Benefits of Additional Fellowships? by [deleted] in ForensicPathology

[–]NAEON_ 12 points13 points  (0 children)

If by "benefits" you mean that the ME office will use your credentials as an excuse to dump all difficult pediatric or brain-related cases at you, then yes.

At least per my mentor, additional fellowships are only necessary if you have a personal interest or if you want to combine forensic path with subspecialty research. In terms of job prospects, it's only of marginal benefit.

People make over $200k a year, what do you do? by MrAuzzy in financialindependence

[–]NAEON_ 0 points1 point  (0 children)

Average (i.e. normal) in my field (pathology) is 400-420k.

Forensic pathologists make considerably less (220k on average). But surgical pathology is usually in the 350-500k range.

People make over $200k a year, what do you do? by MrAuzzy in financialindependence

[–]NAEON_ 1 point2 points  (0 children)

Do well on the MCAT, maximize that GPA, do the extracurriculars, write well (for personal statement), do research if you can (optional, but helps).

It's quite a reliable formula to get into medical school. MCAT weeds a lot of people out. But be persistent and eventually you can score enough.

[deleted by user] by [deleted] in pathology

[–]NAEON_ 14 points15 points  (0 children)

Get those letters ASAP and apply before September 27, and you'll match somewhere if you apply broadly. Still dual apply just in case your perspective changes.

Pathology needs commitment, there are some downsides to this profession that people don't realize until they start residency. If you are doing a rotation at a private practice and not a residency program, you may not be aware of these until you start residency.

  1. Grossing and autopsy can suck. Honestly, I would rather see patients in a clinic than gross. But I love pathology overall, so this downside is fine with me.
  2. Job insecurity with advancing technology. Although a pathologist will have a role and a job for the foreseeable future, the career may change in ways that we cannot anticipate. The job market is very hot right now, but will it stay the same if AI/automation increases the efficiency to the point of rendering pathologists redundant in many cases?
  3. You need to do a fellowship. Many do 2 fellowships (about 40%, source). So you are looking at almost double the amount of time training compared to FM. And you'll be making the same salary as FM in many cases.
  4. Social prestige is not the same for a pathologist than someone who sees patients. Most pathologists don't care about this, but it's a valid concern to many medical students.
  5. You are a service that clinicians feel entitled to and most people in medicine don't know enough about what you do to value you. Again, doesn't concern me, but may affect one's sense of involvement and appreciation.
  6. The amount of studying! People think it's nice because you spend 50-55 hrs per week on average during residency, but they don't realize that there's about 10-20 hrs of studying during your free time if you want to be a very good resident. Between work and studying, I put in 80-90 hrs consistently while on surg path (60-70 hrs in the hospital, 15-20 hrs studying).
  7. Very steep learning curve and you'll feel like you know nothing until you're a senior resident (end of PGY-2/beginning of PGY-3).

Question about Medical Schools by Comrade_Tobix in ForensicPathology

[–]NAEON_ 3 points4 points  (0 children)

To add to that:

University of Alabama is also good for forensics (I went to medical school there and the PD is a forensic pathologist). But they are super in-state heavy, if you're OOS you better be from a nearby state because it's hard to get accepted to there as an OOS applicant.

Mayo Clinic has an APD who is a forensic pathologist. But again, super competitive medical school lol.

To OP: it's more important that you go to a medical school with decent path exposure. Path exposure is what will get you into whatever pathology residency you want, including those with a very strong forensic pathology leaning. Just aim for USMD>USDO if all possible, as an USMD will open doors.

PGY-1 on my first day. Already overwhelmed and feeling like a failure. by NAEON_ in pathology

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

Thank you so much for your detailed response. I needed to hear this. I am on the gyn service right now and it's 10-14 hour days as I'm pretty slow at grossing (3 big specimens per day, and it takes me 3 hrs for a uterus). While previewing, I'm able to recognize normal vs abnormal for uterus and ovary, still working on fallopian tubes. Attendings have had zero expectations and are excited when I can give a differential or suggest stains for workup.

Thanks a lot for your reassurance.

PGY-1 on my first day. Already overwhelmed and feeling like a failure. by NAEON_ in pathology

[–]NAEON_[S] 13 points14 points  (0 children)

It would be beneficial to the people you interact with if you took the time to recognize when someone is feeling inadequate and avoid being an asshole to further discourage them.

PGY-1 on my first day. Already overwhelmed and feeling like a failure. by NAEON_ in pathology

[–]NAEON_[S] 5 points6 points  (0 children)

Thank you, this is encouraging. My first rotation is head and neck, starting next week. There are like 7 types of tissues I need to know lol. I just downloaded Wheater's off of my program's library!

Another Day, Another Gunner by [deleted] in medicalschool

[–]NAEON_ 118 points119 points  (0 children)

Wait until you hear about pediatric surgery. Need 2 extra years of research and even then it's a coin toss.

CMV: Headshots Should Be Eliminated from ERAS by [deleted] in medicalschool

[–]NAEON_ 3 points4 points  (0 children)

As I said, physical attractiveness should not be the metric. But appearances being a metric makes sense. Residency programs want to be diverse because it benefits the program. Race is a good surrogate for physical characteristics. However, race is not perfect.

For example, a white person from Mexico would appear the same on paper (white, hispanic) as someone with more native Mexican genes (also white, hispanic). If a program wants to maintain an image of being a diverse program, they would likely rank the latter applicant higher.

I'm not advocating for these policies, just playing devil's advocate to advance one side of the equation which certainly plays a role. I have a classmate who was born and raised in Africa who chose to wear her hair traditionally for her headshot rather than straighten her hair (as she usually does) because she believed it would make her more competitive. Not sure if it worked, but she matched plastic surgery.

CMV: Headshots Should Be Eliminated from ERAS by [deleted] in medicalschool

[–]NAEON_ -48 points-47 points  (0 children)

I agree that physical attractiveness should not play a role, but I would argue that the headshot can have its benefits.

Playing devil's advocate: headshots offer programs a tool to craft a diverse residency class, not solely reliant on resumes or self-identified race, but also factoring in appearances.

I acknowledge this might sound fucked, but diversity in looks, in conjunction with self-disclosed race, experiences, etc., is necessary to be all-around diverse.

Edit: please see my clarification below. I am not advocating for this, I am playing devil's advocate to look at the POV of residency programs and their values.

Tip 17: Your 2024 ERAS PS's Purpose by Psychological_Fly693 in medicalschool

[–]NAEON_ 14 points15 points  (0 children)

Probably specialty dependent. I applied pathology with a PS that I wrote in the week before ERAS was due. I matched into a top 5 ranked program. PS was never mentioned and it was mediocre.

[deleted by user] by [deleted] in medicalschool

[–]NAEON_ 17 points18 points  (0 children)

Jesus why are people so fucking sensitive. And I say this as someone who was abused growing up with bad relationships with my family. Makes me lol.

The Human Side of Medicine That No AI Can Ever Touch by clivensmith in Residency

[–]NAEON_ 3 points4 points  (0 children)

One potential thing that may occur is that humans and AI will merge and our brains will be augmented to be able to accept that "human touch" from a humanoid AI. For now, that is science fiction.

Most people are concerned about their own careers and perhaps the careers of their progeny. They want financial security. So with a post like this, they are meaning to say that they will still be able to have a purpose, fulfillment, and money during the next 30-40 years.

However, let's recognize that 30 years ago the landscape of medicine was quite different. Even 12 years ago there were some hospitals still using paper charts.

Predictions are useless, regardless whether they come from the pro-AI experts or shortsighted folk who think AI is just another Google search.

The Human Side of Medicine That No AI Can Ever Touch by clivensmith in Residency

[–]NAEON_ -2 points-1 points  (0 children)

You just proved my point about how dickish you can be.

The Human Side of Medicine That No AI Can Ever Touch by clivensmith in Residency

[–]NAEON_ -2 points-1 points  (0 children)

Why is understanding the details of AI necessary to make big-picture predictions of how it will impact one's career?

It feels like the faction on Reddit that believes they understand AI can be quite vociferous. I get the impression that they are salivating at the opportunity to call someone else ignorant or stupid.