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Hi, everyone. This is Lucas Voss with Becker's

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Healthcare. Thanks so much for tuning in to

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the Becker's Healthcare podcast series. It's great to

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have you. We have an exciting topic today,

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one of my favorites on education

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and our great healthcare professionals.

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Atollan is furthering the careers of aspiring health

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care professionals, helping to solve critical workforce shortages

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across the health care industry.

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And to talk about that, very excited to

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have Scott Lyles with me, president at Tollen

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Medical, a veterinary at Tollen Global Education.

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Scott, thanks so much for being here today

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and taking the time. Hey, Lucas. Delighted to.

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Thanks for the opportunity.

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Absolutely. And I wanna turn the floor over

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to you. You are going to have to

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introduce yourself to our audience, and I also

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wanna hear a little bit more about your

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work in health care and just a little

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bit about Atalem's,

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medical education footprint.

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Absolutely.

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Well, again, thank you for the opportunity to

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join. As you, you teed up, my name

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is Scott Lyles. I'm the president

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of Aetalum's Medical and Veterinary Schools.

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Aetalum

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is the number one provider of health care

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professionals in The US marketplace

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that expands to nurses,

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of all stripes,

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doctors and veterinarians.

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We're the second largest provider

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of doctors,

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in The United States and the largest provider

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of doctors of color and the largest provider

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of veterinarians.

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We do this through,

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education,

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tertiary education. In the case of,

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the nursing schools, we have two different platforms,

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Chamberlain and Walden, nursing, which provide undergraduate

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and graduate programs, including nurse practitioner and, physician's

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assistants. The medical schools which I run, we

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provide terminal MD degrees,

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for primarily US Doctors. We have a few

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we choose to, practice in Canada and The

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UK and elsewhere. We're, quite an international

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footprint. And in the case of the veterinary

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schools, our terminal degree

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is, 99%

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DVMs. We do have a PhD program,

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as well.

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Our two medical schools are in The Caribbean,

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the American University of the Caribbean Medical School,

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which is in Saint Martin,

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and Ross University School of Medicine,

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which is in Barbados.

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Awesome. Thank you so much for that introduction.

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A wide variety,

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a broad scope here.

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One of the things I I wanna touch

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on is is match day, and it's obviously

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a lot of folks are familiar with with

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that term.

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It's it's very special for medical professionals,

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obviously, and it's just behind us for for

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most folks.

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What are some of the trends

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you've seen related to specific medical specialties and

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and residencies? What are what are some of

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the trends you're seeing there? Yeah. Well, thanks,

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Lucas. And let me, just add to that.

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That match day is a truly glorious day

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Yeah. For medical students. It's for for most

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of them, it's the Super Bowl even eclipsing

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their graduation day,

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which is, you know, for the families

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equally,

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equally glorious.

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But match day,

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for folks who may not be aware is

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it it's the day that kicks off a

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few weeks

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of graduating medical students getting their residency placements.

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This is when they become doctors. Mhmm. And

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the trend in match day

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has been

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that on match day, about ninety three or

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ninety four

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% of students on that single day

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will get to know where they're gonna be,

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placed in residency.

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A, a couple of the key trends that

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have gone on recently

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are that we have seen a decline

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in the number of general practitioners. So folks

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who are going into family practice,

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folks who are going into general medicine,

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internal medicine,

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which are, typically, those are considered,

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the general practice areas. We've seen a decline

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in those. It's, actually below 50%

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now,

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across The United States.

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And we've tended to see this has come

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as specialties have really increased, and we've continued

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to see that this year. Some of the

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hottest specialties,

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that are out there are orthopedic surgery,

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obstetrics,

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continue to be really, really, highly sought after

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specialties.

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Yeah. Absolutely. And I'm I'm glad again that

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you've touched on the the the sort of

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how special this process is simply because it's

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it's career defining and it's life defining for

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a lot of folks.

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Would they end up in places that they

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might stay for for a long period of

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time?

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Watching

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some of these students, watching some of these

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folks become doctors and entering their their their

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next phase of their lives, essentially,

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what are some of the characteristics

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that define especially this last crop of medical

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residents that that you've been seeing? What are

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some of those characteristics?

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Well, I'll I'll speak specifically

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for our medical schools. Lucas, this is an

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area

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of which we are very, very proud at

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Etalem and really fits into our

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overall mission

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of providing access to to medical health care.

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We at Ross and AUC

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continue to see a very, very high rates

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of

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first time

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college,

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professionals who are coming out. So these are

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these are members of their families. It's the

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first time,

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that anyone in their family has been to

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tertiary education, much less,

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a professional program like, medical school.

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We have a very high level of peoples

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of color,

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women

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who are coming out of our schools, and

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this has been a continued trend.

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We also, as I noted,

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see very high levels

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of placement in

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general health care, general practice. Yeah. For our

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students,

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this year, and this has echoed previous years,

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we've seen around 60% placement of our students

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in some form of general practice, whether that's

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family practice, internal medicine, general medicine.

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We see folks going, into that field, which

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is great for The US health care system.

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The US health care system has shortages of

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doctors,

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full stop.

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In general practice,

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those shortages

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are really acute,

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and we're very proud that we are providing

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so much support for that area.

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The second area that, has been a trend

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is I I noted, you know, Lucas, a

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little bit of that movement

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away from general practice,

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at large towards more specialty. We've also seen

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a real concentration

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within,

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larger cities and larger more affluent geographies,

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where where folks are going. And this this

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notion of health deserts

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or of medical care deserts,

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that gets touted

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is something that we've seen accelerating over the

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last few years and gets amplified

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with residency.

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You know, when people go

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to,

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you know, very high end areas in the

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in the suburbs

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or very well healed hospitals,

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that tend to serve,

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a clientele

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who really don't have a shortage of health

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care options.

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That happens at the expense

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of areas that don't have that same luxury.

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And what we see is with our students,

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they are attending at a higher rate,

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certainly a much higher rate than average,

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of matching

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in these areas that are otherwise known as

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health care deserts where we're able to provide

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a really significant level of support for those

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communities.

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Yeah. And that's such an important piece of

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the puzzle, I think, especially for, as you've

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mentioned, right,

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health care deserts, rural America specifically,

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having that general practitioner that's home in that

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community is so key because a lot of

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the communities we know this have lost their

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doctors, have lost their providers. And, again, it

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goes along with the shortages that we're experiencing,

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all across the board there.

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Now you you've touched on this a little

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bit. What role does

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international education play in this

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and really alleviating

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some of these pressure points,

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both in supporting student access and preparing graduates,

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right, to serve then in the communities that

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we touched on, in the communities that really

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need it most?

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You know, it's a it's a great question,

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and there's really two pieces to it. If

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we think at the beginning of the pipeline

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of medical education, this is people applying to

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and getting into medical school, we have had

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a chronic

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shortage of supply

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within MD programs

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in The United States for multiple years.

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Fewer than half of applicants

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have been accepted into a US, MD program.

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It's been about around 45%.

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Fluctuates a little bit year over year, but

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has generally stayed somewhere between 45

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and just below 50%.

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That translates into a shortage of doctors,

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four years hence when it's match day for

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those,

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folks who were at one stage first year

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students.

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While the DO programs have really expanded,

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they're not coming anywhere near to closing the

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gap.

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We reckon there's somewhere around a 30 to

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31,000

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student

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gap between folks who want to,

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be doctors and those folks who get a

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seat in US schools.

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DO programs close about 8,000 of those.

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So they're so well above 20,000

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student gap

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in terms of getting the folks into medical

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school who will ultimately become doctors.

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That translates into tens and tens of thousands

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of doctors shortage

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as we go through

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that life cycle

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of medical education and ultimately into being

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a doctor. And that is only becoming more

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acute as we have more and more people

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retiring.

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So international medical,

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programs

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help to close that gap, in particular ones

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like Ross

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Medical and like AUC

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who are geared towards training doctors who will

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ultimately practice

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in The United States. The vast majority of

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our doctors, over 95% of our students, rather,

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who practice wind becoming doctors in in The

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US. So the IMG, the international medical, programs,

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and the international medical graduates played a critical

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role in helping,

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to close

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that gap. Any given year, we think there's

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around 16,000,

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folks who decide to,

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study internationally,

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and

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those are folks who ultimately

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may have the chance to come back and

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be doctors in The US. There are some

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programs that don't prepare them for that. Ours

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do. And so we are, we're really helping

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the entirety

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of the system.

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Yeah. And I one of the things that,

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you know, we went from from our conversation

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earlier on match day and and sort of

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the exciting piece to this and and how

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exciting it is for folks on on match

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day itself to now you you've touched on

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it. A lot of these folks, this is

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the calling for them. They wanted to be

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doctors their whole lives.

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And there there are significant hurdles, and this

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is a pathway for them to be able

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to achieve their dream and their calling, which

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is very important, I think.

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That's absolutely right. Let me just add just

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one point on that because you couldn't be

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you couldn't be more spot on,

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is

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these folks have had the calling to be

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doctors all of their lives.

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And the only reason that they're not having

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the same opportunity that they may have thought

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about when they were in high school or

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when they were in their undergraduate

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is the shortage of seats in US medical

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school. So they you know, to our point,

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international programs, which have high placement rates like

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we do, have the opportunity to help them

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realize their dream.

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Yeah. Absolutely.

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When I was doing

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or preparing for this podcast rather,

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my favorite question that I wanted to ask

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you was one of the last ones here

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for us today.

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What would you say to a prospective medical

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student who has concerns? They may not be

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a match for a career in health care.

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I just wanted to hear your thoughts and

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your perspective on this. What what will you

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say to them?

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You know, what I what I would say

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is that

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because of the situation that we have in

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in US medical education,

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a lot of students are told that they

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just don't have what it takes to be

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a doctor. Okay. And that is because of

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an artificial shortage that we've we've created.

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We have successfully,

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over decades,

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helped people become doctors who were told throughout

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their entire undergraduate career that they wouldn't make

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it.

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We have very, very successfully done that. This

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year, for '25,

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our match day rate was just a little

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bit over ninety three percent.

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That puts us bang on average with USMD

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Mhmm. And a little bit ahead of USDO.

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And I will say for our in our

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school's

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recognition, that's about 20 points

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higher than the average,

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other international

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institutions.

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So we

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have a strong,

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track record and a strong history

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of helping these folks who have dreamed of

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becoming doctors

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to realize that dream in The United States.

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I think that's an important fact to hear,

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an important statistics to hear for them or

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for those that have that dream and want

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to achieve that dream. Scott, thank you so

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much for your insights and your time today.

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This was fantastic.

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Thank you, Lucas. I very much appreciate it.

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It was great having you, and we also

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want to thank our podcast sponsor at Talon

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Global Education.

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And you can tune into more podcasts from

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Becker's Health Club by visiting our podcast page

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00:14:03,445 --> 00:14:06,345
at beckershospitalreview.com.