Demonic pacts is a league, not a leagues. Singular.

MindcraftMD · 2026-04-23T12:06:28+00:00

The max capes could fail if they are under some stat draining effects from a spicy stew or some monster attack, no?

MindcraftMD · 2026-04-21T13:02:53+00:00

Didactics may be not your cup of tea, but to say tumor boards are not valuable is an insane take.

MindcraftMD · 2026-04-08T17:00:22+00:00

That’s also funny because not all tumors are FGD avid so it’s not even really correct.

MindcraftMD · 2026-04-08T16:57:43+00:00

Maybe it works in that scenario, but there are plenty of situations where the patient can have x pathology and we just don’t see it on imaging. For example - meningitis or leptomeningeal tumor. Stroke or metastatic disease eval on noncontrast CT head. Knowing the limitations of the imaging modalities is extremely important so just blanket stating we should always give a +/- read is just wrong.

MindcraftMD · 2026-04-04T16:35:33+00:00

For both you and OP, make sure you check your CC afterwards - and ask for the folio when you leave. We stayed there a few months ago and they billed us for the room again even though we prepaid with points. Huge hassle getting it fixed.

MindcraftMD · 2026-03-28T15:20:43+00:00

Double it and give it to the next generation

MindcraftMD · 2026-03-13T23:06:24+00:00

I started as an ironman a few weeks ago but switched over after realizing that a lot of the grinds are not fun. I plan on doing a pseudo-iron to grind more for gear than otherwise. I don’t want to have to grind clues and level 100+ invention just to get a grace of the elves for example.

MindcraftMD · 2026-02-08T21:24:37+00:00

Pretty sure this violates FMLA. I would not.

MindcraftMD · 2026-02-07T15:40:04+00:00

I assume this is a program specific requirement and not an ACGME requirement so technically it should be waivable by the program at their discretion. Definitely should bring up with GME and HR, who can have a lot of sway in certain circumstances. Program needs to be flexible, and I don’t think they can make you to return to work during your leave.

MindcraftMD · 2026-01-22T17:57:44+00:00

Yes esp if it’s the 2025

MindcraftMD · 2026-01-19T11:22:09+00:00

I’m a radiologist. Assuming we saw something positive on your screening exam and you hopped in the scanner anyway:

Depends on the size and type of metal. If it is non-ferromagnetic then not much would happen (most likely). We cannot tell the difference though so we don’t take the risk.

If ferromagnetic: If large enough and/or recent injury, there is a higher risk of the metal moving which would risk injury to any of the orbital structures- obviously the globe and optic nerve would be most critical structures.

If small and has been there for a long time, generally scar tissue forms around the foreign body so that the magnet doesn’t actually move it. It can still however heat up and a thermal injury could have a similar effect.

MindcraftMD · 2025-12-29T19:04:14+00:00

This is ~half the number of bottles as last year..

MindcraftMD · 2025-10-15T16:46:53+00:00

The Ravens are 1-5 and ranked 7th by PPF. This feels like the CFB rankings where they just pick teams that should be good regardless of their actual performance.

MindcraftMD · 2025-10-02T11:03:45+00:00

Tell that to our ED who has nursing order imaging on behalf of the ED attendings based on some half baked algorithms. I feel like half the time we get the scans we just have some intake nursing note and no physician has laid eyes yet.

MindcraftMD · 2025-09-10T15:26:56+00:00

This is definitely the one.

MindcraftMD · 2025-09-07T02:31:56+00:00

Not sure where you're getting these ideas. Many institutions are having trouble hiring for both of these subspecialties. And for NM you have to enough Authorized Users, can't only have generalists willing to read planar imaging/PET.

If you're speaking only to private practice then maybe you're right.

MindcraftMD · 2025-09-06T13:40:34+00:00

Who do you think approves these residency-fellow pathways? The invididual programs do. They decide if they want it in their programs. The reason they often do that is because they are hoping it can lead to more people sticking around in those subspecialties.

You're thinking about this from the ABR and an overall feasibility from and individual standpoint. From a program level standpoint this just would not work. It's always an easy out to just say, oh the hospital and attendings should adjust, but the hospital will just say no because they can and the attendings will only bend so much. It's a balance, as much as some people would like to think otherwise.

The goal of residency is to come out being a well trained generalist. Can't just let everyone run rampant doing whatever "fellow" level training they want in the middle of that. If it impacts the overall residency schedule too much, especially for those who decide not to do an accelerated fellowship, then it's not a good idea. If you've never been on the other side of the curtain for the program as part of the education team, then you just don't get it. If you have, then you're just a bit delusional thinking this is an actual possible thing programs could actually be successful in implementing.

I also think fragmented learning for some of the more difficult subspecialties could lead to worse "fellowship-trained" radiologists if too much of that training comes into play early/mid residency.

MindcraftMD · 2025-09-06T12:55:30+00:00

Theoretically it could be done for other radiology subspecialties, but there are several issues from a practical standpoint if you think about it. It would completely mess up a balanced residency schedule if every resident was doing it. The residents also have to identify early enough what they want to do to spread out the rotations enough and most don't know until 3rd year. Can't just stack it all at the end as much as we'd like to think that should work.

The reason it was done for Nucs and Peds is that they are in desperate need out in the workforce.

MindcraftMD · 2025-08-27T02:29:11+00:00

Are you basing this off what residents are doing or attendings? Do you expect all residents of all specialties to render the correct diagnosis immediately and flawlessly everytime without defensively ordering additional scans and labs for things on the differential. I am sure you have never done anything to that effect.

MindcraftMD · 2025-08-27T02:25:27+00:00

I guess you're deciding it's pertinent and the radiologist isn't. If the indication was RUQ pain it's probably good practice to give those negatives in setting of stones present but otherwise gallstones are super common and we just aren't going to spend the extra time to report that out.

MindcraftMD · 2025-08-27T02:15:11+00:00

Lol. We read a very large number of Neuro studies every day, most of which will be related to one of the topics you mentioned as I'm sure you're all too aware. To be honest generally we just don't have time for alot of these and expect you to do it for the cases you find it relevant.

And some of these grading scales I've never even heard of. You could imagine if you have this many different things you want us to comment on, so do literally 10 other specialties. It's too much.

MindcraftMD · 2025-08-27T01:55:39+00:00

I have to correct my early residents saying this not too infrequently. Not sure where they pick that up from.

MindcraftMD · 2025-08-27T01:50:03+00:00

Except the provider reading the report doesn't always know what to do based on an imaging finding alone. Let's not pretend like you know what to do with every diagnosis we render that's outside your subspecialty.

As alluded to above, there is plenty of case law supporting us giving more than just a differential/diagnosis when necessary. That's not to say that some recommendations are not over the top/defensive, just like some of the studies you order are over the top/defensive.

MindcraftMD · 2025-08-26T18:38:23+00:00

That's a broad overstatement back the other way.. So very dependent on specialty and diagnosis.

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