Why doesn't a shortage of Primary Care Physicians (PCPs) ref

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tangent1.57
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Why doesn't a shortage of Primary Care Physicians (PCPs) ref

Post by tangent1.57 »

Why doesn't a shortage of Primary Care Physicians (PCPs) reflected in residency availabilities?


In the job market, if there is a shortage of one profession, then this is reflected in the excess demand for people who are able to fulfill this job requisition.

However, we keep hearing that there is an acute shortage of PCPs. Instead of having a 70% PCP - 30% specialist mix, we have the exact inverse. However, the residency positions which are available should have changed to accommodate the shortage of PCPs, but they don't seem to.

1. Could someone please explain how all the residence positions do not seem to reflect the shortage of PCPs out there?

2. We see that even specialists are over-worked today. Does this mean that we also have a shortage of specialists?

3. There are not enough PCP positions for residents to get into, even though there is a HUGE demand for them. WHO IS RESPONSIBLE FOR CREATING THE JOB REQUISITIONS FOR RESIDENTS, AND WHAT INCENTIVE DO THEY HAVE FOR WANTING SPECIALISTS/SURGEONS?

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CaribMD
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Re: Why doesn't a shortage of Primary Care Physicians (PCPs)

Post by CaribMD »

This may be a Shocker ( it was to me) but the US Congress approves of US residency positions because they are linked to Medicare!

Yes all the residencies in the US are subsidized by Medicare.

The hospitals pay between 40 and 50K a year for you and your Malpractice, you cannot be licensed in any US state without a residency and yet this training is controlled in this way!

WOW it makes me pretty upset when I understood this.

tangent1.57
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Why Ian the shortage of PCPs not reflected on residency open

Post by tangent1.57 »

You still didn't answer my 3 questions:

1. Could someone please explain how all the residence positions do not seem to reflect the shortage of PCPs out there?

2. We see that even specialists are over-worked today. Does this mean that we also have a shortage of specialists?

3. There are not enough PCP positions for residents to get into, even though there is a HUGE demand for them. WHO IS RESPONSIBLE FOR CREATING THE JOB REQUISITIONS FOR RESIDENTS, AND WHAT INCENTIVE DO THEY HAVE FOR WANTING SPECIALISTS/SURGEONS?

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Re: Why Ian the shortage of PCPs not reflected on residency

Post by CaribMD »

tangent1.57 wrote:You still didn't answer my 3 questions:
OK?

1. Could someone please explain how all the residence positions do not seem to reflect the shortage of PCPs out there?
COngress must approve money to fund more Residencies and so far all they have done is cut funding
2. We see that even specialists are over-worked today. Does this mean that we also have a shortage of specialists?
No there is not shortage in general
3. There are not enough PCP positions for residents to get into, even though there is a HUGE demand for them. WHO IS RESPONSIBLE FOR CREATING THE JOB REQUISITIONS FOR RESIDENTS, AND WHAT INCENTIVE DO THEY HAVE FOR WANTING SPECIALISTS/SURGEONS?
I have no idea how to answer this, its Medicare and the NRMP the number of positions are controlled by the residency system tied to medicare. The residencies themselves do not dictate how many positions they can have they must be approved.

We choose the residency we want to be in, to the Graduate its our first Job and we then receive more training in that position.

What are your really trying to ask? I'm just a 4th year medical student not an expert with all the answers on Residency but its tied to and funded by Medicare they must approve the positions

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