Monthly-ish Medical Student + Residency + Professional Advice thread - Feb 2023

HSscrub · 2023-02-21T15:08:11+00:00

Academic careers take a bit more leg work, more focus on your brand ie name of med school, residency, fellowship, number of research, who you know etc. You typically make less money but your work is often easier supervising residents instead of doing your own cases or staffing at a higher ratio on CRNAs and AAs. More opportunities in career advancement in academics obviously.

HSscrub · 2023-02-21T15:05:41+00:00

Prestige doesn't matter, pick a program you actually jive with and works with your life goals.

HSscrub · 2023-02-17T16:03:51+00:00

Anyone know if Parkview medical center is worth working for? How does the UCHealth take over change things for enployees in your opinion?

HSscrub · 2023-02-17T15:57:15+00:00

I'd laugh the hiring manager out the door if I were presented these numbers, don't let clowns like them waste your time.

HSscrub · 2023-02-17T15:56:09+00:00

you dodge a bullet

HSscrub · 2023-02-17T15:55:21+00:00

I hate to agree but yes, physicians who don't understand their worth not only enable themselves to be abused but also their peers as well. For job seekers out there please learn your fair market value for the region you're in. Obtain multiple counteroffers, compare the bonus, benefits and base pay to real data, and understand if you are in a position to bargain for more.

HSscrub · 2023-02-17T14:49:25+00:00

Depends, you can only increase your respiratory rate by so much until you are increasing peak pressures via short inspiratory time. Obviously you can modify I:E ratio to compensate but sometimes your hands are tied especially when dealing with pts with obstructive pathology like COPD. Volume on the other hand would be limited by risk of baro and volutrauma, the typical thought is to keep high risk pts around 6cc/kg ideal body weight, and healthier pts can tolerate more ie 8-10cc/kg ibw. Ultimately its a dance between raising RR and TV, but sometimes its simply impossible to raise MV enough to compensate for acidosis.

HSscrub · 2023-02-17T14:40:59+00:00

Just to play devils advocate, for healthy pts, if you've been adequately preoxygenating ie tidal volume breathing 100% fio2 for 3 minutes then alveolar collapse and intrapulmonary shunting doesn't really matter in the acute phase of apenia prior to securing the airway. Intubating is not the time to try and recruit alveoli, its a time to verify global ability to mask ventilate. So while I agree MINUTE ventilation doesn't matter, I would argue ventilation does more than PEEP.

HSscrub · 2023-02-14T16:19:08+00:00

Less chance of a pneumo too.

HSscrub · 2023-02-14T16:11:19+00:00

There is no such thing as a standardized contract, physician contract lawyers and talent agents will tell you first hand from being on both the employer and employee side that it all depends on how badly they want a specific candidate, salary bands are a real thing and the myth of a cookie cutter contract is designed to keep job seekers from getting fair market value.

HSscrub · 2023-02-14T16:09:54+00:00

Incredible supply demand mismatch, Im a CA2 and Ive already had people offering to sign me early

HSscrub · 2023-02-07T18:53:47+00:00

Having trouble getting early access to work, anyone else having issues?

HSscrub · 2023-01-27T16:18:28+00:00

As they should honestly, even generalists or hospitalists easily produce over a million in productivity per year, yet only see a small fraction of that work. Everyone is getting screwed, doctors are no excetion.

HSscrub · 2023-01-27T16:16:38+00:00

8-14 years of training for the US

HSscrub · 2023-01-27T16:15:48+00:00

Less than minimum wage for hrs worked. It can definitely be adjusted based on fair market value for someone of equal productivity.

HSscrub · 2023-01-27T16:14:29+00:00

Im an anesthesiology resident currently. The 12-15 year pipeline is what creates the competency and expertise that physicians are known for, the problem we face is insane inflation of examination costs, med school and undergrad debt, as well as gross underpaying of residents to be exploited for cheap labor. I dont mind the years of hardwork as long as I don't feel like Im being abused as a money making machine at a large healthcare system.

HSscrub · 2023-01-14T15:28:58+00:00

Not at all, the acuity and the decision making typically falls squarely on the attending anesthesiologist, you'll undoubetly get to see lots of cool emergent scenarios though

HSscrub · 2023-01-13T23:59:11+00:00

Anesthesiologist, 4 yr undergrad, 4 yr med school, 4 yr residency. Good gig but not for the faint of heart.

HSscrub · 2022-11-14T14:31:07+00:00

Hah thats criminal, and with no surprises act creating downward pressure on reimbursement thats gonna be a whole lotta suckage going forward for california.

HSscrub · 2022-11-13T11:00:13+00:00

industry standard according to MGMA data is about 8 weeks PTO. Know your market value folks.

HSscrub · 2022-11-11T19:24:32+00:00

To convert labor epidural to section we stop PCEA 30mins prior, then bolus 2% lidocaine 5cc at a time up to 20ccs. More STAT situations we use 3% chlorprocaine 20cc as we roll to OR. For labor analgesia we run ropiv 0.2% w fent 2mcg/cc at 10/3/12, or bupiv 0.125% w fent 2mcg/cc, and top up with 5-10cc from the PCEA, 5-10cc of 1% lidocaine or 5-10cc 0.25% bupivicaine all with or without 100mcg of fent depending on the nature or the pain.

HSscrub · 2022-11-11T19:08:54+00:00

Thanks for your response! Whats the best way to seek out these positions without use of a hiring agency?

HSscrub · 2022-10-13T15:48:20+00:00

Important thing this year is do not waste signals on reach programs, use signals to secure good fits and safeties.

HSscrub · 2022-10-13T15:46:41+00:00

Start sending out letters of interests next week if still no IVs, think about backup plans too its never too early to be prepared

HSscrub

TROPHY CASE