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Why does acute care have more ESL? - Curious

Posted: Nov 10, 2012

I transcribe both clinic and some acute care, and the acute care that I transcribe has a higher percentage of ESL dictators. It seems like that is typical for acute care. Why is that? Are the ESL doctors drawn more to being hospitalists?

Yes, More Drawn to Hospitals - Hit the nail on the head!

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Yes, those from other countries tend to come here for higher opportunities, is my guess, than from their own countries.

I also think it works out for the hospitals. Those from the mid east or far east don't share the same holidays, so they aren't needing our holidays off. Might be a chicken-egg thing, not sure.

Your observation is correct---definitely more ESLs in hospitals. The reason why is unclear to me. Too bad doctor types don't post here, or we could find that out.

I disagree. I'm in acute care and the majority of my ESLs are specialists who have private - practices.

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nm

Some Have Clinics Also-nm - Some Stay in as hospitalists

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xx

Ditto. - alana

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.

Drawn to hospitals? - Anonymous

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They all have offices and private practices with the exception of residents. They admit patients to the hospital, just like all physicians. It has nothing to do with them being "drawn" to hospitals.

uh, they're smarter? drawn to difficult specialties? - nm

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x

Not smarter, just got the free education from the - good ole US government

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!

Um, that is not actually true. - x

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x

Hospitalists earn less - anon

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Hospitalists earn less so fewer American docs are willing to do it. Particularly if they are employees of hospital.

The mean salary in NYC - alana

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for a hospitalist is about $222k, with benefits, PTO, no overhead. Many docs, esp newbies will not make that for years after setting up practice.

Why would you think the US - government would

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pay for foreigners to go to medical school? More likely their own governments paid, but "free" usually isn't without strings. They probably had to do time in some hellhole before getting a work visa here.

Um - See Msg

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The only people who get a free ride in this country are those from the countries where the people don't want to work hard. Not mentioning any, don't want to start anything, but European and other continent-types have problems even staying in this country, let along getting a free ride from the U.S. They actually have to work hard to become a U.S. Citizen to do anything, vote, anything, and have to have a green card first, etc., etc., etc.

I know for a fact that in NC there are special programs - See it everyday

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just for "non-Americans." Yes, I see it all the time, signs posted even at some of the government offices that there are special programs to help non-English speakers with all sorts of things from housing, to food to yes, education. While it is true that some of those programs come with strings like agreeing to work in a particular area for a certain amount of time in exchange-still, I being born here, raised here, worked here my whole adult life am not given those opportunities and neither are my children. I know this is a fact at least in that state.

that is a load - nm

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no, it isn't a load of anything - NM

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Cousin's college in chicago gives scholarships to illegal - aliens. So, it does happen. nm

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x

Yup - Old MT

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That is soooo unfair. The European types have to jump through hoops to come here, work here and stay here, and those other people don't. I say if you're going to do it, do it for everybody. The Europeans MADE this country by coming here, learning the language and working extremely hard, and now they're not even given the same rights as those who want to come here to sponge off all of us. It's OUR taxes that pay for them.

the college is not the government - nm

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It has nothing to do with free education - sm

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Foreign nationals attend medical school in their home countries or other nations, but not the United States. This has to do with restrictions imposed on schools by the American Medical Association, which limits them to prevent a flood of physicians from overwhelming the market and lowering incomes. There are not enogh seats to meet the current demand, so residency programs make up the difference with foreign nationals. This is a benefit to the US, which now does not have enough doctors especially in rural areas and the less desirable residency programs, and to foreign countries for which this is a form of international aid. Most graduates of those programs go back home afterward, but some top grads are able to stay to make up a shortfall
in the number of doctors needed in the US. They may need to serve in rural, doctor shortage areas first.

Hospitalists are not just any doctor in a hospital. I think some here are confusing that with house staff. House staff are interns and resient physicians in training at a hospital, where they provide care at reduced pay while learning a specialty like surgery.

Hospitalists have a specialty in hospital internal medicine so they practice in hospitals but at full pay--they are not in training. Foreign doctors have always gone into internal medicine, so some of them now go into hospital medicine just like US doctors do.

I think some MTs here are confusing house staff (residents) with hospitalists and/or any doctor dictating on a hospital line. Others seem to be unclear about how and when foreign doctors arrive in the US and where they are trained in medical school.

The comment that some college gives scholarships to illegal aliens is not relevant at all because colleges do not teach medicine. Medicine is a post-college program taught at universities. The seats in those schools are almost entirely restricted to US students. There are speakers of other languages in those classes, but they are not illegal aliens just because they speak Spanish or Farsi.

People do immigrate to the US. Immigrants are not illegal aliens. Their children born here are citizens regardless of what they look or sound like.

Free??? - are you kidding?

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Maybe depends on where you live, but my local MD panel reads like a who's who of third world countries. They come here, work hard, get great grades, beat out the US competition who doesn't seem to be willing to do the "hard work" part...

No. If you are transcribing for a clinic you may have 5-6 doctors, but - me

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if you are going a hospital there are hundreds of doctors on staff. Except for hospitalists and in-house physicians like anesthesiologists, radiologists, and pathologists, those same physicians also have their own clinic practices.

Anesthesiologists have their own clinics, called pain management - me

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Pain management is mostly done by anesthesiologists, such as epidural steroid injections, radiofrequency thermocoagulations, diskograms, etc. Most have their own practices, and some have their own surgery centers on the side.

It has to do with repaying for free education - ICManiac

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The US Government will pay for an ESL's education here in the US if the ESL will agree to commit to spending a certain amount of time working at a location that has been deemed to have a shortage of physicians. I once met a doctor in a NY hospital who noticed my accent (recently moved to NY from the south). He told me about this arrangement and that he had spent 2 years working in a rural hospital in south Alabama. They may do their stent in the needy hospital before moving on to a more desired location, but they are going to work in places that American physicians don't care about servicing.

Ironic, huh?

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