The numbers do not lie: Family Medicine is not attractive to Medical Students

Match results of my medical school graduating class this year:

  • 10 graduates matched into Family Medicine - I’m here.

Now contrast that with some of the following:

  • 9 matched into Anesthesiology - Do we need more Anesthesiologists or Family Doctors?  Do we need an almost 1:1 ratio of Anesthesiologists to Family Doctors?
  • 13 matched into General Surgery - Why are we training more Surgeons than Family Doctors?
  • 26 matched into Internal Medicine - Most of these are budding Cardiologists, Gastroenterologists, and Endocrinologists. When was the last time you met a General Internist that was younger than 35 and not a Hospitalist? They count Internal Medicine as “Primary Care”, but it really isn’t. 
  • 11 matched into Obstetrics-Gynecology - Most of them want to do fellowships in Gynecology-Oncology.  
  • 34 matched into a Surgical Specialty - We are producing 3.5 times more surgeons than family doctors.

Whatever we are doing to increase the number of Family Medicine doctors is not working.  

Moose Factory, Ontario - water edge at low tide

Moose Factory, Ontario - water edge at low tide

The result of half a day of cooking: enough food for a major part of my next rotation.

The result of half a day of cooking: enough food for a major part of my next rotation.

1 Trillion dollars is too much for health care reform

1 Trillion dollars is too much for health care reform

WIRED - only analog media that I consume: 

Checking out the Fauxlaroids iPhone app: ShakeItPhoto
Picture from this month’s WIRED magazine. It’s the only piece of
analog media that I still consume because I like the layout and design.
WIRED - only analog media that I consume:

Checking out the Fauxlaroids iPhone app: ShakeItPhoto

Picture from this month’s WIRED magazine. It’s the only piece of
analog media that I still consume because I like the layout and design.

Yummy apple pie from local farmers market down the street in Albany, NY.  I especially like how the vendors accept food stamps and electronic benefit transfers.
Central Avenue Farmers Market

Yummy apple pie from local farmers market down the street in Albany, NY.  I especially like how the vendors accept food stamps and electronic benefit transfers.

Central Avenue Farmers Market

There is always this expectation that at some point things will turn around. The interns say, ‘When I finish internship and become a second-year resident, things will get better.’ The residents say, ‘When I finish training, I will finally have balance again.’ And doctors in practice may believe that they will find more balance once they have retired. http://www.nytimes.com/2009/06/18/health/18chen.html?pagewanted=1&_r=1&em

High Speed Rail

The American dependency on automobiles is made worse by the inadequate North American rail system. I’m currently on an Amtrak passenger train and it’s the slowest train I have ever been on.
The Northeast needs some serious railway investment so that cities will not have to be connected by only cars and trucks.
Imagine a typical 250 mph bullet train connecting the major cities of the northeast; Boston, NYC, Buffalo, and perhaps all the way to Chicago.

In case things go badly…

Don’t worry Democrats, if things go very badly tonight, there is always Canada.

iPhone study tool

Ambiance is a great app for those that like a coffee shop environment for studying but can’t concentrate with the noise.
But, why does it have to be so massive?