When did Doctors become helpless against BC and GME?

I know of doctors that have only done a transitional year that see patients cash only, and obviously that was much more common in the past. I believe even into the 80s (could be wrong on this) any doc could do EM, now you basically have no chance if you're not board certified in EM. If you don't pay massive sums to become BC and continually pay to be re-certified it has a serious effect on your employment opportunities. There's also the dynamic of unsubsidized loans ballooning while you... When did Doctors become helpless against BC and GME?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums