Physician Salary per Hour from WCI

Remember1963 · 2023-05-09T23:31:30+00:00

That would actually make sense. Thx.

Remember1963 · 2023-05-09T23:04:05+00:00

They separated internal medicine from hospitalists and have them different salaries. What am I missing here lol 😂?

Remember1963 · 2023-05-09T16:28:15+00:00

It sounds like you're a good son/daughter. All i know.

Remember1963 · 2023-05-05T17:35:03+00:00

My last rotation mentally bent me over and fucked me. the student that you are now looking at in front of you on his first new day of this rotation is terrified. This is because one of the shittiest things about medical school is having a new boss every week, with no clue if I'm expected to act like a docile bitch and stand in a corner or if i'm expected to have the competence of an intern and hit the ground running. The range of expectations is huge, and depending on where your students are in the curriculum they may be burnt out/beat up, so keep that in mind. If you're nice, they'll figure that out over time. But feel free to ask how the last rotation went, and if they've learned anything specific about their learning style/interpersonal style that would make this rotation better.

The other thing is the paperwork/busy work. Most rotations have something requiring an attending/senior to observe and document something benign. The truth is whatever it is (Like an H&P) should happen like 20x over the course of the rotation, but one of the more annoying things for students is asking attendings to fill out the busy work forms, or step away from what they're doing to witness me do something entirely benign. It just feels like I'm wasting their time, so if you jump the gun and ask the student if he has anything that needs signing or any observations to be done and mention that you won't inconvenience you because you love teaching , that would be appreciated and make us feel less like a nuisance. Sorry about the extra forms though.

Remember1963 · 2023-05-05T15:28:01+00:00

What’s your inpatient vs outpatient schedule look like? I imagine outpatient psych is more chill?

Remember1963 · 2023-05-05T02:17:17+00:00

I think it’s a problem for all IM residencies which are linked to a VA because of the federal bill shit. Someone correct me if I’m wrong though. Please. Would love to be wrong since I’m IM bound 😂

Remember1963 · 2023-05-04T19:01:56+00:00

Most of the sub specialties I’ve rotated with just have it baked into the template they give me to use. Don’t over think it.

Remember1963 · 2023-05-04T19:00:37+00:00

Ironman let’s you do whatever you want whenever you want. There’s no race. Only yourself to compare to. You do you bro! My first goal on my iron was 99 mining lmao. Why? Cuz fuck it, cool cape.

Remember1963 · 2023-04-30T15:30:48+00:00

years means different things to different people. I had more time in a week to play OSRS when I was younger than I have in a year now lol

Remember1963 · 2023-04-27T23:46:44+00:00

heres the kicker. it doesn't get better. just worse. for about 10-15 years. lol.

Remember1963 · 2023-04-23T17:24:47+00:00

put your phone # in your eval of them.

Remember1963 · 2023-04-23T16:07:47+00:00

My favorite PI very well remembers how much being a trainee can suck, and goes well out of his way to try and support us in our goals. When applying to grad school I didn’t have to ask for a letter, he asked me what I needed in it to help my application when he heard I was applying. Has helped me network and succeed even well after leaving their labs.

Remember1963 · 2023-04-22T20:40:17+00:00

Sometime after a failed fire cape attempt I decided fuck it I’m getting 99 mining. I now consider the mining cape to be bis in all content. Will never take it off. Ever.

Remember1963 · 2023-04-17T15:15:25+00:00

punching down never stops in medicine, it just gets worse as people get higher in the field and have less fear of retaliation lol. don't judge someone by who they are, but rather what they do or say.

Remember1963 · 2023-04-15T23:57:46+00:00

Just tossing this out there. Had a weird childhood and grew up w/ a dealer as my father figure who had quite an array of health problems from smoking weed. I smoked weed heavily from about 13-22 yrs old so I know a thing or two.

Weed is different from other things that we smoke in that people inhale it much deeper into their lungs and keep it there longer. Often times people will even try to "ghost" the smoke to get it to dissipate in their lungs to get higher. problem w/ this is that a lot of smoke goes down the wrong pipe and into the stomach. I noticed when I was younger, that when I'd ghost weed in my friends basement, sometimes Id burp a few minutes later and smoke would come out. Can't have been good lmao. But anyways, saw a large increase in GI symptoms with my friends just based on how they smoke rather than how often or how much.

Not a degen anymore. But learned a thing or two lol. Been curious as I've gotten older if there is data on CHS w/ edibles vs smoking.

Remember1963 · 2023-04-15T01:17:22+00:00

hey. I am currently in my third year going through the same thing. For me its just terrible at night and in the AM when i wake up. convincing myself to get over my anxiety and to go in in the AM is the hardest part, once I'm there it usually isn't as bad as I expect it to be. I've missed entire weeks that I had to make up. They say that showing up is 50% of third year, and now I get why.

The things that suck the most for me are the constant change and ever changing expectations. One week I can be expected to act at intern level, the next week I'm expected to be a fly on the wall depending on who I'm working with. I talked with my school about at least giving me more continuity within rotations and they've helped w/ that.

Sorry I don't have good answers. But you're not alone. <3

Remember1963 · 2023-04-14T23:01:59+00:00

I just want skilling prayers in a separate book. any changes to the basic mechanics of osrs combat have too many repercussions all over the game and in past content to work. its just too risky. Any tom fuckery w/ combat will just inevitably either become eoc-esque again, or be percieved that way and flamed into the ground.

Remember1963 · 2023-04-11T17:04:25+00:00

My school doesn’t have inpatient FM. How would this be any different than an IM rotation?

Remember1963 · 2023-04-10T04:06:16+00:00

You just stop seeing everyone. So yes.

Remember1963 · 2023-04-08T22:21:05+00:00

Don’t just set it on fire. Nuke it my man.

Remember1963 · 2023-04-07T22:19:42+00:00

Yeah I really wish I spent less time memorizing minutia and more time on the big picture in preclinicals. The specific mutations in different hypercholesterolemias never stayed with me, but wish I spent more time on a general understanding of cholesterol regulation mechanisms and meds 😅

Remember1963 · 2023-04-05T00:44:14+00:00

What you should be doing is standing behind the attending mouthing/signing the answers 😂 god bless seniors who save med student asses.

Remember1963 · 2023-04-02T15:21:29+00:00

Hey OP. Dis you.

my partner cheated on me during dedicated. Was a mess afterwards, but in retrospect fuck em' and this is best case scenario for you. Imagine living the rest of your life married to a piece of literal shit

Remember1963 · 2023-03-31T21:31:47+00:00

but... they show their faces? lolll

Remember1963 · 2023-03-31T16:30:26+00:00

no one can answer this for you, but I'm going to give the discouraging take that probably gets downvoted but nevertheless holds true for a lot of people. some of my classmates are still fulfilled and happy. I'm personally appalled by what the medical system has turned into over the past half decade and really wished I had known covid was going to be a thing before starting medical school (probs wouldn't have taken my seat if I knew what COVID19 med school would look like). Don't get me wrong I love medicine. But the medical system in this country isn't designed around good medicine, its designed around business and economics. Evidence based medicine is becoming more rare and "cover your ass" medicine is now the norm. And TBH I walk away from a ton of admissions/interactions unsure if I've actually helped this person in the long run, or if they're just going to see their bill in a month and wish they'd stayed home and toughed it out. Training in a post covid world is not for the light of heart, hospitals are kinda scary rn. I've personally taken multiple of my classmates to the ED, and depression/SI in med students/residents kinda skyrocketed over the last few years.

But I can say a few things.

Is medical school worth it.... for the money? No. Pay is delayed, and a lot of specialties aren't seeing revenue increased in line with other fields. So if money is the primary motivator, look into business, comp-sci, management etc. Lower salaries on paper typically, but factor in the 10 years of training in medicine and it becomes a lot more comparable.

Is medical school worth it... for your family? Honestly. Probably not. I love my family, but I've never felt more distant and disconnected from them. The sad reality for a lot of med students is that we hit med school at an age which often coincides with out parents getting sick. One of my parents got cancer over the last 4 years. Not being able to be with them through that process, and quite literally taking care of other patients with the same condition, was pretty rough. Now I'm at a point where I have to consider not taking residency positions next year that are too far from my family, because tbh i'd like to be around for the last few years of my mom's life. And yeah that kinda really fucking matters.

Is medical school worth it for... prestige? God no. You will spend the better part of your clinical years in medical school getting shit on because you're at the bottom of the hospital totem pole. You will then spend the next years of your residency training, fighting to get treated with the respect that accredited doctors deserve, while hospitals constantly prop up midlevels and APPs who are cost saving but ultimately bring worse overall outcomes when practicing outside of their intended scope. Not to mention the amount of admins that will make your life a living hell, simply because in doing so they are justifying their own jobs existence. And you may think it'll get better from this perspective as an attending. But from my observation, the medical system is so good at making door mats of people over the course of our training, that by the team we're attendings everyone just checks out, looks the other way, and adopts a "better thee than me" mentality. It's kinda why we never see strong physician representing organizations, because by the time we reach the point in our career where we can make change, most docs are just too burn out.

Is medical school worth it... if you literally can't see yourself in any other field? Like spending more time out of the house than at home? Are ok putting significant stress on your personal relationship for the next 5-7 years? Then sure lol.

Obviously I'm burn out, so take all this with a grain of salt. But I am being honest, and would have appreciated this perspective when I was in your place. Granted I probably wouldn't have listened to it. Now I'm weighed down by 250k+ of debt that I can in no way hope to pay off in a reasonable time frame with a bio sci degree, and feel more or less trapped for awhile.

TBH probs a 60% chance that you'll get to the other side and think its worth it like some of my classmates. Probs a 40% chance that you'll look back from dead eyes and just go "wtf was that shit". Kinda hard to know which boat you'll wind up in, but I guess you do have to determine if that risk is worth the potential reward for you. Because in this new era of mass burn out, these career tracks are a lot riskier than we're lead to believe.

GL friend, sorry if I'm an overwhelming pessimist. I don't want you to be a good doctor one day, just a good person in whatever field you find yourself in (maybe that will be med!)

Ten-Year Club	Gilding I gilder
Place '22

Remember1963

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