W. Sainval, MD, MBA
@SainvalMd
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Classically Trained Pianist | Published Pro Photographer | Healthcare Operations| FEARLESS but Respectful! Comments are my own! Not of my employer!
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Joined October 2020
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@DrDrAbhiKole
Them hedge funds out there won’t give millennials a chance. It is a fight. I know people who were outbid $150k over asking price and wait for it…the buyer paid in Cash! Smh
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7K
What’s right?
10K relocation stipend for each PGY-1.
Guaranteed minimum salary of
$100K for PGY-1
$110 K for PGY-2
$117K for PGY-3
No fellow should be making less than $125K.
Residents and fellows add too much value to the bottom line of the hospital system.
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2K
@AboodMalfarra
@JihadalHaqq
I stand with Palestine! I stand for Freedom! I stand for quality of life! I say no to oppression! I say yes to peace and the right of Palestinians to the pursuit of happiness! I stand with you brother! I stand with you fellow human being!
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@DrDrAbhiKole
Yep. Read about a bill being introduced in California, which would slash 25% of investors’ profit. Don’t really know how much this would deter them. We visited some new subdivisions in and around Austin and builders said that investing firms were not allowed in. This might help.
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@Jakub_pavlicek1
@KyivIndependent
I refer to this as “the psychology of winning a war”. Amassing an uprising against the oppressor but passively doing so (getting the citizens of that oppressor to mobilize against that oppressor!
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Please explain the rational for a residency trained physician from another country to start as a PGY1?
A specialist must not start as a PGY-1! This is an insult to medical education!
Fellowship or a different process should be in place to complement existing knowledge!
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@RepLizCheney
@ltgrusselhonore
Never thought I would have been alive to witness WWIII unfolding! This is some scary stuff! I am more worried about the economic impact here at home. We are dealing with an inflated economy. Worries about those who are already struggled to make ends meet! So help us GOD!
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To those doctors who enjoy abusing unmatched docs with less than minimum wage salary plus a bunch of BS promises to boost their CVs…how do you sleep at night? Never seen a profession so brutal and awful to its very own! No they are no less than you! Just an opportunity gap!
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@siegraaa
This is done by design! Supremacist ideas in a field, which supposes to value knowledge and puts patient first! It is a war on talents! It doesn’t have to be this way!
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All unmatched docs need to come together through the many unmatched advocacy organizations to hold a summit where Legislators, Hospital Admins, GME leaders do convene in one room (physical or virtual) to layout a plan forward. Inaction is unacceptable! The staffing issue is real
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Let us keep the unmatched employed! If you have or know of opportunities, please share them. I am working on some info, which I will soon release. Not only it makes you feel better when you do help someone, it is also a win-win for the economy. More income, more taxes!
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AAMC’s pres. David J. Skorton, MD blames medical graduates’ poor interview skills, scores, & SOAP for not matching! So…interview skills is a determinant of one’s future as a clinician? Come on! Are we going to allow this nonsense to continue?
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Dear FMGs/IMGs or any unmatched docs. There is a comfortable life with opportunities to grow in healthcare management/Healthcare Quality! I believe that someone with a medical degree should not be struggling that much! The system needs you more than you need it! Mark those words!
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With 1000s of MDs/DOs graduated without a job, there are plenty of positions that unmatched docs or docs transitioning to PG training can do. These jobs only require knowledge of the healthcare system.
These are good paying jobs.
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The GME Extortion explained:
Each year, thousands of docs are denied the opportunity to train in residency. When a doc goes unmatched (not advanced to residency), he/she must wait for another year to re-apply for the next cycle of “Match”. The loan grace period quickly shows up.1
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Why is there a YOG on residency filter? Does a doctor stop being a doctor as the yr passes? Many unmatched docs take step 3 just to improve their odds of matching. Why does a doctor with yrs of experience in his/her home country is compelled to repeat residency and start as PGY1?
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You look at the academic trajectory of the docs who are SOAPn, then you ask yourself why? This is not a about entitlement! You get applicants who applied to 200+ programs, cleared step 3, applied only to a primary care specialty, 3+ yrs of research, then what else to prove?
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Soon, thousands of residency applicants who have passed step 1, 2, and many with step 3 will be BLOCKED by this GME system. Many of these applicants would have applied to at least 100 programs. Assume 7K (generous), that is 14,000,000 collected to apply for a job! Is that OK?
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@IAPonomarenko
My wife and I had Ukraine in our bucket list to visit in the next 3 years! Hoping Ukrainian arm forces will restore order so that the children of Ukraine can come back to their home to rebuild their country! Hope we will be among the first group of tourists! Prayers to Ukraine!
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@KrisEmilyMD
@Experiential_Dr
@Ledgemd
For certain reasons, the GME establishment has established a supremacy in medical education. This crooked GME system conveys that crossing the Atlantic or Pacific Ocean or the north or south border decreases one’s clinical skills, medical knowledge, and experience. Smh
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@AllieRolandi
@mahad_minhas
I am telling you. Time for rural and underserved America to really reach out to their representatives and demand a concrete change to this systemic supreme system! The system is too rotten to its core.
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Chicago has listened!
@GovPritzker
you have made the right choice! Using this large pool of Unmatched IMGs! May your administration continue to allocate resources in order to find the best pathway to integrate these docs into the system way beyond Covid! Use them! They are here!
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@DrCargle
@keenethery
@lorigspeaks
@CountyofLA
@USC
@AAOSAdvocacy
Nope! You will win this! And these Goliaths will pay a heavy price! Intimidation has no place in medicine! This GME is toxic and rotten! Some of these PDs are just protecting their tenure!
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Unmatched docs are often found over qualified to work as an MA but under qualified to even give a freaking shot that is after 6K+ hours of clinical training! If this is one of the most fucked up things you have ever heard, then what else is?
@AmerMedicalAssn
!
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Here is what I do on Sundays afternoon. I teach real estate photography to young underserved folks at no charge! After just a few sessions, they start charging realtor $135-$245 per home. Then $360/property! That is 1hr to 1.5hr of work! Uplift others! Blessed!
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@Kamali_Thompson
Whether one is a nurse, doc, work in maintenance or housekeeping, being kind goes a long way! No one deserves rudeness!
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@mahad_minhas
Talked to a colleague about that earlier. An overwhelming percentage applied to one of the primary care specialties. Based on health data, Hispanics, Black/Brown and poor White folks have worst health outcomes. The system is just cashing in on nice talks about the underserved.
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About time! We all know that is is a way for the powerful Trio to recover lost capital! As I have always said in here, it makes no damn sense to make a cardiologist, surgeon, or any physician with years of training to start as a PGY-1! Quite insulting to the medical profession!
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One key characteristic of unmatched MDs/DOs is their loyalty to healthcare! Unfortunately, their own profession has not been that loyal! Some unmatched docs who would even pay just for the opportunity to stay clinically relevant! What else does the establishment want? Awful!
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How do we get a petition started? Enough is enough! The honeymoon with medical schools,
@AAMCtoday
,
@AmerMedicalAssn
,
@TheNRMP
must end now! No more medical school openings until we address this residency mess! Hold these entities for their out of touch stance!
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@WFPChief
@WFP
@WFP_Media
@WFP_Africa
@WFP_WAfrica
@WFP_MENA
@WFPAsiaPacific
@WFP_es
@WFP_Europe
@WFP_UK
These pics are humiliating! Y’all created those situations! Stop creating internal conflicts in these countries!
@elonmusk
invest in agriculture and hire local people to run these farms! These folks do not need
@WFP
AND
@WFPChief
. These folks need opportunities!
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Dear PRIMARY CARE societies! Instead of wasting your time and money in destroying the 8K MDs/DOs who just recently went unmatched, we can all agree with over 6K clinical hrs, there is plenty these docs can do! This system is out of touch! Protect your own! Put the ego aside!
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@shannonrousseau
@NewsOn6
Let me see if I can make it a job without background check! This is tough! This is not normal people!
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@DrMigueQC
@dnnppp
Proposing a 10K-20K moving stipend to all residents! Rental would take at least 4K. Moving across state line puts one at at least 2500. The whole system is a mess!
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@MamaDoctorJones
We are basically voting without really understanding why, what and who we are choosing to represent us! Smh
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Just remember to say hello to your hospital sanitation team, maintenance folks, the security guards, the parking attendants, and so forth because without them, all operation of a health system would cease to exist. A simple “good morning/how is your day going” goes a long way.
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Before residency, one must pass the United States Medical Licensing Examination (1 + 2). Step 1 is 8hr long and cost US med students $645 but International Medical Grads (IMGs) $985 for the same exam and at the same center. Step 2 is 9hr and costs US grads $645 but IMGs $985. End
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Every small win is a win! I always say it: the American Medical Association aka AMA needs to do more for residents. Yes residents should be able to strike to protest systemic abuse! Residents must be paid at least $100K for PGY-1! C-Suite bonuses?
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Dear GME folks, time to come up with a clear path for the thousands of unmatched docs. Thousands with an MDs/DOs are left confused and broken. A future filled with uncertainties. Healthcare has a staffing problem, there are ways to keep these docs engaged in the system.
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Arizona is doing its part and issuing a 1yr renewal training license, which pairs unmatched docs with fully license docs. But it is tough to find collaborative doctors! The same is true for Missouri! In MO, APs are going through hell just to find collaborators!
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@mahad_minhas
This is a tough conversation. Here is what we need - a pathway for physicians with years of experience to practice without going through the usual match. It is absurd that we are making doctors with years of practice in their home country repeating residency. Makes no sense!
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Here is one abuser! Do you all see what FMGs/IMGs are up against? For how long are we going to keep this nonsense? Inflation is high, rent is high, groceries high? $13/hr?
@AAMCtoday
@AmerMedicalAssn
@ERASinfo
! We need to stand up against this bigotry!
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Match day is around the corner. It is inevitable there will be thousands of docs going unmatched. At a time when we are going through a “mass resignation” in healthcare, we need the government and the private sector to get involved in ensuring that these docs stay in healthcare.
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@Connie_S_Wright
@mahad_minhas
@DataDrivenMD
The data hurts but it is a representation of how sick this healthcare is.
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We need guaranteed PGY-1 (transitional/prelem) as a safety net! It is understandable that some specialties are competitive. Adding more docs to the pipeline benefits us all! We have patients driving for HRS just to get their BP checked! Let this sink for a minute!
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Let us say that the GME system increase PGY-1 salary to 100K a year…..an average increase of 50K for 40K residents would be about $2B. This is a great investment. You boost moral with this move. Let us say you add $10K for automatic housing stipend to each resident, that is 400M
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@LoriGetsCrunk
@EKing719
Some of these replies clearly prove why tweeting this encounter was an amazing/important decision! She brought the wolves out! They came out enraged at a parent who just wanted the best for her daughter! They care more about their ego than a freakn scar on a child’s face! Smh
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@hyunjeankim
Let us break the numbers. 80hrX52wks= 4160HRS. Allocate 160hrs for vacation time and with, let say, a salary of 52K/yr, we are now talking about residents making 13bucks/hr. Shouldn’t residents be compensated at overtime rate for each hr above 40? This feels like a conspiracy!
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What if
@AAMCtoday
@ERASinfo
were to be forced to reimburse all unmatched applicants? These C-Suite folks seem to forget that many applicants had to borrow money to residency. Good return for AAMC but more a lot more debt for applicants!
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@jbcarmody
The hospital system is enjoying the ride! They will continue to do so unless all residents unionize and put a stop at this nonsense! It took years for the NFL to make changes! This GME system operates like a mob!
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We do have doctors with step 3 who have not been able to pursue GME training. Many of these grads would do whatever it would take just to have that opportunity to be called “GME trainee”. Some would even pay if they had too. They have already gave it all! What is next? Silence?
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We have a healthcare staffing shortage at every level of our health care system. It begins with guaranteeing a PGY-1 spot for every eligible candidate. We cannot afford to lose anyone just because of unavailable spots. We need to up the utility of these grads! It benefits us all.
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What if applying to residency was free? What if we had a GME system that was not for profit - for real…..and not having GME organizations disguised under a non-profit banner as they drive doctors deep into debt with bogus unregulated fees? We must stop this madness!
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@AngelaUbanwa
@nkagetsu
It’s a struggle out there for many applicants. This system is out of control. What I refer to the “gatekeepers” of the system are oblivious of these challenges. These board members are financially set! Those who should talk just choose to stay silent.
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@TraumaRama_RN
I am telling you! I am voicing against this C-suite arrogance! Instead of doing a root cause analysis to find a real solution, these folks decided to add fuel into the fire! I wish them luck!
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AAMC, your president needs to highlight the mental toll of not matching! 4 years of medical school, passing Step 1, 2 and in many occasions step 3 but still their fault? YOU are publicly SHAMING those hardworking students who year after year fattening your balance sheet?
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Dear unmatched docs, please STOP working for free! First look for paid clinical jobs. Next, spend your time learning about healthcare quality measures. Value-Based Model needs your skills. Negotiate! Work to be able to afford the match! Healthcare quality jobs pays in the 75K+.
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This is a real opportunity for an unmatched doc or any doc in transition to GME. Clinical Documentation ($40/hr)! We can all agree that anyone with a doctoral should not be working those $16 bucks job!
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@iamabayorr
@FlorenceYuanMD
Medicine has always been brutal to black women! Till today! I attended the Beyond Flexner Conference and learned a lot about the cruelty of medicine here in the western world. All medical schools should teach a course series on the history of medicine.
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To the leadership at
@HHSGov
@POTUS
@VP
@USEducationDept
@USCongress
, we need more doctors and not less! We cannot afford to let this system sidelined hardworking medical graduates. We have the money! Plan B should be to keep these docs in a PGY-1 of some sort!
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Hi all! Many docs awaiting residency currently have the Illinois temporary license. It has been difficult for most to find collaborators in Illinois. This is a great opportunity to help one of your own stay in the clinical setting! “Be the change you want to see” M. Gandhi.
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@gmh8899
@ltgrusselhonore
@weatherchannel
@MSNBC
@CNN
@NPR
@nytimes
@washingtonpost
@fema
@GovPierluisi
Puerto Rico needs renewal power since years ago! This is the time! Must not wait! Time to push this narrative with might!
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Every single state in the union must implement a path to ensure that all MDs/DOs who could not secure a residency spot are given the opportunity to work under SUPERVISION in collaboration with a licensed mentor. We can structure this to be an amazing and winning experience.
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If any one of you Fully licensed docs are currently working in Arizona, you should not be afraid to bring younger docs under your umbrella. They have a lot to contribute to your practice. Yes you should not be afraid to collaborate with unmatched docs with 6K clinical hrs.
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Earn a respectful wage so you can afford to feed your family while you are applying or reapplying for the match. Do not allow any idiots/egoists or this evil system to make you feel less than what you know you are worth! You are a medical doctor. You have done your part!
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I cannot wait for the day that residents from across the country will come together and ask c-suites to pay them what they are worth! You cannot be a resident and struggling to pay your rent! Where is the hazard pay? Nurses too need to ask to be respected and paid well!
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Arizona and Missouri have issued training/limited license which pair unmatched docs or docs in transition to GME. These legislations keep these grads in healthcare and not in food delivery like uber eats. The main roadblock is finding collaborating physicians/clinics/hospitals.
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@JackReagan96
@dnnppp
A 10-15K stipend would have made all the difference! Some are really struggling out there!
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The process is already costly!
@AAMCtoday
is getting richer! We are losing money when considering the economic value matched doctors do bring to the system! Most importantly, patients are either dying or getting sicker because of access to care! What else are we waiting for?
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@SPuro88
No recovery! Done! Jokingly! To be honest, the removal process will check your your patience. Our oldest daughter did the same in the rear seat of our car. We are talking about cloth seat! Till dis day we are glittered!
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@mahad_minhas
Man, this is awesome! I do believe that this generation of MDs/DOs, will change the toxic culture within medicine. Medicine should celebrate perseverance and hardworking! Hope she will find the support that is needed to overcome whatever challenges she is going through!
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Healthcare management appreciates your skills! On the job training and experience will get you start at 65K+. Learn as much as you can about HEDIS, CAHPS/HOS/HCC, Medicare Advantage! Search for Clinical Quality consultant, clinical quality analyst, clinical quality performance!
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To
@AAMCtoday
and its CEO, when ERAS is the major source of receivables for your salary, it is quite easy to blame qualified applicants for not matching! Right? What about making application free for re-applicants? AAMC is out of touch with the financial struggles of applicants.
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How much money can
@AAMCtoday
,
@TheNRMP
@ERASinfo
stash in their coffers until they could reach a humanistic level of understanding to acknowledge that many applicants just cannot afford 3,000-4,000 bucks in MADE-UP applications fees? Greed and egoism is just an awful thing!
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Do not let yourself be taken advantage for fake/false LOR promises. The whole system is sickening. At the end of the day, you have got bills to pay. Strategize.
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What I like about unmatched docs is their resilience! I know many unmatched docs who are so committed to medicine that they make themselves vulnerable to a profiteering system that only cares about its bottom lines! What follows is a bunch of bullshit promises and LOR’s!
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Patients are dying because of lack of access to quality, efficient, and timely care. The system has enough money to train all unmatched docs who have chosen such a noble field for all for the right reasons: “providing compassionate and quality care” to their patients.
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@DrBullCity
@BCMEmergencyMed
@Dr_mac2
If you’ve just called me and I did not answer, just know I was not ignoring you. I am just busy looking and smile at this pic! Keep on inspiring! Just showed the pic to my oldest daughter (5yo). She said wow! Love it!
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AAMC, AMA, ACGME, and the rest of the team are milking the system. They just do not give a damn except for their bottom line. They could have forced congress to act on allocating more funding to PG training. Unfortunately, they put bottom line over Health care delivery.
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@olsonplanner
@KyrollosBarsoum
I am certain he will be OK. Medicine is hell to many of us. I chose the business aspect of healthcare! Loving it! 8-5, don’t take my job home, and weekend is for my family. I enjoy knowing that I am part of discussions, which typically lead to thousand of lives being changed!
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Then, the calls begin! “Hi…is this Michael, Kelly, Eric, Willie, Maurice, Darius, Jonathan, Peter, Abdul, Erin, Elizabeth, Ivaan, Jose, Pierre, Prisha, Russ, Tabitha?” Your 200-400K debt is due. We are calling for payments. 2
1
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Wouldn’t it be nice if AAMC/ERAS/NRMP to offer massive discount to re-applicants? The medical community continues to allow these corporations (hidden under non-profit status) to profit on struggling medical grads.
These medical organizations are proof that medicine is a biz.
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2
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@MoriahMurray7
@smalltownOMS
We need to fix this GME system NOW! This is the time. We need Congress, mom, dad, the community reaching out or government and private officials.
0
1
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MDs/DOs hold the solution (s) to the madness we are seeing in the healthcare system. From burnout to low reimbursement! Don’t let yourself be bullied by this failing system.
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I will say this again - doctors hold the solutions to their own problems. Take ownership of your profession. This has gone too far.
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Parents, grandparents, aunts, students, friends, brothers, and sisters, we all need to hold
@AAMCtoday
,
@AmerMedicalAssn
, medical schools and their cronies for their inaction with regards to the GME mess they have created and sustained.
#GuaranteedPGY1
for all applicants.
2
5
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I have just been promoted! Heading the right path! Nothing better than working in a workplace where the leadership is vested in your professional growth and that your wellness is made a top priority! Folks, do not sell yourself short! Know your worth! Don’t put up with toxicity!
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@MendoKC
@MedFactChecks
@EKing719
Medical systemic racism is indeed a thing that most don’t seem to acknowledge. Also, one’s economic status is also important.
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@DrKyleMitchell1
I was too generous then! This system is the reason why underserved communities are bearing much of the consequences. Their children are wasting money in job applications with no guaranteed spots!
0
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22
A limited license to stay in the clinical setting is the right thing to do! Are you enjoying that your fellow docs are left with no other choice but to work for Uber, Lyft, and construction company? Medicine is too toxic! It doesn’t have to be this way! Be a mentor!
0
2
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Since I work in the business sector of health care and really love the quality of life I do have, please DM me if you need any advices on that sector. If the gate keepers decide to close one door, just know thousands more doors will become open. Strategize and stay focus!
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21
Why does residency entrance occurs once a year? Is it be possible to continue channel unmatched applicants to the system throughout the year? Do people only get sick once a year? Does Sallie Mae stop calling? What about the interest rate? Do those stop?
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How many more lives will we allow these entities to take? When do we put that break? Should be all about the high exam fees? The high certification fees? What about patient safety? Isn’t access part of “patient safety”? What about burnout? What about stop abusing residents? Smh.
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@PamelaWibleMD
I have been trying for figure out why the medical community has chosen to nearly silent over the suicide rate among docs! 1 doc is too many over a lifetime! Please seek help when in need! Please check on your colleagues!
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