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Medical Job Competition Crisis

Sep 19, 2025

Overview

The lecture discusses dramatic changes in medical job competition ratios between 2017 and 2025, highlighting the emergence of an employment crisis for new doctors.

Changes in Competition Ratios

  • In 2017, Emergency Medicine had 600 applicants for 300 jobs (2:1 ratio).
  • By 2025, Emergency Medicine faces 5,000 applicants for 300 jobs.
  • Anesthetics in 2017 had 1,000 applicants for 600 jobs (2:1 ratio).
  • Anesthetics in 2025 has 6,000 applicants for 500 jobs (12:1 ratio).
  • Neurosurgery in 2017 had 150 applicants for 29 jobs (about 5:1 ratio).
  • In 2025, General Practice (GP) has a 5:1 ratio, same as neurosurgery in 2017.
  • General Practice is now as competitive as neurosurgery used to be.

Job Security and Career Stability

  • Medical careers in 2017 promised lifelong employment and high job security.
  • This employment guarantee for doctors no longer exists.
  • The current employment situation for new doctors represents a crisis.
  • The employment crisis has built up in recent years but is a new development.

Calls for Change

  • The employment crisis was not present or foreseeable for earlier medical school applicants.
  • The situation requires new solutions and changes in response to current realities.
  • Suggesting students "knew what they were getting into" is invalid due to rapidly changing conditions.

Key Terms & Definitions

  • Competition Ratio — The number of applicants divided by available jobs for a specialty.
  • Employment Crisis — A situation where qualified professionals cannot find jobs in their trained field.
  • General Practice (GP) — A medical specialty focused on primary and continuing care for patients.

Action Items / Next Steps

  • Stay updated on changes in medical job markets.
  • Prepare for increased competition in medical specialty applications.