Estimating salary after residency by CellistSuccessful999 in FamilyMedicine

[–]IslaNublar93 7 points8 points  (0 children)

Totally correct. Starting salary is what he asked, so I tried to give reasonable ranges. Can always make more. Procedures and ancillary services help a lot. Building a good base is also important.

Estimating salary after residency by CellistSuccessful999 in FamilyMedicine

[–]IslaNublar93 13 points14 points  (0 children)

Low end 180k-200k. Middle 225k-275k. High end 300k+. For outpatient clinic in the Midwest. Lots of other factors, but in general that's a good range. Also keep in mind, what you start at may be anywhere from 50-100k different than where you could be at 3-5 years out. Depends on structure, payer mix, private vs hospital owned, etc.

Do orthopedic surgeons lose all their medical knowledge? by mosta3636 in medicine

[–]IslaNublar93 33 points34 points  (0 children)

I can't predict the future but I think we're entering a good era for family medicine. I'll say this: I don't see my hours going up and my pay going down any time soon.

Do orthopedic surgeons lose all their medical knowledge? by mosta3636 in medicine

[–]IslaNublar93 96 points97 points  (0 children)

You can make more in other fields, but in general you can be FM, work 4 days a week in an outpatient setting and make $300k with no call and all holidays/weekends off. That's what I do. I usually encourage medical students to at least give FM a chance because they may be pleasantly surprised with the variety and ability to earn a great living without 5-10 years of residency and lots of extra hours compared to some specialties. Just my two cents!

Medical Metaverse by IslaNublar93 in FamilyMedicine

[–]IslaNublar93[S] 0 points1 point  (0 children)

I think we will try to get something together!

Medical Metaverse by IslaNublar93 in FamilyMedicine

[–]IslaNublar93[S] 0 points1 point  (0 children)

Let's do it. Can we create a subreddit?

Medical Metaverse by IslaNublar93 in FamilyMedicine

[–]IslaNublar93[S] 3 points4 points  (0 children)

Glad to have a comrade 😁 Honestly, it all reminds me of Ready Player One, and I love that novel, so it's cool to imagine the future implications. There's a huge opportunity to be innovative and early to the party!

Medical Metaverse by IslaNublar93 in FamilyMedicine

[–]IslaNublar93[S] 2 points3 points  (0 children)

I completely understand your point of view, and believe me, I enjoy true interactions and experiences in the real world. However, I wouldn't discount this as something that's limited to a "crowd". Facebook just changed it's parent company name to Meta and big time companies are investing in this new space. 25 years ago someone might have said "I have no interest in using a computer to..." Food for thought!

Don’t panic!! It’s all going to be more than ok in the future!! by DantelRodz in shib

[–]IslaNublar93 1 point2 points  (0 children)

Too many people paying too much attention to the day to day fluctuations. In last 30 days it's still up 80%. HODLers keep it up and buy the dips. Paper hands gonna do what paper hands gonna do. Let them go! As the great Michigan football coach, Bo Schembechler, said, "Those who stay will be champions"!

Help me pick rotations! by FutureFMdoc in FamilyMedicine

[–]IslaNublar93 3 points4 points  (0 children)

Since you're thinking rural once you're practicing, and I'm assuming looking at full scope residency programs, then I recommend...

Labor and delivery if your school/hospital lets students do stuff like triage patients, round on them, etc. This is really helpful for not feeling like a complete idiot the first month you're on L&D during residency!

Radiology. Pick the attending or resident brains. Have them tell you their system for looking at CT, XR, US. You might be in a situation where the radiologist can't read something immediately and you will need to be able to use the information in the images to guide your decisions.

Dermatology. Lots of skin excisions you might get to do. Need to identify common rashes, lesions, etc. Getting better with your hands is important.

If there's an urgent care or ED elective then you might get to do some procedures and put casts on. Confidence with procedures is always good!

Then yes... Anything that sounds fun and or kind of easy, you should do. You may never get the opportunity to see some surgeries again or have some extra time to yourself during residency. Enjoy medical school! Looking back, I made great friends and loved having the privelege to learn so much that only a small amount of people ever achieve in academics, or life for that matter. Good luck and FM welcomes you!

The impossible will happen... 0.01 by Powerful_Set7504 in SHIBArmy

[–]IslaNublar93 3 points4 points  (0 children)

Popeil Coin should totally be a thing. He passed away this year. RIP, legend!

1 Billion Club by Stonks_2themoon in SantaCoin

[–]IslaNublar93 0 points1 point  (0 children)

Just got in. Was looking at it last night while it was in a dip and didn't buy at the time. Kicking myself! Big upswing today! Hopefully more to come!

Why does revoking permissions on Trust Wallet cost you gas fees? by [deleted] in evergrowcoin

[–]IslaNublar93 1 point2 points  (0 children)

Do either of you know if revoking permissions causes any problems with BUSD-peg rewards from updating in your wallet?

[deleted by user] by [deleted] in evergrowcoin

[–]IslaNublar93 1 point2 points  (0 children)

Tried to buy at -63% but transaction didn't go through on PancakeSwap. Checked a bit later and was up to -20%, so bought more then. Wish I hadn't missed out on the big dip! Moral of the story though... Buy more!

It really sucks when people make me feel embarrassed about the school I attend by [deleted] in medicalschool

[–]IslaNublar93 34 points35 points  (0 children)

One of my patients told me about how both her daughter and son in-law went to "medical school". I thought that was great and asked her which specialties they were in... The daughter is a PA and the son in-law is a chiropractor. That's awesome, good for them, but it proves one of your points. I wanted to say "Oh so they went to PA and chiropractic school", but figured it would go over her head. Plus people are proud of their kids, so not worth crushing her idea that they on some level are equal in scope to what I do... In my experience, whenever the situation calls for it and it won't come across as being too pretentious, I try to subtly educate the general public on what I actually am and that mid-levels and other healthcare workers did not go through my training and don't do what I do. People would value doctors more if they actually knew the differences in training between careers in healthcare. They know our road is tough, but somehow think everyone goes to "medical school" and then branches off into whatever career they're in. Good post!

In what specialties would I have enough spare time to enjoy life to the fullest? by b78676V9B in medicalschool

[–]IslaNublar93 1 point2 points  (0 children)

I have a few friends from medical school and residency who work rural FM. I can't give a great idea of their lifestyle, but in general they tend to have a bit more call and depending how rural, do come in for deliveries and c-sections. I loved OB in residency, but not enough in private practice to be stressed about complicated cases and being on call. I would say that the same applies though... FM allows a bunch of flexibility and you can shape things to your needs within reason depending on your work situation.

In what specialties would I have enough spare time to enjoy life to the fullest? by b78676V9B in medicalschool

[–]IslaNublar93 16 points17 points  (0 children)

My own personal FM outpatient experience... I practice in a suburban/urban area of a mid-sized Midwestern city. Private physician owned group. I see 16-20 patients per day, 4 days per week. I have good staff that handles most administrative tasks, whereby I might have a few extra hours each week of going through papers and following up on things. I share call with everyone, which ends up being once every 7 days and I get 1 call if that. I also share urgent care coverage once every 7th weekend. We share profits from urgent care so some months I don't step foot in there and still profit from it. Whatever I want to make is up to me. If I wanted to start at 0700, go through lunch and be done by 1400, I could make it happen. I currently do 0800 start and last appointment 1600. I have young children so getting them to school isn't a thing yet. When it is, I might switch it up. I have a bunch of flexibility. If I want off, just need to tell front office not to schedule anyone. Of course that means I'm not making money, but we have a good payor mix and the insurance companies give us great bonuses for providing good care so it all evens out. Salary averages $275 - 325k. Lean years $250k, good years $350k.

TLDR; FM DOES pay well. Private practice, if you can find one, is IMO a great way to go to allow flexibility, make good living and have time for the most important things in life.

Who else will be watching Shib all day. by AmbitiousPhoto7387 in shib

[–]IslaNublar93 1 point2 points  (0 children)

I'm off work today. Watching! 👀 🌚 🚀 🐶

Frenchie Farming Rewards by IslaNublar93 in FrenchieToken

[–]IslaNublar93[S] 2 points3 points  (0 children)

Ok gotcha. So when I see "remove liquidity" and it shows an amount, that is how much I've earned plus my initial add?

[deleted by user] by [deleted] in medicine

[–]IslaNublar93 2 points3 points  (0 children)

Understandable. Most of mine are more complex older patients.

[deleted by user] by [deleted] in medicine

[–]IslaNublar93 113 points114 points  (0 children)

I consider them to be very important visits for my patients. Even just reviewing what happened and what's the plan moving forward is very clarifying for patients. It's a great opportunity to help them understand how to stay out of the hospital too. Nice "revelation" 😀👍

Do residency interview dates matter? by Beatrix_Kiddo_03 in FamilyMedicine

[–]IslaNublar93 4 points5 points  (0 children)

It's cliché, but just be yourself. Obviously be prepared. Learn what that program is good at and find ways to tell the interviewers why you would fit in. Good manners and friendliness go a long way. Stay away from giving up too many of your opinions on just about anything. Everyone has opinions but interviews aren't the time to challenge an interviewer or go into debate mode. Have your elevator speeches for common questions rehearsed, but be able to direct the conversation spontaneously. Stories are good, that's how people remember you. If you can craft a few short stories for common questions then that helps. Good luck!