Showing posts with label education. Show all posts
Showing posts with label education. Show all posts

Wednesday, April 04, 2007

The Price of Doctoring


What the f$#% is up with the ever-increasing price of study materials, test prep courses and the exam fees? Can we get a break anywhere? The test-taking business has become a lucrative for-profit industry that has ended up costing medical students and residents, already strapped by ridiculous loans, huge amounts of money.

Aren't preparation for national Board exams and USMLE tests the responsibility of medical schools and residency/fellowship programs? That's the deal we make with our benevolent program directors - we work like dogs for crappy pay and they provide us enough education to pass our tests. Lately, one party is not living up to their half of the bargain - and last time I looked residents' pay still sucked.

Prior to becoming the financial boon that it has become, the purpose of these tests were to assess the knowledge base of graduates and assure that those graduating physicians were studied enough to make reasonable decisions. Now they have become just another money-draining requirement along the way to becoming a "real" doctor. Why we need to pay hundreds of dollars just to take the test and thousands more for the numerous books, courses and additional fees is beyond me. Essentially, we're paying to be tested after paying to be educated.

When the vast majority of medical trainees are taking out more than $100,000 in loans just to attend medical school and then scraping buy during residency, they should not have to pay additional money out of their own pocket just to pass a test.

Perhaps no one ever talks about this because so many professors actually get paid by these test prep courses to teach these prep classes. But education has become exhorbitantly expensive and many of the readers of our website, an online community of medical students and residents called StopPagingMe.com, have echoed similar sentiments. Which is a nice way of saying that they don't stop bitching about paying $700 to take their medical licensing exam.

One partial solution could lie in our fantastically logical idea we fondly named: The Generous Professor Series. What is this, you ask? We have begun asking our (and your) favorite professors to make donations in the form of Boards-style test questions in their respective specialty. Of course, we credit them for their generosity and they are listed as one of the authors of this altruistic endeavor. When we have gathered enough questions in a particular residency or medical school specialty (e.g. anatomy, pathology, internal medicine) we will sell them online for super-cheap and force all of those overpriced study guides and Q&A books to match our quality and our price. This will get done much faster with your help, so if you think you're into the Generous Professor project, click here to WRITE us and start contributing questions ASAP.

The outcry against pharm reps has been a grassroots success against a major industry trying to penetrate the medical training field. Our opinion aside, a united medical student and resident voice has shooed may reps right out of their hospitals. Perhaps affordable and responsible education should be the next great cause. We don't even have to give up free lunch for it.

Monday, March 19, 2007

The Real March Madness


Forget bracketology and Dickie V's Final Four-cast - this madness is for real. Real jobs, real patients, real pain and suffering in the near future as the dreaded internship year begins to come into focus.
Monday, March 19th was a huge day for more than 20,000 medical students across the U.S. These future physicians learned at which hospitals around the United States they would be tortured for the next 3 to 8 years.
All the pictures we find on Google Images are of people hugging and smiling and laughing so we want to let those of you who are not doing those things that it is okay and you will be fine. The majority of applicants do not get their 1st choice and still end up doing wonderful things. I've always thought that it would be an interesting study to survey each specialties' thought leadrers to see how they fared in the The Match.
If you did not get your first pick or even your third pick, take it form us: it all works out in the end. What you thought was the best thing as a MS4 may not really be the best thing as a PGY-4,5 or 8. Residency, like everything else in medical training (and in life is what you put into it and you will find good and bad people whereever you go. If it turns out that you hate your instituion after a full year, you can always change.

So congratulations to all of you newly minted interns and let us be the first to inform you that there are some very psyched soon-to-be-PGY-2's ready to exert some influence.
Unfortunately more than 6,500 students, mostly at schools based outside of the United States got the news that they did not match earlier in the week. They were forced to suffer through the aptly named "Scramble" where the unmatched call, e-mail, and beg programs with unfilled vacancies to accept them - hardly a prideful moment for students who have worked so hard. Some succeed, but the process is pure torture regardless and seems quite antiquated considering the current state of technology and the fact that we are no longer scribbling on rock tablets.

Remember one thing, newly minted residents: the field you have chosen may look very different 18 months from now. If that should happen, you CAN change your specialty. Have the courage of your convictions. You can check out OpenSpots and have a look-see. You will not be alone. Chances are, you will stay in your specialty, you just have to get through the grueling years of long hours and no respect from higher-ups, nurses and patients. But remember, your mother loves you no matter what!
Now go out, get drunk, and play doctor!

Wednesday, March 14, 2007

Cure for Your Match Day Blues



Here's what happened when we searched Google images for "The Match". Hopefully, you felt - not necessarily looked - like this guy on Monday, and not like the pic we didn't post of the girl with her head in her hands.

On Monday, March 12th, 4th year medical students all over the United States logged on to find out whether they did, or did not, match into any residency program.

For those of you who did not raise your arms with joy, keep the faith - at least you're not that dude in the picture. Also, if you want it bad enough, there are plenty of things you can do to improve your chances of matching next year or even filling an OpenSpot later on this year. Here are 4 courses of action to start:

1. Find somewhere to do research. But do your research first. Unfortunately, toiling under the assistant biochem tecaher's assistant most of the year will not serve you well. However, working for the assistant program director may yield great results.

2. Call Around - Every program that has OpenSpots does not necessarily advertise them well or enter the scramble or even try very hard to fill them. So, how hard is it to make 25 phone calls to programs in and around your area and in your specialty. Also, you might consider calling programs from a specialty that you could see yourself doing but may not have been your first choice.

3. Call a Trusted Mentor - This might be a good time to call that teacher or professor in your life that has some connections and work it! You would be amazed how much can change with a phone call from a friend. Swallow your pride, hide that ego and use every possible connection you have to see if you can get a break. Believe us, others did it!

4. Go to OpenSpots.com - Yeahg, it's a shameless plug but it's the most helpful webiste out there if you are post-scramble and pre-unemployment. We spend all the time finding these poorly advertised spots and you can view them for a paltry fee (just enuf to keep our servers functioning).