Emergency Medicine had 554 UNFILLED RESIDENCY MATCH SPOTS | Least Competitive Medical Specialties

[@drsallymanderchoi]

Emergency Medicine had only 10 unfilled spots in 2021, 219 unfilled spots in 2022, and 554 unfilled spots in 2023!!

[@christopherhawkins7811]

Some ER departments are finding cost savings in hiring PA’s. Side note, state specific.

[@hkostek11]

Not every ED/ Hospital has a residency program. Take that into consideration.

[@punjabiqt08]

Great. All the specialties we need.

[@lisagreig2003]

I would love to have your memory ❤

[@drsallymanderchoi]

I had my laptop right next to me to look at in between sentences 😂

[@samgas1219]

I think the reason EM went this way is due to the midlevel creep thats affecting attending positions.

[@rommelcativo9870]

What do you mean?

[@lemickey4204]

@@rommelcativo9870mid levels are replacing physicians for cheaper costs by hospitals

[@coolscience622]

@@rommelcativo9870 PAs the quacks of medicine

[@SuperEmpires1]

@@rommelcativo9870more PA/NPs are being hired to do the work over Doctors since it costs less

[@cmill203]

Mid-level encroachment is everywhere. It’s insane.

[@rickmiguel1975]

Why they don’t offer those unfilled spots to foreign doctor who passed the exams and are struggling with getting into a residency? I’ve got couple of friends who passed the boards and they’ve been applying to get Internal Medicina, Family Medicine and Emergency Medicine residencies multiple times without luck! That’s insane situation and so discriminatory!

[@Seansyy62]

Which schools did they go to

[@rickmiguel1975]

@@Seansyy62 Foreign school! But they live in The US now.

[@JT-tx2ns]

@@rickmiguel1975 that’s why and it sucks. They can move to states like MN that’s allowing grads to practice like PAs. Make sure they can tho. There may be rules to this.

[@lijohnyoutube101]

You are missing how the process works. This is what pushed to SOAP, domestic students percentage wise hit the main match more often and don’t get soaped but many international students as well as domestic students were jumping for these in SOAP. After SOAP they are all filled with some rare exceptions for unique issues that arise etc. So these were all filled in SOAP but not main! The people you are talking about are after what she is discussing they didn’t even get an open slot in SOAP (the slots she is talking about). Many people every year still don’t get one of these slots that were soaped. The legal US residency cap holds the number of residency slots steady.

[@Max-bi8fn]

Discriminatory?! I can’t go to ur country and match as easy

[@ckrgksdkrak]

The only criticism to Dr dodi’s narrative is he overlooks the outlook on private practice opportunities… most of his positive focus is on academic/corporate jobs… most med students are still hanging onto certain fields where autonomy is still respected/coveted.

[@tasaneerungteranoont3475]

what do you think it will be like in 2024 for EM?

[@irshviralvideo]

Dr choi - i am a EM. This is very surprising. What caused this ? Covid perhaps

[@At76812]

Hey doc in your opinion do you think age of the incoming class is a factor? They would be 26-28ish years old, so older Gen Z who were more or less raised on their phones barraged by constant mental health conversations. Could it be this new generation is deterred by the more chronic stress of EM where other generations may have gone into it somewhat for that reason?

[@kevjay-med1225]

Hey M4 here. It really has nothing to do with whether they are GenZ or younger millennials (technically we're millennials). The demand for ED physicians and job market has drastically decreased as the hospitals cut costs by chronically understaffing ED's and stretching each MD further with NP's. It's more stressful because you're responsible for MORE patients and the job market isn't as great. Once upon a time ED was an awesome gig; 3 years of residency and you could be hired literally anywhere for great pay with shift work. With greater patient loads everyone is more impatient/rude because everyone is waiting longer. Pretty complex issue and I highly recommend reading up on it + the role of the ED physician in modern healthcare

[@At76812]

Ahh so you’re saying it’s become a far less desirable job for the most part?

[@jeihka1]

Do they publish those spots to try to put people in it?

[@mariaduque4974]

Did everyone who chose EM match then??

[@SpaceBoyDanny]

Not necessarily because when you apply you don't go for every single spot, you probably go for spots in certain locations. So the ones that went unfilled are likely in less desirable usually more rural locations. For example someone who applied to EM spots only in large cities may have not matched.

[@MannyFresh4251]

Mid. Level. Encroachment.

[@muhammadyaseen13002]

Aren't these positions occupied in SOAP either?

[@lijohnyoutube101]

Yes these were what pushed into SOAP in 2023 for top 4.

[@sunshinecheese17]

Why are these spots unfilled?

[@drsallymanderchoi]

Less applicants than positions, meaning not enough people want to go into these fields by the end of medical school

[@dragonfly8485]

What a stupid question.

[@fulltimeslackerii8229]

shrinking job market

[@JP-sx7fq]

The pandemic has forced the entire world to take a good hard look at the medicine for profit industry. While the world burned, hospitals shut down and refused service, made TikToks instead of caring. They revealed themselves. Most of the world is reexamining their assumptions about life. They're recognizing that this is a business which preys on sick people, not a public service or an inalienable right to help. Less people have the stomach for it now that society is turning against them.

[@Brugada_type_1]

@@drsallymanderchoi actually more applicants than spots but the programs were too optimistic and didn’t rank enough applicants during the match.

[@regularbloke4395]

1. EM isn't as popular as before 2. Dr Choi can't spell pediatrics

[@JP-sx7fq]

That is terrible. However will the medical community meet their TikTok quota this year?!! 😢