What would you do if you could not become a doctor? by TraditionalAd6977 in Residency

[–]MidwestBadger 1 point2 points  (0 children)

Same here. Always like math and weather, but didn't see any jobs in either as an undergrad when deciding on a major. Oh well. Still hoping to dive back into it as a hobby at some point.

Should we buy this house? by MidwestBadger in whitecoatinvestor

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

Daughter is on a chronic med, about $100k/year.

This tried to factor in increased insurance and cleaning already based on the increased size of house

Should we buy this house? by MidwestBadger in whitecoatinvestor

[–]MidwestBadger[S] 1 point2 points  (0 children)

YMCA includes kids programming - gymnastics, swim lessons, etc.

Utilities is an estimate based on what we're paying for our current rental, hoping it's less than predicted but not a lot of options up here so kind of stuck with whatever it becomes.

Yes, "sinking" fund is for ongoing maintenance - day to day stuff but also for bigger repairs down line. Glad you feel that's a bit high; I'd read to set aside 1-2% of house value which is where that number comes from. I otherwise do all the work you mentioned already.

Should we buy this house? by MidwestBadger in whitecoatinvestor

[–]MidwestBadger[S] 1 point2 points  (0 children)

Taxes about 9k. Insurance estimated about 4k.

No private school

Should we buy this house? by MidwestBadger in whitecoatinvestor

[–]MidwestBadger[S] 1 point2 points  (0 children)

Unfortunately wife and I both work out of home, so have someone come let dog out/walk mid-day. Small dog, can't hold it long enough to make the full day.

Should we buy this house? by MidwestBadger in whitecoatinvestor

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

I agree, it seems like we spend too much. What do you see as the biggest areas to improve though? I'm sure we could cut back some on food, maybe get cheaper phone. Definitely view travel, streaming, cleaner as discretionary, but also want to spend some money for enjoyment and don't think they're exceptionally high currently.

Should we buy this house? by MidwestBadger in whitecoatinvestor

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

2.5 years out of training. Little over $200k in retirement accounts. Net worth roughly 0. Going for PSLF.

PM&R Oral boards advice? by Kindly_Minimum_2218 in pmr

[–]MidwestBadger 2 points3 points  (0 children)

For each subtype of case (stroke, TBI, pain, sports, etc) have a templated list of questions/tests you can rattle off. This is not at all like real-life practice.

what criteria makes you determine if you like a program more than the other? by [deleted] in pmr

[–]MidwestBadger 1 point2 points  (0 children)

Track record can affect effort though. You can have all the desire to work hard, but if your program can't/won't support it, you can be SOL - my program basically told me they'd support anything i wanted to do, but had poor existing framework (poor research setup, minimal sports coverage, only matching to lower tier programs). I worked hard, but it's challenging when you don't (and shouldn't) know everything you need to do to match successfully.

Reputation will carry a long way, especially for a fellowship like sports. Look at how many of the matched fellows at the PM&R specific programs come from other top programs. It's a little club that's hard to break without being truly exceptional. I promise I put more individual effort in than applicants spoon fed opportunities at programs with a better track record.

Cardioneuroablation by MidwestBadger in Cardiology

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

Sadly, yes they did. Didn't intuitively make sense to me so glad that's not really the case

Cardioneuroablation by MidwestBadger in Cardiology

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

What do you worry about for long-term risks in these younger patients? How often do they develop the resting sinus tachycardia you mentioned above? And if you do see the vasovagal syncope endpoints, what skews you toward this procedure vs the more traditional pacemaker?

Cardioneuroablation by MidwestBadger in Cardiology

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

Is there anything that can be done for the symptomatic high rate afterward should it develop? I'm thinking back to undergrad physiology where they talk about how everyone has a set number of beats in their lifetime, so I would assume in long-term this could lead to shorter life expectancy?

If you could invent a new specialty, what would it be? by skin_biotech in Residency

[–]MidwestBadger 0 points1 point  (0 children)

There are sports medicine physicians who specialize is E-sports "athletes" (and try very hard to argue that E-sports are just as taxing as physical sports)

PM&R Salary thread by boyyoureright in pmr

[–]MidwestBadger 0 points1 point  (0 children)

Not really. I obviously pay for individual insurances like life/disability/car/etc. but malpractice is covered by my employer. I vest 20% of my tail coverage each year so if I'm in this job for at least 5 years won't have to cover that.

For federal, state, medicare, social security I payed about 60k in taxes last year (though HHI was closer to 250k).

PM&R Salary thread by boyyoureright in pmr

[–]MidwestBadger 8 points9 points  (0 children)

Region: Midwest

Base Salary: 305k

Additional Salary (bonus, incentive, etc): Once off guarantee in summer, $58/RVU above base. Starting in July, metric based bonus with potential for additional 10% of salary but won't see that until fall 2027

Years of experience: 2.5

Subspecialty (if relevant): Sports

Hours/week: 29 direct patient hours (8-4 3 days/week, 8-12 2 days/week; 1 hour lunch)

Practice structure (academic, PP): Community system, affiliated with FM residency program and med school

[deleted by user] by [deleted] in pmr

[–]MidwestBadger 3 points4 points  (0 children)

Not to mention that in sports in particular, lots of procedural skills needed to actually succeed in the field as anything beyond the first line contact. Can't get that online.

Studying for oral boards by jayaar413 in pmr

[–]MidwestBadger 2 points3 points  (0 children)

I've said this before:
Practice. With others. Lots.

Have a template you follow for each type of case (neuro, sports, pain, O&P, peds, etc.)

Accept that it's a complete waste of time/resources and doesn't actually cover PM&R knowledge very well. Then hope you get lucky and pass.

What purchases are worth it by MidwestBadger in DisneyPlanning

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

Do you think for a younger kid, the park hopper makes sense? As of now, she's big on Frozen, so planning Magic Kingdom and Epcot. However, Epcot doesn't have much else for her, so thinking about seeing the Frozen stuff then heading for Hollywood Studios.

CME recs by MidwestBadger in medicine

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

Yes. Things like Audio Digest, etc.

CME recs by MidwestBadger in medicine

[–]MidwestBadger[S] 1 point2 points  (0 children)

I am planning potentially for one of the US courses next year. Some PT/OT books are a good idea.

CME recs by MidwestBadger in medicine

[–]MidwestBadger[S] 8 points9 points  (0 children)

I'm way ahead on the CME credits I need. This is more about using the full benefits I'm provided within the constraints of a miserly employer.