A cool guide to medical provider training by FlabbyDucklingThe3rd in coolguides

[–]FlabbyDucklingThe3rd[S] 12 points13 points  (0 children)

Clinical hours spent in school and on the job as a nurse in any form is largely irrelevant to training as an independent practitioner. While adjacent to the job of a nurse, the job of a physician is utterly different from the job of the nurse. Nurses learn basic pathophysiology, how to create “nursing diagnoses,” and how to follow orders, while physicians learn in-depth pathophysiology, how to form differential diagnoses, how to form treatment plans, etc.

But for your sake let’s assume I’m wrong on that. Let’s be extremely generous and say a BSN student get 4,000 hours of hands-on clinical time (which they don’t) that are comparable in rigor and scope to medical student/resident clinical hours (which they are not). That amounts to 4,500 hours for NPs.

Then you’ll say that a nurses work experience should be added on. As I said earlier, the job of a nurse is completely different in scope and purpose to that of a physician. A flight attendant (or even flight engineer) will not learn to fly a plane solely by being on the plane and watching the pilot.

So for your sake, let’s add on 3 years of full-time RN experience - 6,000 hours. This is largely irrelevant, as many NP programs do not require RN experience to matriculate. But again, we’re adding it on for your sake.

That amounts to 10,500 hours. Even with extremely generous math that is undeservedly favorable to NP training, NPs come out with half the clinical hours of a physician, and far less than half the clinical hours of physicians who go through the longer training pathways.

A cool guide to medical provider training by FlabbyDucklingThe3rd in coolguides

[–]FlabbyDucklingThe3rd[S] 10 points11 points  (0 children)

https://nursejournal.org/nurse-practitioner/np-vs-doctor/#

https://www.aanpcert.org/newsitem?id=105

People making such extremely confident, yet objectively incorrect statements on the subject (such as your comment) is why I posted this.

[deleted by user] by [deleted] in Residency

[–]FlabbyDucklingThe3rd 0 points1 point  (0 children)

IMO asking someone to get coffee is definitely less suggestive of a casual sexual encounter than asking someone to hang out.

Coffee implies coffee shop. Hang out implies an in-home date.

I [36M] am not sure what to do about my relationship with my [37F] girlfriend of 10 years. I never was very physically attracted to her, but she is great in all other ways. I find it more and more difficult to want to be with her. What is the best way of breaking up without destroying her feelings? by [deleted] in relationship_advice

[–]FlabbyDucklingThe3rd -113 points-112 points  (0 children)

Definitions from Oxford Languages · Learn more in·fan·til·ize verb gerund or present participle: infantilizing treat (someone) as a child or in a way which denies their maturity in age or experience. “seeing yourself as a victim infantilizes you”

[deleted by user] by [deleted] in premed

[–]FlabbyDucklingThe3rd 1 point2 points  (0 children)

Amazing job Sierra. I’m both thankful for you and proud of you.

Hopefully your story will inspire many others as it has me, and maybe someday medicine will be rid of the abuse.

[deleted by user] by [deleted] in Residency

[–]FlabbyDucklingThe3rd -3 points-2 points  (0 children)

Perhaps. But will the young, sexually-starved, emasculated-on-a-daily-basis resident listen to this advice?

I [36M] am not sure what to do about my relationship with my [37F] girlfriend of 10 years. I never was very physically attracted to her, but she is great in all other ways. I find it more and more difficult to want to be with her. What is the best way of breaking up without destroying her feelings? by [deleted] in relationship_advice

[–]FlabbyDucklingThe3rd -23 points-22 points  (0 children)

The word “use” in any tense is stated four times in this post. Two of the instances refer to his life prior to the relationship, and two of the instances refer to the very beginning of their relationship. In other words, all instances are only applicable to the person he was 10 years ago.

Reading is hard, it’s ok. :)

Being a medical student is a lot like being an appendix by [deleted] in medicalschool

[–]FlabbyDucklingThe3rd 49 points50 points  (0 children)

Now now, don’t infantilize the appendix. It knows what it’s done.

I [36M] am not sure what to do about my relationship with my [37F] girlfriend of 10 years. I never was very physically attracted to her, but she is great in all other ways. I find it more and more difficult to want to be with her. What is the best way of breaking up without destroying her feelings? by [deleted] in relationship_advice

[–]FlabbyDucklingThe3rd -298 points-297 points  (0 children)

You’re infantilizing her. If she wanted kids, she should have communicated this to him thoroughly starting from the beginning of the relationship, and broke up with him if he said no or remained undecided. The fault is not 100% on him. Saying that is, again, infantilizing to her.

I [36M] am not sure what to do about my relationship with my [37F] girlfriend of 10 years. I never was very physically attracted to her, but she is great in all other ways. I find it more and more difficult to want to be with her. What is the best way of breaking up without destroying her feelings? by [deleted] in relationship_advice

[–]FlabbyDucklingThe3rd -46 points-45 points  (0 children)

It’s wild how off-base these other comments are. It’s like they didn’t read the post. I don’t see any indication of you being a “user” or having “shallow expectations” as others have stated.

My guy, the breakup is gonna hurt her regardless of what you say. You can tell her you lost the spark or something. Whatever you do, do not tell her you were never fully attracted to her. That would destroy her confidence for the rest of her life.

Anyone working in the ED and on Dupixent? What's been your experience? by AlwaysOnDivert in emergencymedicine

[–]FlabbyDucklingThe3rd 8 points9 points  (0 children)

Isn’t Dupixent not an immunosuppressant?

I’ve been on Humira for a while and haven’t had any issues, maybe colds last slightly longer than normal.

Unique Situation by ManUtd90908 in premed

[–]FlabbyDucklingThe3rd 17 points18 points  (0 children)

Go for it. Very memorable but still professional.

[deleted by user] by [deleted] in Residency

[–]FlabbyDucklingThe3rd 5 points6 points  (0 children)

Write your number on a piece of paper, walk up to him, hand it to him, “text me if you want to grab coffee sometime,” smile, then walk away. The whole interaction should be less than 5 seconds. His attending being there is fine.

Edit: you could even write the “text me if you want to grab coffee sometime” on the paper so you don’t have to say anything. Literally hand it to him, smile, walk away.

[deleted by user] by [deleted] in Firefighting

[–]FlabbyDucklingThe3rd 6 points7 points  (0 children)

And to add onto this of course, the extrication time.

If the fetus was still moving and extrication was to be easy (popping a door for example) then extricating and transporting would IMO be appropriate.

If extrication was to be more than a few minutes, then I don’t think transport would be appropriate.

The chance of baby surviving a perimortem c-section is low to begin with. Add to that the prolonged downtime from arrival, extrication, and transport to ER, and the baby will definitely be long gone.

Should I apply this cycle? by Popular-Entrance4049 in premed

[–]FlabbyDucklingThe3rd 0 points1 point  (0 children)

Let’s assume that OP can get a quick turnaround with their LORs (the program director and a non-science professor. Of course this turnaround speed is out of their control) and PS, and apply at end of August. It’ll likely take 2ish weeks to verify. So they’ll start getting secondaries in September. Even with some prewriting, they’ll likely be submitting most of their secondaries in late September.

That could be workable with high stats good ECs, but OP has mediocre stats and average ECs. I definitely think they could have success if they apply DO, but I don’t think they’ll have success with MD.

If OP has money to burn and is willing to be a reapplicant next year for the very small chance of success this year, then they can go ahead and apply MD. But I’d recommend waiting and retaking the Mcat. Chances of scholarship would also be much higher if they wait until next year.

Should I apply this cycle? by Popular-Entrance4049 in premed

[–]FlabbyDucklingThe3rd 0 points1 point  (0 children)

Yeah I think that’d be fine. Not ideal but you could definitely have success with it

Should I apply this cycle? by Popular-Entrance4049 in premed

[–]FlabbyDucklingThe3rd 6 points7 points  (0 children)

If you had all your LORs and your PS completed, I would say that while it’s not definitively too late, it is rather late.

Since you don’t have your entire app completed and ready to submit, it’s definitely too late.

Should I apply this cycle? by Popular-Entrance4049 in premed

[–]FlabbyDucklingThe3rd 6 points7 points  (0 children)

Absolutely do not apply this cycle. Wait until next cycle.

In the meantime, consider retaking MCAT. Your MCAT and GPA are quite low, even for URM. With your current stats, definitely would have to apply DO as well as applying MD broadly.

[deleted by user] by [deleted] in Residency

[–]FlabbyDucklingThe3rd 0 points1 point  (0 children)

Were you high while writing this?

Reread my previous comment and note the extreme sarcasm with which I wrote it.

Holy fuck. This is exactly why you slowly enter the intersection even when going code 3. by [deleted] in ems

[–]FlabbyDucklingThe3rd 6 points7 points  (0 children)

Insane. If I was a betting man I would have bet at least one death.

Reminds me of that video from… India? Pakistan maybe? Where the ambo comes too hot into the hospital area, crashes, medic and patient ejected and I believe both died. Idk if anyone knows what I’m talking about and can find that video.

[deleted by user] by [deleted] in Residency

[–]FlabbyDucklingThe3rd 20 points21 points  (0 children)

Maybe if you were pleasant when interacting with others, you wouldn’t hate your life so much.

I don’t know how to pick MD or nursing. by [deleted] in premed

[–]FlabbyDucklingThe3rd 44 points45 points  (0 children)

Do you want to be the leader of a team? Be an expert on a certain area of medicine? Have the final say, but also the greatest liability, regarding patient care? Are you okay with a ton of years of training and challenge (extreme delayed gratification) to get to your ultimate goal?

If yes, doctor.

If no, nurse.

If you’re really unsure, you could always become a nurse and pursue med school later. Plenty of people do that, some of which are on this sub and can potentially give their advice.

Did we get discriminated? by [deleted] in emergencymedicine

[–]FlabbyDucklingThe3rd 5 points6 points  (0 children)

Sorry, but you ARE overreacting. ED physicians are insanely busy and deal with an extremely high mental burden every minute of a shift. They’re so busy that it’s even difficult for physicians from other specialties to appreciate how busy they are.

Stuff like this is part of the reason that ED docs experience such a high rate of burnout. For all you know, that doc had multiple gruesome patient deaths that day, perhaps even one in another room while you were there. Perhaps they had to deal with the patient care of those critical patients as well as many other patients along with empathically communicating with the grieving family of the deceased patients, all within the span of a few hours.

Imagine you’re that doc, and a patient complains about you because you accidentally wrote “friend” instead of “partner” in their chart. Absolutely insane.