5 Problems with U.S. Medical Schools & Doctor Training

I love your clips bro can you make a video on molecular biology ?

Pls, how is medical school in Canada? I'd love to study there. Any update/opinion? How much ?

This makes me not want to go to med school

Sounds like this is done on purpose to disensitize med stidents and wipe the last drops of empathy and caring from them, not to mention the capacity to learn and be critical thinkers too. Reallt sad.

While I empathize with the Asian discrimination claim…. Black students face systemic discrimination in literally every aspect of being American. But there’s no where else we can “return to,” as America is home. I’m not asking anyone to care, but for the record, These average “506 MCAT” so-called ‘black students,’ face government level discrimination From being raised in wage-gapped neighborhoods, to prejudiced legal-justice systems, to unfair school zoning, hate-bating media, physical/mental healthcare discrimination, list goes on about 400+ years. Your “average 506” so-called black students have a ton of shit to unwrap on the daily. Unless “Asians/whites/Indians” plan to be physicians in black neighborhoods, Try to empathize more with the community, and leave us our safe spaces to treat our own…many times, black medical students balance a lot more personal stresses than the average student – like how I do extra to my appearance & voice everyday to appear less “sassy” to colleagues is one of them. I empathize with Asian disadvantage, but from my perspective I believe black people need black doctors….. bc this healthcare system sucks for us. No reason why everyone I know has their pain underrated by medical professionals. If allowed to focus & invested in, our “506” scholars would be as domineering as our athletes/entertainers.

its not the medical education, its taxation of any for than enabless missalocation of resources

I agree with many of the concepts of this video- medical school is certainly challenging, and as someone on the cusp of residency applications I'm probably the most stressed/anxious I've ever been in my life, all due to the way the system is designed. However, rather than just presenting 'problems' with U.S. medical schools, why not present some solutions? Airing of grievances has its benefits, but in my opinion it would be more constructive to suggest legitimate and feasible changes to improve the medical system in the U.S.

In nz you don’t even have to got to college you just go straight to med school

This phenomenon of Asian students being “discriminated against” is resting on a fallacy — that GPA’s and MCAT scores are the most important factor in determining who will become the best physician. That simply is not true, as an earlier segment in this very video pointed out. What those numbers really do is indicate who is more likely to pass the standardized USMLE later on. Actually, I found a peer-reviewed journal paper (let’s hear it for research!) at the NIH that showed that while this correlation is GENERALLY true, it is not always true. There was one significant outlier — Mizzou (The University of Missouri, Columbia). They will consider MCAT scores as slow as 494, and GPA’s as low as 3.25 I think. And yet, Mizzou’s medical students consistently scored HIGHER on the USMLE part i than many more “selective” schools requiring premium grades and scores. What made the difference? The authors of the paper concluded it was that Mizzou introduced “problem-based learning” and patient encounters beginning in the first year of medical training, instead of waiting until the third year. Again, the whole foundation of the “Asians are being discriminated against by affirmative action” argument rests on the assumption that GPA and MCAT scores are the true measure of fitness to become a physician. I stay, quadruple the number of students who are allowed into our nation’s medical schools without these phony measures to “screen out” the unqualified. Instead of screening out the unqualified at the MCAT stage, let people earn their degrees and then screen out the unqualified at the USMLE (i and ii) stage. Do you realize that a “passing” scores on the USMLE is 60%? We wouldn’t have an acute shortage of medical doctors if the medical schools would take more students. Even if a student cannot match into a residency, they’ll still be licensed to practice medicine by their states and be able to serve as GP’s and treat common illnesses and do minor, in-office surgical procedures that do not need to be performed in an hospital setting. And an MD who does not become licensed can still do research, or work in Public Health. Look at lawyers! This nation’s law schools graduate way more lawyers than the market can even absorb. Technically, some states (like California) do not even require lawyers to go to law school. If you can pass the state bar exam, you can be licensed to practice (and California’s bar exam is notorious for being one of the toughest in the country). And once you graduate, you don’t HAVE to go work for a big corporate defense firm. You can hang out your shingle and open your own practice. Or, go into public service or run for the state legislature. There are lots of uses for a law degree besides being a lawyer. Likewise with medicine. You don’t have to be a resident to practice medicine, just to practice in an hospital setting. You don’t have to even be a clinical physician. You can be a researcher. Or teach science at a middle school or high school. A medical degree is not going to be wasted. In addition, having more people educated to be doctors, even if they do not practice, has the long range benefit of increasing the level of “health literacy” in society, because educated people influence those around them by directing their family and friends to sources of credible, evidence-based information and best practices. What being so “selective” about who they admit REALLY does is enhance the prestige of the medical school. They get bragging rights to the fact that they only accept the best of the best, the crème de la crème of the nations’ medical school candidates, so if you get accepted there, you’re one of The Chosen, the Few. The truth is, that lowering or abolishing these phony admissions standards will not affect the quality of our nation’s health care physicians. The incompetent will still be screened out by the licensure exams. But lowering or abolishing admissions standards WILL lower the prestige and brag value of the institutions. Going to UCLA or USC will not necessarily make you a better physician than going to SJSM or AUC. It will give you entree into that rarified club of “country club elites.” The question to ask is, why are you going into medicine? To be rich? Then go into real estate. To be famous? Become an instagram influencer. To make this world a better place? Great! Welcome to life in the trenches — be prepared to get your hands and your boots dirty. Lastly, students push what they have to offer in their medical school applications. If all people have to offer is their test scores, that’s what they push. And a great many people have convinced the rest of society that test scores determine who is the “Best” person to be a doctor. But as this video points out, things like compassion, empathy, patience, commitment to service, matter a whole lot more than test scores. As one character in “Patch Adams” says, “I know everything there is to know about medicine. But I can’t make Mrs. Kennedy eat.” You want to make sure we only field the best, most qualified candidates to be medical doctors? Make it a low-wage hourly job — on par with the janitor who keeps the hospital clean. You’d be shocked at how quickly the rats abandon the ship for more lucrative professions. No one will be screaming about discrimination and the dark side of affirmative action then. Instead of hopeful candidates banging on the door to get in, you’ll have disillusioned wannabe billionaires screaming to get out.

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Discrimination against minorities has been integral to US medicine for centuries, and got worse in the 20th century. The Flexner Report of about 1910 led to the closure of many sub-standard medical schools: disproportionately those for women and blacks.

That came just before the move to throw Jews out of the professions and universities across central Europe, which was picked up by the United States before the Nazis took power. The Ivy League colleges, and almost all medical schools, imposed strict quotas on Jewish students, which led to many Jewish Americans going to Europe to study. Princeton was among the harshest, with a Jewish quota of 4%. One Ivy League Dean told his admission team to accept no more than 10% Jews, two or three Italian Catholics, and no Blacks at all.

The General Medical Council in the UK tried to stem the tide, and the principal of Glasgow University spoke of "undesirable aliens." The greatest number of US students in the UK went to the non-university medical schools (which no longer exist) in Edinburgh and Glasgow. They graduated with licentiate diplomas before returning to the US. Among them were the Sackler brothers. Very few many remained there. The Jewish quotas persisted for many years after the war.

Black American students usually could not afford to study abroad. The same exclusion applied to other fields. The first black Catholic priest in the US could not obtain admission to any seminary in the US, and had to study for ordination in Rome.

I love what you brought up about affirmative action. Race should not be a factor in admissions. This system is racist towards Asians while pandering to Blacks

The whole poor quality research just to pad cv is very true. Its has no impact on the overall field or microscopic impact

This video leans somewhat to saying, "Sign up for our coaching, or you'll regret it."

There's a not-so-fine line between a difficult, or "rigorous" course of education or training and one that's just abusive. That used to be common in "elite" schools all over the world, where the seniors and instructors enjoyed the privilege of being child abusers, and the graduates went away with the misunderstanding that being abused had been good for them, and it was now their privilege too.

Hasn't educational research shown that sleep-deprivation gets in the way of learning as well as performance, as does high stress?

Back during World War II, it was common for pilots and radar operators to be given amphetamines to stay awake. That led to the post-war boom in stimulant abuse, but we eventually learned that those drugs actually impair performance, and they were outlawed.

Yet it appears that drugs for ADHD and even narcolepsy are commonly taken by today's students hoping to gain an "edge" over each other. Maybe The Academy needs to stamp as hard on that as hard as it has taken to doing on plagiarism.

Not just the academy, but business and finance too: it could be that our recent stock market and banking crashes have been due to "narco-economics."

Meanwhile, what are the military doing? Special forces seem to be much fitter than normal men and women, but compared to the pre-war period very few serving soldiers take part in Olympic level sports. That suggests to me that they are in fact taking performance-enhancing drugs during their service, whatever the long-term effects are going to be. No doubt those effects remain "classified," not least to prevent second thoughts among the recipients.

i realized all this along time ago. this is why I switched to computer science. now I am in the application process for software engineer at Google.

Pressure doesn't make good doctors, it makes frustrated doctors…

A video so all the non Americans don't throw a fit.

Again

It needs to not be abusive. I did 4 year medical school in Europe. They have laws regarding student work hours. I then did rotations in the USA and was shocked that students have to do 24 hour shifts. Just students. Not residents, and unpaid. There is no increase in learning doing 24 hour shifts. They are just used as free Labour by the hospital

Your videos are so infinity, so thank you

I was the first one