Monday, October 31, 2011

Seasonal flu

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Saturday, October 29, 2011

The Electronic Residency Application Service(ERAS): TIME FOR CHANGE

Sent: Tuesday, March 15, 2011 5:06 PM

Dear ERAS Applicant,

As you know, the NRMP and ERAS have been experiencing technical difficulties
which adversely affected the delivery of our services today. .. 
The above is the response to telephone complaint following repeated frustrations trying to log in for the "scramble ". I had changed networks 4 times under the impression it was a network issue or problems with my computers but nothing worked for an extremely time -sensitive process -ERAS Scramble! I tried several times to reach ERAS on phone and but nothing worked! It was not until about 3 hours later that ERAS emailed me a list of programs!
I truly believe the ERAS process is due for CHANGE!

Wednesday, October 26, 2011

Residency Process: Graduation Year Discrimination Petition

Dear friends, I wanted to let you know about a new petition I created on We the People, a new feature on, and ask for your support. Will you add your name to mine? If this petition gets 25,000 signatures by November 25, 2011, the White House will review it and respond! We the People allows anyone to create and sign petitions asking the Obama Administration to take action on a range of issues. If a petition gets enough support, the Obama Administration will issue an official response. You can view and sign the petition here: Here's some more information about this petition: Stop year of graduation cut offs for medical residency interviews and positions imposed by residency programs.
Dear President Obama, I hereby petition you stop the discrimination upon residency applicants by residency programs based on year of graduation. While the Education Commission for Foreign Medical Graduates(ECFMG) which organizes the United States Medical Licensing Examinations(USMLE) places no limitations on year of graduation as a criterion for taking the prescribed examinations for physician-certification in the United States, which process qualifies medical school graduates for medical residency in our nation, it has been the practice of program directors to place graduation year cut offs as a selection criterion for invitation for residency interviews and subsequent positions. This is discrimination and an injustice in our nation. The ERAS process is due for change. Ema Uko-Abasi,MD

Sunday, October 16, 2011

Medical Issues: U.S Residency Process: Time for Change

Medical Issues: U.S Residency Process: Time for Change

U.S Residency Process: Time for Change

About two weeks ago, I wrote about the residency process within the US graduate medical education and suggested an alternative General Practice/Primary Care Pathway to decongest the system and utilize the vast number of IMGs stuck in the system. I would like to inform readers that I have presented the residency issue to President Obama and my constituency Congressman, Dianne Black. I have also written the Letters Editor, New York Times. I believe setting graduation year cut offs by residency programs in the absence of a lack of such by ECFMG which runs the certification exams and ERAS which runs the yearly residency application process, is not the right thing to do. It is discrimination and cannot be allowed to continue in a liberal polity such as ours in the United States. It is not right to be denied an opportunity despite meeting the requirements for such, otherwise the ECFMG, ERAS and NRMP are deceptive and fraudulent in their operations for financial gains from IMGs. Last week, a program denied me an interview opportunity on year of graduation despite my passing the Step 3 examination and currently in my final year at an MPH program. I have been informed of friends who have had to exit the system because of this problem.This  oppression must stop.
If IMGs are being discriminated against, why allow them to sit for the required exams?

Sometime ago, only IMGs were required to take the USMLE exams until an Asian physician fought and won the case, which set both the U.S trained and IMGs at par, requiring the locally trained to also take the same examination. I wish to use this medium to request for your support in whatever way you can. I would appreciate should you know an IMG that has been so discriminated against, to contact me via you.

Thursday, October 13, 2011

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Friday, October 7, 2011

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Medicare Cut

There is a general concern about Medicare Cut, and in some places, outright protest. I just watched a group of concerned citizens in Tennessee protesting the cut on Fox news. I believe it is time for us to upgrade public health outfit to assist in providing care for our senior citizens. If public health clinic are equipped to render preventive care to our senior, that would scale down the demand on Medicare, instead of outright privatization of care, which makes it more expensive on our tax bill.

I also suggest a change in the residency process from mandatory 3 year training to an alternative Primary Care pathway which allows medical graduates enter supervised preventive care/primary care with the government for at least 2 years on passing the state medical board exams to help render preventive care to our seniors, following which they can seek to enter specialty training which is a very rigorous process. It is not wise to let med graduates stagnate in the system with $250,000 student loans debt demanding to be paid back but the residency process dictating the life of such med graduate.

Thirdly,I suggest Partnership Building for Medicare in which large business enterprises  team up with the government to build up Medicare with tax concessions as an of appreciation.

Let's know your suggestions/solutions.

Sunday, October 2, 2011

Residency: Time for Change

I believe it is really time to change the residency process, and indeed the ERAS- ochestrated procedure into a more acceptable mode of entering residency training. Ideally, I suggest a departure from the current status quo to the creation of an alternative of Primary Care/General Practice Pathway separate from specialty training requirement. This will assist in feeding Primary Care which is currently facing severe shortage of physicians. The requirement for this pathway should be satisfying the requirements of the USMLE Step 3 examination and subsequent supervised practice for the first year leading to a full Primary Care/General Practice licensing. Attainment of this licensing would then qualify physicians for specialty training, which can have its own set of requirements.
I would also decry the discrimination against residency applicants by programs based on year of graduation from medical school since there no such limitation by ECFMG/USMLE, ERAS and NRMP.