@ffmichelle I met an EMT who referred to patients who don’t speak English as “vet medicine” because he can’t ask what’s wrong. Definitely a learned term that is just downright awful.
A history of @theNRMP match: 🧵
The Match was established in 1952 when available resident positions vastly exceeded the number of graduating medical students. As a way to secure top students as residents, hospitals were:
1. Offering positions earlier and earlier, sometimes even prior to a student’s clinical years
2. “Exploding” offers and demanding a acceptance or rejection of an offer within minutes.
The labor market is different now. The match has also created an economic monopsony where there is one buyer (the match) and many sellers (student).
As a result, you see:
1. Wage suppression: The match eliminates any negotiation on salary or work conditions — with one “buyer”, they functionally control (and suppress) the wages of residents.
2. Lack of negotiation power: Once matched, students are obligated to accept the employment terms laid out by the program. This limits the ability of residents to negotiate better working conditions or benefits, which is a common practice in almost all other labor markets.
3. Limiting choice: Because candidates and programs must rank each other prior to the match, there is no opportunity for a student to decline an offer from a less-preferred program if they match there. This gets increasingly complex with scenarios like couples match.
4. Waste. Application fees, interview costs easily rack up thousands of dollars more of debt as students are incentivized to apply/interview at as many programs as possible to be able to rank more.
Economics aside, the match strips students of agency - to choose, to negotiate, to refuse…it treats students as widgets, interchangeable as just a body to fill a spot as determined by a faceless algorithm…
The “widgetization” of doctors is something we are well familiar with (ahem, CMGs…).
No wonder we end up how we do, burned out, treated as dispensable and replaceable by corporations, when this is how we start our careers.
@AmerMedicalAssn@AAMCtoday@AMAmedstudents
“I see so much more of myself in them. Maybe that’s why I hated them so much.”
People are rewatching “Girls,” Lena Dunham’s HBO dramedy, as some millennials reassess their 20s and a show that defined them.
https://t.co/aYBffETQf4
Matched!! 17 years of trying, working, failing and trying some more I finally made it!
I’m going to be a radiologist!! 🙂🩻
#FutureRadRes#radres#Match2023