A*******9
发帖数: 15 | 1 Starting in 2015, the number of American medical school students will equal
to the number of current residency positions which is unlikely to increase
in the following years. Refer to : N Eng J M (Dec. 2012)
Try to match/get in a program in 2014, otherwise it will be very very
diffcult. |
a**********2
发帖数: 3726 | 2 American students will go to small community programs for internal medicine?
or pathology and neurology, those traditional IMG-filled programs? |
A*******9
发帖数: 15 | 3 Yes, even American medical gradutes ( not the top ones) will have trouble
matching a program in the near future. |
a**********2
发帖数: 3726 | 4 Highly doubt it, but it's possible. I heard about this from a cs instructor
when I took cs course in nyc years ago. At that time, he estimated around
2014 the door to IMGs will start to close, just like what happened in
England. It seems that it's really coming. |
a**********2
发帖数: 3726 | 5 And I personally feel the claim of US shortage of physicians is just an
exaggeration, there is some hidden purpose behind that claim that
politicians do not want people to know. The reality is US has enough
physicians, if APN and PA are also counted, it will be more than enough. |
c***x
发帖数: 1169 | 6 (zz)A 30%
increase in 1st year medical school enrollment above the 2002 level would
lead to
an increase of nearly 5,000 MD graduates, all of whom would need to enter
GME
before becoming licensed to practice. Currently, more than 7,000
international
medical school graduates (IMGs) enter GME each year. If GME positions are
not
increased, it is likely that the expansion of MD graduates would lead to a
parallel
reduction in IMGs without an increase in physician supply to serve the
nation. |
c***x
发帖数: 1169 | 7 (zz)
Between 2002 and 2007, the number of first year residents without prior GME
increased by 1,67210 compared to an expected increase in 1st year medical
school
enrollment between 2002 and 2009 of 1,865. Based on these numbers alone, it
might appear that GME is keeping pace with increased medical school
enrollment.
However, the financial challenges facing hospitals may lead to a slowing up
in
growth in GME positions. Furthermore, since about half of the graduates of
osteopathic schools also enter ACGME residency programs and DO enrollment is
rising rapidly with an increase of 1,534 first year DO students between 2002
and
2009, GME growth is unlikely to be able to keep pace with the combined
growth
of MDs and DO graduates; most likely leading to a reduction in IMGs entering
GME. |
f********g
发帖数: 13 | 8 请给具体reference.
N Eng J M 2012 DEC 6-27,哪有您说的这段话???
equal
【在 A*******9 的大作中提到】
: Starting in 2015, the number of American medical school students will equal
: to the number of current residency positions which is unlikely to increase
: in the following years. Refer to : N Eng J M (Dec. 2012)
: Try to match/get in a program in 2014, otherwise it will be very very
: diffcult.
|
r********y
发帖数: 1702 | |
h********o
发帖数: 3320 | 10 越来越难是一定的了。从去年开始，我们这的PD就说用不了几年，IMG就基本上没有机
会了，也可能不会完全没有机会，但肯定会非常的困难。具体会是如何，过几年就清楚
了。但是现在在准备的同学，抓紧时间争取早日match肯定是没有错的。 |
|
|
A*******9
发帖数: 15 | 11 Residency Training and International Medical Graduates: Coming to America No
More
By 2015, the number of graduates from US medical schools is anticipated to
surpass the number of positions in residency programs. Because the vast
majority of US medical school graduates will choose to remain in the United
States, and most residency programs will continue to give preference to US
graduates, the number of international medical graduates (IMGs) who train in
the United States is expected to decrease. Although many may see this as a
positive development (US programs have been accused of exacerbating the “
brain drain” from developing countries), this decrease may have additional
unanticipated consequences for the diversity and activities of physicians
practicing in the United States—a shift that could begin to affect patient
care.
JAMA. 2012;308(21):2193-2194. doi:10.1001/jama.2012.14681 |
f********g
发帖数: 13 | 12 要是这样，现在才开始看书的，是不是就不用继续准备了？至少也要2-3年才能考完，
到时候已经没有住院医的位置了？
如果不能参加match,有USMLE成绩能够帮助找什么样的工作呢？
【在 h********o 的大作中提到】
: 越来越难是一定的了。从去年开始，我们这的PD就说用不了几年，IMG就基本上没有机
: 会了，也可能不会完全没有机会，但肯定会非常的困难。具体会是如何，过几年就清楚
: 了。但是现在在准备的同学，抓紧时间争取早日match肯定是没有错的。
|
a**********2
发帖数: 3726 | 13 Do not lose hope. Because if that's the case, ECFMG will lose business. Do
you think they will just sit and see that happens?
But it is certain that match will be more and more difficult for IMGs. Now
it is stable at 40%,I would expect it will drop to 10 to 20% by 2015, if not
single digit.
【在 f********g 的大作中提到】
: 要是这样，现在才开始看书的，是不是就不用继续准备了？至少也要2-3年才能考完，
: 到时候已经没有住院医的位置了？
: 如果不能参加match,有USMLE成绩能够帮助找什么样的工作呢？
|
a**********2
发帖数: 3726 | 14 Another possibility is that ECFMG will create some opportunities for IMGs,
e.g. allow people to go for residency on their own money. This is even
better for CMGs, because many CMGs can afford it, compared with other IMGs.
And you will have more opportunities to go to some highly competitive
specialties. This is just one possibility, who knows what else ECFMG will do
. Do not forget that ECFMG is a pure business, money talks in this country
and obviously they will not just sit and lose business.
【在 f********g 的大作中提到】
: 要是这样，现在才开始看书的，是不是就不用继续准备了？至少也要2-3年才能考完，
: 到时候已经没有住院医的位置了？
: 如果不能参加match,有USMLE成绩能够帮助找什么样的工作呢？
|
a**********2
发帖数: 3726 | 15 For sure there is no certainty, no one can predict what will happen. It is a
gambling, if you can afford the 2 to 3 year cost and also have a backup
plan, then go for it. If this is your only option and your family is relying
on your paycheck, probably you should think more. |
j******1
发帖数: 138 | 16 忍不住说两句，这种危言耸听的帖子就别贴了，从2008年我就看到这样的帖子无数，
好像明天IMG就没门了一样，可是大家不是还这样往前走着。
只要美国没有说IMG不允许当医生，谁会因为机会少而放弃？我听到的，看到的地方新
闻却恰恰相反，因为primary doc的缺失导致看病难。
所以，该干嘛就干嘛。 |
a**********2
发帖数: 3726 | 17 Don't misunderstand the information. It is not to scare or discourage anyone
. Just to let people know the cruel reality. Just like the fact that back to
10 or more years ago, match was not as difficult as now. The reality is it
IS more and more difficult these years. Now when considering the increased
supply of American medical students by enrollment increase (both MD and DO
students) and newly-built medical schools since 2011, it makes perfect sense
that IMG match will be even tougher. One could argue that American students
will not be happy to go to a community program, however, unless they re-
match in the following year, it would not be an option for them. Of course,
another solution is to expand residency spots, but this is extremely
difficult since residency training is fully funded by Medicare. So, my
prediction is from 2015, the IMG match rate will dramatically decrease. IMGs
still have some chance for certain programs, but it will be more difficult.
So, for those who are going to take USMLE, do it now, and try to match in
2014. For those who are just about to start, try your best but do not put
all your eggs in one basket, especially for old CMGs (not to offend anyone). |
d******g
发帖数: 258 | 18 If you are determined to go this way, why not do it now? No point to worry
about this kind of things. Just get a great score first, you will find
somewhere to go. |
p********r
发帖数: 212 | |
A*******9
发帖数: 15 | 20 Totally agree with Aprilfool002.
It is not to scare or discourage anyone. Just to let people know the cruel
reality.
For those who are going to take USMLE, do it now, make a schedule required
for the match in 2014, and try to get into a program before 2015.
For those who are just about to start, try your best but do not put
all your eggs in one basket.
Do not take years to make a decision to take USMLE. Do not take years to
prepare for step1. |
|
|
b**n
发帖数: 54 | 21 google "american dream end" 一亿一千万结果。看下图
请问这位大佬，你怎么还赖在美国？
捕风捉影 知道这个什么意思吗？就是说你呢。
required
【在 A*******9 的大作中提到】
: Totally agree with Aprilfool002.
: It is not to scare or discourage anyone. Just to let people know the cruel
: reality.
: For those who are going to take USMLE, do it now, make a schedule required
: for the match in 2014, and try to get into a program before 2015.
: For those who are just about to start, try your best but do not put
: all your eggs in one basket.
: Do not take years to make a decision to take USMLE. Do not take years to
: prepare for step1.
|
b**n
发帖数: 54 | 22 google "共产党灭亡" 一百三十万结果。看下图
请问这位大佬，你或者你父母是不是已经移民非洲了？毕竟一百三十万条结果了，你1
条就信了，不要告诉我130万条你不信。
【在 p********r 的大作中提到】
: http://scepticemia.com/2013/01/08/the-usa-dream-for-imgs-coming
|
f********g
发帖数: 13 | 23 说的好！
【在 b**n 的大作中提到】
: google "american dream end" 一亿一千万结果。看下图
: 请问这位大佬，你怎么还赖在美国？
: 捕风捉影 知道这个什么意思吗？就是说你呢。
:
: required
|
A*******9
发帖数: 15 | 24 Starting in 2015, the number of American medical school students will equal
to the number of current residency positions which is unlikely to increase
in the following years. Refer to : N Eng J M (Dec. 2012)
Try to match/get in a program in 2014, otherwise it will be very very
diffcult. |
a**********2
发帖数: 3726 | 25 American students will go to small community programs for internal medicine?
or pathology and neurology, those traditional IMG-filled programs? |
A*******9
发帖数: 15 | 26 Yes, even American medical gradutes ( not the top ones) will have trouble
matching a program in the near future. |
a**********2
发帖数: 3726 | 27 Highly doubt it, but it's possible. I heard about this from a cs instructor
when I took cs course in nyc years ago. At that time, he estimated around
2014 the door to IMGs will start to close, just like what happened in
England. It seems that it's really coming. |
a**********2
发帖数: 3726 | 28 And I personally feel the claim of US shortage of physicians is just an
exaggeration, there is some hidden purpose behind that claim that
politicians do not want people to know. The reality is US has enough
physicians, if APN and PA are also counted, it will be more than enough. |
c***x
发帖数: 1169 | 29 (zz)A 30%
increase in 1st year medical school enrollment above the 2002 level would
lead to
an increase of nearly 5,000 MD graduates, all of whom would need to enter
GME
before becoming licensed to practice. Currently, more than 7,000
international
medical school graduates (IMGs) enter GME each year. If GME positions are
not
increased, it is likely that the expansion of MD graduates would lead to a
parallel
reduction in IMGs without an increase in physician supply to serve the
nation. |
c***x
发帖数: 1169 | 30 (zz)
Between 2002 and 2007, the number of first year residents without prior GME
increased by 1,67210 compared to an expected increase in 1st year medical
school
enrollment between 2002 and 2009 of 1,865. Based on these numbers alone, it
might appear that GME is keeping pace with increased medical school
enrollment.
However, the financial challenges facing hospitals may lead to a slowing up
in
growth in GME positions. Furthermore, since about half of the graduates of
osteopathic schools also enter ACGME residency programs and DO enrollment is
rising rapidly with an increase of 1,534 first year DO students between 2002
and
2009, GME growth is unlikely to be able to keep pace with the combined
growth
of MDs and DO graduates; most likely leading to a reduction in IMGs entering
GME. |
|
|
f********g
发帖数: 13 | 31 请给具体reference.
N Eng J M 2012 DEC 6-27,哪有您说的这段话???
equal
【在 A*******9 的大作中提到】
: Starting in 2015, the number of American medical school students will equal
: to the number of current residency positions which is unlikely to increase
: in the following years. Refer to : N Eng J M (Dec. 2012)
: Try to match/get in a program in 2014, otherwise it will be very very
: diffcult.
|
r********y
发帖数: 1702 | |
h********o
发帖数: 3320 | 33 越来越难是一定的了。从去年开始，我们这的PD就说用不了几年，IMG就基本上没有机
会了，也可能不会完全没有机会，但肯定会非常的困难。具体会是如何，过几年就清楚
了。但是现在在准备的同学，抓紧时间争取早日match肯定是没有错的。 |
A*******9
发帖数: 15 | 34 Residency Training and International Medical Graduates: Coming to America No
More
By 2015, the number of graduates from US medical schools is anticipated to
surpass the number of positions in residency programs. Because the vast
majority of US medical school graduates will choose to remain in the United
States, and most residency programs will continue to give preference to US
graduates, the number of international medical graduates (IMGs) who train in
the United States is expected to decrease. Although many may see this as a
positive development (US programs have been accused of exacerbating the “
brain drain” from developing countries), this decrease may have additional
unanticipated consequences for the diversity and activities of physicians
practicing in the United States—a shift that could begin to affect patient
care.
JAMA. 2012;308(21):2193-2194. doi:10.1001/jama.2012.14681 |
f********g
发帖数: 13 | 35 要是这样，现在才开始看书的，是不是就不用继续准备了？至少也要2-3年才能考完，
到时候已经没有住院医的位置了？
如果不能参加match,有USMLE成绩能够帮助找什么样的工作呢？
【在 h********o 的大作中提到】
: 越来越难是一定的了。从去年开始，我们这的PD就说用不了几年，IMG就基本上没有机
: 会了，也可能不会完全没有机会，但肯定会非常的困难。具体会是如何，过几年就清楚
: 了。但是现在在准备的同学，抓紧时间争取早日match肯定是没有错的。
|
a**********2
发帖数: 3726 | 36 Do not lose hope. Because if that's the case, ECFMG will lose business. Do
you think they will just sit and see that happens?
But it is certain that match will be more and more difficult for IMGs. Now
it is stable at 40%,I would expect it will drop to 10 to 20% by 2015, if not
single digit.
【在 f********g 的大作中提到】
: 要是这样，现在才开始看书的，是不是就不用继续准备了？至少也要2-3年才能考完，
: 到时候已经没有住院医的位置了？
: 如果不能参加match,有USMLE成绩能够帮助找什么样的工作呢？
|
a**********2
发帖数: 3726 | 37 Another possibility is that ECFMG will create some opportunities for IMGs,
e.g. allow people to go for residency on their own money. This is even
better for CMGs, because many CMGs can afford it, compared with other IMGs.
And you will have more opportunities to go to some highly competitive
specialties. This is just one possibility, who knows what else ECFMG will do
. Do not forget that ECFMG is a pure business, money talks in this country
and obviously they will not just sit and lose business.
【在 f********g 的大作中提到】
: 要是这样，现在才开始看书的，是不是就不用继续准备了？至少也要2-3年才能考完，
: 到时候已经没有住院医的位置了？
: 如果不能参加match,有USMLE成绩能够帮助找什么样的工作呢？
|
a**********2
发帖数: 3726 | 38 For sure there is no certainty, no one can predict what will happen. It is a
gambling, if you can afford the 2 to 3 year cost and also have a backup
plan, then go for it. If this is your only option and your family is relying
on your paycheck, probably you should think more. |
j******1
发帖数: 138 | 39 忍不住说两句，这种危言耸听的帖子就别贴了，从2008年我就看到这样的帖子无数，
好像明天IMG就没门了一样，可是大家不是还这样往前走着。
只要美国没有说IMG不允许当医生，谁会因为机会少而放弃？我听到的，看到的地方新
闻却恰恰相反，因为primary doc的缺失导致看病难。
所以，该干嘛就干嘛。 |
a**********2
发帖数: 3726 | 40 Don't misunderstand the information. It is not to scare or discourage anyone
. Just to let people know the cruel reality. Just like the fact that back to
10 or more years ago, match was not as difficult as now. The reality is it
IS more and more difficult these years. Now when considering the increased
supply of American medical students by enrollment increase (both MD and DO
students) and newly-built medical schools since 2011, it makes perfect sense
that IMG match will be even tougher. One could argue that American students
will not be happy to go to a community program, however, unless they re-
match in the following year, it would not be an option for them. Of course,
another solution is to expand residency spots, but this is extremely
difficult since residency training is fully funded by Medicare. So, my
prediction is from 2015, the IMG match rate will dramatically decrease. IMGs
still have some chance for certain programs, but it will be more difficult.
So, for those who are going to take USMLE, do it now, and try to match in
2014. For those who are just about to start, try your best but do not put
all your eggs in one basket, especially for old CMGs (not to offend anyone). |
|
|
d******g
发帖数: 258 | 41 If you are determined to go this way, why not do it now? No point to worry
about this kind of things. Just get a great score first, you will find
somewhere to go. |
p********r
发帖数: 212 | |
A*******9
发帖数: 15 | 43 Totally agree with Aprilfool002.
It is not to scare or discourage anyone. Just to let people know the cruel
reality.
For those who are going to take USMLE, do it now, make a schedule required
for the match in 2014, and try to get into a program before 2015.
For those who are just about to start, try your best but do not put
all your eggs in one basket.
Do not take years to make a decision to take USMLE. Do not take years to
prepare for step1. |
b**n
发帖数: 54 | 44 google "american dream end" 一亿一千万结果。看下图
请问这位大佬，你怎么还赖在美国？
捕风捉影 知道这个什么意思吗？就是说你呢。
required
【在 A*******9 的大作中提到】
: Totally agree with Aprilfool002.
: It is not to scare or discourage anyone. Just to let people know the cruel
: reality.
: For those who are going to take USMLE, do it now, make a schedule required
: for the match in 2014, and try to get into a program before 2015.
: For those who are just about to start, try your best but do not put
: all your eggs in one basket.
: Do not take years to make a decision to take USMLE. Do not take years to
: prepare for step1.
|
b**n
发帖数: 54 | 45 google "共产党灭亡" 一百三十万结果。看下图
请问这位大佬，你或者你父母是不是已经移民非洲了？毕竟一百三十万条结果了，你1
条就信了，不要告诉我130万条你不信。
【在 p********r 的大作中提到】
: http://scepticemia.com/2013/01/08/the-usa-dream-for-imgs-coming
|
f********g
发帖数: 13 | 46 说的好！
【在 b**n 的大作中提到】
: google "american dream end" 一亿一千万结果。看下图
: 请问这位大佬，你怎么还赖在美国？
: 捕风捉影 知道这个什么意思吗？就是说你呢。
:
: required
|
r*****d
发帖数: 366 | 47 co-ask!~~~
【在 f********g 的大作中提到】
: 说的好！
|
l********6
发帖数: 38 | 48 2015去match算吗？还是必须在2014年之前match，2015年开始上班？
谢谢
required
【在 A*******9 的大作中提到】
: Totally agree with Aprilfool002.
: It is not to scare or discourage anyone. Just to let people know the cruel
: reality.
: For those who are going to take USMLE, do it now, make a schedule required
: for the match in 2014, and try to get into a program before 2015.
: For those who are just about to start, try your best but do not put
: all your eggs in one basket.
: Do not take years to make a decision to take USMLE. Do not take years to
: prepare for step1.
|
r*****d
发帖数: 366 | 49 For example?
.............. IMGs
still have some chance for certain programs, but it will be more difficult..
......
【在 a**********2 的大作中提到】
: Don't misunderstand the information. It is not to scare or discourage anyone
: . Just to let people know the cruel reality. Just like the fact that back to
: 10 or more years ago, match was not as difficult as now. The reality is it
: IS more and more difficult these years. Now when considering the increased
: supply of American medical students by enrollment increase (both MD and DO
: students) and newly-built medical schools since 2011, it makes perfect sense
: that IMG match will be even tougher. One could argue that American students
: will not be happy to go to a community program, however, unless they re-
: match in the following year, it would not be an option for them. Of course,
: another solution is to expand residency spots, but this is extremely
|
b******n
发帖数: 16 | 50 http://jama.jamanetwork.com/article.aspx?articleid=1475200
equal
【在 A*******9 的大作中提到】
: Starting in 2015, the number of American medical school students will equal
: to the number of current residency positions which is unlikely to increase
: in the following years. Refer to : N Eng J M (Dec. 2012)
: Try to match/get in a program in 2014, otherwise it will be very very
: diffcult.
|
|
|
A*******s
发帖数: 9638 | 51 我的观点是：如果美国医学院扩招导致入学人数增加，一方面好学生会因为工作减少而
放弃医学院；而普通学生因为扩招大量涌入，结果能够毕业的医学生会大量减少，导致
residency的缺口最终还得让IMG来填补。 |
s****p
发帖数: 176 | |
m****d
发帖数: 65 | 53 您老逗乐把？ 好学生不会少的。中国那没多普通医学生， 没见几个比不了业。
【在 A*******s 的大作中提到】
: 我的观点是：如果美国医学院扩招导致入学人数增加，一方面好学生会因为工作减少而
: 放弃医学院；而普通学生因为扩招大量涌入，结果能够毕业的医学生会大量减少，导致
: residency的缺口最终还得让IMG来填补。
|
A*******s
发帖数: 9638 | 54 增加医学生的名额受冲击最大的是DO和美国公民在海外上医学院的，因为这些学校是收
费的，如果这些学生得不到match，他们的生意必然受影响，导致入学减少，学校关闭
合并。 学生们很明白，投资不得回报，没有人会去冒险。
另一方面，美国医生要保持高收入，有能力偿还贷款，必须保持一定的缺口，让非美国
医学院的毕业生来填补，这个缺口可能会缩小，但不会像想象的完全关闭，因为现在填
缺口的DO，加勒比海医学生和IMG中，最能承受不能match的是IMG， 所以在灾难到来之
前，DO什么的肯定会先退缩，剩下的只有IMG会留下来填这个空。 这也是美国医学界愿
意见到的情况，diversity是他们提倡的。 DO，加勒比带不来diversity
【在 m****d 的大作中提到】
: 您老逗乐把？ 好学生不会少的。中国那没多普通医学生， 没见几个比不了业。
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l*******8
发帖数: 290 | 55 I had a dream my life would be
So different from this hell I'm living
So different now from what it seemed
Now life has killed the dream I dreamed |
