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发帖数: 9 | 1 How A Nobel Economist Ruined The Residency Matching System For Newly Minted
M.D.'s
http://news.doximity.com/entries/1387800?_ref=email&account_id=
This year, 5.6% of US allopathic (MD) seniors did not match, and 22.3% of US
osteopathic (DO) seniors did not match. On the whole, 25.0% of applicants
in the NRMP Match did not match – with a 25% unemployment rate, how
successful is the Match, really?
Medical education today is nothing like it was 60 years ago. Today, many
specialties have more US medical graduates than residency positions, and
international medical graduates and physicians reapplying for residency also
compete in the match. Medical schools continue to increase, as have the
birth of osteopathic schools and Caribbean schools.
Financially, the Match is devastating. Assume a student applies for 35
programs in one specialty, receives 20 interview offers and accepts 12;
these are conservative estimates in competitive specialties, in applicants
‘couples-matching’ with a spouse and in specialties requiring a separate
‘preliminary’ internship.
In application fees, this student will spend $465. The 12 interviews, each
requiring a $50 motel, a $50 car rental and a $300 flight, cost this student
$4,800. All in, this student has spent $5,265 on the Match, against $250,
000 in existing student debt. Assuming a Federal Stafford Loan with 6.8%
interest paid in 10 years, $5,265 becomes $7,470.76.
With a 15% tax rate, $7,470.76 becomes $8,789.13 in pre-tax income. With 34,
270 active applicants in the Match in 2014, $302 million is wasted annually,
in the setting of tight graduate medical education funding, increasing
student debt and decreasing physician reimbursement. |
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