Favorite Quotes
"For every complex problem, there is a solution that is simple, neat, and wrong." - HL Mencken
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"I hear and I forget. I see and I remember. I do and I understand." - Confucius
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"The good physician treats the disease; the great physician treats the patient who has the disease" - Sir William Osler
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" The best test of a person's character is how he or she treats those with less power." - Bob Sutton
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"Those are my principles, and if you don't like them - well, I have others." - Groucho Marx
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"The difference between genius and stupidity is that genius has its limits." - Albert Einstein
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"It is hard enough to remember my opinions, without also remembering my reasons for them" - Friedrich Nietzsche
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"Anyone can make the simple complicated. Creativity is making the complicated simple." - Charles Mingus
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"Not everything that can be counted counts, and not everything that counts can be counted." - Albert Einstein
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"A foolish consistency is the hobgoblin of little minds, adored by little statesman and philosophers and divines. With consistency a great soul has simply nothing to do." - Ralph Waldo Emerson
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"This ain't no party, this ain't no disco, this ain't no fooling around." - Talking Heads, Life During Wartime
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"What is hateful to you, do not do to your neighbour. This is the whole Torah; all the rest is commentary. Go and learn it." - Hillel, Talmud, Shabbath 31a
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"You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing." - Thomas Sowell
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"An idealist is one who, on noticing that a rose smells better than a cabbage, concludes that it will also make better soup." - HL Mencken
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"If you only have a hammer, you tend to see every problem as a nail." - Abraham Maslow
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"A great teacher is one who realizes that he himself is also a student and whose goal is not to dictate the answers, but to stimulate his students creativity enough so that they go out and find the answers themselves." - Herbie Hancock
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"There are no facts, only interpretations." - Nietzsche
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"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." - Anatole France
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"In character, in manner, in style, in all things, the supreme excellence is simplicity." - Henry Wadsworth Longfellow ====
Nov - 15
Dec - 19
Jan - 21
Feb - 8
Mar -
Will primary care residency slots make a difference
9 Dec2009
KevinMD thinks not – Adding more residency slots won’t improve primary care numbers
He makes an important point – unless we fix the "job" we will not have more primary care physicians.
His misses the other point. If we fix the job, then we do need to increase the pipeline.
He also misses that some of these slots will go to family medicine.
I still believe increasing residency slots for primary care is important. I also believe we need a major reconstruction of the job.
Related posts:
- The doctor shortage (hat tip to @FutureDocs and @efalchuk)
- Thoughts on lobbying for HR 2350
- Dazed and Confused – Levels of primary care?
- Catch-22 – what the NY Times op-ed missed
- Primary care – money is the answer
Related posts brought to you by Yet Another Related Posts Plugin.
- In: Medical Rants
4 Responses to Will primary care residency slots make a difference
#1 Dinosaur
December 9th, 2009 at 8:25 am
Spot on.
Jared
December 9th, 2009 at 8:32 pm
We do have a deeper pipeline than is often discussed. There is a large influx of foreign medical graduates that are waiting in the wings for any residency slot.
solo dr
December 9th, 2009 at 9:51 pm
Only arount 60-70% of the FM slots are filled by US grads each year. Increasing the slots won't get more US grads into the slots. In the Midwest, FM, IM, and Ortho are the top three recruited ares with the current shortages. $160,000-$180,000 starting salaries are not unheard of in my area for new grads in FM.
Dr. Bob (FP)
December 10th, 2009 at 10:19 pm
The pipeline may already be improving. Applications to our program are up 50% this year & several of the other programs are having similar increases. I think all this talk of the need for primary care in the healthcare debate is gettting through to medical students. Hopefully the job fix will happen so they'll be happy with their choice.