Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Medical students may find themselves without a job

Christy Duan
Education
October 12, 2013
Share
Tweet
Share

shutterstock_238716700

“Well, if medicine doesn’t work out, you can always fall back on waiting tables,” I joked with my waiter, who, like me, happens to be a medical student. We were bonding over completing our first year of medical school — he, in Detroit, and myself, in the Bronx. He liked waiting tables and decided to work during his last summer of freedom before the slew of exams and clinical work that would follow. But as much as he enjoyed serving diners, his dream was to serve patients as a physician.

At the time, I thought that the prospect of medical students being unable to become practicing physicians was inconceivable, even absurd. But soon, despite the nation’s physician shortage of more than 16,000, it’s possible that MD students will be graduating with four years of intensive schooling, an average debt of $166,750 — and no job.

President Barack Obama’s proposed budget would cut $11 billion from Graduate Medical Education (GME) funding in the next ten years. While I am deeply concerned about the future of medical graduates, I am even more concerned about the future of our nation’s healthcare. These proposed cuts could force teaching hospitals to lay off as many as 73,000 staff, reduce clinical research support, shut down training programs for health professionals, and eliminate services that are unavailable elsewhere in the community. Although there is a pressing need to reduce the federal budget deficit, this short-sighted solution will hinder our healthcare system.

With the Patient Protection and Affordable Care Act that President Obama championed, the demand for physician services will increase significantly in 2014 as 30 million Americans are added to the healthcare system. The United States is projected to face a shortage of 62,900 physicians across all specialties in 2015. That number is expected to double to 130,600 by 2025. But health care coverage is useless if there are no physicians to treat patients, or if long waitlists leave patients unable to access care.

Even with new medical schools and increasing class sizes in existing schools, the number of practicing physicians is limited by funding for GME or residency programs. In fact, the number of residency slots funded by Medicare has been capped since the 1997 Balanced Budget Act. President Obama’s proposed cuts will only exacerbate the physician shortage, resulting in fewer doctors.

After medical school, MDs must complete an accredited core residency program to be certified by the American Board of Medical Specialties. Physicians must be certified to practice and to be included in insurance plans. Osteopathic and international medical graduates, many of whom become primary care practitioners, depend on residency funding as well.

Residents work under the supervision of fully licensed physicians for three to seven years depending on their specialty. During this time, residents provide care for one of every five hospitalized patients, including seniors, veterans, and the underserved.

Many residents train at teaching hospitals, which provide care for 28 percent of all Medicaid hospitalizations. While teaching hospitals make up 6 percent of hospitals in the nation, they provide 40 percent of all charity care at a cost of $8.4 billion annually.

Teaching hospitals rely on GME funding for clinical research and specialized services, including a large majority of Level-I trauma centers, pediatric ICUs, burn care units, surgical transplant services, Alzheimer centers, and ambulatory services for HIV/AIDS patients. President Obama’s proposed cuts could force hospitals to eliminate services that operate at a loss, affecting the most vulnerable patients.

GME benefits all of society by providing valuable services and producing physicians who provide a high standard of care. By urging your Congressional representative to protect federal GME funding, we can safeguard the health of our nation. Take action at www.SaveGME.org.

Although the $11 billion in cuts have not been made yet, we’re already seeing the effects of inadequate GME funding. This year, there were 1,958 more applicants competing for residency slots than in 2012. By 2015, there might not be enough residency slots for U.S. medical school graduates.

Even though 99.4 percent of available residency slots were filled — the highest fill rate ever — 528 U.S. medical graduates couldn’t enter a residency program this year. That’s more than double the number of graduates from last year.

Three percent of U.S. medical school seniors did not obtain a residency slot in 2013. If that rate holds up, six out of the 183 students in my class may not have residency positions despite being some of the most intelligent, compassionate, hardworking and well-qualified people I know. As for the medical student waiter? I wonder what will happen to him. I wonder what will happen to our patients, to my classmates, to myself. And I have to ask, “Would you like fries with that?”

ADVERTISEMENT

Christy Duan is a medical student.

Image credit: Shutterstock.com

Prev

Should patients be responsible for physician handwashing?

October 12, 2013 Kevin 9
…
Next

What the Apple Store can teach health exchanges

October 12, 2013 Kevin 7
…

Tagged as: Medical school, Obama, Public Health & Policy

Post navigation

< Previous Post
Should patients be responsible for physician handwashing?
Next Post >
What the Apple Store can teach health exchanges

ADVERTISEMENT

More by Christy Duan

  • Would you choose heaven over hospital?

    Christy Duan
  • a desk with keyboard and ipad with the kevinmd logo

    Slowly, slowly

    Christy Duan
  • a desk with keyboard and ipad with the kevinmd logo

    Where will you find happiness now?

    Christy Duan

More in Education

  • Why clinical research is a powerful path for unmatched IMGs

    Dr. Khutaija Noor
  • Dear July intern: It’s normal to feel clueless—here’s what matters

    Tomi Mitchell, MD
  • Why medical schools must ditch lectures and embrace active learning

    Arlen Meyers, MD, MBA
  • Why helping people means more than getting an MD

    Vaishali Jha
  • Residency match tips: Building mentorship, research, and community

    Simran Kaur, MD and Eva Shelton, MD
  • How I learned to stop worrying and love AI

    Rajeev Dutta
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why more doctors are leaving clinical practice and how it helps health care

      Arlen Meyers, MD, MBA | Physician
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why regular exercise is the best prescription for lifelong health

      George F. Smith, MD | Conditions
    • When the weight won’t budge: the hidden physiology of grief, stress, and set point

      Sarah White, APRN | Conditions
    • Why starting with why can transform your medical practice

      Neil Baum, MD | Physician
    • Why your most heroic act might be in a department meeting [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 64 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why more doctors are leaving clinical practice and how it helps health care

      Arlen Meyers, MD, MBA | Physician
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why regular exercise is the best prescription for lifelong health

      George F. Smith, MD | Conditions
    • When the weight won’t budge: the hidden physiology of grief, stress, and set point

      Sarah White, APRN | Conditions
    • Why starting with why can transform your medical practice

      Neil Baum, MD | Physician
    • Why your most heroic act might be in a department meeting [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Medical students may find themselves without a job
64 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...