tag:blogger.com,1999:blog-6389859942362181544.post5525611831503053448..comments2023-12-07T12:16:19.091-05:00Comments on Future of Family Medicine: The "Dean's Lie" About Medical School Primary Care ProductionSebastianhttp://www.blogger.com/profile/12478213202416223770noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-6389859942362181544.post-29475816908681106332013-10-15T00:26:23.390-04:002013-10-15T00:26:23.390-04:00It is indeed very appalling to read of such storie...It is indeed very appalling to read of such stories concerning supposedly credible authorities who take advantage of their position for their own personal benefits. Who knew a high positioned head of an educational institution could do such an unscrupulous and lowly act. What else can we expect then out of this very unexpected situation? Perhaps medical malpractice might even unfortunately be a common sight in the future. Who would then suffer in the end? Sadly, it is going to be the group of us either existing or future patients. Well, let's just hope that the situation will slowly improve as time passes by and technology gets even more advanced.Anonymoushttps://www.blogger.com/profile/10576550694024515974noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-88591634838407128982013-09-10T21:21:27.179-04:002013-09-10T21:21:27.179-04:00Fantastic post!! Another example of how medical sc...Fantastic post!! Another example of how medical schools are so focused on their public image. It's shameful. Keep up the good work!Dr. Tarloehttps://www.blogger.com/profile/04465524449687177804noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-53115980181324599202013-06-05T15:48:11.025-04:002013-06-05T15:48:11.025-04:00On Sunday, the dean of the University of Utah Scho...On Sunday, the dean of the University of Utah School of Medicine had a cozy sit-down with our local "spokesmodel" news anchor and made several remarks that she knew to be false.<br /><br /> Lee recently seduced the Utah Legislature into giving the medical school yet another $10 million (on top of the hundreds of millions it already receives) in order, she said, to train more primary care doctors. She implied that the U. is dedicated to resolving the shortage -- which is rapidly becoming a crisis -- especially since Utah is fourth from the bottom nationally in primary care doctors per capita. She ardently made her case for what seemed like a moral as well as a practical cause.<br /><br /> She referred to this victory during her interview on KUTV Channel 2 in Salt Lake City.<br /><br /> What she failed to disclose is that the U. is 75th nationally in recruiting students who express a desire to practice primary care.<br /><br /> Last year, there was NOT ONE TAKER for a scholarship that offered a $5,000 reward to any medical student willing to practice primary care medicine for just three years. That is a shocking indicator of how little interest the U. has inspired in this vital field of medicine. <br /><br /> Although the need for more primary care doctors has been a critical issue nationally for years, the U. has blithely ignored it.<br /><br /> The school glamorizes the specialties -- paying professors in those disciplines hundreds of thousands of dollars more than those who teach primary care and family medicine (a professor of orthopedic surgery, for example, was paid $1.3 million in taxpayer funds last year. A professor of family medicine got $125,000). <br /><br /> Primary care has always been the "stepchild" of the U's medical school, while the glamorous, high-status, high-paid, high-tech specialties are made ever more alluring.<br /><br /> Sylvia Kronstadthttps://www.blogger.com/profile/06676077471122625558noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-16125065467837115122012-12-06T08:12:10.747-05:002012-12-06T08:12:10.747-05:00I am a Family Physician who graduated from the Uni...I am a Family Physician who graduated from the University of Wisconsin Medical School in 1991. A rough calculation of the % who went into primary care: 20 into FP, 15 into Peds (probably 10 in general Peds), 42 into IM ( maybe 2 into primary care IM) out of 138 = approx 23%. This is from a 'state school' that is mandated to produce primary care physicians for that state! I agree with many of my colleagues that until the pay for our specialty relative to others improves - and maybe the ''prestige' level with hospitals / patients as well - we will continue to see this trend - health care reform or no health care reform. Period. Thanks for your article!Anonymoushttps://www.blogger.com/profile/13456649114929356589noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-6369922854595771952012-06-11T17:03:38.964-04:002012-06-11T17:03:38.964-04:00Reading this one year late, but agree with the con...Reading this one year late, but agree with the content.<br />Thanks for your blog!VictoriaSorlieAguilarhttp://www.linkedin.com/in/doctorvictoriasorlieaguilarnoreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-41701204990617695572012-03-29T10:09:40.271-04:002012-03-29T10:09:40.271-04:00Check out Wayne Myers (former dean and former Offi...Check out Wayne Myers (former dean and former Office of Rural Health Policy director) about what to ask deans<br />http://www.dailyyonder.com/questions-ask-medical-school-deans/2012/02/15/3766<br /><br />and about watch your medical school http://www.raconline.org/newsletter/winter12/myers.php<br /><br />Geographic distribution and primary care are both predominantly about family medicine choice - something that deans and schools are ignoring along with the needs of 200 million people in 30,000 zip codes. These are all zip codes where pop-distributed family practice is 3 times more likely to be found along with being a 3 times greater solution for the elderly, poor, disadvantaged, rural, minority, frontier, Native, CHC...Bob Bowmanhttps://www.blogger.com/profile/12345017195665837451noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-86883743386781234032011-11-02T14:37:11.972-04:002011-11-02T14:37:11.972-04:00Thanks for this insightful, likely highly accurate...Thanks for this insightful, likely highly accurate assessment of reality of Primary Care on the street. It would be called fraud in any other setting as far as I can see. It's like calling a regular car a hybrid "because some customers will choose to convert this to a hybrid, we count it as hybrid sales." That it continues to go on is a tragedy that will allow vital resources for expanding primary care to be used for things other than primary care. The day of reckoning.....will it happen, when will it happen, how will it happen?<br />The true primary care match rate is going I (I agree), but it's going from <10% to nearly 10% of US Grads, not like it was in early 1990's when it was not uncommon to see 25% of grads going into Family Medicine at some schools.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-72733345853860270492011-04-13T16:57:27.295-04:002011-04-13T16:57:27.295-04:00I agree with the 5 year out of training measure. I...I agree with the 5 year out of training measure. I think that is what the Graham Center (the AAFP Policy Studies Center in DC) is supporting as well.<br /><br />In support of Harvard though (since I am doing a MPH there right now), they have never matched EIGHT students into family medicine from Harvard before and their average proportion over the past 10 years is only 2.14% (vs. 4.8% this year.. double!).<br /><br />I also think that despite the "dean's lie," the primary care match rate is actually going up. We are seeing more students going into family medicine as a whole (most of which end up in primary care). Or maybe I am being overly optimistic.Sebastianhttps://www.blogger.com/profile/12478213202416223770noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-81435400726512328522011-04-05T13:55:39.322-04:002011-04-05T13:55:39.322-04:00Another important consideration is the stabilizati...Another important consideration is the stabilization of residency slots in comparision to the growing medical student population. Residency is competitive, and every year more students go without "matching" due to the simple lack of slots. In a way, this "forces" medical students towards other tracks that they may not otherwise desire. <br /><br />Does this movement make the 11% look "as if" more students are suddenly interested in primary care? Or are they just going for it with no other options available?Aaron Georgehttps://www.blogger.com/profile/18312286912911844560noreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-10651915360963290162011-04-05T09:38:31.815-04:002011-04-05T09:38:31.815-04:00Outstanding post. Specialization in internal medic...Outstanding post. Specialization in internal medicine is actually 98% based on our study published in JAMA that only 2% students choosing IM would do primary care. <br />Also, see my blog post on the inflated numbers coming out of the NRMP themselves. "Trust us, we are excited about the 11% increase in Family Medicine." Even this isn't entirely true. http://drmintz.blogspot.com/2011/03/2011-residency-match-not-good-news-for.htmlDr. Matthew Mintzhttp://www.drmintz.comnoreply@blogger.comtag:blogger.com,1999:blog-6389859942362181544.post-37337800747620665042011-04-05T00:07:57.388-04:002011-04-05T00:07:57.388-04:00Thank you. This is an important and timely post, ...Thank you. This is an important and timely post, pointing out how much the primary care reports from medical schools are inflated. "Why do they inflate them? In Ohio it has to do with money passed through to the medical schools. It may also relate to the competitive nature of institutions of higher learning, but also with the distribution of funding from the Board of Regents. Money, Pride, Money- sound familiar? The Alumni office of every medical school knows all the specialties of the graduates after all training is complete. Your idea of a five year out of training or medical school report is a good one. Honest, accurate reporting of actual medical school specialty production would be a nice change, but it won't happen without legislative leadership. The medical schools aren't up to breaking ranks and risking money. Thanks for the eye opener.A. Patrick Jonas, MDhttps://www.blogger.com/profile/15935504320560038973noreply@blogger.com