Hey hey HEY. These people who get rich off of this NEED to buy more yachts, Okay?? Stop being so SELFISH. Think of their empty wharves and shipyards! You need to get right with the lord, pronto. Now give us your money.
Fun fact: In 2002, a brave few medical students filed suit against the AAMC for running what was essentially a monopoly on applying to residency positions. That suit was tossed in 2004. Why? Congress added a last-minute rider that exempts the AAMC from antitrust action to a must-pass pension bill. So the AAMC is a legal monopoly supposedly for patient safety. Happy ERAS day everyone!
Wow, it's almost like the wealthy elite own the US government and deliberately influence its policymaking to prevent average people from accumulating wealth or enjoying their alleged freedom.
How the hell was Congress allowed to do that?? What differentiated AAMC from any other monopoly, legally speaking, that allowed them to straight up exempt them from the law?
Non-profit is often a code word meaning that you want someone to pay you for your pet project or hobby which would not make it as a bona fide business.
It's been known for years nonprofits can easily turn into scams. It's usually in a fundraiser-like form like a local establishment that pitches a specific cancer a local had.
Yeah, it's truly unfortunate. I think the B-corp hybrid model is ultimately the most constructive since it seems to generally involve more accountability than filing as nonprofit does (depending on where you do it, I assume). All my best dreams for how to help people & save the world are based mostly on playing the for-profit game & just using profits for good 🤷 so B-corp all the way for me lol
@@eneveasi "The new guy made us think about our greed" "So what, how do you think we are drinking only the finest of Champagne?" "You are so right my friend* *crab rave party begins*
I'm literally filling out my ERAS application now, wondering why in the world I have to pay so much money to potentially not even land a spot in residency. My entire tax refund is going to residency applications, and I have to figure out how to budget the pitiful remainder so my family can still eat for the rest of the semester. Not to mention travel costs for interviews, paying double rent while I do away rotations, traveling back to campus 12 hours away for an OSCE... Happy ERAS day. *sad kazoo noises*
Just keep your eye on the prize. After residency you'll be at least in the top 5% of income earners or even top 1% if you can land a speciality paying over 450k
@@mustang8206 That's all well and good for the future, but I'd like to not have to choose between applying to another program and buying a box of diapers for my kiddo.
SOMEBODY SAID IT. I swear so many attendings just have amnesia about what med school and residency was like. Even young ones who’ve been out for only 5-10 years. My husband had to save up credit card points for the four years of med school to pay for travel expenses. Had to get a loan from family to cover ERAS applications. Thank you, Dr. G, for still remembering the residents who are still going through the system.
Hopefully one day you have 10 million subscribers to start putting some pressure on the healthcare industry to change. Then of course, respectively, once you get to 100 million followers, you can take over the world.
Assuming that not every subscriber comes from the US, I don't think 10 million subscriber will be enough. Don't worry, we only need more subscribers (20 million subscribers, for example) and more examples of other countries shitty application systems xD
@@DGlaucomflecken while you're at it, can you please do more with rheumatology? Autoimmune patients need your brand of straight-shooting humor that illustrates what's wrong with the system too!
@@chrissih.4068 I think the viewer demographics are probably more meaningful with Dr. G than other RU-vidrs/influencers out there. I'm just guessing that the average age of the audience member is like 10 years older than most other RU-vidrs and we have a little more say in our society than kids. Maybe? That's just a theory anyways.
In Germany, where University only costs 300€ per Semester, most of which is the subsidized student ticket for public transport, we apply for "residency" just like for any other job, because that's what it is. It's so weird to me that you have to pay an agency in order to apply for a job.
It's worse, you pay exhorbitabt sums to this same company to even take the test to get into med school (after already entering debt to finish a bachlor's). You also have to pay them for the test materials, and practice questions.
Even high school kids wanting to apply to a number of good colleges to increase their chances of getting into one easily spend over $1000 on application fees, including me.
First year intern, borrowed $600 from family that didn’t have it, put some in credit cards too. Spent the first couple of months of residency trying to dig myself out of that hole. Completely agree with this
Don't forget the money spent to then go fly to interview at each place. Other than a few specialties (thank you peds), most places won't pay for your lodging the night before either. Then there's NRMP! You have to pay them to rank even a single program. As a good friend said, it's like going to the store for milk, paying the farmer because he milked the cow, then paying the store because they have the milk, and then paying the clerk to sell you the milk, each with their own bill.
So are interviews back in person again for residency? I know that for IM fellowship programs everything is basically still virtual which saved us a TON.
Just in case anyone wondered: if you apply for 31 or more programs you'll pay $26 EACH just to apply. That means you'll pay at least $806 just to apply. Then you'll have to pay for travel if you are interviewed, and with far more applicants and interviews than accepted residents, prospective residents usually go to ALL the interviews. Current guidance is to apply to 100 to 200 programs and you might get 10 interviews. That's maybe $15,000 for what is described as a "reasonable" chance to be accepted into a residency program. And if it doesn't work out you get to do it all again next year... Our system is crazy...
It's even better when you have places like Goodwill who have the 'not-for-profit' tag, which is just a tagline and not a legal label. All the marketing for 'non-profit', none of the restrictions.
Medicine was just one big trauma. From the overnight calls, the malignant surgical housestaff, the giant student loan, the sad nursing home realities, the hospital administrators, the 15 min/visits, etc. I can’t even.
So relevant. As a foreign med graduate, even harder to pay in US dollar but need to apply more programs to have more chance to get accepted. So brutal system.
"You can still bonus your executives however much money[word not in subtitles] you want." I was expecting "That's a great idea!" as a response and not acknowledging one's greed.
I was also expecting, "Wait. We get bonuses?" That's because he's one of the executives none of the real executives likes and thus gets no bonus. Plus he's the public face punching bag the resident doctors and nurses can use to loose their anger and frustration on rather than the important executives because that's what peasants are for. Why else would he be honestly answering questions about the system if he didn't have to?
4th-year med student here. Anytime I go over the magic number 30, I start worrying about how much each added residency program will cost and how many ramens I have to buy to last each day.
Can you explain this to me. Don't you only get interviews at residency programs if you do well in your rotations, and do well on your shelf exams. I'm not in the medical field. Just what I have pieced together from bits of info here and there? If so I thought u do like maybe 5-10 rotations a year, in 3rd and 4th year where are 80 possible programs coming from?
@@moneybuas4942 You do those rotations at your home medical school's hospital(s), but when you apply to residency programs, you are applying for postgraduate training at many programs outside of your immediate area, often across the whole country. Your rotation/shelf scores are just your grades, just like your school grades, your college grades, etc. The 2 have absolutely nothing to do with each other.
My husband and I were just discussing this with school. Our daughters paid for their 2 years of junior college and we took out the loans for the last 2 years to get one her BSN and one who is unsure right now. She wants to be a radiography tech. 2 years of more school. I think we are going to be poor forever. My husband said how can we do that to them because they will spend the rest of their lives in debt. So instead we get to spend the rest of our lives in debt.
Dr. G, you get how our system works so well, and call it out for those who don’t know. Thank you!! And great point on non-profits. No different than for-profits!No share holders, but just internal stakeholders that profits go to.
I'm so sorry for my colleagues in the US! Here I am, a German med student from a working class background, who just spend a whole frustrating week filling out the government student financial aid forms. That might be an annoying task, but they'll lend me enough money to live and eat while studying. They have no interest charges and cap my dept at 10.000€. And paying for applying for Residency??? Man, I'll just write applications like for any other job.
Applied to 72 programs for around $1500. Insane that it started spiking after 25 or so just to push some more electrons around. I estimate the cost of residency application including travel was around $8000-10000. To then work 80-100+ hour weeks, oftentimes being yelled at and feeling belittled as an intern/ junior resident. And all the while cranking up almost 6% interest on school loan debt.
There was a time I wanted to be a doctor. But then I researched. Too many suicides, too many "medical" agencies bending over medical students and doctors. (They arnt protecting against mid-level creep. Some of the people training midlevels are doctors.) The residency hours are insane. Makes sense since the program was essentially created by a coke-head. Fyi, I got mad respect for you folks. Y'all been through the ringer and most of you make it out. I just feel some of that suffering is unnecessary.
I'm sorry that you and the other young doctors are so exploited, Bill, by a corrupt system. God bless you and free you from debt soon. Don't give up. You are helping many people. US system needs to change. Japanese model is the best I've found.
In India I paid 6$ a year for med school I think. It is government sponsored. Post graduation I got paid though it was not a lot. Never had to pay a big fee for applying for anything. There is a tough entrance exam for everything but we put our heads down and put the work in as do all med students all over the world do. Makes me sad that in first world countries young people are put through so much strain for something good.
I'm sorry the US system is so corrupt that hundreds of qualified young doctors do not have a residency program. Hang in there. You will be helping many. Keep your chin up and God bless you, friend.
I was an international medical graduate. I applied to over 200 programs. I matched but it cost me dearly. Financially. But really, can you do a video on EPIC or the situation that is the terrible electronic health record systems that we're forced to suffer? Because they drive me absolutely insane and it seems the execs behind them are no less corrupt. They need a hazing.
My sister in law here in Jamaica got a scholarship to med school in China, was there in the middle of COVID-19 pandemic spent the last year in Zambia being harassed by Attendants, and home now studying for her residency application for the US and I really thought hard after watching this video
I'm a older med student in Denmark. The set up is very different. Residency is a job you apply to and there for need a CV that matches. I'm on my neurology rotation now. They say it takes about 5 years after med school to build a CV that gets you into neurology. Most do a PhD to get in..
The sad thing is it’s even worse for med school applications and then they have you pay a secondary application fee for many of the schools just to reject the application before even interviewing.
Very good! It's so interesting to me how you can get a message across while making us laugh! Now that I think of this issue..college apps are the same way....never mind the SAT and ACT. Thank you!💙😂😂
PLEASE, a skit about the ECFMG. after cancelling Step 2 CK, they replaced it with OET as a language proficiency test, AND $925 to certify (temporarily) for the match season. They made the certificate temporary (unlike before), and now you will just have to repay $925 when/if you needed to reapply or just decided to not apply this year.
Wow. That may be one of the most financially predatory things I've ever heard of. And I'm saying that as an unhoused person & major geek about public services & public health in my & other chronic trauma populations ... so I have a lot of basis for comparison when it comes to shocking predatory practices lol. Wow
I paid $3958.50 for applications this year through ERAS. I was also forced to a $455 English exam by ECFMG where the speaking test was conducted by a non-native English speaker. I'm born/raised in Canada and previously worked in healthcare in Canada for well over 10 years, pretty sure my English is fine. $925 for ECFMG to certify me for the exams they told me to take, $80 for ERAS to receive and process my USMLE marks, $70 to register for NRMP, and the list goes on. I never imagined this level of predatory greed from the organizations that masquerade as our advocates prior to entering medical school.
Bob 1: "So... what you do here is you take the applications from the graduates, along with their money, and you send 'em out to the residency programs." AAMC: "Ye, yes, that's right." Bob 2: "Well then I just have to ask: why couldn't the graduates just send them directly to the residency programs?"
"Because!" "Fair enough!" I visualized this with the Pitch Meeting characters somehow lol. Our boy Glauc is great, but one of Ryan George's wide-eyed pauses just makes such a great fit for this theme 😆
I know his sketches are top-notch and fucking hysterical, but it's also nice to FINALLY have someone casually yet effectively exposing how messed up the American medical system is.
Well played sir. Between this, MOC requirements, professional organization fees, and so on, and so on - it’s all more examples of Bloated American Healthcare system costs as the house of cards continues to collapse
I think the equivalent service in Australia (PMCV) is free (at least for nurses, nurses use the same system for their graduate year). But there is a limit to how many places you can apply.
I’m a nurse with a potty mouth (it’s a prerequisite in college): THAT IS SO F#%ED UP TO DO THAT TO YOU GUYS🤬 For nurses, after we’ve completed two years of prerequisites, we are encouraged to apply to as many good programs as possible and I don’t even think I paid an application fee. If I did, it was like $30. It’s been so long I can’t remember
Excuse me what ?! Not only do you have to pay in the US for med school, but on top of that to apply for residency ?! That is so foreign and shocking for me, I’m a med student in France and basically everything is free in those studies. For us only the grades count on choosing our speciality, the better you are the better are the chances that you can have the speciality and the city you want. That’s all.
Public health students also have to apply to grad schools using SOPHAS. It’s another monopoly. And you have to pay hundreds for each school you apply to.
We dont pay for residency application and some training hospital even give applicants pocket money.. but then again we are in the philippines and healthcare sucks..
I remembered filing 300 applications in the first year. Didn't get a residency though. Nor the 2nd year, nor the 3rd year, and so on. I realized I was dumping literal tens of thousands every year into what is essentially a death spiral and got out. Haven't applied for like 5 years now. :D
New guy is such a party pooper! lol. All jokes aside, the system for everything is insane and terrible. Don't even know if there's a way to fix it, though.
man this is really starting to make me wonder how there are even remotely enough doctors in america? Not just this of course, but the no sleeping crazy hours perfect grades 100's of thousands in debt as a normal etc. It's like the system tries really hard to prevent anyone from making it through sane and semi-healthy. Why is not sleeping such a normal thing? Isn't it dangerous to do certain things when you haven't slept in 24+ hours or only get 2 hrs a night?
LOL. I try to explain to my non-medical peers the level of greed involved in the medical field. Paying hundreds for study material and exams. Students paying hundreds to thousands to take a test prep course, taking out small private loans to travel to interviews (pre-pandemic), and paying to apply for a job. Preparing for exams that show stronger correlations with socioeconomic status than how good of a physician you are. Feels like it was designed to keep the rich kids in the more selective/higher earning specialties. Oh well, I guess that’s what I get for being from a poor family 🙃
