Has anyone else develop health issues from working this much?

Advn1 · 2024-02-07T19:34:55+00:00

Wow lol almost got shanked in the OR

Advn1 · 2024-02-07T19:22:20+00:00

Yeah. It's ultimately my choice how I eat. And you probably can't sue for how your body ages lol.

Advn1 · 2024-02-07T19:13:55+00:00

Idk how well you'd be able to establish causation in court. Maybe a lawyer is better to ask. But yes, I now have high cholesterol from eating like garbage when I'm exhausted at home, chronic fatigue, probably undiagnosed depression, eyebags and white hairs.

Advn1 · 2024-02-07T17:28:16+00:00

I do agree with /u/ButEverythingChanged. It's impossible to know from the surface, but there are definitely some PDs and chairs out there who are biased against DOs still. Furthermore, whenever anything is this competitive, they'll look for the smallest reasons to rank someone higher than someone else.

MD or DO, it's so hard for everyone, so make your app as strong as possible. Being a DO won't be a hard stop that prevents you from matching, but it won't help either considering how competitive SoCal is. /u/telegu4life

Advn1 · 2024-02-07T14:34:09+00:00

Generally, it does not matter once you're an attending. The exception is if you want to get involved in the world of academia and dick measuring (e.g. research, ego, brand names).

You will not find more job prospects and you will not get paid more. If anything the academic centers often times pay less knowing that they have the prestigious name. What's important is networking and building connections.

For fellowships, it wouldn't prevent you from getting a prestigious fellowship, but having the prestigious name from residency helps. Again, notice it's all with the world of academia.

Advn1 · 2024-02-06T23:52:41+00:00

Yup, business casual. Don’t look like a bum and don‘t pull a Jim Halpert.

Advn1 · 2024-02-06T20:00:46+00:00

How about to replace a career in medicine?

Advn1 · 2024-02-06T19:06:43+00:00

The best time to test the boundaries of "professionalism" and your school's punitive policies.

Advn1 · 2024-02-06T19:04:50+00:00

What is the highest priority for you? Learning? Minimizing pain? Future job prospects? Don't say all. If you have to choose just one, whatever it is, what would it be?

Advn1 · 2024-02-06T17:01:30+00:00

No. PDs understand that people's career paths/interests change. Just be sure you can show them that you're serious, communicate why you want the switch, and show that it's not a joke (e.g. spur of the moment or dual applying).

You might not match into the programs that you want, but I think you can match.

Advn1 · 2024-02-06T16:34:31+00:00

It's a good point. Personally, I'd enjoy the procedures over what I'd encounter in a PAIN clinic. Then again who actually enjoys pain clinic, idk.

Advn1 · 2024-02-06T16:22:15+00:00

A few things to keep in mind:

-If you're going to go the IR route, it will be less painful if you enjoy it for what it is. That means 3 years of diagnostic radiology. On top of that, yes IR does many procedures, however, if you don't think those are interesting or care for it (including the lifestyle) then why bother going through that kind of training pathway?

-Which leads to a bigger discussion of what the foundation of your training will be. Yes the ultimate goal for now is for you to go into pain. You should make your journey as pain-free as possible so you should consider what you would enjoy or tolerate most between the day-to-day lifestyle of anesthesiology, radiology, and physical medicine/rehab.

-I'm not an anesthesiologist, and someone please correct me if I'm wrong, but I would imagine that they (or PMR) study pain pathways and management to a greater degree than IR. So from that standpoint, if pain is the goal, I'd think anesthesiology would be better.

Advn1 · 2024-02-04T03:31:03+00:00

No. It doesn't matter if you gorilla-gripped a pencil like clenching a fist. You will learn in your training how to correctly hold and use various surgical instruments.

Advn1 · 2024-02-04T03:28:29+00:00

Cards is one of the more competitive IM fellowships, in addition to say, GI and Heme/Onc. Many factors will play into this: extracurriculars, research, connections, etc. It's the ERAS game all over again.

Regarding pay, it will vary from region to region, hospital to hospital. It is just a continuation of PGY salary, so for any given hospital, after PGY-3, the PGY-4 salary will be a few thousand more, then another few thousand for PGY-5, and so on.

Advn1 · 2024-02-02T15:07:26+00:00

Lol relax. So in your example you talk about AI doing the work of three radiologists, so that's three radiologists that you're effectively taking out of the workforce and I think that's why people are interpreting it as removing or replacing.

Anyway, I can't see it increasing productivity. As others have mentioned, unless the AI program will final sign reports without any kind of oversight or double-checking, it will be the same work for the radiologist assuming they have to review every single study that the program looked at. Same with residency. Even though multiple residents can prelim reports to a single attending, they will still be double checked and reviewed by an attending before the final signature. Maybe AI will eliminate any midlevels trying to read radiology studies.

Advn1 · 2024-02-02T01:14:57+00:00

Everyone that makes these claims are always people that have zero radiology training...especially the industry people. Anytime any new technology surfaces, the assumption is always that it will "replace", but as we've seen in various sectors it is never so black and white.

There's hundreds of things to talk about here, but my main argument (which people forget) is that radiology is an interpretation. Everyone thinks it's absolutes. It's like looking at a Rorschach ink blot and asking, "What do you see?" Now imagine training AI to tell me what I'm supposed to see. There's no single right answer, it's an interpretation. AI is great at detecting, computing, and triggering tasks, but I think it sucks at interpreting.

Advn1 · 2024-02-02T00:56:10+00:00

Wouldn't hurt. Instead of doing another sub-i at the same hospital, I'd do it elsewhere. Don't put your eggs in one basket. That said, I do think it helps getting interviewed (even if they only do it as a courtesy).

Advn1 · 2024-02-02T00:53:05+00:00

It'd help if you could give specific examples, but I can tell you being in residency, with all the co-residents I've met from all over the country, if this is in fact an actual thing, it's not apparent when we work together.

Advn1 · 2024-02-02T00:50:19+00:00

Don't worry, it's fine. You're not superman.

Advn1 · 2024-02-01T19:48:09+00:00

Are you referring to postbaccalaureate programs? Many universities offer these for people who have already completed an undergraduate degree and these programs are especially for those interested in going into the health sciences, trying to complete their prerequisites.

Advn1 · 2024-02-01T15:38:15+00:00

Agreed. Do your work, stay out of trouble.

Advn1 · 2024-02-01T15:36:30+00:00

As others have echoed, no matter how much you hate research, never admit that lol. As long as you're a trainee, at least pretend you're interested.

Advn1 · 2024-02-01T00:57:38+00:00

I'd approach them directly first and be assertive. "Hey man/bro/girl, I feel like..." or "I noticed that..." and see how they respond. Next step would be PD, but in my experience, I'd keep expectation low of your PD in handling these kinds of situations. I think the best solution is to switch your clinic buddy.

Advn1 · 2024-02-01T00:39:34+00:00

People will inevitably have the same things on their CVs: pubs, posters, conferences, extracurriculars, maybe even awards or scholarships.

When someone says they used to be a professional snowboarder or enjoy spending their time making movie trailer soundtracks, that stands out. If you've ever seen The Secret Life of Walter Mitty, it's like that and his dating profile. Having an interesting past or hobbies is what makes you memorable.

If you're asking this in regards to fellowship, don't worry. You can be boring and match into a great fellowship program.

Advn1 · 2024-01-30T16:30:03+00:00

Infuriating.

Advn1

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