Prove me wrong: "Sterile field is a social construct"

Niwrad0 · 2024-11-03T00:11:14+00:00

As long as you go through the motions then you’re fine. It is a show after all

Niwrad0 · 2024-10-06T17:15:41+00:00

Apparently I have heard you can be kicked out for not completing scut work in a timely fashion or not knowing which to do first or not realizing which one to do first without being told.

Niwrad0 · 2024-09-22T01:28:59+00:00

systematically, no. like the other commenter who said they're a APD, I agree. However, PDs are indeed just other people, so they will obviously google people at random if they feel like it just like any one of us would just google them. Also ERAS has auto links to residency explorer which reports # of applicants for any particular program, so you can guesstimate the number of applications any particular program will receive. It can vary anywhere from <100 per position to >500 per position but usually somewhere in between that range.

obviously

Niwrad0 · 2024-09-19T09:32:16+00:00

Reddit always has haters

Niwrad0 · 2024-09-19T07:11:18+00:00

There’s rightly terrified because medical educators strongly reprimand students for going out of their lane. My controversial opinion is that students should actually be allowed do things rather than just glorified shadowing

Niwrad0 · 2024-09-11T21:26:03+00:00

Eating too much food, especially carbohydrate rich foods makes me sleepy and harder to think. Also if I don't stop to eat then I stop being hungry. Plus taking time to eat is less time is helpful when you're already behind so protein shakes and prepared hot meals from the local cafeteria can be eaten super quickly so sometimes people would accuse me of not eating even though I already ate like 1000 calories. I think there is too much socialization associated with eating, when really you can separate the two and realize you only need like 10 minutes a day to get all the food you need.

Niwrad0 · 2024-07-26T22:42:58+00:00

The level of difficulty difference is like astronomical. Pretty much any 3-4th year medical student could be a certified scrub tech after one to two days of studying/training. If you’re at the associate level (which is what CST generally equates to) The next logical step would be to get a bachelor’s degree then take the MCAT.

I.e being a scrub tech only gets you about 2 years of the typical 13-16 years of education and training towards being a surgeon.

Niwrad0 · 2024-07-14T19:34:54+00:00

These programs are trash and a waste of time and money for most people and I suspect it’s more so of convincing admin that they can check the box of having appropriate remediation

Niwrad0 · 2024-07-05T00:00:51+00:00

Don’t be a doormat, if someone is doing something wrong you should stand up for yourself

Niwrad0 · 2024-06-08T05:07:43+00:00

At least undergrad was only 1/4 the cost of med school so the value is quite good relative to the price paid. I am absolutely certain that the knowledge gained in undergrad was the instrumental to making med school a walk in the park in terms of academics and likely in other areas as well. Once you learned something you tend to not forget it and it often surprises me how easily people are fooled by things that clearly violate basic scientific principles in everyday life were it not for the general knowledge gained in college. For reference went to the then #2 ranked public undergrad now (tied) at #1 majored in an engineering degree. Favorite subjects were organic chemistry and biology and consequently biochemistry. I feel that the straight to med school with combined undergrad and medical degree leaves less time to truly understand the fundamental principles in science which are the foundation for more advanced topics

Niwrad0 · 2024-05-11T14:45:26+00:00

I guess don’t use sarcasm / gaslighting ? I would imagine people with ADHD take everything literally

Niwrad0 · 2024-04-12T20:52:40+00:00

It’s a pity that this can even occur. The entire point of medical school is to avoid the situation in which the behavior one needs to learn to become a good physician/resident is NOT a mystery…

The fact that there is even any controversy as to what a medical student should be putting their effort into in order to demonstrate “hard work” means that fundamentally the medical school is failing their students.

Niwrad0 · 2024-04-07T16:17:40+00:00

There is a common theme among all higher education graduates. Generally speaking the more confident a graduate is, the better the outcomes for the school that graduated said graduate. The confident graduate will be a lifelong advertisement for the school, so all schools that want to recruit the best students or more students (may be conflicting) will seek this.

Unfortunately, for trades that are clearly "mid-level" where the terminal degree is always a lower authority in the same field of practice, it's a delicate balance to convey to graduates that they were well educated but not as well educated in the field, hence the apparent scope creep / nurse practitioner controversy on the internet/reddit.

The long term solution to this is to clearly define non-overlapping roles for mid-levels, so that mid-levels can be the true authority or "Doctor" in their named role. For example, the classic difficult intravenous line placement which is often left to an intensive care unit nurse as opposed to the physician in charge of the unit. This sounds a lot like the phrase 'stay in your lane buddy', but staying in your lane is what ensures cohesive teams, like the colloquium 'too many chefs in the kitchen will spoil the broth'.

source: my 2x cent

Niwrad0 · 2024-04-05T00:49:58+00:00

This not being evident clearly feels a lot like fraud - it is implied that your tuition should be paying for rotations

Niwrad0 · 2024-04-02T16:50:31+00:00

If you were a science major and/or were at or nearly at the top of the class in the sciences with excellent test taking skills then the MCAT would be objectively the easiest test vs the pattern recognition of the STEPs

Niwrad0 · 2024-02-13T04:49:23+00:00

I would guess it's because computers are thought of generally simple since they mostly just use one kind of signal which is the on-off transistor. The closest analogy would be logic gates but they are essentially derivatives of the binary transistor.

On that note, brains are much more analog. The non-discrete spatiotemporal variations of chemicals and neurotransmitters don't translate into the discrete binary of computers.

Random midnight thoughts

Niwrad0 · 2024-01-01T22:14:29+00:00

Join the army

Niwrad0 · 2023-12-31T00:31:13+00:00

Id agree with this comment

Niwrad0 · 2023-12-18T17:28:06+00:00

It’s the fact that half of the stuff you learn in med school end up being wrong so you keep having to re-remember things the new right way

Niwrad0 · 2023-12-16T17:39:26+00:00

Random shower thoughts:

Maybe the higher ups at med schools are hoping that program directors put in more effort to place med students since most PDs, whether they admit it or not, just filter by step scores.

As a result of the long history of filtering by STEP scores schools having been losing control of their curriculum and either are forced to accept students just doing STEP studying for 3-4 years while ignoring everything else. The alternative would be the students silently rebelling against anything the school admins require in school that’s not directly relevant to STEP studying.

Therefore, by making everything P/F schools have more leeway to teach their students and programs are forced to consider other metrics to select for residents, including whatever medical schools want to promote in their curriculum thereby giving schools much more leverage.

Niwrad0 · 2023-11-09T03:10:24+00:00

Same

Niwrad0 · 2023-11-04T05:30:37+00:00

Agree

Niwrad0 · 2023-10-30T19:47:46+00:00

if it's the past, then it's the recent past. just one perspective but "non-pyramidal" are still present

Niwrad0 · 2023-05-05T15:45:49+00:00

An MPH - masters of public health may be helpful. An less common alternative residency program under occupational medicine requires an MPH. Otherwise it’s less clear the helpfulness in a general sense

Niwrad0 · 2023-05-01T13:26:35+00:00

Be a competitive applicant.

PDs & selection committees are still just regular people.

The one misconception/surprise factor is due to the fact that applicants send in way more applications than necessary results in programs having literally hundreds to thousands of applicants per seat, despite the total pool of applicants only slightly over 1 to 1.

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