[I tried to find something useful that contributed to the conversation in that long, difficult to follow diatribe, but it was mostly a personal attack directed at me, so it has been severely cropped.-ed]. These are really depressing. Again, unconscionable, maybe actionable, as I indicated elsewhere. a) the marketing campaigns of Caribbean schools At the risk of sounding elitist, medical school is not for everyone. But I think due to two factors (1 the expansion of US schools and 2 the expanding class size/predatory behaviors of the caribbean schools as they mature their for-profit business model) that last 1/3 is getting squeezed out. Even good applicants need to have a viable back-up plan heading into match week. Start a blog for MDs and DOs having trouble finding a residency spot and helping them cope with various related issues? However, many docs are surprised (I was) to learn how high these statistics are. 1,000 US med students a year and 2,400 US Citizen IMG med students each year don't match. Just looking at the US MD Match, these are the stats: Second, her school admissions committee failed her. I have spoken to several about different “red flags” prior to 2nd year, because we have had a handful of students who have faced tragedy or other issues who failed and bounced back. doesn’t ever seem to be the case that people just can’t cut it…. I had decent numbers and rotations and I knew I had a 95% likelihood of matching to the military (especially given I was FM). How was that applied. applying to enough programs that might realistically take you to match into one of them)…twice. Not sure why someone would claim that if they were not on a committee. You can also subscribe without commenting. A more interesting & relevant post may have been to focus on the financial aspect of such a big debt & little income, and to expand on topics such as forbearance, various payment plans, estate planning, etc… Also it would be interesting to tease out student loan & bankruptcy such as how this law came about & what other debts cannot be discharged. I absolutely agree with you. Did well on the national board part 1, grades went up, party due to having more clinical classes and being very good at those, and I got involved with service groups, lobbying groups, and became the president of my dental school specialty group. It cost about $50,000 per semester then. What happens when you have student loans and you fail medical school? It’s really easy, just call his/her secretary and schedule an appointment. Notify me of followup comments via e-mail. From table 18 of the 2014 NRMP report: “An applicant is eligible for SOAP if the applicant is 1) registered for the Main Residency Match, 2) eligible to enter graduate medical education on July 1 in the year of the Match, and 3) fully unmatched or partially matched (i.e., with only a preliminary or an advanced position). Dang, I guess it depends on if you are img vs us trained. They could market it as “guaranteed match or $100K back!” If med schools are going to be “for-profit” they might as well run them like any other business. https://studentaid.ed.gov/repay-loans/understand/plans/income-driven. If you didn't honor the rotation in your desired specialty, be sure you find the person who liked you the most to write you a letter of recommendation. And then she still borrowed $400k in loans!!! Your email address will not be published. The book summarizes the most important information on the blog and contains material not found on the site at all. I’ve had a chance to come across a couple of folks in training who were just bizarre people. It is very likely that it does not need any further discussion and thus bumping it serves no purpose. Straighten out your financial life today! As long as a US med medical student graduates you at least have something. The MCAT is a pretty poor test to determine future ability as a doctor. I completely agree that medicine is not a birthright. The fact that there are over 1000 graduating doctors who don’t match every year…with nearly half a million dollars of burden… that is a big story and one that is appropriately discussed here. And it’s not just people with poor grades/scores…some of these can make good residents. 2) I agree that this girl is in a bad situation but I’m willing to bet she brought some of it on herself. It’s tough, but adding more debt that’s impossible to bankrupt is not smart without a clear, executable plan. It only takes one program director willing to take a chance on you. It's like a car wreck you can't stop looking at. So yeah you can blame her medical school and the system in general, but ultimately the solutions to her problems lie in the mirror. You are right. I agree with WCI and some of the comments from the outside links/posts. And… Please give more info about your personal vomit story! You rock a 23 on the MCAT and I’m supposed to be shocked when you don’t get a spot? I find those foreign medical schools to be somewhat akin to for-profit colleges in that they are very complicit in the massive accumulation of debt for people that have no means of ever paying it off. I never got to read the one from that professor I mentioned at the beginning, but every interview commented on it. Fast track to Nurse Practicioner? There are other careers out there besides clinical medicine. However, the system (OHSU) failed her by accepting her and not failing her at several stages through med school, and arguably the system (federal student loan program) failed her by giving her the money to do it, or by allowing schools to accept and pass poorly performing students. 2005: we’ll get you through no matter what b/c it looks bad for us if we don’t Why not go NP. You could just walk in the first day, look to your left, look to the your right, look in front of you, and realize that 2 of the 4 of you aren’t going to match after 4 years and $400K. It's time to enact a back-up plan. We could write a book. Freaked me out! My intuition tells me this is a person who’s not quite right in the head. But there should be something created that scares premeds out of bolting to the Caribbean. Now, I hear there are about 800 to 1000 medical students in one class. I don’t know any program that would accept a resident without an interview and most want that interview to be in person. A couple weeks ago, an internal candidate spewed during interviews. I had two in my class that scrambled, ironically into radiology. The year before I graduated 13 applied and no one matched. It says a lot that programs would rather have empty spots than take her. What two full-time jobs do you recommend for this mother of two? If you're an IMG, make sure you don't bomb the USMLE too. That dude failed Step 1 multiple times and I believe transferred from one carib school to another. I’m not sure how much the figure drops via SOAP/Scramble. But what I find more concerning is the fact that it sounds like this woman knew she wanted to do rural medicne from the get go. as someone who sits on an admissions committee, this woman showed very demonstrably that she has no business being a doctor. Gave her a what’s coming, took a break to regain his composure, then continued on about how this decision means that they have to live small so they can live like no one else etc. Your last two paragraphs were gold. 4500-7000 hours of shadowing combined in MS3 and MS4 What I would hope is that in the near future becoming a practicing doc becomes seen as something that you can’t get to just bc you can get into medical school. Acceptance at these school is really whether your tuition check cashes. Whether those rates are too high, too low, or just right is a political question that can be debated elsewhere, but I thought it important to at least provide the facts after a comment like that. I had plenty of friends who thought they “knew” everything they need to know about applying to residency because they talked to a “friend” about it…there’s plenty of misinformation out there (I know someone who applied to 50 programs in family medicine, because his roommate was applying to 50 programs in Urology…he figured that’s just the number that you’re supposed to apply to). This particular doctor has a nursing degree. I thought this post touched on a new topic specifically. When a student gets an MD but not a residency, both student and school have failed. Still I knew several programs that flat out told me they wouldn’t take DO residents regardless of ability. If you struggled through college with mediocre grades, poor study habits, or multiple confounders that made it hard to excel, then those things tend to be magnified in medical school rather than go away.
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