[kyle19125]

Originally Posted by Corrie22

Lillie, not a one of them looked at your post....and links

...it doesn't fit their agenda

Nice try and rich coming from the Grand Poobah of political agenda posts in the Florida Forum. The links provided mention number of graduates, not how many stay here which is the point of the thread to begin with.

[Corrie22]

pot/kettle......like you never post ”political agenda” posts....like this one

where are your links to back up your post?....you made this claim so far out of thin air

[kyle19125]

Originally Posted by Corrie22

pot/kettle......like you never post ”political agenda” posts....like this one

where are your links to back up your post?....you made this claim so far out of thin air

Not anywhere close to your DeSantis cheerleading onslaught.

As usual your reading comprehension skills are lacking. Once again, search the websites at Advent Health and Orlando Health among others.

[Corrie22]

no links huh? can't back up what you posted, huh?

look kyle, you are the one that posted it, you are the one making the claim

...where did you see it?...where did you read it?

Originally Posted by kyle19125

There are seven medical schools in FL not counting the osteopathic options (UF, FSU, UM, USF, FIU, FAU and UCF) yet if one looks at the major players in healthcare like Advent and Orlando Health there are few if any recent grads. Is it the cost of malpractice insurance or other factors?

[Daryl_G]

This has been an issue for both Nurses and Doctors, I only have first hand knowledge and no study to option to but what I am frequently told from Residents and Nursing graduates are:

1. Cost of living and affordability, may of these students have substantial loans and outside the big three markets the pay drops off significantly. You need to live close to hospitals and medical facilities and that usually comes with a premium in rent and housing prices in the larger cities. In smaller regions the pay can be a bit depressing in Florida in comparison to surrounding states. You don't have to go far to get better wages for the same cost of living outside of Florida so many decide to relocate and other states with less medical schools pay big bonuses for relocating.

2. Age of patients and complexity of managing patients in Florida in a "fast pace hospital and clinic environment:
Most states have a much better mix of patient populations which helps to reduce the complexity of decisions on every visit and helps with keeping up with the pace of modern healthcare but not in Florida. Every decision for a Geriatric patient involves balancing several medications, co-morbid conditions, and potential adverse side effects in a outpatient clinic. In hospitals this translates to EVERY floor being a complex medical floor and no "safe places" for new nurses to get started and burns out the docs who are still learning the ropes so to speak. It is literally just harder to manage patients in Florida since our geriatric population is high and have so many conditions to track on top of what ever has brought them into the hospital, things can go down in his a instant.

3. Lack of rules on patient load and concerns for safety:
This is a big one for new nurses but it affects the docs too. When you take #2 complexity and add in no rules or regulations on patient load in Florida it creates all sorts of concerns for nurses who do worry about losing their license or burnout from running in circles for 12 hours straight with very acutely ill patients in hospitals. Adding the pace of modern medicine and you have the perfect environment for burnout and high stress.

4. Difficulty of finding a job as a new nurse or Doc in Florida since relocating to Florida has boomed:
One big drawback to so many relocating to Florida is new nurses and Docs feel pushed out by much more experienced nurses and Docs relocating to Florida who are willing to take payouts to finish their careers here. A new Doc cannot compete with a Doc with 20 years experience who is willing to take a salary not too far above what a new doc would make. Same with nurses, as a new nurse your competing against experienced nurses with 10+ years experience who again are willing and can afford to take lower pay to relocate to Florida

5. New docs worry about their ability to control or start a private practice in Florida:
If you look around it's easy to see the consolidation of practices, hospital chains buying out and taking over markets which leads to Docs becoming employees under huge systems. Quite a number of Docs do not want to work under a big hospital chain or umbrella company, they want to start and run their practices independently and this is becoming harder in Florida outside of specific specialities. Autonomy is the buzz word Docs use for this.

Again these are just conversations I have had with nurses, docs including Docs in Fellowship programs and Residency programs. It is amazing to talk to a resident and see them already reaching burnout due to how complex every patient is in Florida due to our geriatric population and you DO NOT get extra time in Florida to figure out how to manage patients, you are expected to go as fast as possible. I cannot stress how much this contributes to burnout before these new Docs ever finish residency and how many new nurses feel lost and downright scarred going into to work daily.

[kyle19125]

Originally Posted by kyle19125

Not anywhere close to your DeSantis cheerleading onslaught.

As usual your reading comprehension skills are lacking. Once again, search the websites at Advent Health and Orlando Health among others.

Originally Posted by Corrie22

no links huh? can't back up what you posted, huh?

look kyle, you are the one that posted it, you are the one making the claim

...where did you see it?...where did you read it?

Once again, read slowly if you have to and mouth the words...Can you find Google?

[kyle19125]

Originally Posted by Daryl_G

This has been an issue for both Nurses and Doctors, I only have first hand knowledge and no study to option to but what I am frequently told from Residents and Nursing graduates are:

1. Cost of living and affordability, may of these students have substantial loans and outside the big three markets the pay drops off significantly. You need to live close to hospitals and medical facilities and that usually comes with a premium in rent and housing prices in the larger cities. In smaller regions the pay can be a bit depressing in Florida in comparison to surrounding states. You don't have to go far to get better wages for the same cost of living outside of Florida so many decide to relocate and other states with less medical schools pay big bonuses for relocating.

2. Age of patients and complexity of managing patients in Florida in a "fast pace hospital and clinic environment:
Most states have a much better mix of patient populations which helps to reduce the complexity of decisions on every visit and helps with keeping up with the pace of modern healthcare but not in Florida. Every decision for a Geriatric patient involves balancing several medications, co-morbid conditions, and potential adverse side effects in a outpatient clinic. In hospitals this translates to EVERY floor being a complex medical floor and no "safe places" for new nurses to get started and burns out the docs who are still learning the ropes so to speak. It is literally just harder to manage patients in Florida since our geriatric population is high and have so many conditions to track on top of what ever has brought them into the hospital, things can go down in his a instant.

3. Lack of rules on patient load and concerns for safety:
This is a big one for new nurses but it affects the docs too. When you take #2 complexity and add in no rules or regulations on patient load in Florida it creates all sorts of concerns for nurses who do worry about losing their license or burnout from running in circles for 12 hours straight with very acutely ill patients in hospitals. Adding the pace of modern medicine and you have the perfect environment for burnout and high stress.

4. Difficulty of finding a job as a new nurse or Doc in Florida since relocating to Florida has boomed:
One big drawback to so many relocating to Florida is new nurses and Docs feel pushed out by much more experienced nurses and Docs relocating to Florida who are willing to take payouts to finish their careers here. A new Doc cannot compete with a Doc with 20 years experience who is willing to take a salary not too far above what a new doc would make. Same with nurses, as a new nurse your competing against experienced nurses with 10+ years experience who again are willing and can afford to take lower pay to relocate to Florida

5. New docs worry about their ability to control or start a private practice in Florida:
If you look around it's easy to see the consolidation of practices, hospital chains buying out and taking over markets which leads to Docs becoming employees under huge systems. Quite a number of Docs do not want to work under a big hospital chain or umbrella company, they want to start and run their practices independently and this is becoming harder in Florida outside of specific specialities. Autonomy is the buzz word Docs use for this.

Again these are just conversations I have had with nurses, docs including Docs in Fellowship programs and Residency programs. It is amazing to talk to a resident and see them already reaching burnout due to how complex every patient is in Florida due to our geriatric population and you DO NOT get extra time in Florida to figure out how to manage patients, you are expected to go as fast as possible. I cannot stress how much this contributes to burnout before these new Docs ever finish residency and how many new nurses feel lost and downright scarred going into to work daily.

Thank you for your very welcomed intelligent response.

As I suspected regarding some of the points you made, especially regarding the hospital chains monopolizing the market and dictating how private practices are run. I could swear they have the current docs on a stopwatch and some practices have alluded to the fact their doc/patient times max out at 10 minutes. It's not a common situation where I have lived prior (PA, NY, DC) to see two large hospital groups dominating the market. Is this something that can be pursued as an anti-trust case given it's "a thing" in other supposedly competitive industries?

[Corrie22]

Originally Posted by kyle19125

Once again, read slowly if you have to and mouth the words...Can you find Google?

obviously you still can't ...LOL

[Corrie22]

Originally Posted by Daryl_G

This has been an issue for both Nurses and Doctors, I only have first hand knowledge and no study to option to but what I am frequently told from Residents and Nursing graduates are:

Daryl, agree 100%.....with one caveat

a lot of the problem starts before you even say doctor

Florida has had a major residency problem for a long time.....thousands of graduates...and less than a 1000 residency slots....too expensive and time consuming for hosp

graduates looking for residency were literally forced out of state

that has been in the works to be corrected.... with increased funding for GME...the program funds over 7000 residents now

keep in mind, it was only a short time ago.....they were predicting we would have way too many doctors...so playing catch up

https://www.fha.org/common/Uploaded%...20Final%20.pdf

[kyle19125]

Originally Posted by Corrie22

obviously you still can't ...LOL

I will just for you given you're obviously a
special needs case.

https://www.adventhealth.com/

https://www.orlandohealth.com/physician-finder

https://www.zocdoc.com/

https://www.healthgrades.com/find-a-doctor