USMLE永久性取消医学院学生的临床技术测试

ehhe
楼主 (北美华人网)
https://www.medscape.com/viewarticle/944756
链接在此。 以后医学院学生的临床技术只是让学校负责监督了,呵呵。

最新回帖

nurulz
185 楼
mit本科入学也不要求sat了,而且他们很多年前申研究生很某些专业gre都是optional的,包括eecs,也没觉得mit水平差了。
Beau
184 楼
嗯。。 看来以后得回国看病了
TRUMP_TRUMPET
183 楼
Some schools are removing MCAT too LOL

yummyeah 发表于 2021-01-28 13:36

unbelievable..it happened in blue stateS?
yummyeah
Wow!!!!!!!!!!!
Wangshaohuashouerhui
回复 1楼ehhe的帖子
这意味着什么?
AaronBush
方便学校放水
ehhe
回复 3楼Wangshaohuashouerhui的帖子
就和如果SAT取消会怎么样,就看学校的成绩,一个道理
yummyeah
Some schools are removing MCAT too LOL
Xiaoxiaohai
美国向屎坑国家的行列高歌猛进
marnifan
这又是为了什么呢?
wanwanma
就是取消step 2的CS, step 1-3还是要的。
c
cactus_mei
慢慢来,这个就是好多年轻人要求的,照顾。。。。,即使没有能力,也不能歧视。
gem
以后按种族配额入学入职吗
somuch
呵呵,要命的来了!
ehhe
The evaluation of Medical Students and the United States Medical Licensing Exam (USMLE) are charted here by L. Maximilian Buja, MD, Professor of Pathology and Laboratory Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth) The United States Medical Licensing Examination (USMLE) is a three-step examination for medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME) (Wikipedia, 2020). The stated goal of the USMLE is to assess a physician’s ability to apply knowledge, concepts, and principles, and to determine fundamental patient-centred skills that are important in health and disease and that provide a basis of safe and effective patient care. The USMLE exam has three steps Step 1, Step 2 Clinical Knowledge (CK), Step 2 Clinical Skills (CS), and Step 3. All three steps of the USMLE exam must be passed before a physician with an M.D. degree is eligible to apply for an unrestricted license to practice medicine in the United States. U.S. osteopathic medical school graduates are permitted to take either the USMLE or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) exam for medical licensure. Students who have graduated from medical schools outside the U.S. and Canada must pass all three steps of the USMLE to be licensed to practice in the U.S., regardless of the title of their degree. USMLE Step 1 assesses whether medical school students or graduates understand and can apply important concepts of the basic sciences to the practice of medicine. Step 1 is constructed according to an integrated content approach and includes the following subjects: Anatomy, Behavioral Sciences, Biochemistry, Microbiology, Pathology, Pharmacology, Physiology, and interdisciplinary topics such as nutrition, genetics, and ageing. U.S. medical students take Step 1 at the end of the Basic Sciences portion of the curriculum, usually after the second year of medical school. The content and timing of the Step 1 exam is the reason it is broadly viewed as a most arduous and high stakes examination for medical students. Its three-digit quantitative result has had a substantial bearing on the specialities and status of the healthcare system for which a residency applicant is competitive. Medical education The traditional medical education system widely adopted throughout most of the twentieth century has produced generations of scientifically grounded and clinically skilled physicians who have served medicine and society well. Yet sweeping changes launched around the turn of the millennium have constituted a revolution in undergraduate medical education (UME) and graduate medical education (GME) (Buja. 2019). The core goal is the production of physicians with modern clinical reasoning and decision-making skills. The construct to achieve this overarching goal is the so-called fully integrated spiral curriculum encompassing both horizontal and vertical integration across time and disciplines (Brauer and Ferguson, 2015). The fully integrated curriculum resulting from the redesign does away with the distinction between the critically important pre-clinical (basic medical sciences) two-year period and the apprenticeship-like clinical two-year period. It brings in additional content called Health Systems Science, as a co-equal to basic and clinical sciences, to cover topics from population health to interdisciplinary care. There also has been a push in recent years for undergraduates to demonstrate competencies rather than solely cognitive knowledge. How students function in an educational program is inextricably linked to how they are evaluated. Recurrent movements to abolish grades, exams and honour societies to mitigate undue competitiveness, stress and general malaise are prevalent today. For many years, the standard system of student evaluation was based on numerical grades in every course and led to a cumulative numerical score and class ranking. This objective evaluation system has largely been replaced in medical schools by summative pass-fail systems. The movement away from meaningful grades for medical school courses also has led to an increasingly elaborate subjective evaluation in “dean’s letters”. The AAMC has introduced the Medical Student Performance Evaluation (MSPE) as a refinement of the “dean’s letter.” Approaches to evaluation of student performance generally involve formative and summative exams in the pre-clinical years, and subject exams coupled with faculty assessment of performance, in the clinical clerkships. Then, these evaluations (honours, high pass, pass, etc.) are integrated into lengthy MSPEs or dean’s letters that provide commentary and largely subjective impressions. Despite the AAMC guidelines of comparative information about applicants be included, dean’s letters or MSPEs often continue to lack specificity regarding student performance. Further thoughts on the United States Medical Licensing Exam This has led to the rise of the exaggerated importance of United States Medical Licensing Exam (USMLE) scores, particularly, USMLE Step 1 scores, as the major or sole objective evaluation of the cognitive achievement of medical students. Proponents argue that the new curricula are successful because students are performing at least as well on USMLE Step 1 as they did in the old curricula, and that they do as well in pass-fail systems as in systems with grades. However, these advocates, in essence, are contributing to the perpetuation of the undue importance of USMLE Step 1. An undue emphasis on a single high stakes summative evaluation creates a dilemma for medical educators and students. An excessive focus develops on preparing students for the USMLE Step 1 examination and “teaching to the test”. This milieu is counterproductive to in-depth assimilation of subject matter in the biomedical sciences. Unintended consequences in multiple domains include conflict with holistic undergraduate medical education admission practices, student well-being, and medical curricula. Medical students have become increasingly aware of the ”USMLE issue.” In an Invited Commentary, medical students from various institutions across the country have reflected on their shared experiences and have postulated that the emphasis on USMLE Step 1 for residency selection has fundamentally altered the preclinical learning environment, creating a “Step 1 climate” (Chen et al, 2019). They have commented on how the Step 1 climate negatively impacts education, diversity, and student well-being, and they have urged a national conversation on the elimination of reporting Step 1 numeric scores. Educators also have articulated similar recommendations regarding making the USMLE results reporting as pass/fail. But concern has also been voiced that pass/fail can be a disincentive to motivation for broad knowledge acquisition. Also, the development of an alternate, more holistic standardised metric by which to compare students’ applications for residency positions has been proposed but is currently not operative. In recent years, an applicant’s Step 1 score has been cited by residency program directors as their most important criterion in selecting graduating medical students for their residency program (Willett, 2020; Makhoul et al. 2020). The current use of Step 1 scoring as a major determinant for granting residency interviews has been met with tremendous criticism by the medical community, citing that the Step 1 exam was intended to be one of four licensing tests. It was never designed to be a predictor of medical knowledge for which cut-offs or barriers could be justified and instead enables racial bias. In response to public outcry, in February 2020, the USMLE program announced a plan to change Step 1 score reporting to a pass/fail system in an effort “to reduce overemphasis on Step 1 performance while allowing licensing authorities to continue the original intention to use the test to determine medical license eligibility.” However, this transition will occur no earlier than January 1, 2022. However, critics of this decision argued that this would just shift the importance of the three-digit number score on to Step 2 CK, as well as putting international medical graduates (IMGs) at a disadvantage, as traditionally IMGs scored exceptionally high on Step 1 to distinguish themselves and obtain residency positions in coveted specialities or hospitals. The movement of the USMLE Step 1 to a pass/fail exam is being viewed as a golden opportunity to recalibrate medical education priorities in UME and to improve the residency selection process. This view is generally taken by medical educators (Prober, 2020). However, this view comes up against the practical realities faced by residency program directors in dealing with the large number of applicants to individual residency programs (Willett, 2020). Programs receive thousands of applications and have only a few weeks to review them and decide on whom to invite for interviews. This phenomenon, dubbed “application inflation” has made holistic applicant review not practical. The change of Step 1 scores to pass/fail removes one of the few objective data points that program directors use for filtering. With the change to Step 1, Step 2 CK will inevitably become the highest-stakes test for students. To characterise residency program directors’ responses to binary Step 1 result reporting, a 19-item survey has been developed and validated (Makhoul et al, 2020). A total of 2,095 unique responses (response rate, 44.5%0 were obtained. Only 15% of program directors agreed with changing Step 1 to pass/fail, and 77% expected this change to make objective comparison of applicants more difficult. Concluding remarks I think that the dilemmas about the “USMLE issue” can be diffused by a return to providing meaningful grades for medical school courses and an overall summative evaluation for the four years of medical school. My definition of meaningful grades encompasses either numerical or letter grade equivalents which reflect actual performance relative to other students and objective norms. Students must compete and excel to gain admittance into medical school. This shouldn’t be any different when students are training to be physicians. Safeguards can be put in place to deal with excess competition. Nevertheless, competition within bounds promotes excellence. Medicine needs to remain a meritocracy.
焱焱
加速再加速
csliz
回复 7楼Xiaoxiaohai的帖子
AA 变种 。。。。你不服 !!
feo
回复 1楼ehhe的帖子
为啥不干脆取消医院得了,有病就等死,和现在差不多啊
i
icespar
还不如国内呢。 国内是操作先合格了才能参加资格考。
m
miss_monster
Step 2 CS被抱怨没有用很多年了,通过率非常高,steps 1,3还是要的
ehhe
原来的美国医学执照有三步,要三步全部通过才能得到MD的头衔,拿到执照。第一步是考理论知识,第二步是考临床技术。原本第一步的理论知识,也是有分数的,这对以后进入residency作为实习医生有筛选功能,2020年已经有提议,说要改第一步的测试分数为pass/fail, 现在是第二步的考临床技术的取消了。你以后看看,医生的水平会放水到什么程度!
楼上说的,要命的来了。
s
sunychen23
This is just one of the STEP exams and may people complained that the high pass rate in STEP 2 and low efficiency to assess clinical skills with in the one-set exam in last years. Doctors still will have to take board exams to be certified in their society of medical field. So look for your doctor later to be titled "FACXX" for their credentials.
ehhe
medical students from various institutions across the country have reflected on their shared experiences and have postulated that the emphasis on USMLE Step 1 for residency selection has fundamentally altered the preclinical learning environment, creating a “Step 1 climate” (Chen et al, 2019). They have commented on how the Step 1 climate negatively impacts education, diversity, and student well-being, and they have urged a national conversation on the elimination of reporting Step 1 numeric scores.
ehhe
所以医学生和护士学生的今后区别在哪里?如果step 1也改成pass/fail, 临床技术也取消
ehhe
medical students from various institutions across the country have reflected on their shared experiences and have postulated that the emphasis on USMLE Step 1 for residency selection has fundamentally altered the preclinical learning environment, creating a “Step 1 climate” (Chen et al, 2019). They have commented on how the Step 1 climate negatively impacts education, diversity, and student well-being, and they have urged a national conversation on the elimination of reporting Step 1 numeric scores.
ehhe 发表于 2021-01-28 14:09

看到diversity
cheeruup
国内一直都没这种考试, 说实话, 大多数医生也不需要多高水平
吃鸡蛋
Step 2 cs就是演戏,没啥用
Step1 及其有用,但是要取消了
Nicaaaaaa
回复 19楼ehhe的帖子
step1 已经改成p/f了,现在取消step 2 的cs,下一步就是取消step 123了
https://forums.huaren.us/showtopic.html?topicid=2504980&fid=398&page=1

ehhe
慢慢来,要钱要命的都会来的
taoyao
step2 cs 本来就不是很有用,取消了也没啥吧,国际考生自己练习三个月基本都能过 不要说美国本土的了 step1 的分数取消了有点放水
Nicaaaaaa
其实以后看医生想避免踩坑也不是很难, step 1会在 2022年一月开始生效,意味着2022年六月后医学院毕业,开始做住院医的,大家在选择的时候就得自己心里掂量掂量,哪些可能是放水的.虽然USMLE不愿做那把秤了,但是大家心里都有一杆秤.至于那些赞同这个政策的人,祝你们遇到这个新的选拔方案筛选出来的优秀医生
Nicaaaaaa
回复 28楼taoyao的帖子
你高估了许多AA上来的本土医学院学生的能力.我认识的本土医学生没过cs的就不止一个. 排名前30的医学院
iicanfly
Cancel culture太厉害了。
焱焱
其实以后看医生想避免踩坑也不是很难, step 1会在 2022年一月开始生效,意味着2022年六月后医学院毕业,开始做住院医的,大家在选择的时候就得自己心里掂量掂量,哪些可能是放水的.虽然USMLE不愿做那把秤了,但是大家心里都有一杆秤.至于那些赞同这个政策的人,祝你们遇到这个新的选拔方案筛选出来的优秀医生
Nicaaaaaa 发表于 2021-01-28 14:27

现在的老人还有的选放水前的医生,等我们老时,就都是放水后的滥竽充数医生,没得选啦。原来还以为就说说而已,没想到,这么快就革命啦!
ehhe
大妈表示不在乎,不叫China virus就好,心理舒服,人就不会生病。取消考试就取消呗
r
relay
吃鸡蛋
其实以后看医生想避免踩坑也不是很难, step 1会在 2022年一月开始生效,意味着2022年六月后医学院毕业,开始做住院医的,大家在选择的时候就得自己心里掂量掂量,哪些可能是放水的.虽然USMLE不愿做那把秤了,但是大家心里都有一杆秤.至于那些赞同这个政策的人,祝你们遇到这个新的选拔方案筛选出来的优秀医生
Nicaaaaaa 发表于 2021-01-28 14:27

现在医学生都提前考,这样就算2023年match 也有分数成绩, 2024年以后应该都没有了以后
Nicaaaaaa
每次这种选拔考试被取消,总是有一堆人说,这个考试本身就不好,没啥用,取消就取消了,没啥影响,还有别的考试可以选拔。这些人从来也不仔细想想这个考试为什么被取消。归根结底都是这些考试限制了diversity。 那那些剩下的考试为啥不可以用同样的理由取消呢? 如果是考试内容不够好,不能完全反应考生水平,为啥不能改良考试内容而是要取消考试本身呢?usmle提出任何替代方案了吗?这真的是这个考试内容本身好不好的问题吗?
Xiaoxiaohai
像这种涉及到全社会公共健康安全的事情,USML在做决策时难道不需要向全社会范围内做调查、进行公众听证吗?。。。。。。不过,就现在这种只要沾上diversity就自动变得道德高尚的风气,就算进行了公众听证,估计也是这个结果。
ehhe
每次这种选拔考试被取消,总是有一堆人说,这个考试本身就不好,没啥用,取消就取消了,没啥影响,还有别的考试可以选拔。这些人从来也不仔细想想这个考试为什么被取消。归根结底都是这些考试限制了diversity。 那那些剩下的考试为啥不可以用同样的理由取消呢? 如果是考试内容不够好,不能完全反应考生水平,为啥不能改良考试内容而是要取消考试本身呢?usmle提出任何替代方案了吗?这真的是这个考试内容本身好不好的问题吗?
Nicaaaaaa 发表于 2021-01-28 14:41

考试早晚都会易化,以后就是主观的,录取标准有多方面的subjective reason决定
BringThings
我相信各位在有生之年,一定会看到这么一条法案通过,拒绝接受某些族裔医生的治疗,会被告racist
焱焱
等以后和民生相关的行业都full of diversity族,就是该跑路的时候了
Xiaoxiaohai
回复 28楼taoyao的帖子
你高估了许多AA上来的本土医学院学生的能力.我认识的本土医学生没过cs的就不止一个. 排名前30的医学院
Nicaaaaaa 发表于 2021-01-28 14:31

所以,diversity 其实就基本是low standard/low quality的同义词了
冬日暖阳1
回复 1楼ehhe的帖子
mark mark.
Xiaoxiaohai
我相信各位在有生之年,一定会看到这么一条法案通过,拒绝接受某些族裔医生的治疗,会被告racist
BringThings 发表于 2021-01-28 14:50

绝对的,而且这一天的到来会相当的快。今天立此贴为证,看看多久变成现实。
Nicaaaaaa
回复 39楼BringThings的帖子
不用有生之年,照现在这个屎样子,不出十年就会过,而且再配合全民医保,不要太酸爽
ehhe
绝对的,而且这一天的到来会相当的快。今天立此贴为证,看看多久变成现实。
Xiaoxiaohai 发表于 2021-01-28 14:52

不用有生之年,很快了
焱焱
所以,diversity 其实就基本是low standard/low quality的同义词了
Xiaoxiaohai 发表于 2021-01-28 14:50

pc正确的叫法
ehhe
回复 39楼BringThings的帖子
不用有生之年,照现在这个屎样子,不出十年就会过,而且再配合全民医保,不要太酸爽
Nicaaaaaa 发表于 2021-01-28 14:53

想想就觉得酸爽,当然了,有人觉得医生好不好没区别,呵呵,那开刀的呢?
焱焱
想想就觉得酸爽,当然了,有人觉得医生好不好没区别,呵呵,那开刀的呢?
ehhe 发表于 2021-01-28 14:55

记得以前wxc有个帖子控诉贵人牙医把好牙当坏牙拔了
abadan
这对中国人来美做医生是件好事啊,CS对中国人来说是通过率最低的一个USMLE考试
silenceyh
step 2 本身的pass rate 就是95%
silenceyh
大妈们表示不在乎,只要不叫China virus就好,心理舒服,人就不会生病。用大爱发光发热发电
ehhe 发表于 2021-01-28 14:36

再继续china virus下去估计你看医生的权力都不会有,那时候希望你也不要生病
焱焱
这对中国人来美做医生是件好事啊,CS对中国人来说是通过率最低的一个USMLE考试
abadan 发表于 2021-01-28 15:04

华人不在贵人之列,政治地位不够哈
flipping
前两天带娃去抽血化验,护士捏着针头在皮下调来调去来来回回好几分钟才把血引出来,娃哭得稀里哗啦只踢脚。平时娃可是打疫苗没事一样。唉,想想以后......
l
lianqiao
我以后选医生专门选亚裔的。问原因我就说她们了解我的习俗比如饮食养生什么的,好沟通。
lucky2020
其实这个最受伤害的是有真本事的黑人医生。我自己有一位专科医生就是黑人美女,很耐心,医学上专业上非常优秀。我相信她的背景在她的求学职业生涯中一定有加分作用,但是她自己的努力和优秀也是显而易见的。美国这样的反智运动,以后稍微有心的人一看某个种族的医生就会条件反射去拒绝。我以后会尽量找最高年龄的医生,特别是去查一下医生的背景,尽量避开那些低分录取,取消临床技能测试后出道的医生,以求自保。 最怕就是以后医保一步步平权改革,连选择医生的权利都没有。
silenceyh
前两天带娃去抽血化验,护士捏着针头在皮下调来调去来来回回好几分钟才把血引出来,娃哭得稀里哗啦只踢脚。平时娃可是打疫苗没事一样。唉,想想以后......
flipping 发表于 2021-01-28 15:10

这你误会了吧,美国护士很多抽血技术都比较差,一针没找到血管很正常,就算我讨厌川粉,也没见过任何川粉会去故意折磨小孩子。你想多了
Nicaaaaaa
回复 55楼lucky2020的帖子
说得非常对 现在的改革是把资质不够的学生送到hao的residency program去,又没有其他配套资源跟上(不用假想有额外资源,现状已经很差)。如果这些住院医跟不上培训强度,他们的职业发展会怎么样?如果他们不能如期完成训练呢?任何一个less qualify的住院医到了一个自己跟不上的项目,培训结果一定堪忧。如果很多人禁不住培训的压力,直接quit了呢?或者导师不得不降低要求?还有另外一部人觉得自己怀才不遇,也相继转行了呢?把医生的筛选机制做这么大幅的修改,很可能会导致市场失灵,最后医生总数和质量统统下降。那倒霉是谁?穷人的社区没有好医生,甚至会没有医生!这些轻飘飘修改考试机制的精英和这些缺医少药的贫困人口是没有交集的,而且灾祸发生在他们不需要负责的“遥远未来”。 the road to hell is paved with good intentions. 有时候连good intention都没有,就是为了自己觉得“自己做了一件好事”
a
autofill
以后要怎么选合格得医生?
ehhe
回复 51楼silenceyh的帖子
看医生的资格也没有?你哪里来的敢说这个话?美国的ER都不会拒绝病人,你凭什么说这话来吓唬华人?
ehhe
某些人的逻辑就是考试没有就没有了,反正也不重要,反正也是鸡肋,呵呵,总有借口的,不到万劫不复是不会醒的
婆婆妈妈
以后尽量选亚裔。周边上医学院的基本都是成绩非常好的,包括大藤娃。读医是个相当漫长和考验耐心的过程。对于亚裔特别是小中,门槛特别高。
badgerbadger
我有个理论 可能是疫情这一波提前毕业的医师需要资格证了,但是在学校又没待够,所以要放水变成P/F?
Abbots
回复 19楼ehhe的帖子
step1 已经改成p/f了,现在取消step 2 的cs,下一步就是取消step 123了
https://forums.huaren.us/showtopic.html?topicid=2504980&fid=398&page=1


Nicaaaaaa 发表于 2021-01-28 14:17

那以后就只能看医学院排名了。
lilyzoo
这个考试本来就是骗钱的。一点用没有。就没听说有人不通过。。。
Lily.hust168
呵呵,要命的来了!
somuch 发表于 2021-01-28 13:55

应该是为了贵命的人可以拿到本来拿不到的执照
Abbots
step2 cs 本来就不是很有用,取消了也没啥吧,国际考生自己练习三个月基本都能过 不要说美国本土的了 step1 的分数取消了有点放水
taoyao 发表于 2021-01-28 14:24

Step 1 如果再取消的话,我觉得对外国医生来说,就很难再拿到住院医机会了。因为基本只能考医学院的排名了。
Abbots
其实以后看医生想避免踩坑也不是很难, step 1会在 2022年一月开始生效,意味着2022年六月后医学院毕业,开始做住院医的,大家在选择的时候就得自己心里掂量掂量,哪些可能是放水的.虽然USMLE不愿做那把秤了,但是大家心里都有一杆秤.至于那些赞同这个政策的人,祝你们遇到这个新的选拔方案筛选出来的优秀医生
Nicaaaaaa 发表于 2021-01-28 14:27

那就看毕业的医学院呗,起码进医学院还有那道坎,MCAT还在。
RainyBambooJepp
选败登那一天不就知道会有这些了?你有大爱随便,我反正以后不要黑墨医生看病
Nicaaaaaa
回复 67楼Abbots的帖子
那你知不知道亚裔38分(99%)和某些27分(61%)同时上藤校医学院.而且MCAT指不定哪天就取消了
RainyBambooJepp
回复 51楼silenceyh的帖子
看医生的资格也没有?你哪里来的敢说这个话?美国的ER都不会拒绝病人,你凭什么说这话来吓唬华人?
ehhe 发表于 2021-01-28 16:00

这类人不就是天天华人进集中营之类的言论吗?你何必较真呢
j
juliamarie
请问这对国内来考U的人有什么影响么?
hingdu
实话说CS对美国毕业生来说根本就是小菜一碟,只有极少数的人会不过关。这是很多外国毕业生的拦路虎,尤其是英文不好的。这是对外国毕业生的利好消息,对美国毕业生无影响。
blanch23
美国医生临床技能本来就不足,这样倒好更不需要了!美国不会越来越差么?我觉得我有生之年能看到的!
一往情深的自由
国内一直都没这种考试, 说实话, 大多数医生也不需要多高水平
cheeruup 发表于 2021-01-28 14:11

此话怎讲?一直以为美国都是最聪明的那些学生中的人才能当医生
underdoc
回复 66楼Abbots的帖子
这不见得, 以前cs也是很卡外国人的。。。
badgerbadger
此话怎讲?一直以为美国都是最聪明的那些学生中的人才能当医生
一往情深的自由 发表于 2021-01-28 16:34

从来都不是这样
underdoc
带过10+医学生的表示, 同样是顶级医学院毕业, 不但医学生的素质相差悬殊, 学习态度也是天上地下。
一往情深的自由
其实这个最受伤害的是有真本事的黑人医生。我自己有一位专科医生就是黑人美女,很耐心,医学上专业上非常优秀。我相信她的背景在她的求学职业生涯中一定有加分作用,但是她自己的努力和优秀也是显而易见的。美国这样的反智运动,以后稍微有心的人一看某个种族的医生就会条件反射去拒绝。我以后会尽量找最高年龄的医生,特别是去查一下医生的背景,尽量避开那些低分录取,取消临床技能测试后出道的医生,以求自保。 最怕就是以后医保一步步平权改革,连选择医生的权利都没有。
lucky2020 发表于 2021-01-28 15:14

真是这样的
一往情深的自由
这你误会了吧,美国护士很多抽血技术都比较差,一针没找到血管很正常,就算我讨厌川粉,也没见过任何川粉会去故意折磨小孩子。你想多了
silenceyh 发表于 2021-01-28 15:15

技术这么差的护士为什么有资格上岗?
s
sunychen23
回复 71楼juliamarie的帖子
That would hurt IMD for sure since only P/F will be given for STEP 1. The score would make a few IMD stand out before.
一往情深的自由
带过10+医学生的表示, 同样是顶级医学院毕业, 不但医学生的素质相差悬殊, 学习态度也是天上地下。
underdoc 发表于 2021-01-28 16:37

如何才能在看医生时候挑出那些最优秀的?
teddysan
此话怎讲?一直以为美国都是最聪明的那些学生中的人才能当医生
一往情深的自由 发表于 2021-01-28 16:34

The rich kids with family support get to be doctors. It's a very biased system.
ehhe
选败登那一天不就知道会有这些了?你有大爱随便,我反正以后不要黑墨医生看病
RainyBambooJepp 发表于 2021-01-28 16:15

以后全民医保,哪轮得到选医生?
ehhe
回复 82楼teddysan的帖子
Rich kids也要够勤奋努力啊,当然以后就另当别论了
teddysan
技术这么差的护士为什么有资格上岗?
一往情深的自由 发表于 2021-01-28 16:39

Because there aren't enough patients in real-life per nurse for those skill practice. There are only so many. Many nurses will work in areas where they never start an IV in their whole career.
hideandseek
这不就是南非吗? 美国真是在作死的道路上越走越远了。
teddysan
回复 82楼teddysan的帖子
Rich kids也要够勤奋努力啊,当然以后就另当别论了
ehhe 发表于 2021-01-28 16:49

It''s easier to get good grades when you don''t have to worry about where the next meal is coming from, that is all I''m going to say.
I''ve worked with many kids, none as determined and focused as kids from disadvantaged families. Their grades usually aren''t the best, because they''ve had the odds against them in the academic system since they were in kindergarten, but man do they try, while the rich kids look for every loophole they can find. You want those disadvantaged kids to be your doctor, because they know what it feels like to struggle, like you, or your parents. If they can''t sympathize with you, you''re nothing but a bunch of lab results to them; they don''t see you.
badgerbadger
回复 82楼teddysan的帖子
Rich kids也要够勤奋努力啊,当然以后就另当别论了
ehhe 发表于 2021-01-28 16:49

Rich Kids真的不用足够努力 你看医学院里那些吊儿郎当的,照样能让家长塞进好地方。
hideandseek
It''s easier to get good grades when you don''t have to worry about where the next meal is coming from, that is all I''m going to say.
I''ve worked with many kids, none as determined and focused as kids from disadvantaged families. Their grades usually aren''t the best, because they''ve had the odds against them in the academic system since they were in kindergarten, but man do they try, while the rich kids look for every loophole they can find. You want those disadvantaged kids to be your doctor, because they know what it feels like to struggle, like you, or your parents. If they can''t sympathize with you, you''re nothing but a bunch of lab results to them; they don''t see you.
teddysan 发表于 2021-01-28 16:54

简直是扯淡,不管是什么原因,成绩差就是差,就是业务水平低,学艺不精!
什么时候开始,看一个人的水平如何还要考虑这人的家庭条件,父母条件了。
你这就是脑残的结果公平。 别丢人现眼的来给人洗脑了。
你去找医生的时候还会看,哦,这个人小时候家里穷,虽然做手术经常失败,但是我就要选他?!!那就祝你早日碰到这种医生!
laurenplus
说实话 很多新的住院医生就算过了所有临床技术考试 ,动手能力还是相当糟糕.... 所以都有七月份不要随便去看病的说法( 新的一批住院医入驻)。医生还是得靠实际经验积累
teddysan
简直是扯淡,不管是什么原因,成绩差就是差,就是业务水平低,学艺不精!
什么时候开始,看一个人的水平如何还要考虑这人的家庭条件,父母条件了。
你这就是脑残的结果公平。 别丢人现眼的来给人洗脑了。
你去找医生的时候还会看,哦,这个人小时候家里穷,虽然做手术经常失败,但是我就要选他?!!那就祝你早日碰到这种医生!

hideandseek 发表于 2021-01-28 16:59

You probably don't work in the system so not your fault that you feel this way. Your perception might change once you're in the system. Grades of a certain period of one's life are only one aspect of a person, a mere screenshot, and having good grades isn't everything in the operating room.
laurenplus
技术这么差的护士为什么有资格上岗?
一往情深的自由 发表于 2021-01-28 16:39

上岗并不需要考抽血啊... 而且很多地方都有专人抽血
ehhe
说一套,做一套
Xiaoxiaohai
技术这么差的护士为什么有资格上岗?
一往情深的自由 发表于 2021-01-28 16:39

天啊!这问题问的有些可笑了。美国护士静脉取血技术差的不要太多啊!而且,就我个人经历来讲,不是歧视非裔,还真的就是年轻一点的非裔护士技术最差劲。
Xiaoxiaohai
You probably don't work in the system so not your fault that you feel this way. Your perception might change once you're in the system. Grades of a certain period of one's life are only one aspect of a person, a mere screenshot, and having good grades isn't everything in the operating room.
teddysan 发表于 2021-01-28 17:05

但是,连基本的grades都达不到的话,那医生这条路就不应该为他/她打开。凭什么让普通人用自己的健康甚至生命为代价,去成就那些连基本门槛都够不到的那些人的人生梦想?人生道路并不是只有当医生这一个选择,如果成长背景家庭条件无法使自己具备基本的医生资格,那就不要做医生去草菅人命。
underdoc
如何才能在看医生时候挑出那些最优秀的?
一往情深的自由 发表于 2021-01-28 16:42

好医院不用太担心,虽然也有diversity因素但是能挑到最合适的人,特别是专科医生竞争激烈。 家庭医生就要小心了 。没其他意思不过大内科很难衡量医生水平。。。
多挣钱把