Відео

Great video. You stated that ~60% of program directors were for this. Do you have any thoughts why it’s not higher (or lower) other than belief that doing a US residency should be required?

The problem is that people need medical help, there is not enough doctors to help them. US trained will always get spots in top hospitals, thats how the system works anyway and not any certificate can't change that. Those pathway will lead to only select IMGs getting it who are working at teaching institutions and frankly speaking dont require it at all. Those who have position of an associate or a full professor will never go back to do fellowship or residency.

One crazy fact that deserves more attention is that if 862 people had their step 2 score invalidated (and I’m not sure if that’s correct or it was 832 scores across all USMLE exams and and undisclosed number of total examinees), that would represent a very substantial fraction of the total number of students who took step 2 in Nepal, based on the data shown at the 16:10 mark

Losers: US-trained doctors saddled with medical school debt bargaining for higher compensation when IMGs colleagues without debt may enthusiastically accept lower salaries (since it is still considerably higher than their native country). Biggest Losers: Unmatched US IMGs drowning in debt Eternal Winners: MBA Hospital Admins and their yacht manufacturers

I think this will cripple usa graduates who go medical school , since img will rule medicine im is already Indian. Medicine

thank you for sharing this, this is not a way to solve the poor retention crisis in IM. People leaving the job because of the hospital not paying a fair share.

Please make video on latest charting outcomes!

The gate keeping system in medical training is greedy. How is it done in other countries that have highly trained and competent medical personnel ? The present system is doomed to collapse, only a matter of time. I would argue the European model is superior. It will solve the Physician workforce problems necessitating state legislation to bypass certain stages in the licensure process.

Orthopedics has been doing this for a long time. www.abos.org/wp-content/uploads/2023/04/Part-I-and-II-RP-2024_06_05.pdf See page 13 for the “Academic Pathway.”

Apparently for orthopedic surgeons, you are able to become board certified/eligible if you complete 3-5 years of fellowships and then complete another handful of years as teaching faculty where you are teaching residents.

Really want to hear your thoughts on the 2024 Charting Outcomes! The research arms race powers onward!

How about step 3

General Surgery just recently revamped their policy for granting credit for foreign training. It is much more conservative than the ABIM proposal.

The unmatched US IMGs are always the losers.

Ahhh yes let’s just keep making it easier for everyone but a US trained physician to practice medicine in the US. Nurse practitioner, CRNA, IMG, PA, ohhh but you silly American trained doctor we have standards for you. You must jump through are arbitrary hoops to ensure quality patient care.

as a current applicant to medical school this upcoming cycle, this just feels like a slap on the face. I could have just gone foreign straight out of highschool and gotten trained in cardiology or something and then move to the US and make bank without going into debt or honestly jumping over all the bullshit volunteering, MCAT and other hurdles. Let's be real: physician salaries will just lower once IMGS come into the system and tbh there are better career paths if I'm not making an amount that is commensurate to the effort you put in

Fantastic thought provoking vid

Seems to me the losers are US trained physicians, in particular those who needed loans to pay for school but you could argue it's still a "loss" for people from wealthy families since that money could have been spent elsewhere. The US physician salary is as high as it is *in part* because of how expensive it is to get to being a doctor. I don't see how this leads to anything other than decreased salaries for physicians. In addition to less educational debt, many IMGs have other motivations for coming here that incentivize them to accept lower salaries than a US-trained physician would. A hospital always wants to pay physicians as little as possible to work there so anything that gives them more leverage to do so will lead to salaries going down.

I'm surprised you didn't mention any losers. I don't think this change would be good for US trained physicians.

I know someone who did the radiology residency in my country, we actually finished the residence last year, and he right now is in the usa for fellowship in pediatric radiology, this year he is doing research meanwhile doing the steps, but he already has the vacant for the fellowship program, because he had connections, also so weird because apparently with this path he said he will take the boards and all.

When getting residency is becoming touger and touger for imgs each year why some states allowing to practice without completing us residence and now this latest ABIM scene, doesn't making sense to me.

I'm truly shocked, my take was entirely different thinking that being eligible for such fellowship and being in a residency program accredited by the IACGME would be hard. Seems not.

If only these damn patients knew that their exceptionally qualified doc had 31 publications with 116 views and 6 citations..

What about downward pressure on US doctors once the flood gates open ?

Sir could you pls make a video regarding options for residents who leave during the middle of residency? Like they can still get medical license but now what to do

I had no idea IMGs could do fellowship here without doing residency in the usa

First!!!

Everyone wake up, the sheriff is back

Why not potassium or bicarbonate?

The problem with osteopathic medicine is that it’s mainly voodoo. If it was that useful I’d imagine Hopkins or Harvard would be using it. In general your average DO student isn’t as smart as an MD. The numbers show it. It’s not to say they’re bad doctors but they certainly didn’t score as high as their md counterparts. Majority of the DO students are only there because they did not get accepted to an md program.

I enjoyed every minute of this story 😂 thank you for sharing it 🙏🏻

not only the min. passing score is increasing, also the questions are getting harder.. so, a double whammy!

Bilateral cellulitis :D

I fucking love legal case analysis UA-cam. Glad this popped up in my feed. Cool little window into a niche thing. Thanks.

He passed MCCQE1 and not Step 3? Isn't the later easier?

If he invested all that time and effort into studying, he would have passed.

Hi (from 2024), average of neurosurgery jumped to a whopping 37!

Wonderful video with incredibly poignant points at the end. What a rollercoaster that was, for real. I'm always so shocked when people win lawsuits they shouldn't have a chance of winning simply because of tiny parts of the law that may or may not have been followed. As a doctor, the world of lawyers makes no sense whatsoever to me. Hope Dr. B doesn't harm anyone in practice now...

Propose to ban all Nepali doctors from residency. Both Nepali doctors and Nepali Prometric people are working together to cheat. This shows their characters and who they are as a person. Not just their doctors cheating. Their ordinary people too. A big question on ethics.

Please do a history video!

Your opening statement was the best 4 nurses for every resident That's the work equivalent

Thanks Brian

I wish more PD has such vision

What a wild ride. This is straight out of BCS.

I’m assuming since the video is still up, Dr B’s lawyers haven’t sent you a cease and desist letter….yet

This channel and the contents here is awesome! Watched all the videos and want more 😁 any additional similar channels and podcast that anyone recommends about medical education, economics of healthcare, etc.

I know its the in thing to say its not because of step 1 going pass-fail. But making step 1 pass-fail forced medical schools to optimize their curriculum for high step 2 scores. These new curriculums have shortened preclinical time and have dedicated time to study for step 2. The average score went up for lots of other reasons (better qbanks, memory techniques, videos, etc) but the distribution tightened because everyone is optimizing medical school for one test.

I matched more than a decade ago (whoa!) but the way I ultimately selected between my top two programs was putting both names in a hat, drawing one, and then paying really close attention to how I felt "matching" at that place. I matched at my #1, wonderfully supportive program, still close with all my co-residents and my PD years later. One of my now-colleagues matched the same year at the place that I listed #2, and from his off-hand comments I realize I would have been pretty miserable there. So there's a testimonial for gut instinct!

Watching this as a Brit is really interesting; you're limited to applying for 4 medical schools, which helps keeps things mangable on that end. On the postgrad side, you apply to a specialty, not to a program, and you get interviewed by a national panel. There's no cap on the number of specialties you can apply to. This creates huge issues where competition ratios get massively inflated because everyone applies to general practice (Family medicine) as a backup....... You have match day, we have cascade cycles. Because you can apply to as many specialties as you want, you may end up getting more than one offer, but you can only accept one. Any offer you don't accept gets recycled and offered again in the next round of cascades.....

I think this victory is awesome and he's my hero! Why hasn''t this been made news in FSMB, USMLE, ECFMG, like the Nepal story? Because this guy won and beat them!! They would be invalidated and questioned if they did post it. You made some pretty valid points though in regards to this not just happening to everyone. The fact that this ordinary person, from another country, beat several huge US corporate entities is always a great ending that everyone physician ought to see, especially IMGs! After listening to you, what I learned in short is that FSMB, USMLE and NBME have too much power given to them to either break or make someone's career. And not in a good way. And so my questions are: Who regulates them should students and physicians want to challenge them?? Why are they blindly trusting that these companies know what they are doing or assuming they don't make mistakes? After all they did make one here. Who's to say they haven't done mistakes in the past, which I am positive they have. After all they aren't God! And honestly speaking why should any students or physicians trust them after this?? You should also post the public records for this case. Thank you for sharing!