drjay88 Posted May 21, 2014 Share Posted May 21, 2014 I just saw a post in this forum and research this in Missouri state Law and found this thing ...what I can say .. COLLABORATIVE PRACTICE ARRANGEMENTS WITH ASSISTANT PHYSICIANS (Sections 195.070, 334.035, 334.036, 334.037, Section 1) This act allows certain medical school graduates to obtain a temporary assistant physician license in order to enter into "assistant physician collaborative practice arrangements" with a physician. An assistant physician collaborative practice arrangement shall limit the assistant physician to providing only primary care services and only in medically underserved rural or urban areas of this state or in any pilot project areas. An "assistant physician", is defined as any medical school graduate who has passed the prescribed medical examinations and who has not entered into postgraduate residency training prescribed by rule of the State Board of Registration for the Healing Arts. The act prescribes the other requirements to be licensed as an assistant physician and specifies certain practices an assistant physician cannot perform. The collaborating physician is responsible at all times for the oversight of the activities of, and accepts responsibility for primary care services rendered by the assistant physician. A licensed assistant physician shall enter into an assistant physician collaborative practice arrangement within six months of his or her initial licensure and shall not have more than a six-month time period between collaborative practice arrangements during his or her licensure period. Link to comment Share on other sites More sharing options...
drjay88 Posted May 21, 2014 Author Share Posted May 21, 2014 Their are 15 K Physician who did not match in last year MD residency ...means 15k new AP (Assistant Physician ) plus 1K every year enter in this unmatched pool . Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted May 21, 2014 Moderator Share Posted May 21, 2014 So they get to have a 6 month grace period without an SP? How many times have PAs been cut off from practicing because the SP up and quit/died/severed agreement? Link to comment Share on other sites More sharing options...
polarbebe Posted May 21, 2014 Share Posted May 21, 2014 Their are 15 K Physician who did not match in last year MD residency ...means 15k new AP (Assistant Physician ) plus 1K every year enter in this unmatched pool . Where did you get this number? I just googled after reading your post and one source had ~600 unmatched. https://www.aamc.org/newsroom/reporter/june2013/346238/word.html Link to comment Share on other sites More sharing options...
drjay88 Posted May 21, 2014 Author Share Posted May 21, 2014 last year NRMP national residency match program has 26K slots for PGY 1 residency they have 40K applicant . so you can go on NRMP web site for match 2014 and you will get these results . The 600-800 figure you are telling is the US Graduate in the year 2014 . But these 15K are those IMGs from foreign countries etc who are ECFMG certified did not match . .. Link to comment Share on other sites More sharing options...
drjay88 Posted May 21, 2014 Author Share Posted May 21, 2014 U.S. Medical Students Learn 2014 National Resident Matching Program® (NRMP®) Main Residency Match Day Results in Ceremonies Today In the 2014 NRMP Main Residency Match results released today, more than 16,000 U.S. medical school seniors are among the 25,687 applicants who successfully matched to first-year residency positions. Students receive Match results today at their medical school Match Day ceremonies. Washington, D.C., March 21, 2014—The National Resident Matching Program® (NRMP®) 2014 Main Residency Match® results released today show that 16,399 U.S. allopathic medical school seniors have matched to first-year residency positions. U.S. seniors around the country will celebrate these results at Match Day ceremonies being held today. Match Day is an annual rite of passage for U.S. medical school students and other applicants, a day when they learn at which U.S. residency programs they will train for the next three to seven years. This year, the Match offered 29,671 first- and second-year positions, 500 more than in 2013 and an all-time high. More than half of the additional positions were in the primary care specialties of Internal Medicine and Family Medicine. According to NRMP Executive Director Mona M. Signer, the 2014 numbers continue a steady trend of position growth. “In the past five years alone we’ve seen an increase of more than 4,000 positions, and more than half of those are in Internal Medicine and Family Medicine,” Signer said. Although the total number of registrants increased in 2014, the number of U.S. seniors declined. “Eighty-nine fewer seniors registered for the Match and 113 fewer submitted rank order lists of programs. That’s a surprise,” said Signer. She added, “The good news is that the number of U.S. seniors choosing primary care continued to increase modestly, with 3,167 seniors matching in Internal Medicine and 1,398 in Family Medicine. An additional 1,818 seniors matched in Pediatrics, 19 fewer than last year.” Match Rates for Applicant Groups This year’s Match included 40,394 registrants, 59 more than last year; however, 85 fewer applicants submitted rank order lists of programs. With more positions and fewer applicants competing for them, match rates rose for all key applicant groups. The overall match rate to first-year positions was 75 percent, the highest since 2006. The match rate for U.S. seniors was 94.4 percent, 0.7 percentage points higher than last year. Of the applicants who matched, 54 percent of U.S. seniors and almost 50 percent of all other applicants matched to their first choice fo Link to comment Share on other sites More sharing options...
drjay88 Posted May 21, 2014 Author Share Posted May 21, 2014 U.S. Medical Students Learn 2014 National Resident Matching Program® (NRMP®) Main Residency Match Day Results in Ceremonies Today In the 2014 NRMP Main Residency Match results released today, more than 16,000 U.S. medical school seniors are among the 25,687 applicants who successfully matched to first-year residency positions. Students receive Match results today at their medical school Match Day ceremonies. Washington, D.C., March 21, 2014—The National Resident Matching Program® (NRMP®) 2014 Main Residency Match® results released today show that 16,399 U.S. allopathic medical school seniors have matched to first-year residency positions. U.S. seniors around the country will celebrate these results at Match Day ceremonies being held today. Match Day is an annual rite of passage for U.S. medical school students and other applicants, a day when they learn at which U.S. residency programs they will train for the next three to seven years. This year, the Match offered 29,671 first- and second-year positions, 500 more than in 2013 and an all-time high. More than half of the additional positions were in the primary care specialties of Internal Medicine and Family Medicine. According to NRMP Executive Director Mona M. Signer, the 2014 numbers continue a steady trend of position growth. “In the past five years alone we’ve seen an increase of more than 4,000 positions, and more than half of those are in Internal Medicine and Family Medicine,” Signer said. Although the total number of registrants increased in 2014, the number of U.S. seniors declined. “Eighty-nine fewer seniors registered for the Match and 113 fewer submitted rank order lists of programs. That’s a surprise,” said Signer. She added, “The good news is that the number of U.S. seniors choosing primary care continued to increase modestly, with 3,167 seniors matching in Internal Medicine and 1,398 in Family Medicine. An additional 1,818 seniors matched in Pediatrics, 19 fewer than last year.” Match Rates for Applicant Groups This year’s Match included 40,394 registrants, 59 more than last year; however, 85 fewer applicants submitted rank order lists of programs. With more positions and fewer applicants competing for them, match rates rose for all key applicant groups. The overall match rate to first-year positions was 75 percent, the highest since 2006. The match rate for U.S. seniors was 94.4 percent, 0.7 percentage points higher than last year. Of the applicants who matched, 54 percent of U.S. seniors and almost 50 percent of all other applicants matched to their first choice fo Where did you get this number? I just googled after reading your post and one source had ~600 unmatched. https://www.aamc.org/newsroom/reporter/june2013/346238/word.html U.S. Medical Students Learn 2014 National Resident Matching Program® (NRMP®) Main Residency Match Day Results in Ceremonies Today In the 2014 NRMP Main Residency Match results released today, more than 16,000 U.S. medical school seniors are among the 25,687 applicants who successfully matched to first-year residency positions. Students receive Match results today at their medical school Match Day ceremonies. Washington, D.C., March 21, 2014—The National Resident Matching Program® (NRMP®) 2014 Main Residency Match® results released today show that 16,399 U.S. allopathic medical school seniors have matched to first-year residency positions. U.S. seniors around the country will celebrate these results at Match Day ceremonies being held today. Match Day is an annual rite of passage for U.S. medical school students and other applicants, a day when they learn at which U.S. residency programs they will train for the next three to seven years. This year, the Match offered 29,671 first- and second-year positions, 500 more than in 2013 and an all-time high. More than half of the additional positions were in the primary care specialties of Internal Medicine and Family Medicine. According to NRMP Executive Director Mona M. Signer, the 2014 numbers continue a steady trend of position growth. “In the past five years alone we’ve seen an increase of more than 4,000 positions, and more than half of those are in Internal Medicine and Family Medicine,” Signer said. Although the total number of registrants increased in 2014, the number of U.S. seniors declined. “Eighty-nine fewer seniors registered for the Match and 113 fewer submitted rank order lists of programs. That’s a surprise,” said Signer. She added, “The good news is that the number of U.S. seniors choosing primary care continued to increase modestly, with 3,167 seniors matching in Internal Medicine and 1,398 in Family Medicine. An additional 1,818 seniors matched in Pediatrics, 19 fewer than last year.” Match Rates for Applicant Groups This year’s Match included 40,394 registrants, 59 more than last year; however, 85 fewer applicants submitted rank order lists of programs. With more positions and fewer applicants competing for them, match rates rose for all key applicant groups. The overall match rate to first-year positions was 75 percent, the highest since 2006. The match rate for U.S. seniors was 94.4 percent, 0.7 percentage points higher than last year. Of the applicants who matched, 54 percent of U.S. seniors and almost 50 percent of all other applicants matched to their first choice fo Link to comment Share on other sites More sharing options...
G. Davenport Posted May 21, 2014 Share Posted May 21, 2014 As long as we are divided, bicker, and distracted we remain stagnant. Instead of fighting a negative battle, how can we use this as leverage? Just something to think about. Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
Acebecker Posted May 21, 2014 Share Posted May 21, 2014 This is wishful thinking, but let's think of it in terms of the PA-MD bridge. If medical school grads are equal to us, we ought to be treated as equal to them. Thus we ought to only required to do a post-graduate residency for a year and voila - independent practice (in most states). I'd even do a longer residency to get independent practice across the US. That's my $.02. Link to comment Share on other sites More sharing options...
drjay88 Posted May 21, 2014 Author Share Posted May 21, 2014 We'll this will eventually happen but we need to get together as one voice ..as davenport said Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
bobuddy Posted May 22, 2014 Share Posted May 22, 2014 This is wishful thinking, but let's think of it in terms of the PA-MD bridge. If medical school grads are equal to us, we ought to be treated as equal to them. Thus we ought to only required to do a post-graduate residency for a year and voila - independent practice (in most states). I'd even do a longer residency to get independent practice across the US. That's my $.02. Yep - agree completely. Where do I apply for my residency? Link to comment Share on other sites More sharing options...
Moderator ventana Posted May 22, 2014 Moderator Share Posted May 22, 2014 I might be the minority here, but I am glad they are making it hard for FMG to enter the US system. They might have a similar education, but many are far inferior, and they likely worked the system (big $$$ donations, and very wealthy families buying slots into medical school) to gain their medical degree, all for reduced or free in their own country. Then they bail on their own country, and come in the US and take up slots. I have worked in a hospital system that has an IM residency that is mostly FMG and and they are just not the same caliber as US grads. The language and societal differences are huge and I have had more then one of my patients come back to me after a hospitalization saying they had no idea what the doc's were saying...... Educate our own, train our own, support US medical school grads (white, yellow, purple, Spanish who cares - just US trained) Stop the brain drain on the other countries. (European countries are likely very similar to USA grads, but 90+ % of the FMG's I see are not from Europe or England, but instead far out countries - that surely could use more doc's in their own countries) Also, honestly it shows how easy it is to change a name, they created a whole new profession in one bill!! We can certainly change a name....... Link to comment Share on other sites More sharing options...
delco714 Posted May 22, 2014 Share Posted May 22, 2014 I might be the minority here, but I am glad they are making .... I whole heartedly agree on all points made here. If I was a us med school grad and was denied residency over a fmg... oh I'd be livid. But I suspect our US grads don't want to go in to primary med enough to fill the need. All the derm spots get gobbled up, so Timmy waits until next year, where as fmg says oh I'll take that internal med spot then, I love that stuff! You don't see fmg as much going into specialties. There are some who've been x type surgeon in x country for x years that go into a surgical residency and start over in the US however. Mixed feelings about this of course. Steve PA-C, Maine, urologic surgery Link to comment Share on other sites More sharing options...
LIPPER Posted May 22, 2014 Share Posted May 22, 2014 Couple point re FMG's I have worked closely with 2 grads from Lebanon. My SP then got residency at John's Hopkins. They smoke most domestic MD 's. So I think a general statement about FMG's as inferior across the board is naive . This discussion about the Independent practice/primary care being interrupted is also overblown. Most solo providers are selling out/ joining larger groups. Fast-track clinics require MD's... Again , a title change won't change anything. FMG = "Dr"... Like it it not that's what they are. That's how they 'll be referred to. Not "assistant doctors".... People need to chill out. A the sky is not falling. Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
KMD16 Posted May 22, 2014 Share Posted May 22, 2014 Couple point re FMG's I have worked closely with 2 grads from Lebanon. My SP then got residency at John's Hopkins. They smoke most domestic MD 's. So I think a general statement about FMG's as inferior across the board is naive . This discussion about the Independent practice/primary care being interrupted is also overblown. Most solo providers are selling out/ joining larger groups. Fast-track clinics require MD's... Again , a title change won't change anything. FMG = "Dr"... Like it it not that's what they are. That's how they 'll be referred to. Not "assistant doctors".... People need to chill out. A the sky is not falling. Sent from my iPhone using Tapatalk Agreed with some of your points above. One thing will like to point out. Working w/ 2 FMG is a small sample size. I've extensive exp working w/, precepted FMG student, and even at some point did applied to off-shore med program, got accepted but declined. FMG comes in various form. Good & bad. It's very easy to buy an MD diploma from other countries. Most offshore MD program lacks oversight and are not strictly regulated. Given the above reason. Its scary to say the least, that a FMG is granted "Assistant Physician" in MO w/ all the privileges that comes w/ it. A FMG grad that you've work with as you indicated above who landed a prestigious residency spot doesn't mean a thing. Read the details. Most often time/ he/she have to complete a post- doctorate fellowship program/in research for x # of years prior to getting accepted into a residency program. Very commonly seen in a highly competitive residency program. With respect to title change. Yes. It won't change a thing. I'm sure it would eliminate lots of confusion among patient, particularly in MO. Maybe across the country. What I do know is, it will define who we are. To be called an " assistant" does not clearly define what we do and who we are. Physician Associate sound better. Maybe this is right time to push for a name change. I think we all should be concern given current development in MO. If nothing is done or said about this legislation. I can assure you that other states will follow. We've got to continue the letter, phone calls and all the noises. If nothing stick now, it would at some point. That's what the NPs had done. To say that we should fold our hands and go home. No! If nothing that I've said here makes sense. Keep on moving. Ignore my post. I just finish a long 12hrs shift. Link to comment Share on other sites More sharing options...
LIPPER Posted May 22, 2014 Share Posted May 22, 2014 There are crappy; FMG's MDs DOs PA's NPs RN's LPNs .......and every title thinks the other is full of slackers/undeserving....every title is under appreciated, under utilized, and on and on.... The only thing there is a dearth of is humility. From anyone Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted May 22, 2014 Share Posted May 22, 2014 ^^^ Preach it, LIPPER! Link to comment Share on other sites More sharing options...
KMD16 Posted May 23, 2014 Share Posted May 23, 2014 Depends on who you ask. Link to comment Share on other sites More sharing options...
rocketpropelled Posted May 26, 2014 Share Posted May 26, 2014 On the flip side, it looks like Missouri could codify educational/functional equivalence between PAs and MDs (if I'm reading that between the lines). Unintended consequences can be entertaining. Link to comment Share on other sites More sharing options...
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