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The planning of U.S. physician shortages (2020)

niskanencenter.org

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Re: The planning of U.S. physician shortages (2020)

#311

Post by haldujai »

lostlogin wrote: post #300
haldujai wrote: post #294

Earlier quoted context omitted.

Just for clarity I don't mean to suggest at all that radiologists aren't paid well-enough (other than in private equity sweatshops but I feel like that's the case for any industry they buy into). > I’m surely misunderstanding you - you aren’t saying techs cost more than radiologists in Canada are you? Individually not at all but in aggregate yes. Disbursements to nursing/techs/allied health (who are also the majority…

Thanks for this explanation. My day job is staffing magnets, and the staffing levels you mention exactly match what I do. The radiologists struggle to keep up with our output when we do MSK work or horrendous post treatment livers - I think we need you over here.

I think you meant to say [beautiful] post treatment livers! They're one of my favourite study types to read although everyone else seems to hate them.

MSK joint studies are definitely higher throughput but those are fun too. We would try and schedule "overnight MSK blitzes" q10min to minimize contrast reaction disruptions for the residents on call which would substantially change the financials I quoted. Ontario still has an add-on code for "3D sequence" if you can believe that so knees/shoulders pay a lot for how little effort they take to read.

> The radiologists struggle to keep up with our output

I noticed during fellowship that US radiologists seem to have lower volumes on average. Canadian radiologists are very overworked in my opinion (90+ CTs in an 8 hour shift, daytime MR seat of 40-50 cases is pretty common) which is largely why I left (also weather).

> I think we need you over here.

If you're in a metro with > 1 million people that's above freezing temperature > 6 months of the year and hiring I'm currently in the job market!

Re: The planning of U.S. physician shortages (2020)

#312

Post by Retric »

2b3a51 wrote: post #212
Retric wrote: post #128

Earlier quoted context omitted.

That seems backwards, unless you also need to be preforming more surgeries and thus need more people. Instead reduce the number of operating theaters while keeping a similar number of people. Net result same amount of operations, but lower capital expenditure. Of course you now need to pay people more to be working in the weekends, but that’s a different question.

Yes, the UK needs more surgery capacity.

In that case it needs more workers independent of doing weekend surgery.

Re: The planning of U.S. physician shortages (2020)

#313

Post by lostlogin »

haldujai wrote: post #311
lostlogin wrote: post #300

Earlier quoted context omitted.

Thanks for this explanation. My day job is staffing magnets, and the staffing levels you mention exactly match what I do. The radiologists struggle to keep up with our output when we do MSK work or horrendous post treatment livers - I think we need you over here.

I think you meant to say [beautiful] post treatment livers! They're one of my favourite study types to read although everyone else seems to hate them. MSK joint studies are definitely higher throughput but those are fun too. We would try and schedule "overnight MSK blitzes" q10min to minimize contrast reaction disruptions for the residents on call which would substantially change the financials I quoted. Ontario stil…

Auckland, population 1.6 million and it never dips below freezing.

Housing is way overpriced and the cost of living is high, but with the negatives out the way, the rest is pretty good.

All equipment is brand new, mostly Siemens.

If you are interested, we are hiring and my contact details are in my profile.

Re: The planning of U.S. physician shortages (2020)

#316

Post by FrustratedMonky »

hn976827 wrote: post #303
FrustratedMonky wrote: post #141

Earlier quoted context omitted.

That is BS, a big load of BS. There are a ton of people in tech that struggle, and reach 50 just to be nearly living on the street. This thread must have a lot of top FAANG's managers posting this morning.

> There are a ton of people in tech that struggle, and reach 50 just to be nearly living on the street. In the literal sense I doubt that. If they are "nearly living on the street" then they seem to have issues handling money. Literally everybody else around then is making less and is not in the street either. Or are you saying that the lady behind the Walmart cashier or the pizza place guy or the girl moving the off…

Perhaps I was over-stating. But it is true, that tech people retiring at 50 and living comfortably is a real small minority, not some common occurrence like everyone in tech is swimming in gold. Living on street was hyperbole, but I do see a lot of tech people working long hours, on -call 24-7, dealing with bad bosses, all because of the 'fear' of living on the street. So maybe they aren't close to the street. And if over 50, that fear drives the 'do-whatever-it-takes-even-if-pulling-another-weekend'. It isn't some golden retirement, that is so bogus. Its like there is some assumption that everyone in tech got stock options at google.

Re: The planning of U.S. physician shortages (2020)

#317

Post by haldujai »

hedora wrote: post #203
naveen99 wrote: post #198

There is also planning of hospital bed shortages through certificates of need. https://en.wikipedia.org/wiki/Certificate_of_need anti kickback laws are also a double edged sword. https://en.wikipedia.org/wiki/Stark_Law But in the end, the usa has the healthcare system where doctors want to work and rich patients want to be treated given an option of any country.

The rich people I know in the US do have an option of getting their healthcare from any other country, and that is what they often do.

They have it backwards, rich people come to the US for their treatment. It's not a coincidence that places like Mayo/Hopkins/MD Anderson all have buildings named after a gulf country sheikh.

Top US institutions are definitely the best/most advanced in the world right now for cancer care and arguably overall, especially for weird and wonderful stuff.

Affordability and accessibility is a different question.

Re: The planning of U.S. physician shortages (2020)

#318

Post by matheusmoreira »

mavelikara wrote: post #174
matheusmoreira wrote: post #90

Earlier quoted context omitted.

> Looking through the "Who's Hiring" thread is soul-crushing. I know how you feel. I gave up on tech as a teenager and I still wonder what would've happened if I had stuck with it. Feels like it's impossible to switch careers now. Where I live practicing medicine used to be a respectable profession but that's completely changed for the worse in the last 20 years. The communists currently running my country are litera…

> They flooded the job market with doctors. US doctors have to put in long hours because there aren't enough of them. Are things different in your country?

Yes. Same hours but nosediving pay because we now have an infinite amount of deeply indebted doctors fresh off medical school competing for the same jobs. Wages are literally decreasing year upon year for the average brazilian medic. Workload is also increasing because healthcare managers are starting to interfere more and more in patient care. They want 10 minute consults.

Re: The planning of U.S. physician shortages (2020)

#319

Post by nradov »

haldujai wrote: post #307
sarchertech wrote: post #293

Earlier quoted context omitted.

When it comes to value, when my wife interviews for a job (she’s a physician) they fly her out and spend a day taking her to see the sights, so they convince here how great the city is. Then they take her out to a fancy dinner and woo her some more. When I interview at a new job as a very senior engineer (and relatively well known I in my area), I get to jump through 7 rounds of interviews where someone asks me the e…

> When it comes to value, when my wife interviews for a job (she’s a physician) they fly her out and spend a day taking her to see the sights, so they convince here how great the city is. Then they take her out to a fancy dinner and woo her some more. Interesting, are these in underserved areas? I just went through interviewing for a new job and despite being in an in-demand subspecialty with desperate employers the…

In the corporate world it's routine for employers to cover travel expenses for job applicants coming to interviews that farther than driving distance. Did you ask about that? Sometimes if you don't ask, you don't get.

Re: The planning of U.S. physician shortages (2020)

#320

Post by rayiner »

pknomad wrote: post #282
barry-cotter wrote: post #47

Earlier quoted context omitted.

If there are differences in outcomes between demographic groups some groups, like the SCOTUS, assume malice unless proven otherwise. See disparate impact or Griggs vs. Duke Power . Obviously the writers of the MCAT worked very hard to ensure Asians would get higher scores than any other group on them. The US is a country built in Asian supremacy.

> Obviously the writers of the MCAT worked very hard to ensure Asians would get higher scores than any other group on them. I am not sure how you are coming to that conclusion. Look at the latest metrics on scoring. Sure, Asians overall tend to score higher on average on standardized exams (which really ought to be split into different sub-ethnic groups because there is a disparity there too) and I'm not seeing the a…

MCAT scores range from 472-528. 514 is 88th percentile, and 505 is 61st percentile.
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