This is a bit off-topic and I'm sure many have heard this before, but in reply to those repeating the notions of a primary care shortage, I just want to add that this shortage mostly exists in
rural America. You will not find many shortages in and around the more desirable urban/suburban locations, i.e. where most (including myself) will probably want to train and live. Even with an aging population, desirable cities and their suburbs have not and will not have problems with physician numbers, not to mention, you can also guarantee a rise in the number of midlevels (who also want to live and work in these areas) handling the more routine aspects of primary care. I do find the consistent reference to a shortage to be a bit misleading when it is portrayed as a coast-to-coast problem.
The real shortage is in patches scattered throughout the States and those patches are the places the average medical school grad wants nothing to do with. (No, you folks who are actually looking forward to your rural doctoring days are not average. Respect though). An increase in physician numbers will not fill these gaps without strong incentives to do so, while possibly completely saturating the markets of more desirable locations. Yeah, I know that the NHSC has a limited number of scholarships and a loan forgiveness programs, but they have their fair share of problems and cost (unwilling) tax-payers the buckaroos in the process. Without a means of attracting larger numbers of physicians to those areas of shortage, shortages will continue.
Rapidly opening schools with lax accreditation will not solve the problem of this rural primary care physician shortage, nor should the shortage be used as an excuse to bring the Caribbean schools ashore as new DO institutions. (Read Dr.Mychaskiw's letter regarding proposed school in Rhode Island if you haven't already:
http://forums.studentdoctor.net/showthread.php?p=12663855#post12663855) Regardless, there is simply not enough GME funding nor will there likely be any significant changes in upcoming years. More schools is not the answer.
Anyhow, excuse my rant... I just hope when people are referring to a primary care physician shortage, they realize that it varies geographically (and demographically in really bad areas of some cities) but does not affect many places in this country.
Oh and to those arguing about practicing abroad: It's very difficult to get licensed abroad regardless of degree; MD or DO, you will have plenty of obstacles to traverse and barriers to clear before you set up shop in most foreign countries. As someone mentioned earlier, there is always Doctors Without Borders for those who need to fulfill there taste of adventure, and both MD's and DO's are welcomed to join. That said, foreign practice rights should play little (if any) role in one's decision regarding MD or DO, and its use in these discussions is somewhat asinine IMO.
What was the thread topic again?...?....