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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
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