Now OUT in @medpagetoday
Continuing our debate last week, I flesh out the 8 reasons why extra (new) clinical fellowship years in medicine are problematic

Last Friday we had a big debate b/c I called these a scam..

The truth is extra years of clinical training before being an attending is a type of malignancy... it just keeps growing

I see 8 things wrong with this idea that we should remain fellows longer

1. It won't stop with just one more year.

2. Hospitals are taking the labor of fellows and money of fellows

3. Longer training keeps medicine a profession for kids of aristocrats. Some of us have to earn sooner in life.

4. More training means fewer women.
Many of these fields already male-dominated... sadly

5. Parental leave for fellows is an embarassment

6. The less we participate in these fellowships, the less change they will become mandatory

7. The alternative is training people on the job... which always happens eventually

8. There is an irony in terms of who benefits and runs these fellowships, but did not attend them

The solution is for reform or boycott

Pay people fairly or let's skip these years

We can even pay heme onc fellows fairly... they are after all lucrative for hospitals

Tagging interested folks
@AaronGoodman33 @calliecoombsmd @tsonipeled @JohnPLeonardMD @drkomanduri @MediHumdani
@LoriMuffly

Here is the link https://www.medpagetoday.com/blogs/vinay-prasad/89076

@DrMassarweh
@MTomasson
@bwoodmd
@hemant_murthy