Residencies: doctors have it figured out

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After chatting with a fourth year med student today at clinical, it occurred to me how vastly different the physician career-path is from our own. Fourth year medical students are undergoing the process of being matched to a residency in the specialty of their choosing. They apply to prospective hospitals and hope to be matched to their top choice, awaiting the chance to learn from their experienced superiors. Then, after gaining some experience, they apply for a fellowship or are recruited to a hospital.

Meanwhile, new graduate nurses face roadblock after roadblock to becoming an experienced nurse. As nursing students approach graduation, they frantically begin the job search, only to encounter "__ years experience required" on almost every job posting. If nursing school is not adequate preparation to be recruited to a nursing position, is our education failing us? How are we to become experienced professionals if hospitals are unwilling to let us grow to this capacity?

I believe the answer to this problem is nurse residency programs. Like medical residencies, these programs assume and even require that the applicant be a relatively-inexperienced new graduate. I feel that like medical residencies, nurse residencies should become a traditional and required portion of nursing training. I envision this to be far off in the future, but maybe someday every teaching hospital will have "nurse residents" and every nursing student will go through a residency as part of their training, not just the lucky few who are accepted to these programs today.

Specializes in geriatrics.

Your BSN programs are different in the US, but it is very possible to do four years of clinical. Canadian universities have clinical years 1 through 4. The prerequisities aren't included in that time. Prerequisities are completed prior to entry, making your schooling a total of 5 years.

Specializes in Critical Care.
Your BSN programs are different in the US but it is very possible to do four years of clinical. Canadian universities have clinical years 1 through 4. The prerequisities aren't included in that time. Prerequisities are completed prior to entry, making your schooling a total of 5 years.[/quote']

I'm Canadian and in a BScN program, and like you mentioned we have 4 years of clinical. But I will graduate after a total of 4 years, as there were no prerequisites we entered into the nursing program right from high school.

Specializes in geriatrics.

You've taken the prerequisite courses in high school. For people who do not go straight into nursing school after high school (such as myself) there is a year of prerequisites, if you do not have them.

Your BSN programs are different in the US but it is very possible to do four years of clinical. Canadian universities have clinical years 1 through 4. The prerequisities aren't included in that time. Prerequisities are completed prior to entry, making your schooling a total of 5 years.[/quote']

Yes, I did five years total including prerequisites and we had clinical during all four years.

Residents get paid about $10 an hour on average.

There are recent work restrictions on residencies. Interns work 80 hours per week, upper level residents can work many more hours than that. There is also talk that they will increase the work hour limit, as many believe that post-graduate training is not sufficient. I would also like to point out that before these work hour restrictions residency would easily mean >120 hours a week, for up to 8 years, not counting fellowship. Just something to think about when comparing older doctors to younger ones. What I'm really trying to say is, if you do decide, as a profession, to start residencies, it will rapidly become mandatory. And everybody will have to do it to get a job. Which will basically double the amount of time you are required to be trained.

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