OT: Wayne State University and Detroit Medical Center ending partnership
This is pretty major and unexpected news for the Wayne State Physician Group and the WSU School of Medicine. While current residents and medical students will supposedly be fine for the reminaing of their training, I have to imagine that this has dark implications for the medical school moving forward. Would be pretty interesting if the MSU College of Osteopathic Medicine swoops in and fully partners with DMC.
That is big news. I don't think this is good news for either side.
Last I knew (quite some time ago) WSU had a decent reputation as a med school (mid-range, at least, and not a bad option for Michigan residents ... much better than MSU, anyway).
Wasn't DMC found to be re-using surgical instruments without following proper sterilization procedures, etc.? It sounded bad.
Doesn't MSU's DO school share clinical sites with its MD school?
Why would MSU be interested unless it's expanding both programs?
MSU"s DO program is one of the best in the country. It's unfortunate that the Dean and one of its most prominent employees fucked up its reputation.
Their MD program isn't anything special
It's my understanding that DO programs get lower rankings in general than MD programs no matter what. Upon a quick look, US News doesn't give MSU's DO program an official ranking.
DO schools are significantly outnumbered and seem to be the redheaded stepchild of the Medical professions for reasons I am not completey aware of.
Point being, if there was a comprehensive listing of both MD and DO programs together, I'd look at that. But without seeing such a listing I can't really compare the 2.
The difference between DOs and MDs is shrinking these days and will be practically gone by the time the merger is complete by 2020.
The problem is in OMM/OMT, which older DOs refuse to let go of because they think it makes the DO more distinguished and "holistic" vs MDs even though research based on its efficacy is questionable at best.
That and a separate board exam (which is just a money grab for the DO licensing body known as the AOA) called the COMLEX as opposed to the USMLE.
MSU's MD program likely has way more upside than WSU's just due to the money and brand power involved.
WSU thrived in a world where there was one other MD program in the state. Now that market is getting crowded.
MSU's MD program likely has way more upside than WSU's just due to the money and brand power involved.
WSU thrived in a world where there was one other MD program in the state. Now that market is getting crowded.
I’ve got WSU Med Grads in the family (brother is Urologist, niece ER Dr and is in charge of Oregon Health Science U’s children’s hospital) and my girls’ pediatrician is WSU Med (I live in PDX).
WSU Med’s reputation is known on the Left Coast to my Dr friends too. When I drop my connections to medicine, I always get very positive feedback.
A really good friend and his wife just moved out there. I guess the #1 residency program for family medicine is in PDX? She just started her first year
I think it's this hospital - http://www.ohsu.edu/xd/health/ohsu-near-you/portland/marquam-hill/ohsu-hospital.cfm
(he and his wife are the only MSU people I really get along with, they're reasonable)
Close, #1 is actually up in Seattle at U Washington, but OHSU is #4 in FM.
She's at OHSU's children's hospital, Doernbecher. Thankfully her on-line CV does not include her undergrad (Sparty):
https://www.ohsu.edu/providers/mary-tanski/52764138D98040AB91A089ADFE17…
She was waitlisted at UM for undergrad, Sparty was back up, and she was so offended at waitlist she turned down M's later acceptance. She tore it up at MSU, then WSU, clinicals, residency, and so on and so on. OHSU is one of the top schools overall for practicing Drs. and hospital management MBA. She'll end up running a school, hospital, or health insurance company somewhere, or maybe Surgeon General. I joke, but would not surprise me.
And PDX is a great place to live!!! Hope your friend and family land softly.
This post made my day, never in a million years would I have anticipated encountering MTA's bio on Mgoblog. Your niece is indeed a baller.
Sincerely,
A friend of her's from medical school
graduates more medical students from one campus than any other univeristy in the nation.
As a former Tartar/Warrior SOM grad....the writing has been on the wall for this, but it still is kind of shocking.
Part of the allure of Wayne for prospective medical students was the hands-on training one could have during your 3rd and 4th year rotations down at the DMC/DRH. While I'm sure Henry Ford, St. John, Providence, and Beaumont would be happy to expand clinical teaching, I think this is a pretty big blow to WSUSOM's clinical reputation.
How can you say you are a Wayne grad if you haven't been running around sleep deprived in the hamster tunnels connecting Harper and Receiving?
I'm not so sure you can assume that the hospitals you enumerated would be happy to expand training. With a growing physician shortage in the US and with resources stretched thin, teaching takes time away from or at the very least can slow down one's ability to deliver healthcare. It is part of the problem why establishing or expanding medical schools to produce more doctors takes so much time.
The physician shortage is mostly a myth being promulgated by the AAMC. Look up the JAMA article from about 1 year ago entitled "Reassessing the Data on Whether a Physician Shortage Exists." It's more of a distribution problem than a shortage problem as the kinds of people that med schools disproportionately admit don't want to serve in rural areas.
There will be plenty of scut work in the bowels of HF Hospital for scut monkeys. Also, I think they mostly lost their affiliation with Beaumont since they started their own med school.
But at Receiving or Harper, it wasn't just scut.
I did subclavian and femoral lines as a MS3. On call the med students were assisting on simple surgical cases. Comparing my Troy Beaumont OB rotation to the Hutzel experience, I had hilariously few deliveries (thankfully, I DEFINITELY knew I wasn't going into OBG although I got to do/see a ton of Gyn procedures) compared to my classmates. Children's is the best pediatric rotation you can get in the Midwest, let alone the state.
I learned a ton from those rotations.
Part of the funding problem comese from a lack of money from Medicare, the source of the majority of funding for residencies and it has been going on for some time.
https://news.aamc.org/for-the-media/article/gme-funding-doctor-shortage/
Again, this is a myth being promoted by the AAMC, the Association of American Medical Colleges, which has a financial interest in more medical schools being opened. Look at the 2017 NRMP match data (2018 isn't out yet). There were 1161 unfilled PGY-1 spots last year, including over 250 in the primary care fields FM and IM. This means people would rather go unmatched than have to do a primary care specialty in a probably undesirable location. (To be fair, about 500 of those unmatched spots were surg-prelim, so not full residencies themselves.)
Both of my children were high risk pregnancies and are alive today becuase of the cooperation and efforts of both of these organizations. While I realize that its's always about money, it's too bad it's about the money.
I'm sure that there are alot of other couples who were in our situation and were helped out by the cooperative efforts of these two organizations......I hope the relationship can be mended.
What's weird to me is that the president of the Physician's Group sounded like this took him by surprise and he even said in a statement that he thought the negotiations on the contract were making progress. It probably is about the money, but I find it fascinating that one side seemed to have a very different view on how things were actually going.
I guess there isn't a World of Opportunities at Wayne State University.
They'll partner with Henry Ford. Better long term fit for Wayne State - Henry Ford is a community anchor and in very good financial health.
Tenent (the hospital group that runs DMC) doesn't inspire confidence. Financially, they were trying to squeeze every last dollar out of DMC, and their stock declined quite a bit last year.
I'm feeling bad for my brother right now. He's starting his residency at DMC in July and I have to wonder if he's going to have second thoughts going there not necessarily based on the Wayne State news but what Tenet's doing to the DMC system.
Seems very short-sighted. But Tenet will save $ and turn over the staff into a "real for protfit" type staff... Too bad.
Great training at the DMC as a med student and as a pediatric resident. You get to see a lot and do a lot and appreciate the hard work that goes into healthcare from many angles.
DMC is my company's 2nd largest customer and always pays their bills on time. I dont know how (or even if) this will impact us or not but I cant see any scenerio where this will be good news.
This really is shocking news! I left the state for medical school and came back for residency. Many of my co-residents were from Wayne State and I was literally blown away by thier clinical skills. Took a while to catch up. Hopefully Wayne can find some where to send their students and continue their great teaching. I think DMC has gone down hill significantly after the corporations got involved several years ago. I was always warned by staff in my specialty that it was not somewhere you wanted to end up once you were an attending...