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Federal bill would boost residency training slots

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Association of American Medical Colleges
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Balanced Budget Act Of 1997

Three Senators have introduced a bill that would work to hold off expected physician shortages by adding another 15,000 Medicare-supported residency training slots.

The number of resident positions had been frozen at 1996 levels since the passage of the Balanced Budget Act of 1997 (a decision some might call penny wise but pound foolish given the encroaching shortage). The new act would add 15 percent to the total number of slots, however. Any unused slots would be redirected to institutions where they are needed.

The main idea behind the legislation is to increase the number of residency positions available for primary care, general surgery and positions in non-hospital settings like community health facilities. The measure is supported by the Association of American Medical Colleges and the American Osteopathic Association.

To learn more about the bill:
- read this Modern Healthcare piece (reg. req.)

Related Articles:
Emergency physician shortage settling in
MA facing substantial physician shortage over next decade

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Pay for family doctors needs to go up first and foremost. There are plenty of unfilled residency positions for family practice because the pay is too low to pay back med school loans. If you are over $200,000 in debt how can you afford to support a family when you are only making $100,000 a year before taxes? And buy a house and send your kids to school and live a comfortable life? Forget it. You cannot do so comfortably, especially when simply specializing in something like dermatology will give you $400,000 a year instead. To become a doctor you must be the best of the best and you must kill yourself through 4 years of med school and 3+ years of residency, an enormous sacrifice. They reward at the end of the tunnel must be big enough to convince people it is worth it to go into family practice. These are the cold hard facts.

We need more doctors in general, but to boost family practice the pay needs to go way up.

Everyone says that we need a system like Europe, but they forget that in Europe, doctors don't come out of medical school and training with 100K or 200K of student loan debt. That is why students there can go into family medicine and OBGYN and some of these lower paying positions.

If you want a system like Europe, you also need to make medical school free for students.

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