lack of ability or interest in reasoning through anything other than the most rote, common diagnosis. Sure, we make fun of medical students and their focus on zebras once they get out on their first ward, but NPs and their reliance on experience all too often means that not only can they miss a rare diagnosis, they will refuse to admit that it even exists as a possibility.

This is the opposite of science and running into that brick-headed "because I said so" obstinate mentality is the essence of what separates good medicine from witchcraft.
 
You guys are confusing the purpose of an MD education with an NP education. NPs are essentially trained to be robots that recognize the most common stuff and follow flowcharts to treat it. But what happens when a problem isn't common? or it's not on the flowchart? That's when your MD education comes in. MDs are supposed to be the experts that can step in when something's too complicated for the NPs or other mid-levels to handle. MDs are supposed to be the ones who design the flowcharts and improve them. That's why we have all this extra knowledge.

If you don't want to learn the extra stuff go to NP school, nobody's forcing you to become an MD. I came to MD school because I actually wanted to learn everything in depth. I actually wanted to understand every process down to the molecular level.

If you don't like it, don't come. There are other paths for you to take.
 
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While you are making a good point you are neglecting the fact that DNP salaries are increasing while ours are going down, which in light of our rigorous education is scandalous.

Since both MDs and DNPs work in the same environment, this seems unfair. More over, the is turf war is favoring DNPs because they can underbid us for much of what they are doing while still do many of our functions.
 
:laugh: indeed. I'm glad you see my point. now you'll find it even funnier when you realize that physicians actually use it as a basis for why they are better than NPs.

no.... no they don't. Pre-medical training is just getting a college degree. Pre medical training is no more intense than nursing degrees (not even talking DNP here). No doctor anywhere touts pre-medical training as anything other than just getting a college degree which is pretty normal for demonstrating ability for getting into higher education systems. In fact.... it is usually mocked pretty hard when a pre-med acts like their UG bio class (the same bio class EVERYONE takes) conveyed ANYTHING useful to them at all. The "Trust me, Im a pre-med" line is just silly. What.... does interest in medicine make one knowledgeable about it? nope :thumbup:

However, without UG, how exactly would someone demonstrate that they have what it takes to tackle med education? People like you like to make the argument that we waste so much time with non-clinical training and "what will this have to do with me being a doctor?" :rolleyes: That outlook is just simply ridiculous. What would you have us do? Just accept anyone wants in, or can score some magic number on the MCAT and then make them recite First Aid pages for 4 years straight? Or turn med school into a full on apprenticeship where you sign on with a doctor in the specialty you choose and just follow him as he "shows you the ropes"? No...

While much of the minutia is lost by the time doctors hit practice, the concepts, thinking strategies, and applications remain much more than most people are willing to admit. Many people take this education for granted, but even within this thread there have been examples of how having been exposed to the material and forgotten the details(MD) vs having never seen it before and memorized the clinical presentation and treatment (DNP) can majorly impact patient care.

On top of that, the argument seems to focus on how many doctors forget the basic science details. Problems with this:
1) some don't forget or dont find it unnecessary. Some doctors (many, in fact) DO remember quite a bit of those little details which impact their specialties. When you get pimped on the wards, do you think they snuck your PhD professor from M1 year into the department, slapped a stethoscope on him and said "Pop quiz time, Jim. Go nuts!" (I imagine "Jim" turning around kinda like the Hulk did in the avengers.... "Jim... SMASH!").... No.. your attending knows and actually uses this subset of information.
2)Learning the minutia drives in core concepts to a greater degree. This is another thing that people take for granted. Listen to upper classmen talking to MS1s about their basic science classes some time. You will see that, more often than not, the big picture things are retained. Personally, I don't remember the names of every glycolysis/citrate cycle enzyme. I DO, however, remember the basic scheme, where abouts the problem enzymes sit, and as long as I have a book or google handy I could locate the exact name I want in under 30 seconds, should the need ever arise. I'd say this is pretty valuable, when extended to every subject. If you stopped and thought about it I bet you would be surprised by the number of larger patters and concepts you retained even though you can't remember what color candida turns on a culture plate :shrug:


TL;DR yes, medical education is touted as what makes us better than DNPs. No, pre-med education is not in ANY capacity. You should feel bad for suggesting it.
 
that is due to the subconscious-conscious rationalizations
why did i spend all that time studying/work? because it was worth it
if a doctor/resident admitted that med school and residency was a waste of time, they would be admitting that all their hard work and sacrifice was in vain. it is in their self-interest to give a biased view instead of an honest evaluation

also it is easy to belittle something after you have finished it.

What the class of 2015 guy doesn't realize is that in a few years he's going to be the raving lunatic once he realizes that yes, it was in fact a huge waste of time.

I'd like to see you guys propose another system. If you are hinting at direct clinical training out of UG or something more similar to DNP training... you guys need to stop sniffing glue. We have already had a number of practicing physicians come in here and describe the (low) level of ability that DNPs have in the clinic. Do you think its just because that is who they are and that you would be able to do better with the same training? Doubt it. This preoccupation with the face value retention of details completely misses the point in medical education.
 
I'd like to see you guys propose another system. If you are hinting at direct clinical training out of UG or something more similar to DNP training... you guys need to stop sniffing glue. We have already had a number of practicing physicians come in here and describe the (low) level of ability that DNPs have in the clinic. Do you think its just because that is who they are and that you would be able to do better with the same training? Doubt it. This preoccupation with the face value retention of details completely misses the point in medical education.

I think you are cutting out the wrong part of schooling. It seems like there are more people complaining about the undergrad hoops than M1&M2. The alternate system would be expanding the already existing 6 year straight from HS programs. I don't think that should be the only path to medical school; but it could be a larger path than it currently is.
 
I think that the theory about UG education being useless is true. I think there should be more combined programs that allow students to save a year, possibly two, from wasting time on UG crap. Only thing is, for 4 + 4 students, they need to have a marker for their intelligence and ability that is separate from just their MCAT score. That is where college GPA comes into play. I'd say 99.9% of medical students will not use their bachelors after getting their MD. However, that does not mean you shouldn't need one (or be on the track to one like in BS/MD programs) to be in medical school. Everyone should have a backup plan, especially if you're in a regular UG. That's where the bachelor's degree will help you.

I think that while the minute details of M1 and M2 are annoying, I still remember the overall processes and which diseases correlate to which cycles within the human body. This is one of the things that separates us from NPs.
 
I think you are cutting out the wrong part of schooling. It seems like there are more people complaining about the undergrad hoops than M1&M2. The alternate system would be expanding the already existing 6 year straight from HS programs. I don't think that should be the only path to medical school; but it could be a larger path than it currently is.

hoops? Yes, there is a lot of things that undergrads have to do to prove "worthiness" but that other poster was suggesting that physicians use that as a basis to claim superiority over other healthcare providers. Honestly, with the supply and demand system that is in place, the hoops in undergrad have nothing to do with medical education nor does it really demonstrate that much of a waste of time. Sorry, but the average 19-22 year old isnt going to be doing much with their free time that matters anyways :shrug: might as well go volunteer a little and stop complaining about something as relatively simple as taking organic and volunteering for a couple semesters as the major obstacles for getting into med school.

I personally believe the 6 year programs are ill advised. The 18 year old that knows anything about what medicine is, knows anything about their real academic abilities, and knows anything about what they want in their life is a proverbial unicorn. Undergrad gives you the ability to feel things out. Over half of the valedictorians at my highschool ended up dropping out of college. HS performance means even less than UG performance does which means even less than pre-clinical performance does to the practicing clinician. Anyone worrying about these "hoops" is in a hurry for no reason. The last thing we need is to admit a buttload of highschool grads who decide that maybe they were too naive and immature when they made the initial choices. Anecdotally, around here it seems like most of the people posting the "should I drop out" threads are those in such programs. It may be that I just pay closer attention when that comes up, but I feel like more often than not it does come up in such threads. Comparatively fewer people have second thoughts about it after completing UG, working a couple years, busting their ass on ECs, and then finally getting admitted.

I guess what I am saying is, other than people bitching about what they perceive to be their precious time, I don't see any compelling reason to make this change. I don't see how it will produce better physicians, more physicians, or improve patient care. It seems, at least at face value, to be a bunch of pre-meds who seem to find wisdom in the thought process that says "well I know i've always wanted to be a doctor so why not just let me be one rather than making me prove it" :confused:. This isn't talk of expanding medschool seats, it is talk of removing the things that stratify the applicant pool.... without such stratification you are now going to have to compete much more against people that may or may not really want medicine but have the scores and figure "why the hell not". Undergrad, ECs and pre-med "hoops" are a good thing for all of us because it keeps someone ambivalent about medicine from taking your seat just because they had an easy degree and take standardized tests well.
 
I think that the theory about UG education being useless is true. I think there should be more combined programs that allow students to save a year, possibly two, from wasting time on UG crap. Only thing is, for 4 + 4 students, they need to have a marker for their intelligence and ability that is separate from just their MCAT score. That is where college GPA comes into play. I'd say 99.9% of medical students will not use their bachelors after getting their MD. However, that does not mean you shouldn't need one (or be on the track to one like in BS/MD programs) to be in medical school. Everyone should have a backup plan, especially if you're in a regular UG. That's where the bachelor's degree will help you.

I think that while the minute details of M1 and M2 are annoying, I still remember the overall processes and which diseases correlate to which cycles within the human body. This is one of the things that separates us from NPs.
This is more of what I was saying. People in here are making the mistake of thinking that UG is intended to prepare you to be a physician. It isnt. Med school doesnt even do that. Med school trains you to be a resident. Technically speaking, highschool didn't prepare you for it either in any way that UG doesnt. So why not skip the whole mess and start forcefeeding first aid to pre-schoolers who show an interest in playing with a stethoscope over legos?

UG is not supposed to train you to do a job. In most cases (even non med) it doesnt do this. It lets you explore fields and gives you insights into other avenues you may explore. Let's say you get a chemistry degree and then decide to go work for a company that produces research chemicals (this is what I did, btw). The degree did NOTHING to train me how to do that job. Nearly every job you get you will have to be trained on at sight to some degree, usually a fairly large degree. The background knowledge really doesn't add to your ability to do the job at a minimally proficient level. For medicine, UG allows you to develop study habits, explore what medicine really is, become a REAL PERSON (and no... 18 year olds are not real people. They still watch MTV which I am pretty sure is the technical defining line between child and adult, but I'd have to look it up :cool:) To look at UG as an obstacle that keeps you from becoming a doctor on your personal time table is simply missing the point. I personally cannot think of a method (including 6 year programs) that causes more benefit than problems.
 
I personally believe the 6 year programs are ill advised. The 18 year old that knows anything about what medicine is, knows anything about their real academic abilities, and knows anything about what they want in their life is a proverbial unicorn.

You know in many countries (such as the UK), people don't go to undergrad before med school. They apply right from high school. That's the norm there. It hasn't seemed to cause a lot of problems for british doctors...
 
TL;DR yes, medical education is touted as what makes us better than DNPs. No, pre-med education is not in ANY capacity. You should feel bad for suggesting it.

so you enjoyed wasting 4 years of your life on your PRE-MED education (its called pre-medical for a reason, its supposed to prepare you for medical school. its not just an arbitrary degree that you obtain)? Infact theres parts of the world where you DON'T do an undergrad education. You jump from highschool straight into medical school & instead of a 4 year medschool, you have an extended 6 years which are ALL clinically relevant.

You don't think you were pressured to take upper level science courses in whatever field, because you had to show that you were a more science oriented person & that you could handle the rigors of medical school? There is too much of an emphasis on proving to medical school that you are worthy of their attention. another poster above mentioned that they should have some way of screening who should/shouldn't go to medical school. WHY!? Why should someone decide that you can't become a doctor (infact theres a pathway for people to still become doctors even if medical schools don't think they are worthy -- its called carribean & you will be working with them side by side in the future).

We all like to justify the hard work we've done to get to where we are, but stop & think for a moment if it was really necessary. What if I took less advanced microbiology/biophysical chem classes in college (because I felt pressured to prove that I could handle advanced sciences) & instead spent it doing something more useful, perhaps completely mastering spanish & learning a 3rd language. Instead, I took advanced microbiology...learned about thermophile bacteria that grow on volcanoes......also took biochemistry for an entire year & learned to draw nucleotides/nucleosides.....not to mention my degree eventually required biophysical chemistry, the most useless complicated **** i will never use. Why did I choose it? becuase I selected the "pre-medical track" when I was picking out my major & biochem was the way to go! because all of medicine is rooted in biochemistry, right!

Its very easy for us to justify all the hard work we do to get where we are. "we're training the smartest & the brightest people to become doctors, we can't make that road easy. they need to prove they are worthy of learning medicine by spending 4 years jumping through hoops".

& again, you're a ms2 & haven't set foot in a hospital yet. so i'm going to disregard all your "my attendings know their science to the molecular level" comments, because you are full of it.

You should feel bad that another field has figured out how to get to the same end goal that you are looking to achieve (treating patients) with less hoops to jump through, with a BETTER job market, with a union, with the job market/salaries only improving in the future. Americans are starting to hate doctors, but they don't quite hate NPs yet. You can criticize them all you want, but when i work with some NPs & they introduce themselves as "i'm a nurse prac & I will be treating you" & the patients respond with "oh you can do that? cool!", you should be worried because the customer is always right. The customer here is the patient & they're going to spend their money with whoever they want. Telling them that you jumped through years of hoops to prove yourself worthy is not going to win over their $$. Saying to them "i'm going to treat you better because I understand science at a deeper level" is again, not going to win them over, because in the end, you're just going to refer them to a specialist anyway.

The way I see it, all doctors should specialize, now that NPs have started taking over the primary care field. If its true that they can miss the rare diagnosis, then let them refer patients to specialists. Anyone here would be stupid to go into a primary care field, you just might become obsolete in the near future, esp when an NP can do the same work that you do (i.e., treat easy stuff & refer the difficult cases) for less $$. The only way I am personally justifying my 8 years of hard work is by going into a specialty, perhaps radiology/IR which will require knowledge of physics, or cardiology/electrophysiology, maybe nuclear medicine? who knows, but pick something where you can't be replaced in the future.
 
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I am OK with having people apply directly to med school from high school,and then do 6 years of medicine instead of 4 years of UG and 4 years of MD. I think that makes sense, and many countries do it, including the UK.

so you enjoyed wasting 4 years of your life on your PRE-MED education (its called pre-medical for a reason, its supposed to prepare you for medical school. its not just an arbitrary degree that you obtain)? Infact theres parts of the world where you DON'T do an undergrad education. You jump from highschool straight into medical school & instead of a 4 year medschool, you have an extended 6 years which are ALL clinically relevant.

You don't think you were pressured to take upper level science courses in whatever field, because you had to show that you were a more science oriented person & that you could handle the rigors of medical school? There is too much of an emphasis on proving to medical school that you are worthy of their attention. another poster above mentioned that they should have some way of screening who should/shouldn't go to medical school. WHY!? Why should someone decide that you can't become a doctor (infact theres a pathway for people to still become doctors even if medical schools don't think they are worthy -- its called carribean & you will be working with them side by side in the future).

We all like to justify the hard work we've done to get to where we are, but stop & think for a moment if it was really necessary. What if I took less advanced microbiology/biophysical chem classes in college (because I felt pressured to prove that I could handle advanced sciences) & instead spent it doing something more useful, perhaps completely mastering spanish & learning a 3rd language. Instead, I took advanced microbiology...learned about thermophile bacteria that grow on volcanoes......also took biochemistry for an entire year & learned to draw nucleotides/nucleosides.....not to mention my degree eventually required biophysical chemistry, the most useless complicated **** i will never use.

Its very easy for us to justify all the hard work we do to get where we are. "we're training the smartest & the brightest people to become doctors, we can't make that road easy. they need to prove they are worthy of learning medicine by spending 4 years jumping through hoops".

& again, you're a ms2 & haven't set foot in a hospital yet. so i'm going to disregard all your "my attendings know their science to the molecular level" comments, because you are full of it.

You should feel bad that another field has figured out how to get to the same end goal that you are looking to achieve (treating patients) with less hoops to jump through, with a BETTER job market, with a union, with the job market/salaries only improving in the future. Americans are starting to hate doctors, but they don't quite hate NPs yet. You can criticize them all you want, but when i work with some NPs & they introduce themselves as "i'm a nurse prac & I will be treating you" & the patients respond with "oh you can do that? cool!", you should be worried because the customer is always right. The customer here is the patient & they're going to spend their money with whoever they want. Telling them that you jumped through years of hoops to prove yourself worthy is not going to win over their $$.
 
so you enjoyed wasting 4 years of your life on your PRE-MED education (its called pre-medical for a reason, its supposed to prepare you for medical school. its not just an arbitrary degree that you obtain)? Infact theres parts of the world where you DON'T do an undergrad education. You jump from highschool straight into medical school & instead of a 4 year medschool, you have an extended 6 years which are ALL clinically relevant.
No... it isnt. It is just a small subset of courses that medschools want to make sure you take to avoid someone getting a 4 year degree in something completely BS (not bachelors of science) and then coming in with a 4.0 an having no idea how to study science. The level of "training" is so minimal here as to be nonexistant, and pre-med requirements really only take a couple of semesters anyways. What are they for most places now? 2 semesters of orgo, 2 semesters of non-calc physics, intro to biology, 1 semester of calculus..... There isn't a whole lot else....
:rolleyes: yeah because that is hard. :rolleyes: I don't find this that unreasonable at all.

Yes, other countries do it this way. Many other countries don't have residencies either, they don't produce the same quality of physician, and... why are you using that as a valid argument again? :confused: China is one of these countries. In China if you fail to get into "college" you go to med school. No joke.

Central america has the straight into med school gig. However there it is because each "college" trains a specific profession and they still spend 8 years in post HS schooling.

Aside from all of that, you still have not demonstrated to ANY degree that such a change will be beneficial. You are just sitting there saying "I can haz doctor naow?" :rolleyes:. UG was a positive experience for me and for most people who do it. I'm OK with the experience I had for the maturity that was developed, interpersonal skills (no cracks about my post history plz :cool:) and overall increase in experiences. I think setting up a system to spit out medical drones is a mistake and that is what you are describing.

You don't think you were pressured to take upper level science courses in whatever field, because you had to show that you were a more science oriented person & that you could handle the rigors of medical school? There is too much of an emphasis on proving to medical school that you are worthy of their attention. another poster above mentioned that they should have some way of screening who should/shouldn't go to medical school. WHY!? Why should someone decide that you can't become a doctor (infact theres a pathway for people to still become doctors even if medical schools don't think they are worthy -- its called carribean & you will be working with them side by side in the future).
I absolutely think that I was. Good thing too, because the guy who got a 4.0 in something silly and then didn't have the chops to handle the MCAT or didn't have the drive to do other ECs is currently not in medical school :thumbup:

a VERY small percentage of caribbean med students make it to practice in the US. I wont be working with very many of them, that is for sure. Also, this fact PROVES the efficacy of the selection process. Many of the carib students don't even pass, few enough that most schools down there are essentially scams. Pointing out the odd exception to the rule does nothing to support your argument. All you have demonstrated is that 1 person gets incorrectly screened out for every 100 that were appropriately screened out.(and let's face it, most of the time it is because of the poor decisions they made in undergrad, and how is putting in an express line going to help this? So they can make the same poor decisions in medschool and fail out after the state and schools invest money in them? yeah :rolleyes:)

You don't have some god given right to become a doctor. The hurdles are useful for screening out those who are not serious about it or do not have the ability and the hurdles are perfectly manageable. Yes, it sucks that a little immaturity your freshman year can haunt you for years to come. I fail to see how just accepting them anyways on a speed track helps this at all.


We all like to justify the hard work we've done to get to where we are, but stop & think for a moment if it was really necessary. What if I took less advanced microbiology/biophysical chem classes in college (because I felt pressured to prove that I could handle advanced sciences) & instead spent it doing something more useful, perhaps completely mastering spanish & learning a 3rd language. Instead, I took advanced microbiology...learned about thermophile bacteria that grow on volcanoes......also took biochemistry for an entire year & learned to draw nucleotides/nucleosides.....not to mention my degree eventually required biophysical chemistry, the most useless complicated **** i will never use.
Your mistake is in thinking that not using the information itself means it is useless. Again, you develop study habits, interpersonal skills, and (of highest importance) get the opportunity to understand a little about what the commitment will mean, something that HS grads simply do not have. Allowing HS grads to come straight in only increases the dropout rate.
Its very easy for us to justify all the hard work we do to get where we are. "we're training the smartest & the brightest people to become doctors, we can't make that road easy. they need to prove they are worthy of learning medicine by spending 4 years jumping through hoops".

& again, you're a ms2 & haven't set foot in a hospital yet. so i'm going to disregard all your "my attendings know their science to the molecular level" comments, because you are full of it.
I have been in the clinic several times. No, not on clerkship, but I don't pretend at all that my clinical experiences gives me insight into what clinical profession really is, nor did my statement imply that or require it to be valid. I have been pimped, seen the MS3-4s get pimped, and heard the questions others get. What I said is that these doctors do retain and use the knowledge. I didn't say it was necessary, but to deny utility makes YOU full of it :thumbup:

You should feel bad that another field has figured out how to get to the same end goal that you are looking to achieve (treating patients) with less hoops to jump through, with a BETTER job market, with a union, with the job market/salaries only improving in the future. Americans are starting to hate doctors, but they don't quite hate NPs yet. You can criticize them all you want, but when i work with some NPs & they introduce themselves as "i'm a nurse prac & I will be treating you" & the patients respond with "oh you can do that? cool!", you should be worried because the customer is always right. The customer here is the patient & they're going to spend their money with whoever they want. Telling them that you jumped through years of hoops to prove yourself worthy is not going to win over their $$.
except, as previously mentioned they don't do as good of a job of it.
You sit here and complain about all the hoops and then compare to a group without them who demonstrate diminished ability. :laugh: Seriously.... If all you want is to treat patients go that route. You will get the satisfaction of treating patients while being blissfully unaware of your knowledge gap. From where I sit I see 2 professions and 2 educational tracts. Those coming out the DNP educational tract do not have the skills of the MD tract and every attending you interact with will attest to this. On here they have been compared to perpetual residents. The only difference is in the education. So knock the system if you want, but until DNPs are performing equally with physicians on their own in all cases and not just those that they decide not to defer on (which is very common) your entire argument is simply invalid and it is nothing but the whining of someone who is missing the point :thumbup:
 
I think that the theory about UG education being useless is true. I think there should be more combined programs that allow students to save a year, possibly two, from wasting time on UG crap. Only thing is, for 4 + 4 students, they need to have a marker for their intelligence and ability that is separate from just their MCAT score. That is where college GPA comes into play. I'd say 99.9% of medical students will not use their bachelors after getting their MD. However, that does not mean you shouldn't need one (or be on the track to one like in BS/MD programs) to be in medical school. Everyone should have a backup plan, especially if you're in a regular UG. That's where the bachelor's degree will help you.

I think that while the minute details of M1 and M2 are annoying, I still remember the overall processes and which diseases correlate to which cycles within the human body. This is one of the things that separates us from NPs.

I disagree with this. I don't think people need backup plans if you know for certain you are going to be doing medicine. Atleast in that case have both options open, you can apply after a bachelors or apply without one.

having a marker for intelligence & having tough pre-med standards isn't really weeding out the "going to be doctors" from the "not going to be doctors". Those that can handle the pre-med hoops will eventually go onto american med schools. Those that think they can handle it but can't, will eventually get low GPAs & poor MCATs, end up in the carribean, & become doctors ANYWAY. There is ALWAYS a pathway for becoming a doctor, no matter how dumb you are. If you start flunking your american MD classes, your schools will split up your preclinical 2 years into 3 or even 4 years, because they don't want your failure to blemish their track record.

Also what is wrong with letting MCAT scores dictate intelligence for admission into medschool. Isnt the MCAT what schools use to correlate performance w/ USMLE scores? How can you get a 30+ MCAT without being intelligent?? I would much rather see MCAT scores + extracurricular activities + some other marker for humanism & professionalism being used for admission. How many times have you heard from pre-med advisers say to students "your science GPA is holding you back, spend a year or 2 taking science courses to boost it up".
 
You know in many countries (such as the UK), people don't go to undergrad before med school. They apply right from high school. That's the norm there. It hasn't seemed to cause a lot of problems for british doctors...

How are you defining "problem"? We are both guessing here. My intuition says that making people jump through fewer hurdles will inevitably lead to more people gaining access who will burn out, drop out, or whatever. There is investment in each student on the part of the state and the school, so this is a bad thing. Can you also say that this system produces doctors that are as proficient? There isn't data here in either direction, so the argument has nothing to do with patient care and only to do with the whims of the students. In the USA we have a much higher demand for entry than in other countries as well (mostly due to the salary, which may change). My prediction is that if we went to a 6 year system we remove the things that stratify applicants and now the angsty pre-med pool grows exponentially as those who are more ambivalent are not weeded out as readily. Personally I think this is a terrible idea. 4 years isn't really that big of a deal, there are tons of other things gained in UG aside from job-specific training, and nobody wants medical automotons treating them. Experience gained in UG is more important than knowledge. That is why med schools will take any UG degree. We have lit and history majors in my class. Obviously nobody cares about WHAT you studied but that seems to be the argument made when people talk about "pre med training".
 
How are you defining "problem"?

The system creating incompetent physicians. There is really no data that shows that physicians trained in the 6 year programs in the UK are worse than their counterparts in the US... so what's the real benefit to our extra 4 year UG requirement? Isn't the whole point to create competent physicians.

I get your argument about life experience and all of that, but I don't know if it's really helpful, especially when we have a huge shortage, and already huge education costs.
 
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