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Attrition Rate In Neurosurgery
#11
(05-18-2021, 10:08 AM)Guest Wrote:
(05-18-2021, 06:34 AM)Guest Wrote: Neurosurgery attracts a lot of evil people. For example the governing board purposefully maintains a critical shortage of surgeons to increase salary. Very unethical

Almost every competitive specialty/sub-specialty does this. If this is an example of NSGY attracting evil ppl, then Urology, ENT, derm, optho, ortho, IR, and Cards must attract evil ppl too.

Hell, the entirely of US medicine does this with the requirement to have completed a US residency to practice here. They bitch and whine about a doctor shortage of their own creation.
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#12
(05-18-2021, 09:41 PM)Guest Wrote:
(05-18-2021, 10:08 AM)Guest Wrote:
(05-18-2021, 06:34 AM)Guest Wrote: Neurosurgery attracts a lot of evil people. For example the governing board purposefully maintains a critical shortage of surgeons to increase salary. Very unethical

Almost every competitive specialty/sub-specialty does this. If this is an example of NSGY attracting evil ppl, then Urology, ENT, derm, optho, ortho, IR, and Cards must attract evil ppl too.

Hell, the entirely of US medicine does this with the requirement to have completed a US residency to practice here. They bitch and whine about a doctor shortage of their own creation.

The doctor shortage is a myth. We have a maldistribution of doctors, not a shortage. Go try and find a well paying job with decent hours in LA, Chicago, NYC, or other desirable metros. You'll be doing shit cases and making 1/3 of the money you could be. Look at what's happening to EM right now where they destroyed their specialty from overexpansion.

Redoing residency is justified in a lot of cases. Tons of foreign trained neurosurgeons never touch a spine in residency and wouldn't be able to hold the most bread and butter private practice job.
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#13
(05-18-2021, 10:39 PM)Guest Wrote:
(05-18-2021, 09:41 PM)Guest Wrote:
(05-18-2021, 10:08 AM)Guest Wrote:
(05-18-2021, 06:34 AM)Guest Wrote: Neurosurgery attracts a lot of evil people. For example the governing board purposefully maintains a critical shortage of surgeons to increase salary. Very unethical

Almost every competitive specialty/sub-specialty does this. If this is an example of NSGY attracting evil ppl, then Urology, ENT, derm, optho, ortho, IR, and Cards must attract evil ppl too.

Hell, the entirely of US medicine does this with the requirement to have completed a US residency to practice here. They bitch and whine about a doctor shortage of their own creation.

The doctor shortage is a myth. We have a maldistribution of doctors, not a shortage. Go try and find a well paying job with decent hours in LA, Chicago, NYC, or other desirable metros. You'll be doing shit cases and making 1/3 of the money you could be. Look at what's happening to EM right now where they destroyed their specialty from overexpansion.

Redoing residency is justified in a lot of cases. Tons of foreign trained neurosurgeons never touch a spine in residency and wouldn't be able to hold the most bread and butter private practice job.


THIS. And the funny thing is that when the NP and PA lobbies push for expanded practice, guess where those expanded scope NPs and PAs go? The same places where there's an oversupply of doctors.
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#14
WE HAVE SHORTAGE OF CVS AND PEDIATRIC AND STROKE NEUROSURGEONS, STOP THE MONOLOPY STOP LIMITING SUPPLY CHILDREN ARE DYING. 
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#15
So says the person who failed to match.
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#16
(05-21-2021, 06:09 AM)Guest Wrote: So says the person who failed to match.

Says the person who also failed to match
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#17
(05-21-2021, 08:43 AM)Guest Wrote:
(05-21-2021, 06:09 AM)Guest Wrote: So says the person who failed to match.

Says the person who also failed to match

SO QUOTES AND SAYS THE PERSON WHO ALSO FAILED TO MATCH
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#18
I can’t speak for other specialties, but for neurosurgery this way of thinking is so dumb. Do we really need more surgeons? The average neurosurgeon performs 250 cases per year, does anyone really want to see that number cut down by a significant factor? All the data we have suggests patients do better when treated at high volume centers of excellence. Besides, even if you increased the number of surgeons, volume would still cluster at a high volume centers or with established PP surgeons, leading to a bunch of crappy underutilized surgeons spread across the country. Training would also suffer, imagine what would happen to your case volumes if the number of residents in your program doubled. The standards for case volume and competency would have to be drastically lowered in order to keep most programs accredited, or residency would have to be longer. One can argue that we need better systems of care that funnel patients to where they can be appropriately treated (most relevant for stroke neurosurgeons), but the answer is not more surgeons.
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#19
(05-21-2021, 02:39 PM)Guest Wrote: I can’t speak for other specialties, but for neurosurgery this way of thinking is so dumb. Do we really need more surgeons? The average neurosurgeon performs 250 cases per year, does anyone really want to see that number cut down by a significant factor? All the data we have suggests patients do better when treated at high volume centers of excellence. Besides, even if you increased the number of surgeons, volume would still cluster at a high volume centers or with established PP surgeons, leading to a bunch of crappy underutilized surgeons spread across the country. Training would also suffer, imagine what would happen to your case volumes if the number of residents in your program doubled. The standards for case volume and competency would have to be drastically lowered in order to keep most programs accredited, or residency would have to be longer. One can argue that we need better systems of care that funnel patients to where they can be appropriately treated (most relevant for stroke neurosurgeons), but the answer is not more surgeons.

Exactly. Actual operative neurosurgical pathology is relatively rare in all comers from an epidemiological perspective. We really don't need a whole ton more surgeons. In general, the doctor issue is with not having enough primary care people and not enough of them in rural/underserved areas. The specialist numbers don't need to increase for the most part
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#20
For those from super malignant programs, is there a way to tell your PD to go F themselves without getting fired? Asking for a friend.
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