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tere last won the day on October 31 2017

tere had the most liked content!

About tere

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  1. tere

    NYU to make medical school free

    They wanted to increase diversity among students - "a full retrofitting of the pipeline that trains and finances future doctors." Will it end up just being a subsidy for the wealthy? Maybe - but 55K/year is without question a huge barrier for students from lower income households. They've now done something really public that everyone will know about - NYU - the "free school" for medical doctors. Maybe a few lower income household students will be more enabled to pursue medicine. If only some students get subsidized tuition, it could also create resentment - this could have also been a factor. In any case, the money is from private sources, not the public purse, so the taxpayer isn't directly subsidizing the students.
  2. tere

    NYU to make medical school free

    Yeah - I started a thread last week. Guess there's now 3 Question was raised - will it really help accessibility? That's apparently what they want to do, but college and other steps for being a competitive premed are also very expensive in the US. Could snowball to other places - Columbia started it by offering need-based full-tuition scholarships.
  3. Yeah - it's been mentioned a few times on this thread. It doesn't mean it won't happen though . Job difficulties are already occurring and the unmatched CMG problem shows that these kind of issues aren't a priority for the government(s).
  4. While I'd hope that the government would think that far ahead when it comes to finishing residents, neither the current problems of physician underemployment nor unmatched CMGs reassure me. I understand what you're saying regarding tradition - maybe this conservatism within services will mean a mixed solution with some added residency positions (despite saturated job markets) and some mid-level hiring. But, since it won't be the Saudi government that's paying, I'd suppose the effective manpower on the wards will go down.
  5. tere

    Family Medicine VS Dermatology

    To add to the above: - I'd start suggest with shadowing - imo it's better to use electives for specialties you have established interest for, rather than discovering your interests during clerkship. At that point, it's too late to change the schedule. One of the challenges is figuring out what you want to do before having done it. Also, electives in competitive specialties can be hard to get. - Less populated provinces have much higher $$$ for derm. Outsides of cosmetics, derm isn't a $$$ specialty in ON or BC for example.
  6. That makes sense - an interdisciplinary team would allow the work-load gap to be filled. Obviously, it would be a relatively large outlay of money to replace the Saudi residents, but it seems like a more permanent/stable solution. To me the question would be finding the money to make it happen - health-care budgets seem always stretched with a lot of demands.
  7. Yeah - agree. tried to mention that in my last post. Guess it may not have been clear :)
  8. He doesn't really go into the details - it's more big picture. He mentions the justification for the IMG-accessible residency positions due to a "doctor shortage" which isn't met by CMGs (see below). It's hard to take his proposal seriously - because the affected specialties by the Saudi cuts are not generally in high-demand specialties, unlike FM. I just wonder if his proposal will pick up steam after being published in an Ottawa paper and somehow end up converting the presumably lost Saudi residency spots, which are causing a problem, into say 1st round CMG positions (which are then free for IMGs in the second round) which would be provincially funded. "In spite of this, it is an alarming fact that this year 115 new graduates from Canadian medical schools did not match to a Canadian residency program, and so have been unable to train and practise here. Even if this unfortunate group were granted training positions, it would have made little dent in our doctor shortages."
  9. Looks like an influential doctor/columnist is advocating for turning the Saudi residency spots into essentially general IMG positions (probably CMG first), funded by the provincial governments (presumably). I found it interesting he was advocating for IMGs quite strongly, referring to some Caribbean schools as "excellent". Anyways, I can see this sounding popular to the public as a "fix" to the crisis and for IMGs studying abroad (and cheaper than hiring more staff)- but after their training, the specialty job problem already mentioned will just get worse. "Meanwhile there is a treasure trove of other well qualified doctors available for residency training in Canada: Canadian International Medical Graduates (CIMGs). These are mainly students who satisfied the requirements to get into the limited number of Canadian medical school posts, but didn’t make the cut, and so to pursue their career goals have gone to overseas medical schools. In 2010, it was estimated that there were no fewer than 3,570 Canadian citizens studying medicine abroad. Many are in very well-established medical schools in Ireland, Australia and Europe, which offer significant numbers of positions for international students. Others are in the “off-shore” schools that are American privately owned businesses that have proliferated, particularly in the Caribbean. These are of mixed quality but a few are excellent. The important fact is that 90 per cent of CIMGs want to return to Canada for further training and to work here, but only a few are accepted. Just imagine the far-reaching benefits to our medical manpower shortages if more of these “eager-beavers” were allowed into those 750-to–1,000 training positions currently held by certain other international medical graduates." https://ottawacitizen.com/opinion/columnists/stewart-saudi-arabian-medical-trainees-in-canada-mask-a-problem-we-should-correct
  10. Good call. “For us in cardiac surgery and orthopedic surgery I would describe this as a crisis, yes, because . . . in one fell swoop we’re losing one-third of our important resident body,” said Dr. Bill Oxner, an orthopedic surgeon and acting chief of surgery at the Halifax Infirmary. “If this hospital was losing a third of our nurses, it would be the first five pages of your newspaper, we’d be talking about it every day.” Oxner said a conservative estimate would have each of the residents putting in 60-hour weeks. “They work hard.” ... Don’t get me wrong, we’re going to do whatever we can to minimize the impact. We’ll scramble and we’ll work on some strategies to mitigate this, we’ll try to get more GPs from the community to help us assist in the ORs, but we’re limited, we need a long-term solution to replace these bodies. The people we’re losing we need replaced.” http://thechronicleherald.ca/novascotia/1591039-losing-saudi-doctors-will-create-staffing-crisis-surgeon
  11. Maybe not purely for the benefit of med students - it's also a headline grabbing move and who knows it could help NYU move up a little. I'd speculate it has more to do with NY - it's an expensive place to live where being a doctor doesn't necessarily imply as high a standard of living as other places. On top of that the huge debt associated with studying medicine is a big negative - can turn people away from primary care and maybe even medicine. So, I think this move was partly addressed towards that. Also, it looks like NYU's rival Columbia began offering need-based full-tuition scholarships in December after a 250 million dollar gift - so NYU has raised the bar. Who knows - maybe it could snowball to other places? Edit: In their words - "The school says it hopes the plan will also increase diversity among its students — what it calls 'a full retrofitting of the pipeline that trains and finances' future doctors." https://www.npr.org/2018/08/17/639467023/nyu-medical-school-says-it-will-offer-free-tuition-to-all-students
  12. By the numbers, NYU already has some of the highest GPA/MCAT requirements (link). It also already gets more applicants than Harvard. If they wanted to grab #1 in the research ranking, they could have spent the 450 million attracting multiple Noble laureates - they're #3 right now, apparently. And the number of applicants doesn't necessarily correlate with quality - NYMC gets almost twice as many applicants as both NYU and Harvard. (source)
  13. True - could be a downstream effect too, though. Maybe more people from lower income households will be more enabled to pursue a career in medicine - instead of feeling it's out of reach and not really considering it seriously. But you're right, in the US especially, even college is really expensive. I've heard of more people starting at two year colleges to save on tuition. Also, it won't necessarily mean a huge move into primary care - QC has low tuition, but a large number of unfilled FM spots for example. Conservative often argue that subsidizing lower income students is more effective than decreasing tuition - since high-income housholds benefit more broadly from low tuition. But the scale of tuition in US med schools is incredible - so this does give many caught in that debt cycle more options. And this is being done with private rather than public money, which is different than the standard setting.
  14. Groundbreaking - impressed! In the heart of financial capitalism, no less. Great move by NYU. "New York University said Thursday that it will cover tuition for all its medical students regardless of their financial situation, a first among the nation’s major medical schools and an attempt to expand career options for graduates who won’t be saddled with six-figure debt. School officials worry that rising tuition and soaring loan balances are pushing new doctors into high-paying fields and contributing to a shortage of researchers and primary care physicians. Medical schools nationwide have been conducting aggressive fundraising campaigns to compete for top prospects, alleviate the debt burden and give graduates more career choices." https://www.wsj.com/articles/nyu-offers-full-tuition-scholarships-for-all-medical-students-1534433082 Also covered here- "But N.Y.U.’s plan, which was announced Thursday morning in an unexpected ending to the annual “White Coat Ceremony” for new students and their families, goes beyond that, and may spur other top medical schools to follow suit. In a statement, N.Y.U. said that it would be the only top-ranked medical school in the nation to offer full-tuition scholarships to all students. The plan, effective immediately, covers all current and future students. Annual tuition is roughly $55,000. There are 93 first-year students, and another 350 students who have up to three years left before obtaining their degrees. (A small group of new and current students who are enrolled in joint M.D./Ph.D. programs already have their tuitions paid for, thanks to the National Institutes of Health.) The plan does not cover room and board or fees, which together are an additional $27,000, on average." https://www.nytimes.com/2018/08/16/nyregion/nyu-free-tuition-medical-school.html
  15. "Saudi student in Canada shares how the diplomatic feud is devastating his dreams after years of hard work". Also, an inside look at the Saudi student community. "I left Saudi Arabia nearly a decade ago to do my graduate studies in Canada. I was sponsored by the generous Saudi government. Why Canada, you may ask? Because it is one of the most welcoming and freedom-supporting countries, with huge diversity. Every ethnicity and religion, living in peace, minding their own business and contributing to society. This is the role model of countries; this is Canada. On Aug. 5, 2018, I was working on the final touches of my doctoral thesis, getting ready to send it to my thesis supervisor in preparation for the final PhD defence. This is the result of the hard work I've been doing in the past five years! No, this is actually what my life has been leading toward since I started elementary in a public school in Riyadh. I had published several articles about my research, met many professionals and created many connections. I was ready to finish it all! ... Can we start a petition? Nope, it could be considered a protest, and protests are strictly illegal in Saudi Arabia and will lead to imprisonment .... Saudis are starting to share details on cargo companies, flights, when they're leaving, where they're going. It's a sad situation. Everyone's moving somewhere, and this month is probably the last month I will be able to hang with the community we formed throughout the years. I still have many Canadian friends who are very supportive. But why do I have to choose between two devastating choices? Why did it have to come to this? All because of a tweet, and the ego of a 32-year-old man." https://www.cbc.ca/news/canada/calgary/saudi-arabia-student-leave-canada-riyadh-1.4786874