¶ Physician Shortage and Healthcare Future
What's good everyone . This is Dr Nidarko . Make sure you hit the subscribe button below so that you're always up to date on the new uploads as well as alerts on this show . The other thing that you can do to help build this community is make sure you leave a comment below .
Let us know what you like , what you don't like about the show and , ultimately , let us know who's winning these arguments , because I need to know that I'm beating Rene in these debates . Run the tape . So there's a congressman , congressman , greg Murphy .
He put out a tweet and he says the number one reason for MD shortage is med schools admitting students who aren't going to practice . Only 60% of med students today plan on practicing clinical medicine . Med schools need to focus on admitting students who want to take care of patients , not just get their MD .
It should be mandated that , unless disabled , each medical school graduate should have to practice medicine full time for 15 years minimum to refund the federal government for the cost of tuition . Yeah , yeah , but Dr Cooper , dr Cooper , have you ? You've been practicing now , she's been practicing the same amount of years as me and you and stuff .
So about the same .
Have you ever thought about , like when you were started , when you started residency or when you finished residency ? Did you ever think about having an expiration date , like maybe like 15 years , 20 years or you know , retiring at , you know in your 50s or something like that ?
I'm very interested because I I just think that more and more people are thinking about that , but I don't know if that's a majority , I don't know Like 30% , saying like yo , because that's crazy , then Right , that's like going to like buying something off of Amazon and it's saying you know , this is returned a lot , right , right .
Like that's like saying I just want to get their MDs , and it's like for what reason ? Because that is a very expensive endeavor , not to have a means by which you're going to make that back . And we know that the at least most- .
Emily Cooper says 15 years , 15 years , 15 years 15 years , I think we know that the surest way to make that money back is to work clinically , because anything else is a roll of the dice .
So Dr Cooper says I figured I would practice at least until I retired or moved into the C-suite Then she'd become a white collar worker , then we'd be complaining about her , yeah . You'd be telling us what to do M- . Yeah , you'd be telling us what to do . Ml , you'd be telling us what to do ?
ML , absolutely , absolutely .
I just think that you know things change , it's not like how it was . When you know this is not the 70s , this is not the 80s , yeah , Not the 90s , a couple of things . When you know this is not the seventies , this is not the eighties , not the nineties , a couple of things . One you know corporatization of healthcare , it all it does .
For the most part it squeezes the practitioner like crazy do more with less . And then also , on the other hand , now with the internet , you just got a lot more things that you can do with your MD or DO , just got a lot more things that you can do with your MD or DO , yes , right .
So people want experts on TV , people want experts on YouTube , podcasts , right . Pharmaceutical companies want the expertise of what you can do . So there's just the pasture . Like it's not the pasture but like the grass is green on a lot of different aspects of healthcare . So people realize that , look , I just don't want to just practice clinically .
Yeah , you try to fit like a square peg , you know , in a round hole and stuff . It just doesn't work for everybody . But I think part of it , the big issue and the physician shortage , really doesn't have anything to do with physician satisfaction . I think most people would say the physician shortage is yo .
First of all , med schools don't admit as many people as they should be . And I'll just say this hot take I think it should be harder to get out of medical school than it is to get into medical school , right , right . So what I mean by that is you don't necessarily have to be so hard to get into medical school .
It should be hard to get into medical school , but I think they should increase the amount of people that they're letting in . Where it becomes super difficult , or where it should be really difficult , is for you to get out of medical school because you have to show all these different things , these different you know rigors to get out .
But you know , I think , that if you have these situations where one it's very hard to get in , you have these medical school classes that are putting out small amounts of people .
Then you have residencies that just there's not many residencies out there , outside primary care , outside of you got an issue like , for example , pediatric surgery For decades , you know , the numbers have just increased just the smidgen , you know , and it doesn't keep up with how we are in society .
Considering he's in Congress . I mean , one of the things that he doesn't necessarily tweet about at least that I haven't seen is that there isn't quite , you know , the number of residency spots , as there should be , in comparison to the number of medical schools that are opening up and producing more and more medical graduates . That's the bottleneck .
That's the bottleneck . You have a lot more medical schools that are opening up , Exactly so . Therefore , these people cannot be trained .
The residency spots have stayed the same .
Exactly , these people cannot be trained .
You have all these medical schools , either , increasing their class sizes , the ones that you know , medical schools that have already existed , for you know by all the powers that be , including the federal government , who gives these , you know who gives loans to these students and essentially , the medical schools are ensuring that there are plenty of graduates , but the
residency programs are not ensuring that there are plenty of trainees , and that's a Congress problem .
I can't even get down with him saying that , yeah , we're going to try to minimize , we're going to try to make sure that med schools can't increase their tuition crazily every year . If he said something like that , I'd be like all right , Good luck with that .
That makes no sense to me .
Anyway , good luck with that , because you should wrap this up , though we need to wrap this up . Yeah , guys , we're going to be talking about this on episode of docs outside the box . You can find us on YouTube at docs outside the box podcast . We're also on all DSPs .
We're also on all DSPs any place where you listen to your favorite music and album , any place where you listen to your favorite podcast , just type in Docs Outside the Box . That's where you'll find us . And someone says perhaps their agenda to utilize APPs beyond their scope because they're cheaper Absolutely , absolutely , 100% .
But here's where I think that backfires , right ? So I think , yes , you know , apps and nurse practitioners end up being cheaper than a physician , right ? Apps don't follow a Hippocratic Oath , right ?
I mean , does the old really matter at this point ? There's so many doctors out there .
I'm not saying like , I'm not talking about degradation or anything like that , but like , if you really want , if you're worried about doctors like striking , like APPs , and nurse practitioners that , for the most part , have no problem being employed , the likelihood of them striking , the likelihood of them , oh , it's very high , it's extremely high .
It's extremely high , it's extremely high . To walk away is a lot easier than a physician . Think about it , right ?
That's the part that I'm like . Yeah , I don't think about that . A lot of the APPs right , a lot of the APPs used to be RNs . What do we know about RNs ? Rns being , yes , because nurse practitioners .
You said a lot of APPs . Yes , because nurse practitioners . You said a lot of AP . Oh so , and first right advanced . You talk about APPs and CRNPs .
No , when he says AP , when or he or she says APPs , we're talking about advanced practice partners or advanced , basically advanced people .
So you're talking about PAs and nurses .
Yeah , pas , nurse practitioners , crnas right .
They used to be nurses .
Many of them used to be nurses right , especially the CRNAs and the MPs . They used to be nurses right . And what we know about nurses is they be striking . They have unions . Nurses be striking all the time . Nurses will not hesitate to strike you hands , nurses be striking all the time . Nurses will not hesitate to strike . They'll be like I don't care .
Who going into the pictures is not going to be me today , okay . I don't know who going to be calling the doctor and telling them about this patient coding is not going to be me today , okay . So nurses are very used to striking .
So when they become NPs or CRNAs listen that feeling or that tendency might they're not considered people who can unionize who , crnas and nurse practitioners ? Why not ?
I said I don't know , because there's like some fine line between management and not management and blah , blah , blah , right , yeah , advanced practice providers that's what it is , that word providers always throws me off .
I think it's easier , I think it'd be easier you know what APPs to unionize than doctors . Oh , of course , I think that it'd be the level .
But I wonder how many APP .
Although the barriers there are the barriers to unionize with doctors has been lowering , yeah , you know considerably year by year
¶ Healthcare Podcast Discussion
. So yeah , hey guys , check us out on docs outside the box podcast . You can check us out on YouTube and we're also here . Yeah , I know .
You know why I don't really be using that word providers like that .
So so on the podcast , we get an opportunity to talk about this stuff more , flush it out . We ask more questions , we just it's a lot . It's a lot easier for us to have these discussions on the podcast . So if you want to know more about us and our thoughts on things specific like this , check out our podcast .
That's outside the box .
I appreciate everybody jumping in on us . We might do this again very soon actually , so stay tuned . All right , peace y'all All right , and I'm new to this , so should I hit X right ?
now you go hit the X button , bye .