[MOforthewin]

Originally Posted by Ghaati

Palm trees and golf, but otherwise agree. Most states don't have gated communities where - the moment you leave the relative safety of the gates to go to the supermarket, or the city library, or a restaurant - you're either shown the landscaping wall of shrubbery or concrete that keeps everyone out of OTHER gated communities, or you're smacked with horrible looking run-down trailers and trailer parks, half-vacant strip malls with filth strewn by the front doors of abandoned shops, pawn shops, gun stores, liquor stores, and not much else.

There is a reason for that. Older states like Missouri, Georgia, Arkansas, Tennessee you had segregated neighborhoods for example dating back to the 1800s. Not bringing race into anything but for example St. Louis most of the crime is contained to the city limits and northern parts of the county. Here in Florida most of the populated areas were not developed until the 1960s. So you know what areas of town to state out of.

Florida it's spread out all over.

I'm not trying to sound harsh or mean that to be racist but that's why it seems in other states crime is contained to certain areas of towns.

That's starting to change now even in past segregated cities like St. Louis. The crime is starting to spread but it's still fairly easy to avoid the crap areas. Even the city of Naples has a real crappy housing project near Tin City surrounded by multi millionaires.

Here in FL being a newer state it's sprinkled all over.

[Ghaati]

Originally Posted by MOforthewin

There is a reason for that. Older states like Missouri, Georgia, Arkansas, Tennessee you had segregated neighborhoods for example dating back to the 1800s. Not bringing race into anything but for example St. Louis most of the crime is contained to the city limits and northern parts of the county. Here in Florida most of the populated areas were not developed until the 1960s. So you know what areas of town to state out of.

Florida it's spread out all over.

I'm not trying to sound harsh or mean that to be racist but that's why it seems in other states crime is contained to certain areas of towns.

That's starting to change now even in past segregated cities like St. Louis. The crime is starting to spread but it's still fairly easy to avoid the crap areas. Even the city of Naples has a real crappy housing project near Tin City surrounded by multi millionaires.

Here in FL being a newer state it's sprinkled all over.

Yeah that's really super racist, actually. Where I live - and a couple miles in each direction within the three counties surrounding my community, it's predominately white. And most crime here is committed by white people. Most of the drug addicts are white. Most of the homeless people are white. Most of the trailer trash are white. My community doesn't have much of that at all - but right outside our pristine perfect landscaped perimeters, is a mishmosh, and the biggest threat to the citizenship are - white people who live in the area. Black folks commit crimes too, and so do "brown" folks. But by and large, it's whites.

That's three counties - Sumter, Marion, and Lake. For the people who like pulling things out of context - I bolded the pertinent part. So no, I didn't say all of Sumter, Marion, and Lake. I can't speak on behalf of more than a few miles in each direction, because I don't travel further than that.

[MOforthewin]

Originally Posted by Ghaati

Yeah that's really super racist, actually. Where I live - and a couple miles in each direction within the three counties surrounding my community, it's predominately white. And most crime here is committed by white people. Most of the drug addicts are white. Most of the homeless people are white. Most of the trailer trash are white. My community doesn't have much of that at all - but right outside our pristine perfect landscaped perimeters, is a mishmosh, and the biggest threat to the citizenship are - white people who live in the area. Black folks commit crimes too, and so do "brown" folks. But by and large, it's whites.

That's three counties - Sumter, Marion, and Lake. For the people who like pulling things out of context - I bolded the pertinent part. So no, I didn't say all of Sumter, Marion, and Lake. I can't speak on behalf of more than a few miles in each direction, because I don't travel further than that.

I'm talking more violent crime like car jackings, armed robbery, not domestic violence and drug use which is very common in rural, white areas. I'm from St. Louis but most of the violent crimes are in those areas with mainly black population, and in many cases when it's outside of that it's one of them.

Bill Crosby is black and he's called black crime out about the lack of father figures. That's not racist.

[HeartofFlorida]

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?

Lakeland Regional Health welcomes 70 residents as it becomes teaching hospital - Story (paywall)

It hardly makes a dent in the number of applicants but it helps a few more remain in state.

[Ghaati]

Originally Posted by MOforthewin

I'm talking more violent crime like car jackings, armed robbery, not domestic violence and drug use which is very common in rural, white areas. I'm from St. Louis but most of the violent crimes are in those areas with mainly black population, and in many cases when it's outside of that it's one of them.

Bill Crosby is black and he's called black crime out about the lack of father figures. That's not racist.

It's Cosby, not Crosby. And yes he's black. He was also convicted for multiple counts of sexual assault committed over a 40-year span. No idea why you chose that person as your "defense" of not being racist.

[JD_MD]

It's been decades since I looked into residency programs but not every teaching hospital (those are the hospitals with residency programs) has every specialty, some have a relatively few number of spots even for internal medicine or family medicine. So even if a student graduates from a Florida medical school, they may not match into a Florida residency program even if they applied to one. Students apply to multiple hospitals all over the country that offer the residency program for the area of medicine they want to practice in, the hospitals rank their candidates and the candidates rank the hospitals and the computer does the rest. So that is one factor in Florida graduates not doing residencies here.

Another is most graduates are in their 20s or early 30s and those age groups are not exactly looking to live in Florida for lots of reasons discussed elsewhere in this forum (cost of living, weather for some, crowded in the most popular areas). For that kind of experience and future, graduates look to larger city hospitals in NY, Chicago, Texas cities, Boston, among others which are more numerous and have more residency spots and specialties than Florida where those are primarily concentrated in Miami, JAX, Orlando.

They also don't view Florida hospitals as being good teaching hospitals where they can get the best experience / most exposure and then be sought after by private practices or prestigious hospitals later on. Florida schools and Florida hospitals do not have best reputation compared to others above. Not saying it's true just what the reputation is.

Another reason is the cost of running a medical practice once they finish their residency vs cost of living in Florida vs what insurance, medicare etc pay for the most popular services in Florida vs the difficulty in getting and being able to pay good staff to join your practice because the cost of living is too high (again for lots of reasons discussed here). Florida is rampant with bogus malpractice lawsuits that have caused malpractice insurance rates to skyrocket. So graduates may not see a viable future here in Florida to run a successful practice or be well paid if on staff at a hospital. It's easier to transition to private practice etc in the same state you did your residency in but not required so that factors in as well.

[andrea3821]

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?

I was recently at an HCA hospital for a C-section and a subsequent ER visit. I had my doc plus two residents doing my surgery (I unfortunately had a medically interesting pregnancy). There were nursing students doing tech work in the postpartum unit as part of their clinical rotations. And I had some kind of student do my chest CT when I had to go back to the ER to be checked for an embolism. I had a long chat with my anesthesiologist before my surgery about how that hospital has students now (I live where Shands/UF has always been the dominant teaching hospital) so I know they are hosting plenty of these students from around the state. This particular hospital I know has UCF students. I was really surprised at the quality of care I received in these recent visits as I’ve had not-so-great experiences in the past.

[andrea3821]

Originally Posted by HeartofFlorida

Part of the exodus could be attributed to pay, at least initially upon graduation for the first few years. I didn't looking up the financial stats for the medical field but I would venture a guess that a lot of specialized professions particularly those that require math, science or analytical thinking in general are not on the higher end of the pay scale in Florida when compared to other parts of the country. That coupled with insurances and other factors could lead professionals elsewhere.

My L&D nurse said she makes six figures. She was pretty young. She does have multiple degrees and turned down a job as a midwife bc she just wants to deliver babies and not deal with rounding and office work for the same pay.

[andrea3821]

Originally Posted by Lillie767

Florida ranks in the middle in terms of active doctors per 100,000 residents.

" The state with the most active physicians per resident is Massachusetts, while Idaho is the state with the least. "

https://www.beckershospitalreview.co...er-capita.html



I would be curious to know the number of internships and residency positions there are in the state compared to the number of medical school graduates. I wonder if medical school graduates go to other states for their additional training and then stay there.

I will say I’ve noticed a lot of them have their med school listed as UF and then they go away for residency and come back to practice later. That’s totally anecdotal based on the various specialists I’ve looked at lately but I did make that observation just earlier today.

[kyle19125]

Originally Posted by Lillie767

Florida ranks in the middle in terms of active doctors per 100,000 residents.

" The state with the most active physicians per resident is Massachusetts, while Idaho is the state with the least. "

https://www.beckershospitalreview.co...er-capita.html



I would be curious to know the number of internships and residency positions there are in the state compared to the number of medical school graduates. I wonder if medical school graduates go to other states for their additional training and then stay there.

Another reason.

Mid-pack isn't so great as the third most populated state that's also top five in growth.