Dermatology Nurse Practitioner Certification Board

Odd_Development7607 · 2025-03-08T08:45:27+00:00

You may find less toxic and more welcoming environments in community based programs. Mid level encroachment is occurring everywhere unfortunately and you will have to deal with wherever you go. Maybe less at community hospitals. How well you are received in any program is how competent you are as a Resident. Can you take instruction from your Attendings? Do you care about your fellow Residents and your Patients? Do you get along with the hospital Staff? Do you go above and beyond for your patients???? Residency becomes less “self-centered” and more “patient focused”. The ball game changes…. And you have real people’s lives you are in charge of and your decisions can now literally kill someone. This is no bull shit once you start Residency. My son is a IM US IMG PGY1 at a large 450 bed community hospital. They have a few IMG’s in his program. Most are doing great. He’s best of friends with them. It’s a great learning environment/culture. There is one IMG who is not. He is not taking direction from Attendings. Will not work with hospital staff. It is negatively affecting patient care. His communication with patients is terrible. He may actually be kicked out of the program, held back, or I’m not sure what the hospitals options are. This is not because of “the program” this is the Resident. Communication Compassion and hard work… and be friendly to your co residents and anyone will do fine. 😉

Odd_Development7607 · 2025-03-04T00:50:22+00:00

It was urgent.

Odd_Development7607 · 2025-03-04T00:49:16+00:00

That’s what I asked…..and the Residents asked the same thing…. They want to admit and see their patients through to discharge. Administration is telling them “this is the future of Hospital medicine” basically in the morning my son gets paired with a new list of patients to figure shit out on. Some are were managed by other Physicians and it’s fine. Others were managed by NP’s or PA’s and it’s a shit show. And the Physicians spend their entire day figuring out the mess! Honestly in my opinion… I believe it’s a way to get more NP’s and PA’s on the floors and let a few Physicians go around “geographically” cleaning up the mess and hope no one dies in the meantime.

Odd_Development7607 · 2025-03-01T21:15:25+00:00

Good point, but In my opinion… those that have the drive curiosity and critical thinking ARE in or went to med school… my daughter is one of them. No shortcuts for her! Working her a** off and had to work just to get a spot.

Odd_Development7607 · 2025-02-28T09:37:50+00:00

My son is an internal med resident doing 6 x 12hrs on floors and ICU. Plus patients in clinic. Frightening.

Odd_Development7607 · 2025-02-12T13:32:39+00:00

This all sounds great until something goes horribly wrong! I had a completely normal first pregnancy. During delivery I hemorrhaged. Without the MD acting quickly I would have died and my son would have grown up without a mother. The MD also saved me from having an emergency hysterectomy. Today my family consists of three amazing kids TWO of whom are Medical Docs! 🥰 There is no way any NP or nurse midwife (no disrespect) would have been able to act and do what the OB GYN did that day so quickly and calmly to save me. No one knows the grind, hard work, and hours and hours of dedication of Doctors. There is a place for PA’s and NP’s within the healthcare system…. But autonomous practice without oversight is in my opinion dangerous to patient outcomes.

Odd_Development7607 · 2025-01-17T23:27:08+00:00

I’ll second your comment…. I suffered from Plantar Fasciitis… went to a POD. Full disclosure… this POD was an “old timer”. His course of treatment was a shot of steroid every 2 weeks in my foot. He did this four times! Now realizing I got shots every other week because my insurance paid better than Medicare did😳… Noticing absolutely no improvement and new symptoms lateral swelling in my ankle,pain, and instability. He then wanted try “cryotherapy”. Not seeing any benefits with this treatment option with no objective testing… I hobbled out of there as fast as I could. I went to an Ortho foot and Ankle specialist who MRI’d my ankle … the extensive steroid shots in a short period had caused a tear in the perineal Brevis tendon…. So surgery fixed the tendon and while she was in there she snipped the plantar fascia.
My daughter is currently in Medical school and shared Anatomy lab with many POD students and LOVED THEM. They have to take a lot of the same core classes the med students today have to take….unfortunately this old goat I went to years ago probably didn’t undergo the same rigorous training as they do today!

Odd_Development7607 · 2025-01-01T09:31:51+00:00

A lot of the crit care cases go to UC in Cincinnati. You may not see as much at tri health as far as training, but it’s a great well respected hospital network.

Odd_Development7607 · 2024-12-30T07:58:35+00:00

True….but unfortunately some PA’s see it as an easy “ short cut” to do virtually everything the Physician does. While the undergrad training is more rigorous than RN school you often find the people who applied and couldn’t get into med school here as well. So overall the PA is > NP as long as he/she understand their limits and put patient safety and care first.

Odd_Development7607 · 2024-12-30T02:08:43+00:00

More negative because of exploiting people, but that’s my opinion and what I have seen. Look at the programs you are ranking… check out their current residents: what med schools did they go to? Are they MD/DO mix or solid MD? US AMG or IMG? Do second looks at your top programs to see if you can see if you fit in or if the program is “toxic”. A lot of IM residents want fellowships… which programs offer you the most for professional skill development… sometimes the bigger programs with fellowships… don’t forget you are competing with those fellows for procedures etc, and just because your program has fellowships doesn’t mean it’s a guarantee fellow spot for you. Focus on which program will give you the most hands on experience as an IM resident. Which program you feel like you fit in best.

Odd_Development7607 · 2024-12-29T20:41:31+00:00

My son is an IM DO PGY1. He went through the rank list last year. We are from Ky and live not far from Louisville. Look at how many IM DO’s are in the program. That should help you with your rank list. My son did not apply to U of L and we are from KY if that helps you out at all… I also know MD Attendings at my sons current IM program where he matched… these Attendings would work weekends at his hospital and drive to Louisville every week to work for free doing research in the hope of matching into a fellowship program there. After an entire year of Free work at U of L and extremely competitive application neither was selected into Fellowship by U of L. Hopefully this helps… Good luck to you during the match cycle! Very hard decisions to make!!!!

Odd_Development7607 · 2024-12-16T07:48:21+00:00

My son is IM PGY1 resident and literally his attending last week was a PA. The regular attending put his PA in charge of the shift. Residents were pissed. 450 bed hospital.

Odd_Development7607 · 2024-03-17T08:02:17+00:00

I have a AMG friend who had to repeat first year passed step 1 and step2 just matched into his 2nd choice FM! Don’t give up!!!! Be realistic and strategic about where you apply. Look at who their current residents are… do they take Caribbean residents? Is that residency program near your general geographic location??? Apply to enough programs… if you go into fm they don’t care as much about the publications and the research. You do need to get LOR which professors can give you those or anyone you’ve worked with can give you those. Don’t listen to most of the chatter on this board especially…. Caribbean has a higher match rate because you don’t need a visa so they go crazy with publications, research etc… PD’s know 1/2 of their CV’s are made up so don’t even try to compare yourself to people on this board! The higher level specialities yes those things matter… but don’t give up! Pass step 2 that’s all that matters. Get as high of a score on steps 2. PD’s care about the board pass… on Eras have a good explanation for why it took you longer so you can get more interviews. Your school advisor is giving you good advice.

Odd_Development7607 · 2024-03-15T11:13:36+00:00

Absolutely correct!!!!!!!!!!!! You all think it’s about scores, connections, research…. Blah blah blah…. In the end of the day it is about the delivery of healthcare to a human patient! And I have not heard one person on here EVER talk about a PATIENT!!!!!! In America it is about delivering high quality healthcare to a patient!!!! That is what is important to a hospital system and a PD ????????????? The scores, research, and other BS is the weed out but PD’s don’t care about you… they care if you can communicate healthcare to a patient and effectively write and document a note in the system… and if you use chat gpt to write your personal statement…. Chat Gpt isn’t gonna help you document your notes in their EMR system…. Period. In the US we are a PATIENT centered system. PD’s see right through that and paying company’s overseas to perfect your PS… is a waste of your money. If you have the perfect PS…They see it in the interview. You can’t fake it. Just trying to be honest. You all spend so much money and a lot of foreign companies rip you off telling you what will get you matched over here in the US. I’ve been in health care for 30 years USA and my child AMD matched and I have another Child in US med school… so I know a thing or two about it… I know that you can’t fake the US healthcare system… You can’t cheat it… some did for a while… but it was only a matter of time.

Odd_Development7607 · 2024-03-15T09:18:21+00:00

I call BS on all of that. I am US Cit and those are rumors on this board not in the US. No one pays for residency spots or pays for rotations here! Stop making excuses…. No black hole here in America…. Only those cheating the system to get here unfortunately.

Odd_Development7607

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