¶ Financial Challenges in Medical Education
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There was a Twitter post that came up .
This is a tweet back in 2024 , right ? That says how does anyone survive the time between medical school and residency financially ? Why does everyone say just take out a relocation loan ? That's not the answer to this recurrent problem in the medical world . Well , I'm sorry , Dr Amos , that is your problem and you got to deal with it .
So , basically , what happens , guys , if you're not familiar , if you're going into , if you're in med school and you don't understand what this person is talking about ? This is someone who probably has already finished med school and is in residency , or someone who's about to go into it . The point is this there is a gap .
Once you finish , once you , you match at a place Right , so this is around your fourth year of med school . Once you match at a place right , so this is around your fourth year of med school . Once you match at your training spot right , so you match , I think around February , march , something like that I don't know .
There's a lag right Of about three to six months where , like you have to be able to now secure housing , you may need a car , you may need to do a whole bunch of different things in this new city while you're still living in your old place , right ? Here's my example . So I was going to be doing my residency in Atlanta , georgia .
I still lived in Kansas City , missouri , right . So I was a fourth year . I was living in Kansas City , missouri . I matched in residency at Morehouse School of Medicine in Atlanta , georgia . I was starting July , right . So now I got to find housing in Atlanta , which means I got to put down a security deposit , right .
So , depending on where you match at , that security deposit could be , you know , a couple of stacks , right , let's be honest , it's going to be a couple of stacks right . 3000 maybe . Then , um , you know , you got to also come up with first month's rent rent , which is a stack , possibly , maybe a stack and a half , right .
Then you know , depending on the state of your car , you're going to need a car , or you may not need a car , or maybe your car may need to be fixed . You're going to have to move , right ? I got to move from Kansas city to Atlanta . Right , I'm going to pack up the Jetta with 120 , 130,000 miles on it . Is it going to fit everything ?
I can't put a couch in there , low key . I didn't have a couch in Atlanta or in Kansas City . But there's things that I got to move and stuff . Remember the way how I'm paying for med school , the way how I'm living from med school is off of a loan , a student loan right , a refund check right .
The majority of that student loan went to go pay for my education , like things . And then , not to mention , when you graduate from med school , you're probably graduating in May , right or June . So there's another month where it's like , what are you doing during that month of June as you start July ?
And then , not to mention , don't forget , like when July 1st starts , when residency starts , you don't get a check July 1st . And then , not to mention , don't forget , like when July 1st starts , when residency starts , you don't get a check July 1st , you might not even get a check July 15th , you might get a check , like late in July .
So that has been an age old issue for decades , which is , what do you do during that lag time and lately .
What people have been saying is take out what's called a relocation loan and that could be like a private company where you go to like SoFi or whoever , and you go to that company and say , hey , yo like I need a loan , here's my credit score , here's the , let me get , like I don't know , five stacks so that I can do all these different things .
And then you got to pay it back and go from there . Or you know what I did is you put it on credit cards . You know some people ask their family hey , mom , dad , or you know , my rich uncle or Kiara , let me borrow some money , you know . And then they do that and they pay them back .
Or some people just you know they know that as they're going into their fourth year of medical school , they're going to need a lot of money . So they take a higher amount of student loans , knowing that they'll take to tuition .
But the rest of the money that they get as a refund they'll use that to kind of build up their coffers so that when it's time to get ready for residency they have something to go .
They're all not optimal you know , so I don't know the perfect answer , but I do think the schools it's the school's problem , I think , and they should really help the students out and they should make it easy for students to get relocation loans at a very low interest rate .
And I do know for a fact schools can do that , like schools can create almost their own type of loan programs where they're saying hey , we'll give you a $10,000 loan and we'll make it like 1% , we're not here to make money and you can pay that back over you know , five , 10 years and so forth . I think that's better .
So I think that's the best thing Do most of the loans . So I know you obviously have your student loans which you use to pay for your classes and whatnot . The debt that you leave school with as a doctor , do you ? Is that ? Is it majority school related , or is that because you have expenses that aren't being covered ?
I don't know . I mean , I think it's both , but the majority of it is your tuition , right ? Like tuition , the majority of your student loans are going to pay tuition .
Some medical school is $90,000 , right , which means that you probably , let's say , for a year , if your tuition is $90,000 , that means you probably have to take out for that year maybe $110,000 or maybe $105,000 , right , Because you'll need $15,000 to live , right ?
So you take that $15,000 divided by two and that will be what you'll use for rent , food and all those different things .
Get a computer stethoscope textbooks , things like that . How likely is it that there are doctors that do choose to work in addition to going to school ?
That happens , but I tell you it's a small percentage . So if you look at the stats right now , the stats show that the majority of people who are in medical school right now come from very privileged backgrounds . The majority of people in school in medical school right now come from very privileged backgrounds .
The majority of people in school , yeah , so , like I had a part time job , I was in the study hall , right , and I would just stay there making sure that people like check in and check out , and it wasn't real , but like to have like a real , like part time job .
That there's a notion in med school that if you're working in med school , like working like employed , gainfully employed , you're working your way out of med school , right , because the amount of studying that you have to do is is hella hard , right ?
So if you have to put that on hold to go and do a part-time job or even a full-time job or however you make it work , it's gonna be really tough . So what I , what you normally see , is people will do like a full-time job or however you make it work . It's going to be really tough .
So what you normally see is people will do like a full-time job or a part-time job , maybe during the summer breaks , okay , or if they have a job , it's something that allows them to study .
¶ Medical Education Study Challenges and Changes
But the amount of information that is thrown , like Kiara I'm not joking Like the amount of information that's thrown at you over a six-week span or however it may be , it's crazy , like the tech . Not even textbook , like notes . I remember I had like um , we would have um papers , right .
So we , the way , how we did it , we did it , we studied based off of what we call systems , right . So the traditional med school curriculum is all right , chiara .
You go to school and you're going to learn biochemistry , you're going to learn physics , you're going to learn chemistry , you're going to learn anatomy , and those are all like separate subjects and you have to show mastery of that . And when you take a test , you're just taking a test on bio and then you take a test on anatomy and that's it right .
That's how you prove as you're moving through . What my med school did which I think a lot more medical schools are doing now and this is where I thrived is let's relate all of that stuff to the human body , and that was a breakthrough for me .
So for me , you know , in college I'm like you know , we're studying biochemistry , but I didn't really understand why it was important to understand biochemistry . Right ? So you're trying to understand all of these reactions . But if you don't understand why you need to understand it , it makes it difficult to want to memorize it .
So for us , it's like well , the reason you need to understand this is this is how diabetes works . Or you , as an athlete , you want to know why , like , your legs are burning at the end of a 400 . That's biochemistry . This is the reaction that occurs while you're running . This is the reaction that occurs when you don't take your medications for diabetes .
Do you see what I'm saying ? So when they started doing that , it was just like what ? Yes , I understand this now . This makes so much sense , right ? So when we study let's say we do we're going to study the kidneys . Well , we studied the anatomy of the kidneys . We understand the pathology , right ? So what can go bad with the kidneys .
We understand all these different things with the kidneys and the amount of papers that we would get like would stack up binders like this thick . You can't close the binders , right , and that's a section .
And then you do it times 12 , right , you do the neuro , you do the kidneys , you do the cardiovascular , you do all these different things like just stacks of information that you have to all understand . At the end of six weeks you take a test and all that stuff . It's crazy so to imagine having to study all that stuff and rinse and repeat all that stuff .
Imagine there's people who have families , kids , and then you throw on top of that some people may have jobs . Like I don't know how they do it , it's tough , it's real tough .
I'm actually wondering now . So because I'm not I'm not calling you out on your age or anything , I'm saying that things are different now . Right , so everything is easier in my opinion .
Right , because I could just , instead of carrying around binders , now I could just create folders or sections , whether it's on my Google Drive , microsoft Notes or whatever , and I'm hoping a listener can answer . But how do you think they study now ? Is it like a control find thing ?
Like if I'm looking for a specific thing that I need to really focus on , can I just control , find it ? Because before you're writing your notes .
Yeah , yeah , I think there's still a small segment of people who write their notes , but I think the majority of everything is electronic
¶ Adapting to Digital Learning in Medicine
now . The question , though , is you know there's studies that show that when you look at something on a screen like , do you retain that as much as when you actually are physically reading on a piece of paper ?
Absolutely not for me .
Yeah , for me the same thing . So that's one thing that they have to deal with . But , yeah , like they're not lugging around these big folders anymore , right , like everything is on an iPad or digitally . And then , like , how do you keep notes accurately ? Right , like , how do you highlight ? You know it's just , you know it's it's .
The resources are different , but I think the stakes are just as high . And what one thing that they have now that we didn't have before is the amount of electronic resources that they have now to either test themselves , communicate with other people , is just ridiculous , right , like the tests that they have to test their knowledge .
There's so many more tests that are available . There's so many more resources electronically that can help them understand the body systems and how the body works . It's really , it's phenomenal . I'm really happy for for them , actually , for that Cause I think it's better than how it was for us , where we had to figure it out . So , I think it's .
It's really good . I think you're going to get really well-trained doctors now , because now they can understand the full scope of things , because there's so many different ways to test your knowledge . So the question , though , is you know how ? How do you retain a lot of stuff ?
And I think , just in general of education , if you go to a college campus , there's college professors who are saying that because they don't have books anymore or because they don't really write essays anymore , the level of education or their understanding of their understanding of you know , the student's understanding , is going down , but the students don't recognize that
, and I just think there are certain things that you just have to go through that I think we don't let students go through and they're missing out on it , and I do think writing stuff down and having to write an essay written out or even just typed out with your thoughts there's something to be said about that .
There's this certain amount of work that goes into that that you can't replicate , but that could just be me saying get off my lawn .
No , I don't know , I'm not that far behind you , but I agree , I do find it a little easier for me to write things out versus type them out . I feel like I understand it a little bit better . Write things out versus type them out , I feel like I understand it a little bit better .
My brain takes you know , it's easier for my brain to process it as I write it in my words .