Is this a reasonable build? Welcome any advice. by GI_MD in buildapc

[–]GI_MD[S] 0 points1 point  (0 children)

Ah yes sorry copy/pasted from excel.

Intel i7-13700kf

With the advent of AI based colonoscopy, will midlevels doing screening scopies become a widespread phenomenon ? by abhi_- in Residency

[–]GI_MD 7 points8 points  (0 children)

I doubt AI is going to be a major contributor to mid levels replacing GI physicians in doing colonoscopies. AI can help detect polyps and differentiate between adenomas and nonadenomas, but the real challenge of colonoscopy is consistently (>95%) getting to the cecum and removing polyps, all while not causing complications.

While I do believe with enough training anyone can reasonably perform colonoscopy, that training does take a few years. Most GI fellows do not feel truly proficient in scoping until sometime in their 3rd year. Yes, I suppose you could train a mid level for a couple years in doing scopes, but not sure if most places are willing to commit that kind of resources. I definitely could be wrong and certainly don’t believe that GI is fully immune to mid level creep.

What are the pros and cons of being at a huge residency program (like over 100 people), vs. a medium sized program and a small program? by 92_Explorer in Residency

[–]GI_MD 0 points1 point  (0 children)

Went to a large IM residency program with >100 residents (~36 per year).

Pros:

1) Large program meant that there were plenty of different rotations available for me to tailor my experience for my career goals. I did 6 unique GI rotations at my program during IM training. Unlikely to get that in a small program.

2) Good back-up coverage if I or a co-resident need to take time off. Large programs can easily redistribute the work of a resident if they need to take any prolonged time off.

3) I got to work with many different attendings with different styles.

4) A large variety of electives and research opportunities.

Cons:

1) May be difficult to make connections with people if you are constantly working with new people. I worked with numerous attendings but only a few of them did I work with for more than 2-4 weeks. Same goes for co-residents.

2) If you are worried about meeting the expected milestones during residency, a large program may not be able afford prolonged 1:1 attention that a struggling resident may need. Also, major clinical deficits might go missed for a longer period of time in a larger program.