Gyula Michael Petranyi
30 posts
Gyula Michael Petranyi
@GPetranyi
Infectious Diseases doc
Katılım Mart 2020
50 Takip Edilen20 Takipçiler
@adetipzy If a bachelor of medicine is better than a real doctor of medicine, then obviously you'd be proud of the distinction and have no problem with clarity in credentials to patients, right?
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Foreign-educated MBBS "doctors" claim they are MDs on hospital websites and in medical board certifications.
As part of informed consent, should patients know that their MBBS provider has less education and does not have an actual Doctor of Medicine degree?
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@SpineNeuro 100%. As ID getting consulted frequently to “rule out meningitis” without LP, this is one of my biggest gripes. LP is a much safer, easier and more time sensitive than many other procedures that we expect EM and IM to do.
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Why did lumbar puncture go from being a med student procedure (bc it is extremely low risk) to a procedure that can only be done by an interventional radiologist?
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Gyula Michael Petranyi retweetledi
NOT AGAIN —
Over the past decade, the U.S. has steadily increased the number of residency positions, reaching 43,237 total positions in 2025, the highest ever.
Yet even with that growth, the system still struggles to fully align supply with demand.
Every year, 93–94% of U.S. MD seniors match, and over 92% of DO seniors match, meaning the vast majority of U.S. graduates secure positions.
At the same time, nearly 10,000 international medical graduates (IMGs) matched into U.S. residency programs in 2025, filling critical gaps in the system.
Even after the main match, 2,500+ residency positions remained unfilled and had to be offered through SOAP, a process specifically designed to fill vacancies that U.S. grads did not take.
IMGs are not “taking” spots at scale, they face much lower match rates (≈58–68%) compared to U.S. graduates, meaning they are competing for and often filling the positions others leave behind.
The facts remain
— U.S. grads overwhelmingly match at high rates
— Certain specialties and locations remain undesirable
— And thousands of positions would go unfilled without IMGs
Without international doctors, entire parts of the U.S. healthcare system, especially rural and primary care, would be understaffed.
How did we end up wanting to blow up everything that adds value to America?
Mary Talley Bowden MD@MaryBowdenMD
Over the past 10 years, the US has seen a steady rise in foreign medical students taking US student residency spots. Every year, 1000+ US medical students fail to match, while 6000+ FMGs do match. About half of unmatched students find a spot, but they must still compete with FMGs for the leftover positions, leaving 500 - 600 US medical students with a worthless medical degree.
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@JoelWebbon Last week I joined the meeting on Zoom. I was the only white persone 'immigrant' speaking on Zoom at the company. I'm not American either, it's been +25 years since I came to the country, but everyone else was Asian and Indian, and this company is in the Fortune 100 in America.
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Diversity in Texas.
100% Indian Boy Scouts.
I want my country back.
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@AmputationSuck @anish_koka No one claims IMGs are uniquely altruistic. They go where policy sends them. J-1 waivers require underserved service. If US grads had similar obligations the distribution of docs might look different. This is about incentives, not character.
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The whole idea that IMG/FMG have this magic love in their hearts for the rural poor is somewhat laughable. Given the choice, they will live and work right where most others want to be…and it’s not a rural setting.
Anish Koka, MD@anish_koka
The hurdle to becoming a U.S. medical graduate especially if you’re white / Asian / male are significant even if you have the academic ability to make it. Affirmative action may have been outlawed, but the medical schools and competitive residencies are controlled by a cabal that still very much practices it. Add to that 400-500k worth of total debt. Creating an easy pathway for IMGs to hit the U.S. market is a middle finger to US citizens who are perfectly capable of filling the need. The obvious solution here is to create an accelerated low cost pathway for gifted high school students to practice medicine, and simultaneously work to fix the practice of medicine that is under assault from a number of entities seeking to commoditize physician (provider) labor and keep labor costs low. IMGs that are coming here with an interest in serving the rural poor in the US for some reason reject serving the rural poor in their own countries who would surely greatly benefit from their skills.
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@PaulSaxMD Thank you for your level-headed and nuanced analysis
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Two things can be true:
1. FDA’s handling of Moderna’s mRNA flu vaccine review raises process questions
2. The data themselves were underwhelming
Here's my take, finishing up with perhaps the biggest disappointment -- it's a hit on pandemic preparedness.
blogs.nejm.org/hiv-id-observa…
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@SKastenbaum @RealJessica I appreciate you trying, but it’s pretty clear the original poster isn’t interested in facts. This reads like rage-bait more than reporting. Unfortunately that’s what gets engagement these days.
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@RealJessica Really? I'm a third generation, born and bred Brooklynite, and a journalist specifically trained to be observant. I recently drove along Canal Street. I don't see any noticeable difference between now and how it looked during the last years of the Adams administration.
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It’s the Mamdani effect. 🤮
“Honestly, there's no way that people are actually visiting New York City, or people live in New York City, and they enjoy living here. I have lived in New York City my entire life.”
“I have never seen something like this. EVER. I've lived here 26 years. I'm currently driving through Canal Street. It literally looks like I just entered a third-world country. Streets are absolutely disgusting. There's garbage everywhere.”
“There's like cops just swarming the streets for no reason because they're not even doing anything. It literally looks like a cesspool full of people that are like imported here and placed here to ruin the city. It's like so disgusting.”
“And then on top of that, you guys went and voted for an absolute imbecile to run the city who is going to do nothing except make the city worse. So, enjoy New York City. This is definitely not the Big Apple anymore.”
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@sull1vannolan @StevePhillipsMD This “h1-b” filled a position that was empty for a year, in a safety-net hospital, in a specialty that’s unpopular because reimbursement is poor. Serving patients in NY with pride.
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@StevePhillipsMD It’s a flood of h1-bs and elders who should have retired a decade ago preventing anyone from moving up.
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I spoke to a retired MD a few days ago. He said,
"The state of medicine is becoming more dismal daily."
As the old school MD's who actually cared about their patients are getting older, they're needing medical care themselves. And finding that the field they once knew is gone.
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@visegrad24 That video shows the tiny upper-class who weren’t living in the tenements or working 14-hour sweatshop shifts. NYC in 1905 was mostly poor immigrant labor. The “good old days” weren’t good for the people who built the city.
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1905 census of New York City:
- 97.7% European American
- 2.12% African American
- 0.18% Other
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@MayoClinicINFD I initially thought blasto but it is normally S to itraconazole, and does not cause elevation of bdg. Scedosporium fits the description
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Weekend digest: Name the Pathogen
- Tender erythematous nodules in an immune compromised host
- Broad based budding yeast
- Elevated (1,3)-beta-D-glucan
- Resistant to Itraconazole
- Voriconazole preferred therapy
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@Rightanglenews I have not found any mentions of democrats demanding his firing. What are your sources? Or is it just rage baiting?
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BREAKING - Democrats are now demanding the firing of this DHS officer, who was caught on film enjoying a cigar after a successful immigration raid in Nashville.
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Everything in the world appears to be chaotic but just remember that vaginal estrogen prevents UTIs in women in perimenopause and menopause and y'all should all consider taking it thanks.
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@OGwenda8269 @SecKennedy @HHSGov Glad you were lucky—but many weren’t. Kids still die or face lifelong complications from measles. No parent should have to endure that when it's preventable.
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@SecKennedy @HHSGov My sister, brothers and I, all had the measles growing up.
We also had mumps and chicken pox. Herd immunity protected others. Why is everyone so afraid of childhood diseases that were just a part of growing up.
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My heart goes out to the families impacted by the current measles outbreak in TX. I recognize the serious impact of this outbreak on families, children, and healthcare workers.
Here at @HHSGov we have:
• Supported Texas Department of Health through technical assistance and vaccines (2K MMR doses through immunization program).
• Provided lab support to better track the virus causing the outbreak.
• Communicated with public health officials every day in all affected areas to support their response and ensure they have the resources they need.
• Provided communications materials for the affected populations in Low German.
• Updated the CDC website with guidance on measles management to include physician-administered outpatient vitamin A.
We will continue to fund Texas’ immunization program. Ending the measles outbreak is a top priority for me and my extraordinary team at HHS.
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@IdVilchez @wwrighID @BradSpellberg @DrToddLee @dralicehan @JonathanRyderMD @Cortes_Penfield @FungalDoc @DrEmilyMcD @Infected_Terran Initially described by Faget in yellow fever
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#IDTwitter #IDXpost no significant change in heart rate related to increased temperature! What's the name of this sign, and what are the possible diagnoses? @wwrighID @BradSpellberg @DrToddLee @dralicehan @JonathanRyderMD @Cortes_Penfield @FungalDoc @DrEmilyMcD @Infected_Terran
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@JamesWilsonDO1 @IdVilchez @ABsteward @DrToddLee @BradSpellberg @Boghuma @FungalDoc @InYourFAECIUM @IDiots_pod @dralicehan What defines high probability for physicians practicing in the US?
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Do you #IDTwitter #idxposts #TwitteRx #neurotwitter start RIPE therapy for high risk / probability patients with CNS/meningitis syndromes? #mtb #tuberculosis #meningitis @IdVilchez @ABsteward @DrToddLee @BradSpellberg @Boghuma @FungalDoc @InYourFAECIUM @IDiots_pod @dralicehan
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@hil34652 @sahouraxo True true. Catholics expelled Jews, that previously lived under relative peace of Muslim rule.
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@sahouraxo Does this King actually know his own countries history?
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BREAKING - King of Spain condemns Israel’s genocide:
“This did not begin on Oct. 7 - it was when this terrible escalation of violence began with the devastating destruction and humanitarian crisis in Gaza. It has reached unimaginable levels and is of utmost concern to everyone.”
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@Culture_Crit Budapest was destroyed at the end of the WWII. A post-war country will prioritize its resources in housing and basic infrastructure to its population, not vanity projects. Now capitalism is reviving architecture of the rich to house malls and casinos. How is that any better?
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The most uplifting architectural revival happening today is in Budapest.
The city is reclaiming its identity after decades of communist rule.
Here's what's going on... (thread) 🧵
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@MaraGordonMD @NPR How does this compare to docs in other countries?
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Why is vacation time "pretend time off" for doctors?
My latest piece for @npr
npr.org/sections/healt…
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@DrNeilStone Care to expand? Sure, it has its limitations, but most hated?
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Gyula Michael Petranyi retweetledi
Cash transfers to individuals that the U.S. government made during the Covid pandemic demonstrated how such a policy tool could help address the political–economic determinants of health. Read the Medicine and Society article by Eric Reinhart, M.D.: nej.md/3Uc70MA
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