It's less about the exact content of training and more about the atrocious incentives involved and who has control over every step of the process...
I get that you want well-trained doctors, but there's gotta be a better way than giving control over every step in that process to existing cartel entities and letting them make all the choices.
There's a lot of lemmings-off-of-a-cliff reasoning. It feels like you're assuming that some medical cabal is making decisions for the good of the group. But that's just not true in practice.
Incentives for residencies are individual and local. Most sufficiently large medical group/hospitals could open a residency and self-fund. However they don't. Because docs make money from seeing patients. Teaching a trainee takes away from seeing patients.
And the medicare funding issue is squarely out of our hands. For literally decades, medical associations and prospective/current residency programs have been asking for more funding for more slots.
The foreign medical grads is a whole other thing. I'll keep it brief, but mention a lot of cultural barriers. Perhaps best encapsulated by asking: Would unlimited free visas for indian/chinese phds be beneficial? The current limited system seems reasonable. But I think it's obvious how it could warp industries and training for the worse.
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There's a lot of lemmings-off-of-a-cliff reasoning. It feels like you're assuming that some medical cabal is making decisions for the good of the group. But that's just not true in practice.
Incentives for residencies are individual and local. Most sufficiently large medical group/hospitals could open a residency and self-fund. However they don't. Because docs make money from seeing patients. Teaching a trainee takes away from seeing patients.
And the medicare funding issue is squarely out of our hands. For literally decades, medical associations and prospective/current residency programs have been asking for more funding for more slots.
The foreign medical grads is a whole other thing. I'll keep it brief, but mention a lot of cultural barriers. Perhaps best encapsulated by asking: Would unlimited free visas for indian/chinese phds be beneficial? The current limited system seems reasonable. But I think it's obvious how it could warp industries and training for the worse.
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