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09/03/2013 Amram Dahukey, DPM
Unmatched Residency Placements Currently Stand at 80
For the past few months, I read so many articles and letters in regards to the lack of residency programs for all graduates, some even want to reduce requirement for licensure so that graduates can get license without a certified program. This will only erase all the progress of our specialty in the last few years.
Mach blame has been placed on various persons and organizations. I believe that the problem is going to worsen in the next few years. The etiology of this problem is clear and facing all of us. Schools accept number of students without regards to number of residency programs that will be available post-graduation. They believe their responsibility ends with graduation; the truth is far from it.
Because we require post graduate training we must ensure that the number of students accepted be at least the same number of residency programs upon graduation. This is a business decision by the schools and must be led by the association of podiatric medical schools and CPME.
I do not know the number of students beginning their education this year, but did anyone bother to check if the number exceeds the residency positions that will be available and by how many? This is called long-term planning and unless it is done the problem may just get worse.
For those already graduated and those that will graduate in the next three years, a concerted effort must be made to create more positions. It is not easy, but with appropriate incentives and assistance to those who work hard at managing and developing residency program we could develop more position.
(I have developed and opened two residency position that began this past July at the largest hospital in Tucson, AZ) I am calling for ad hoc committee to propose a road map for the future of residency program availability.
Amram Dahukey, DPM, Tucson, AZ drd@premiersurgeons.com
Other messages in this thread:
09/03/2013 Ron Raducanu, DPM
Unmatched Residency Placements Currently Stand at 80 (Amram Dahukey, DPM)
I want to take issue with this statement Dr. Dahukey made. "We" is all of medicine. The states that require one year of training before they issue a license is a requirement for ALL medical professionals. We are not being singled out, which is a good thing. This is want we want, but then to not offer a single year of "internship" or enough residencies for all is the major problem here.
I don't think anyone wants to "reduce requirements for licensure" or even suggested that at all. The goal is that all graduates have at least one year of training so they can then get a license to practice. Without any type of residency, our graduates can't even practice Podiatry in most states.
There is also a pendulum which swings in the direction of not enough residencies and too many residencies. The onus is not just on the schools. Say the schools only accept the number of students that there are residencies for. Then some students leave, for whatever reason, throughout the four years, which will create a surplus. This happens in every class. Ask the schools. They will tell you. Then some students fail their boards and the surplus numbers increase.
Now you have programs which can't fill their positions. This leads to a loss of funding for those positions eventually. All of sudden (not so much) the schools are faced with the same issue they had before. Too many students, not enough residencies. People (like you, thank you for your efforts!) create residency positions, but because of this "crisis", not as many people chose podiatry or the schools take your advice and take less students. Back and forth we go. The pendulum was on too many residency as little as 7-8 years ago.
I think that simplest and most reasonable solution is revamp the residencies (again, I know) and offer one-year residencies but only to those who don't match. Bingo. Everyone gets a chance to reenter the matching system if they want, or be able to practice in any of the 50 states. Wouldn't that be nice?
Ron Raducanu, DPM, Philadelphia, PA, kidsfeet@gmail.com
08/06/2013 Unmatched Podiatric Graduate
Unmatched Residency Placements Currently Stand at 80 (Richard Gosnay, DPM)
Dr. Gosnay’s comment that the APMA or CPME are not to blame for the residency shortage is absolutely outrageous. The CPME is not just an accreditation arm of the APMA, its also supposed to make sure the colleges do not take too many students. The CPME approved the addition of a new podiatry college at the same time that it recognized the likelihood that a residency shortage was on the horizon.
At the same time as the latest podiatry college was matriculating its charter class, the CPME allowed at least one other college to take more students than they were approved to take. Dr. Gosnay suggests that unmatched students should look at why they did not match, as if to suggest that it was their own shortcoming for not matching, and not because they were misled by colleges that never disclosed that there was a concern that a significant number of graduates would not get a residency. It's like blaming the poor woman who gets raped not on the rapist, but rather on she herself for wearing a short dress!
I know there were many podiatrists from past decades who were unable to obtain a residency, however, they could complete a preceptorship and get a license and obtain board certification. The APMA has taken away this pathway while at the same time doing nothing to ensure that all qualified graduates are able to get a residency. This is unconscionable.
The fact that schools do not warn incoming students that there is a residency crisis most certainly should be considered a crime. If I sell my house without informing them that the roof leaks or the basement floods every spring, I am legally responsible. Dr. Gastwirth and the various greedy college deans are no different than the CEOs from companies like Enron, who claimed to have had no knowledge of what was going to happen to investors’ money - they received life sentences nonetheless. In this case though, the victims were much more vulnerable in that the money they invested was generally borrowed!
Unmatched Podiatric Graduate
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