the 15,000 slots are proposed over 5 years, so that is only 3,000 slots per year. why would it create a new set of problems? the US needs more doctors. especially rural areas. but what is happening is NPs and PA's are filling that gap. thats like giving a very experienced and knowlegeable MA a PA or NP spot. it used to be NP's and PA's were there to assist docs, now they are becoming the docs. something is wrong with that picture. im no good for doing about 2 years of residency, and considered beneath an NP and PA who can do so much more than me, like work in hospitals at a PCP level, have their own practices, replace PCP's in clinics, etc? I'm not even allowed to continue my education and they can, they can go to school and become an MD in a short time via bridge programs. so much opportunity for them, but for an MD who passed all USMLE steps who doesn't get to do residency, it is a dead end street. they can't do anything and have to do some expensive, difficult-to-afford lesser degree program like ultrasound tech or nurse all over again to be anything at all, which is very depressing knowing you have the knowledge of a medical doctor.
wouldn't it be nice if an MD could just function as a PA or NP at their level. They are no better than an MD. they should give MD's certificate to funciton as a PA or NP and if they are in that job, required by law to call themselves a PA, not an MD, just for the job sake. i think something should be done. there are thousands of jobless MD's out there, and thousands each year of residents that can never be board eligible or board certified because a program kicks them out. can't the government do something about this? i really think something should be done, like maybe remediation programs for those that lost their residency spot so they can continue forward. i dont think it is right to have the attitude 'you already had your chance' and given one chance, sometimes people make mistakes and a mistake is really a lesson that one learns, not really a mistake. that is a negative way to put it. there are a lot of smart people out there, smarter than an NP or PA, that are just sitting at home jobless, unable to find anything else to do, wasting away. i think it is a complete shame.
c'mon, lets all get together and create some cool free to low-cost programs for MD's. how can we go about this? you never know, any of you may benefit, lets say you lost your job, you would have something to fall back on, u can never go wrong that way.
for instance, an ECFMG certified MD can apply to the american registry of medical assistants (ARMA) and they give the MD a medical assistant certification, so they can practice as an MA, well what about going one step further and giving them a PA certification. i mean an MD has more training than a PA, so what is wrong with that? i think that PAs and NPs have a powerful lobby and have made themselves untouchable. they want all money to go toward their classes, but maybe something can be done to thwart them. if just certification isn't enough, maybe at least we can be allowed to take their exam to test out of it. if docs r giving PAs and NPs rights to be at the level of a doc, then PAs and NPs should have the courtesy to let us have rights to do work at their level, if we ever needed to. there should be some system put in place.
docu for US president. i can see it now ;D lol jk. but the rest of what i said im not joking about.