Searching for intern year, nothing is more depressing than talking to other medical students or current interns. For the majority, the primary goals seems to be finding an internship that is "cush" (read: come out dumber than you went in).
This isn't the meme of the delinquents -- but the smartest of the class, the budding dermatologists, radiologists, and anesthesiologists (these are some of the hardest specialties to get into). Like so many things in America these days, it seems a culture that devalues hard work and places priority on short cuts and "CVs". If you can learn to program in 21 days, so why not cut internship to 21 days as well? Who needs practice?
Medicine has a severe broken window problem. Like all other problems in medicine, we'll ignore it until someone else forces us to do something about it. If you are wondering why primary care is in trouble-- let me suggest-- that this culture thing plays a part of it.
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