[FONT="]William Carey University recently welcomed 206 new students to its College of Osteopathic Medicine, making it the largest medical school in the state. https://t.co/ygbNb1QNTe— SuperTalk News (@SuperTalkNews) August 29, 2022 [/FONT]
Does this make Carey the state's flagship med school? **
- Thread starter Maroon Eagle
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From what I've seen, we need a helluva lot of Drs. All the current ones seem to not want to take on many patients and just refer you to a damn NP. If I wanted a less qualified provider, I would've requested such.
The choke point is actually residency positions which have to be approved by the ACGME and are funded/subsidized by the government. These can actually be quite lucrative for the hospitals that have them due to the heavily discounted labor and after hours coverage. Medical schools are sorta like law schools now with higher tuition private schools popping up to soak up domestic demand for medical training. Net result is its starting to squeeze out Caribbean and international graduates from US residency slots
Tommy King, the outgoing president at Carey, has absolutely transformed the school. It’s incredible to look at where they are versus when he began as president. Quietly and unassumingly the best educational leader in MS for the past 15 years.
Based on your post, I'm guessing you know this, but for other interested readers...This "choke point" thing depends on the school and the medical discipline. Residency programs in some subspecialties are incredibly competitive, while others struggle to fill their slots. We're currently reviewing 682 applicants for our five first-year slots...the guys down the street, not so much. You're spot on about the growth of low-quality, high-cost private medical schools. That's not about the profession or the calling. It's all about the $$.
I just know I've been trying to find a Dr for two years. I've tried a few that were more about getting the insurance money than actually solving the issues. Finding a quality Dr in MS has been difficult. I'm now looking to go out of state.
DOs and MDs aren’t equivalent but they’re close to the same in actual practice. Typically easier to get into DO schools, and it’s typically harder to get into non primary care residencies. I’ve hired plenty of DOs. I do have an MD preference, but it’s usually more about the person. Now for NPs…. There is TREMENDOUS variation in quality, especially right out of training.
I prefer a DO. They're less likely to throw a pill at it.
Just left Dr. Pillgood. Did nothing but the normal blood tests and give you a pill.
Just left Dr. Pillgood. Did nothing but the normal blood tests and give you a pill.
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Close enough to not make much of a difference as ZombieKissinger commented.
Agreed. I also agree with you about DOs not going into non-primary care residencies as much but there are DOs who do that.
I’ve had clients die from being completely misdiagnosed by a NP. Hell, I almost personally died from being misdiagnosed by a NP. If you have something common, NPs are fine. But, a well trained physician never assumes or jumps to conclusions. Symptoms of something life threatening can masquerade as something common. I only risk the life of myself or my kids when I damn well know they have something minor.
This is true.
I’ve told folks here that I have family & a few friends who earned MDs from UMC.
And I’ve asked them in the past to explain to me why specialists recommended certain things and they’ve said much the same as you.
UMC is from my perspective a bit harder to get into than Carey which is why I included sarcasterisks to the subject heading of my original post.
With that said, there are times when I can’t help but think that UMC is resting on the laurels of folks like Hardy & Guyton.
Years ago, maybe they were not. But they are equivalent now. Almost all DOs choose to take the USMLE which is the board exam required for a license in medicine of you graduate from a MD granting institution. In addition DOs must take the COMLEX which is required if you graduate from a DO degree institution. Next you must complete residency training, of which both MDs and DOs go to the same residency training programs. If you pull up UMMCs current residents you will see a mix of both. You will also see some MBBS degrees which is found in many former British colonies and is their version of a MD, DO. I wouldn’t say the MD programs are harder to get into anymore either, as there are a lot of politics at play with medical school acceptance now and the measurable merits of the applicant do not guarantee acceptance. Overall all three degree holders, once they complete residency are equally qualified for practice. Residency training is where you really become a doctor and it’s what separates Doctors from NPs.
In my experience, I’ve seen more NPs miss a life altering diagnosis because they don’t know what they don’t know. Not knocking the profession but it is what it is. Glad to see both UMMC and William Carey increase their class sizes as well as increased number of residency positions in the state. This will certainly help our people get access to better care.
In my experience, I’ve seen more NPs miss a life altering diagnosis because they don’t know what they don’t know. Not knocking the profession but it is what it is. Glad to see both UMMC and William Carey increase their class sizes as well as increased number of residency positions in the state. This will certainly help our people get access to better care.
Nope. They can specialize just like a MD. It's just a different approach sometimes. I'm waiting on a DO a MD friend recommended. Basically got on a waiting list for them. I'm still looking around though, because I have no idea the timeframe.
If you want use an NP, the key is using one that’s in an office with MDs/DOs. The term “if u don’t know u don’t know it” is very true, and if you’re not working alongside someone who can continually teach you, then you’re not gonna magically “know it” just because you’ve been practicing for a while. I’ve collaborated with several reasonably experience NPs, and there are some with a very limited knowledge scope, especially newer grads that had half their training online because of covid. One of the biggest things I see with NPs is excessive antibiotics and steroid shots given because they feel like they just have to give something to make the patient satisfied. If you would like early osteoporosis, go to an NP-only urgent care clinic every time your nose drips.
And I’m an MD, but yes, DOs are basically equivalent.
And I’m an MD, but yes, DOs are basically equivalent.
No matter who you see I strongly recommend to anyone to be your own patient advocate. There is a ton of ******** (understatement) on the internet but there is also a ton of good medical info from many of the best hospitals and research facilities in the world. Don't be afraid to read about your ailment, ask questions and get second opinions if you feel concerned about your treatment. I'm speaking from an experience that literally saved my life.
Nationally MD programs are harder to get into than DO. It’s probably still true for MS, but I’m less involved there now. I do value DOs over international MDs in general. Taking the USMLE itself doesn’t make the type of training equal (an NP could study First Aid and QBank pass Step 1), but it does suggest there’s enough overlap to where it’s pretty similar. I agree that residency is where you become a doctor, but I do think the knowledge from medical school creates the context that allows for a stronger residency experience than if someone came from an NP school or an undergrad English degree without any medical training at all, and then started a residency
Ive been seeing a D.O. for 6 yrs and couldn't be happier, best family type Doc I've ever had, he's been practicing for 40 years. Every time I see him he remembers my family medical history as well as I do. Doesn't hesitate to refer me to others if he feels its necessary but has handled most everything with me.
"If you would like early osteoporosis, go to an NP-only urgent care clinic every time your nose drips."
This was a great line. When I left Mississippi in early 2000s and went to the doctor for the first time in Colorado with bronchitis, she didn't offer what we grew up calling a "decadron shot" to me, which was confusing at the time. It was only afterward that I realized I got a steroid shot for everything I complained of from my MS docs. Wild.
OTOH, if you need to be able to run through a GD wall on a given day, it's a great therapy.
This was a great line. When I left Mississippi in early 2000s and went to the doctor for the first time in Colorado with bronchitis, she didn't offer what we grew up calling a "decadron shot" to me, which was confusing at the time. It was only afterward that I realized I got a steroid shot for everything I complained of from my MS docs. Wild.
OTOH, if you need to be able to run through a GD wall on a given day, it's a great therapy.
I’m an MD but I see a DO for primary care, and I’m very happy. Had to wait six months to get in with one but worth it
I'll take this a step further. Related to US training, I've never known of a candidate who chose to receive osteopathic training over medical training (unless there were other circumstances that dictated the choice, like location), whereas I've known dozens of candidates who didn't get into med school and waited a year to try again rather than going after a DO degree. I've been at this a long time, and the DO degree is always plan B. Now, once they're in practice and gain experience, training and degree mean less and less with time. That's true of a lot of professions.
It's not plan B anymore for a lot of students. The top students? Sure. Not any top surgeons going to DO school. Our PA program is going to be a big program for us too. Now that's generally a Plan B or kids not wanting to spend as much time in school. Glad we have that program now.
That's perfectly reasonable. What's not reasonable is telling people they're better off with no care than being seen by a NP, which is the position a lot of doctors effectively take.
Not much about medical care is about the profession or the calling. Were there any associations of doctors that actually advocated for independent practice by nurse practitioners in Mississippi?
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