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.

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