As the need for physicians has increased, many qualified medical school seniors each year — and this year is no exception — fail to acquire a residency position in a hospital, a requirement for beginning a practice.
As U.S. cases of COVID-19 increase, a shortage of ventilators, medical equipment and health care workers has captured nationwide attention. Some New York nurses have resorted to garbage bags in lieu of medical gowns and New York Gov. Andrew Cuomo has asked retired physicians and nurses to consider returning to work. New York University, a top medical school, is allowing fourth-year students to start working immediately in hospitals.
A 2019 report by the Association of American Medical Colleges projected that the demand for physicians will grow faster than supply, leading to a total shortfall of up to 121,900 physicians by 2032. Many who don’t match to a residency search for unfilled residency spots in the Supplemental Offer and Acceptance Program, also known as “the scramble.” This year, 1,897 positions were offered, according to the NRMP. Some of those who still fail to find a residency find jobs in pharmacy or research — a tough transition after years of study and hundreds of thousands of dollars spent in pursuit of becoming a physician.
A survey by the AAMC found that 75 percent of medical school deans are concerned about the availability of residency slots nationally, and 44 percent expressed concern about their own incoming students’ ability to find residency positions of their choice after medical school. “They have spent their own money, unreimbursed by the Graduate Medical Education support, to add residency slots for themselves. So they’ll get GME funding, but then they’ll add slots on top of that,” Patel explained. “California is probably the best example of this, because California has had such a growth in population in areas.”
The other big question is whether we need more doctors at all, with some suggesting that the answer to America’s health care troubles is not more physicians. “I think it depends on whose perspective you have,” Patel said, pointing to locations like rural Iowa, where physicians are more difficult to come by. “If you were in that part of the country, you would probably argue, I need a medical school. I need a hospital. I need all of it. And then if you’re in Philadelphia, where there are so many hospitals and medical schools, one could argue, There are too many medical schools.
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