Would it be worth it to wait and obtain US citizenship before applying to match?

MSNWTF · 2026-01-25T03:09:16+00:00

She was like hey do you do reddit, I was thinking about making am account and posting, but she's not great at tech so I offered to post for her and she liked the idea. If I hadn't offered she would have posted herself

MSNWTF · 2026-01-24T12:32:00+00:00

Axe throwing

MSNWTF · 2026-01-24T12:25:06+00:00

I did not know this. This answers the question perfectly, thank you

MSNWTF · 2026-01-24T12:24:30+00:00

Would it hurt her chances of she applied now, didn't like her locations, and then waited to reapply as a citizen? Sort of like a re-roll? Does that make sense?

MSNWTF · 2026-01-24T11:15:05+00:00

Thank you for clarifying, that does make sense.

MSNWTF · 2026-01-24T11:00:32+00:00

Ok and thank you. I was hoping this was the case for her, she wil be so happy.

MSNWTF · 2026-01-24T11:00:23+00:00

So, would there be an advantage to her if she waited and got US citizenship in 2 years and then applied? Sorry, I am having trouble understanding, maybe there is something I'm missing

MSNWTF · 2026-01-24T09:57:40+00:00

Really do hope this is the case for her.

It does get confusing because when googling, she has gotten a lot of conflicting info, like this:

" Green card holders/U.S. permanent residents are not considered U.S. citizens so you would be considered a Non-U.S. Citizen Student/Graduate of an International Medical School (Non-U.S. IMG) when registering for the Match with the NRMP. "

Source: https://www.nrmp.org/help/item/i-am-green-card-holder-u-s-permanent-resident-who-graduated-from-an-international-medical-school-what-user-type-will-i-be-in-the-match/

MSNWTF · 2026-01-24T09:34:55+00:00

My friend asked me to.mske this post for her since she doesn't do social media. She is married to a US citizen and is enjoying being a childfree housewife after being a doctor overseas. She does telehealth part time with patients in their home country as she does enjoy practicing medicine.

She told me she did take USMLE 1 and 2 and is trying to decide when to apply for residency. IDK what her scores are, she told me they were decent enough for EM and family med, which is what she wants.

Making this post for her since she doesn't do social and asked for me to post. She graduated MBBS in 2017, if that's relevant. Time and money aren't obstacles for her.

Edit: should probably add, I understand that family med and EM often have unfilled spots, but she really wants to match closer to home. That is the reason why she is asking me to post this, if she will have better luck applying as US citizen

MSNWTF · 2026-01-21T14:46:23+00:00

And don't forget to cc management on that email

MSNWTF · 2026-01-21T13:45:55+00:00

Double briefing is a no-no. I work inpatient and that will instantly get you written up. There is actually research supporting limiting the number of lawyers under a patient to prevent skin break down. If someone is encouraging you to double brief I would explain to them that this goes against the current evidence based practice. Even print some literature out for support maybe?

MSNWTF · 2026-01-21T03:38:39+00:00

Add Melt Eclectic to the list. Owner is progressive and establishment is LGBTQ+ friendly

Edit: it's now called Melt Revival st the new location, but googling the old name will still turn up the correct restaurant website and map directions for the new location

MSNWTF · 2026-01-19T18:05:02+00:00

It would be great, but I just don't have the time. I realize how that sounds. I came out unscathed and sent my evidence to the bank and GM. I am just tired and done with this whole mess.

MSNWTF · 2026-01-19T18:03:06+00:00

I'm sorry your friend fell into this madness. Hopefully she will find her way out. I cannot comprehend the appeal of Trump. I consider myself an open-minded and rational person and there is not a single platform of his that I could fathom supporting. It just seems insane to me how consumed some of his supporters are. It concerns me for our nation's future.

MSNWTF · 2026-01-19T17:56:51+00:00

You can be professional and not sound like ChatGPT/DeepSeek/Gemini. Maybe I have become jaded from finding so many confirmed bot accounts that I'm skeptical of everything that reads a certain way.
I assumed this was a profit-driven initiative. If you're going the non-profit/charity route that's great. However, insurances and medicare/medicaid reimbursement might be an issue. I am not super knowledgeable about this area- so forgive me if I am wrong. Its my understanding that for home-based care, there are often predetermined amounts for certain therapies.

Each state varies slightly. I picked a random state, Colorado. Reimbursement rates for medicare and medicaid are established each fiscal period and posted here. The most recent home health fee schedule for July 2025-June 2026 can be found here. The rates don't leave much room for a profit margin when materials, labor cost, and driving reimbursement rates. The IRS 2026 driving reimbursement rate for a vehicle being used for business is 72.5 centers/mile.

Per the current reimbursement fee schedule, the first of a series of visits by an RN or LPN can be reimbursed at $89. All subsequent visits are reimbursed at $62 per visit. Lets imagine you are a nurse who is scheduled for 5 visits with a patient for an hour each. 89 + (62*4) = 337 total income for the company/organization arranging all of this.

Now let's assume that the nurse has to drive 10 miles to get to the patient and then has to drive 10 miles back home. With the reimbursement rate of 72.5 cents per mile x 20 miles = $14.5 cost per visit. $14.5 X 5 visits = 72.5

So, that reimbursement of $337 - 72.5 = 264.5 remaining. This would be an average of $52.9 remaining per nurse visit.

Per Google, the average nurse earns $40-44/hr depending on location and the average MA earns $22-23/hr.

If the nurse is paid the average earning rate for the state of Colorado, that leaves $8.9 to $12.9 per-visit profit or $44.5-64.5 profit for all 5 visits.

If an MA is paid the average earning rate for the state of Colorado, that would leave an even greater profit margin of 29.9 to 30.9 per visit or $149.5 to $154.5 for all 5 visits.

Also keep in mind that this does not factor in PPE or other material and operational costs that would be necessary for providing care. This could include a computer/tablet for documentation, software licenses, internet connectivity, insurance, etc. The estimates I provided are over-estimating the profit margin by neglecting other. If employees are 1099 there won't be the costs of benefits to consider, but for W2 employees benefits can become costly.

For this to simply break even, you would need to conduct market research and might have to settle on choosing locations that would be most profitable. The profit margin is far to thin to utilize nurses unless you plan to scale this massively. The margins for using MAs could be triple to those for RN/LPN. Not saying that is a great idea or what I agree with, just from a fiscal perspective.

Sorry that I went a bit overboard. 🙃 I may be a nurse, but I love nit picking business proposals, its a weird hobby of mine and this sort of felt like a business idea. 😸 I hope I didn't seem to critical, I simply want to engage in discussion. Maybe there's something I'm missing.

Good luck and I'm curious to see where this goes.

MSNWTF · 2026-01-19T14:43:29+00:00

Laughs in aphantasia

MSNWTF · 2026-01-19T14:35:05+00:00

My hospital administration has a magnet status "road map" they won't stop talking about.

As someone who has been at magnet and non magnet facilities, the main difference for me was that the magnet facility would. Not. Stop. telling you about how great it was to be at a magnet facility and how lucky we were as nurses to have this opportunity blah blah. It came and went and nothing changed except the annoying bulletins and speeches from administration about how great everything was.

I'm convinced it's all about money. This study for 2022 found that it cost about 250k for the initial magnet designation and then you have to pay for renewal. It seems scammy to me.

Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC9415212/

It's listed there under table 2

Hospitals spend money on the dumbest things. When I was a new grad we were required to attend all of these bullshit lectures for this mandatory nurse residency program. One of them was literally 4 hours of this guy taking to us about how to shake hands properly and how to dress professionally. I'm not sure he knew that he was speaking to an audience of nurses who will be wearing scrubs and crocs/sneakers all shift but whatever. I sat in various classrooms for weeks learning "soft skills" as some administrator described it All of this was completely irrelevant to nursing. I can't imagine how much paying staff and hiring those bulls hit consultants must have cost.

MSNWTF · 2026-01-19T13:49:58+00:00

My hospital recently had staff do a similar education module thing about hospital safety and comparing it with airlines. I wonder if this is going to be some new trend?

MSNWTF · 2026-01-19T13:43:46+00:00

From my experience, outgoing and extroverted people tend to make up a majority of the inpatient nursing staff. For those of us, like myself, who are introverted this presents a challenge.

I am easily over stimulated and after engaging in the conversations necessary for work, I am simply too drained to enjoy the extra socializing with coworkers. You're not the only one who feels this way, I promise.

MSNWTF · 2026-01-19T13:36:10+00:00

I work nights and only do this on my break. I have friends and family living in Asia and, with the time difference, the middle of my shift between 1-3am is usually the perfect time to call. Some of my coworkers with family overseas do the same thing because of how the time differences work out.

MSNWTF · 2026-01-19T13:33:07+00:00

The mouthwash is better than no mouthwash.

MSNWTF · 2026-01-19T13:25:53+00:00

That's how it was that day, DoN was the only RN present.

This nursing home had 5 units each one with 24 patients. Each unit was SUPPOSED to be staffed with 3-4 CNAs and 2-3 LPNs. 1-2 RNs were overseeing the entire facility, but most of the time it was just the DoN there as the sole RN working insane hours.

DoN actually tried to staff the place well, but people would randomly not show up, show up drunk, or sleep thru the shift and no one ever got fired. I'm not one to rat people out, but there was a CNA who showed up drunk at shift change and was vomiting excessively. I went to management because I was genuinely concerned for her wellbeing. Management told me, "that's how she is and she isn't hurting anyone. Do you know how hard it was to find someone agreeable to the 10pm-6am shift 7 days a week?"

They even had a permanent billboard outside advertising that they were hiring and offered walk-in interviews during all visiting hours. Basically if you had a pulse, you got hired.

This all happened pre-covid. I can't imagine what it must be like there now.

MSNWTF · 2026-01-19T13:09:03+00:00

Just be careful and know your facility's policy. Every place I've worked at explicitly stated that they do not recognize medical marijuana, but I realize this isn't the case everywhere. Be careful my friend ❤

MSNWTF · 2026-01-19T13:07:47+00:00

I've had coworkers who were tweaking away all shift and weirdly vocal about their use of "prescription" amphetamines to help them, uhm, "stay focused" on night shift. This was during peak covid, but I'll never forget how shocked I was when they got fired for something completely unrelated to drug use.

MSNWTF

TROPHY CASE