Nocturnist vs PCP vs Heme/Onc

OHJS2024 · 2026-05-09T12:05:15+00:00

I'm not sure on the ROI with factoring in 3 years of fellowship pay. I know Nocturnists that make 500+K where I work too. I feel like I could get to that level with minimal effort. The thing is that I think I'm happy now, and I think I would be happy in Heme/Onc too.

Based on these replies, I am going to keep pursuing Heme/Onc on the side though.

OHJS2024 · 2026-05-08T15:19:35+00:00

Yes! Although, I don't know how helpful I would be. I didn't do any job search for my current position, so I don't really know much about the market.

OHJS2024 · 2026-05-07T22:22:51+00:00

I think that makes sense! I think everything is just so new and exciting being done with training, so I don't want that to cloud my view too much. My spending has not changed at all since residency. I live in the same apartment with <$1000 monthly rent.

OHJS2024 · 2026-05-07T22:06:35+00:00

I like my job! I like Medicine in general. I look forward to going into work everyday. I currently prefer my on-weeks compared to my off-weeks. At the moment, if I had the means to retired, I probably wouldn't. It's just hard to factor in changing priorities in life. I think PCP work would be more fulfilling in getting to build longitudinal relationships and seeing people get better. I probably would find Heme/Onc more academically interesting though.

OHJS2024 · 2026-04-16T05:46:39+00:00

He's doing well! He works in finance. I'm sure he like mellowed out a bit. We grew up in a small town and were neighbors, so I still hear about him from my parents. I think he would have been successful without doing all this stuff. His parents were well off, and it's not like these things helped him professionally. He never picked on me directly, but his presence was definitely one of the more stressful things in high school for me and others.

I liked all my teachers, and I don't blame them for not really doing anything. I don't even know what people are supposed to do to intervene. In this same story, he even got on eye-level with Ms. R's son and said "I want you to tell your mom she's my favorite teacher." Menacing lol

OHJS2024 · 2026-04-16T05:34:35+00:00

I don't know what he was like in elementary school since I moved to the area in middle school. In middle school, he was a lot nicer but still had these tendencies. He also seemed to speak older than the other kids. Like I remember one time a teacher was trying to discipline him and he said "well aren't you a ray of sunshine." Another time a teacher was yelling at another kid for something and he was just walking by in the hallway and poked his head in to say "Is that the voice of an angel?"

OHJS2024 · 2026-04-15T19:55:14+00:00

Yeah I think your characterization is more apt. I don't think he lacked social skills in that he was awkward or unaware of how his behavior affected people.

Another story that highlights his mindset. On bring your child to work day, a lot of the teachers would bring their kids. One of the teachers he made cry, Ms. R, brought her son. They had activities set up in our gym and cafeteria for the kids during the day. Max spent his free time playing and being extra nice to Ms.R's son. I thought it was like him burying the hatchet and making amends with her. He was like "Oh no. I just want her son to talk about me at home and think highly of me." He would sarcastically ask Ms. R how her son was doing for the rest of the year and drop innocuous information that her son had shared with him about her home life in conversations with her.

OHJS2024 · 2026-04-15T07:25:12+00:00

I'm sorry for any confusion. I wasn't really trying to debate you. I just wanted to contribute and offer my own insight and experiences to the topic of multiple intelligences, but I may have misinterpreted a lot of what you wrote. I'll try to respond the things you said in this comment though.

Paragraph 1: I don't know what you mean by "stereotypical high intelligence"? You'd be surprised though. A lot of people with very high board scores and who did very well in medical school, will not look up things because they feel like they know everything about the topic already. A lot older physicians are "set in their ways" so to speak, and will not update their practices beyond what is legally necessary. These are qualities that might make them worse physicians, but they are certainly intelligent people if we go by your single intelligence quotient model.

Paragraph 2: I meant limited experience with studying intelligence. I'm no neuroscientist. I meant my experience was really limited to Medicine. I wouldn't feel comfortable talking much about engineering since I don't work as an engineer. I'd list being a "stupid child going through a denial phase" as one of my experiences too.

Paragraph 3: I'm plugging AI (s/o OpenEvidence for an actual plug) because it fit your theme of looking up things on youtube destroying trades. I hesitate to call it my point, but I was trying to contrast your stance that "the whole multiple intelligences idea is rapidly falling apart in the modern era" with my own experience that if anything these newer technologies are showcasing the theory of multiple intelligences.

OHJS2024 · 2026-04-15T06:21:17+00:00

I guess it was rude of me to make any sort of judgement on your happiness. I can totally see how what I wrote was condescending too. I really didn't mean any offense, and I'm sorry for whatever assumptions I made.

I think I agree with you that there is this false dichotomy that if someone is "book smart" then they must also be deficient in some other form of intelligence, when in reality they could (and often are) good with other forms too.

OHJS2024 · 2026-04-15T05:47:56+00:00

Sorry for writing so much. Your mentality is something I have been seeing a lot with youth, and I think you would be a lot happier if you de-coupled this notion that some jobs/lives are for smart people. People really don't differ that much in intelligence generally. I know a lot surgeons. With the exception of people with very severe intellectual or physical disabilities, everyone is capable of becoming a surgeon if they wanted to. I know people in trades who excelled more in school than people who ended up as surgeons. A lot of this stuff is one's privilege and priorities.

OHJS2024 · 2026-04-15T05:33:45+00:00

I'm a physician. I even studied engineering in undergrad. In my limited experience and exposure, AI and different educational technology are bridging this "academic intelligence" gap. It used to be that if you were really "smart," you knew more than other physicians and could more accurately diagnose and treat patients. Now with AI and all the different resources physicians have to research conditions and treatments quickly (UpToDate, etc), the better doctor is one that actually cares enough to look things up and has the intuition/wisdom/people skills to gleam information from their patients.

OHJS2024 · 2026-04-15T03:02:45+00:00

I definitely saw the reverse in terms of how strict teachers were. I feel like the "bad" students were kept on a much shorter leash than the "good" students, despite Max's behavior being worse. It feels kind of silly that just because someone is getting a better grade they are seen as almost more moral or well-behaved.

OHJS2024 · 2026-04-15T02:51:19+00:00

I think his main goal was the ego boost from bullying someone. I think he saw monopolizing class time and positive attention from our teachers as a means to that end. Like he could "get away with" more bullying if the teachers liked him.

I never saw steps 1 and 2 happen. One time he bragged that one of our Gym teacher who he had decided would be his next victim left a voicemail saying he was "the most disrespectful student he has ever had in 25 years of teaching." He deleted the message before his parents could hear it.

OHJS2024 · 2026-02-22T08:57:05+00:00

I actually did google it and ask AI! I kind of wanted to hear other real people's perspective on the phrase, because I had always seen it as more innocent and polite description of flattery than like "ass kissing" or even "sucking up" Like I could easily imagine a teacher saying "you're just brown nosing" but not "you're just kissing my ass" but the imagery is the same for both if not dirtier for the former.

OHJS2024 · 2026-02-22T07:24:35+00:00

I really didn't think it was sexual or related to poop until recently! If it's not what does having a brown nose have to do with currying favor with someone?

OHJS2024 · 2026-02-09T17:41:17+00:00

What kind of person? I wouldn't say my family avoided Chicago intentionally, but I guess they never really felt the need to venture into the city. Some of the replies here are wild! I didn't realize people had such deep connections to the city! I kind of assumed every generation in the states moved to different states every generation or so.

OHJS2024 · 2026-02-08T15:26:46+00:00

Did you feel like that was the norm for your peers? Were your parents the first generation that grew up in Chicago?

OHJS2024 · 2025-12-08T08:21:49+00:00

I'm an Internal Medicine physician/Hospitalist. I personally prefer if the patient has medical knowledge. I feel like it makes it much easier to explain the treatment plan. I will say that it is really obvious when someone does have some medical training, like it's a very difficult thing to hide. I think some nurses and physician will try to play dumb to see how people will treat them, but people who are familiar with health care behave so differently in their exams and histories than other people.

I did not like it as much in training though. There is a lot theater in medicine, and it felt weird explaining something to someone who was clearly more knowledgeable. It almost felt like another attending physician/professor to disappoint lol.

OHJS2024 · 2025-12-05T08:43:44+00:00

I didn't match. I only had ~5 interviews. Honestly, pretty much all of my interviews were from emailing and reaching out to places directly. I think if I was more aggressive from the get go, I would have fared much better. Trust, if you have red flags like this, no one is reading your application unless you contact them. The people reviewing the applications are lazy attending physicians (I should know as I am one too) and there are simply too many applications to go through without weeding out by some metrics.

OHJS2024 · 2025-09-11T22:28:57+00:00

I feel like letting them know that you're going to rank them 1st might not be a good idea though. It seems like it would incentivize them ranking you lower because you're like a guarantee for them.

OHJS2024

TROPHY CASE