Meet the new doctors caring for you soon

Who will be your next doctor? What will your future doctor look like?

Your doctor within the next 10-20 years is likely in medical school or a residency program in a United States medical center right now. Within 1-10 years, they will join the ranks of practicing physicians, while some currently in practice will change to a non-clinical job, retire, or die.

a medical person holding a stethoscope

In a previous post I told you about the students and residents in U.S. medical schools, the surprising new doctors caring for you. Here is an update.

 

Your doctor within the next 10-20 years is likely in medical school or a residency program in a United States medical center right now. Within 1-10 years, they will join the ranks of practicing physicians, while some doctors currently in practice will change to a non-clinical job, retire, or die.

More women physicians are coming

For the academic year 2017-2018,  83,000 students, attended United States medical schools ,  slightly more males than female. However, in 2017, the entering class of medical students was slightly over 50% female, for the first time ever.

UPDATE

For the second year in a row, more women than men started their journey as physicians, 11,382, 328 more than last year. From 10,752, the number of men decreased to 10,634.

According to the Association of American Medical Colleges, since 2015 the number of women students has increased by 9% while the number of men has decreased by 2 %.

And already, the majority of  young practicing physicians-under age 40 years old-are female.

So you are likely to be treated by a female physician eventually, if you haven’t already,  especially if you go to a primary care doctor. Gynecology and pediatrics  residency programs are now overwhelmingly comprised of female residents.

 

Ethnic diversity is still low but is improving

Entering classes at the nation’s medical schools continue to diversify.

Medical students and residents, both male and female, are still predominantly white. The ethnic percentages of most other students is far below their representation in the general population. Based on self-identification, race and ethnic origin of medical residents in 2017 was

a male doctor holding a tablet
  • White-60%
  • Black- 7%
  • Hispanic(any race)- 6%
  • Asian-26%
  • Multiracial- 3%
  • Unknown/other-7%
  • Native American/Alaskan/Pacific Island -less than 1%

UPDATE

In 2018, the numbers of black, Native American/Alaskan, Asian, Hispanic/Latino, and white women increased, while the number of white males decreased. 51% of students in medical schools are white.

original source at this link

 

How many U.S. physicians are foreign born ?

Will your physician come from another country?

Female doctor looking at an xray

70% of  U.S. medical residents are native citizens,  8% are naturalized citizens and 6% are permanent residents. ( adds to less  than 100% due to some status’ unknown.) These numbers remain the same as last year.

 

 

Credentials of today’s physicians

The average grade point of entering medical students was 3.56.

77% had done some type of volunteer medical service .

77% have experience in medical research.

These statistics gleaned from JAMA, December 19, 2017 

Goals of new physicians

“Most students, including minority, disadvantaged, and marginalized students, enter medical school pursuing a lifelong dream of practicing medicine with little sense of projected incomes or what specialty they would like to pursue.

Most students do not make specialty choices solely on the basis of the high cost of medical school or the overall potential revenue based on specialty.

Most specialty choices are likely based on social, educational, and health care experiences; experiences in medical school; and the prospect of a 30-plus-year career in an area of medicine that provides a level of personal comfort, support, and fulfillment.”

Thomas B. Free Medical School Tuition: Will It Accomplish Its Goals? JAMA. 2019;321(2):143–144. doi:10.1001/jama.2018.19457

 

The specialization of medical care- the good and the bad

March 16 was Match Day. Not a match as in color choice for an outfit nor a match as in finding a spouse, but the concept is similar.

On Match Day,  graduating medical students learn which  residency program they will enter through the National Resident Matching Program , which “matches” them with available positions in residencies at medical centers all over the United States. A kind of medical “matchmaking” you could call it.

Why should you care? This matching process determines who will care for our medical needs in the next 30-40 years; our family physicians, internists, pediatricians, general surgeons, obstetricians, and the multitude of other medical specialties. Most doctors will continue in the same speciality their entire career, although some  switch after a few or many years.

doctor talking to a woman
Ted Epperly, M.D., consults a patient at his practice in Boise, Idaho.photo compliments American Academy of Family Physicians

 

Some medical students know what speciality they want to pursue before they enter medical school, while others decide after trying the different types of medicine while students. We still have the traditional specialities that most students enter- (there are also many subspecialities under each of these categories.)

Primary care 

  • Family medicine
  • Internal medicine -(adult medicine)
  • Pediatrics-children and adolescents
  • Obstetrics/Gynecology- care of women’s health and pregnancy

Surgical specialities

  • General Surgery-  surgery on skin and internal organs
  • Orthopedics-bones and joints
  • Otorhinolaryngology- ear, nose, throat
  • Ophthalmology-eyes
  • Neurosurgery-the brain, spine, nerves
  • Plastic and Reconstructive surgery
  • Cardiac and vascular surgery

Others 

  • Dermatology-skin
  • Psychiatry-mental health
  • Anesthesiology-surgical sedation and pain relief
  • Emergency medicine- emergencies and trauma
  • Radiology- xrays and other imaging-CT, MRI, US
  • Pathology-laboratory medicine
  • Allergy
  • Physical medicine and rehabilitation
  • Oncology-treatment of cancer
  • Integrative and complementary medicine

As medical care has become more complex and technological, so have the specialties of physicians. This has produced a plethora of new highly specialized fields of practice.

  • Sleep medicine
  • Medical genetics and genomics
  • Pain management
  • Geriatrics- care of the elderly
  • Palliative care-managing diseases that cannot be cured and are likely terminal
  • Hospital medicine-care of patients admitted to a hospital
  • Critical care medicine-care of patients in an ICU (intensive care unit)
  • Aerospace medicine
  • Wound management
  • Medical informatics – use of computers and medical software in medicine
  • Bariatrics- treatment of obesity with or without surgery
  • Sports medicine-treatment of athletic injuries and fitness training
  • Transplant medicine- surgery to transplant organs and after care
  • Addiction medicine

A recent viewpoint in JAMA suggested that we need a new specialty, virtual medicine, to describe physicians who treat patients through a virtual medium, telemedicine or  web based, on a computer or a mobile app.

Consider that in the early 1970s, there were only 20 medical specialties !

THE SURPRISING NEW DOCTORS CARING FOR YOU
photo from Lightstock.com(affiliate link) graphic created with Canva

 

 

 

What this means for you as a patient

According to the New England Journal of Medicine,

“the progress of biomedical science is a major factor in the emergence of new subspecialities. There are some patients who benefit from highly focused knowledge and skills.”

All of these specialities mean more medical  knowledge and experience will be  available to both treat and prevent a diverse and growing  variety of disorders.

Today’s new specialist will have a high degree of expertise in their field, making them better able to treat your problem in the most efficient, effective, safest way.

You may find your doctor recommends more testing which may lead to more treatment than might otherwise have happened; some of which may not necessarily improve outcomes. More specialized testing and treatments may increase the cost of medical care.

Dr. Sandeep Jauhar addresses this issue in this article from Time.

One Patient, Too Many Doctors: The Terrible Expense of Overspecialization

With a more narrow focus of experience, that doctor may be less familiar with other aspects of your medical status.

So, to close this gap, primary care physicians have become increasingly important to oversee and coordinate care, especially for complex patients.

So there was good news in the Match this year. The upward trend in students matching into family medicine continued for the ninth consecutive year . In 2018 more students matched into family medicine than in any  previous year, 3,535 compared to 3,237 in 2017. 

3,848 medical students and graduates matched to family medicine residency programs in 2019, the most in family medicine’s history as a specialty, and 313 more than 2018. The results marked a decade of growth in overall positions offered and filled for family medicine in the Match.

“The number and proportion of U.S. medical graduates going into family medicine is the strongest indicator of the future of the primary care workforce because family medicine is the only specialty completely devoted to primary care,”

said Michael Munger, MD, president of the American Academy of Family Physicians.

graphic provided by the American Academy of Family Physicians

 

My specialty-Family Medicine

I’ve often been asked ,”Why didn’t you specialize?” My answer, “I did. I specialize in Family Medicine.”

Once called “general practice”, Family Medicine is now a recognized specialty, requiring a residency and certification by  the American Board of Family Medicine.

 

Dr. Sandeep Jauhar wrote about his first year as a resident in

Intern: A Doctor’s Initiation

“In Jauhar’s wise memoir of his two-year ordeal of doubt and sleep deprivation at a New York hospital, he takes readers to the heart of every young physician’s hardest test: to become a doctor yet remain a human being.” ― Time

Lightstock photos

Unless otherwise stated, the doctor photos in the post are from the Lightstock.com collection . Get a free 30 day trial at this affiliate link. (This blog can earn a commission if you buy photos which helps support the mission of Watercress Words.)

sharing the HEART of health

Thank you for joining me to explore the surprising new doctors caring for you. I hope you’ve learned something. Please contact me about topics you want to read about.

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my regards, Dr. Aletha 

 

Author: Aletha Cress Oglesby, M.D.

I am a family physician who loves to write about the HEART of HEALTH. On my blog, Watercress Words, I inform and inspire us in healthy living. My ideas come from my training, experiences, medical practice, personal life, and medicine in the media. There's always something new and interesting to explore in the world of health and medicine.

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