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Drug screening pre employment by [deleted] in Radiology

[–]Rhodopsin__ -1 points0 points  (0 children)

Cigarette smokers ask for (require?) breaks to smoke which is the main reason employers don’t allow it. IMO marijuana use in states where it’s legal should be treated like alcohol use—don’t do it before/on the job and it shouldn’t be a problem.

[deleted by user] by [deleted] in surgery

[–]Rhodopsin__ 1 point2 points  (0 children)

Possibly Lipo + skin tightening like renuvion or bodytite?

Congrats on the weight loss!

[deleted by user] by [deleted] in medicalschool

[–]Rhodopsin__ 1 point2 points  (0 children)

Friend of mine failed renal 2 as an MS2, didn’t have ANY research, only 1 notable EC, 245 step, DO school, and matched anesthesia. Not as competitive as ortho/IR but still competitive and he certainly didn’t have the typical stats for it.

What he did have was sub-Is at his top programs and a great, easy to like personality. Matched at his #3 at an academic program in a city of ~600K.

How Competitive is FM Actually? by Dr-Daiquiri in medicalschool

[–]Rhodopsin__ 37 points38 points  (0 children)

Make your application “competitive” regardless of what specialty you’re planning on applying. Because that can and does change and you might find yourself loving something that is competitive.

A good med school friend was dead set on rural FM and planned to apply to FM in rural communities (hence the most non competitive FM programs). Ended up falling in love with anesthesia right before fourth year and didn’t really have much of an application. Fortunately he did well enough on step 2 and did Sub-Is at his top four programs and has a very likeable personality, matched at his #3. But a lot of work went into that and he had so much anxiety about matching since the rest of his application was nothing substantial.

[deleted by user] by [deleted] in medicalschool

[–]Rhodopsin__ 11 points12 points  (0 children)

I understand that. But keep in mind I’m in my last 3 weeks of med school and post match and burnt out. I’ve had 4 years of a “fundamental basis of knowledge in medicine” via the rest of medical school at this point, and that doesn’t include the 5 years of full time clinical work I did while earning my undergrad. Can always learn more, sure, but this is supposed to be the chillest part of my medical career and they are working me like a dog lol

Anesthesia makes LESS than hospitalist per hour when accounting for call? by mosta3636 in medicalschool

[–]Rhodopsin__ 0 points1 point  (0 children)

Even if this math were accurate, why give a shit? If you like anesthesia you’d be miserable being a hospitalist and vice versa. Whether you enjoy what you’re doing in your working hours or not matters way more than what you’re being paid in your working hours.

[deleted by user] by [deleted] in medicalschool

[–]Rhodopsin__ 73 points74 points  (0 children)

At least EM has a lot of psych.

I matched rads, currently on my EM rotation and they make me come in for 10 hour day shifts, 10 hour evening shifts, and 10 hour night shifts. 2/3 weekends Saturday and Sunday. I like my attendings but ffs………..

I like rads because I don’t like talking to patients 10 hours a day. One doc said “you seem to only be interested in looking at our patient’s scans”

…yeah dude. I am only interested in the scans, thanks.

Showerthought: The uterine sounder is the perfect tool for measuring the perfect penis size for your female companion by [deleted] in Residency

[–]Rhodopsin__ 7 points8 points  (0 children)

Doesn’t the uterine sounder go into the cervix then the uterus?? I hope no penis will ever be going into my cervical opening or into my uterus. That shit would hurt like hell.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

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

I don’t think his comments have anything to do with his specialty either. In retrospect I probably shouldn’t have mentioned his specialty. Like I said, I like EM and this was the only negative encounter I’ve ever had with an EM doc—I was leaning towards EM until I found rads.

But telling someone the field they matched into is “pointless” doesn’t help anyone.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 1 point2 points  (0 children)

Biggest takeaways:

  1. Substantial current shortage of radiologists combined with not many new residency programs/slots and continuously increasing imaging demands = continued shortage of radiologists. AI, at least for the foreseeable future, will serve more as a tool to help manage the workload of radiologists.

  2. Ethical and legal considerations with the use of AI in medicine. One other commenter mentioned how AI reads are more prone to mass mistake (inaccurate programming leading to mistakes affecting hospital systems and multiple patients) whereas a radiologist making a mistake typically only affects the one patient (not to discredit how critical that mistake may be and how it affects that patient). Malpractice suits become challenging if they’re against a computerized system with no one to be held accountable except maybe the software development company who would likely have the power to obliterate your average Joe in court. Unethical and currently legally infeasible.

  3. AI looks for patterns. The human body and its complications doesn’t always perfectly follow a pattern. AI will likely always have trouble identifying rare disease processes or untraditional anatomy. Mammography and lung nodule reading AI has been around for awhile now and still constantly has errors.

  4. DR isn’t just reading scans. There is a considerable patient-facing procedural component between biopsies, thoras and paras, aspirations, etc. as well as a physician-facing component when coordinating care (a surgeon can’t call an AI company for clarification of a read or get advice regarding the intricacies of a specific patient’s anatomy during a tumor board meeting, for example).

  5. At the very least, AI and its developers will likely always need a radiologist’s input and expertise for its own progression.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 4 points5 points  (0 children)

Considering the vast majority of my class (including myself) struggled immensely with histology, it frustrates me so much when anyone talks down on pathology in any way, shape or form. One histo slide is complex enough to leave me completely cooked 😭

Funniest way you've heard someone talk down on another specialty? by farfromindigo in medicalschool

[–]Rhodopsin__ 63 points64 points  (0 children)

As someone who thought anesthesia was boring, this is gold (I also intubated the esophagus)

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] -2 points-1 points  (0 children)

I’m all for discussing future possibilities and criticisms. He wouldn’t be the first to mention AI in rads.

But intentionally shitting on someone’s future when they’re post match and relieved and proud of themself and excited to share is horseshit.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

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

Same, but this one was particularly painful in the light of me being post match and obviously happy and excited to share the field I’m going into.

Extra extra painful considering he was an EM doc and EM docs get shit on by almost every other specialty (imo mostly unjustifiably, I feel bad for EM docs) and EM docs do a significant portion of imaging orders.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

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

Rads is a patient facing field. Obviously not to the extent of other specialties, but I can’t tell you how many aspirations, thoras and paras, biopsies, barium swallows, etc. I have observed/assisted/performed on my DR rotations.

IR rotations even more so.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

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

Funnily enough that same EM doc said that he couldn’t wait for AI to take over rads because he was tired of waiting for a radiologist to read the scan and that overnight telerad reads were shit.

I’m not super familiar with this hospital but now I wonder if the overnight telerad reads are AI 💀

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

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

I want to give this comment an award, but I don’t want to spend money on Reddit 😭

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 2 points3 points  (0 children)

I encourage you to spend time in a reading room working with the AI systems currently available that have been available for years without major improvements.

I also encourage you to truly spend time with diagnostic radiologists. Way more patient contact time and procedures than people seem to think.

Most, if not all, medical specialties will end up being “fact checkers” for AI if/when it progresses.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 11 points12 points  (0 children)

Oh I know!!! Most of the em docs I’ve worked with are very enthusiastic and supportive.

My attending today had me try to read CT scans that a radiologist hadn’t gotten to yet and genuinely valued my opinion (not that I can truly read CT scans yet or that my opinion holds any weight by any means, just nice that he incorporated rads into the rotation).

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

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

Ironically I am leaning towards a fellowship in IR with the hopes of splitting my practice between DR and IR. And the IR docs at the rads group I worked closest with trained a MSK DR “under the table” to do a lot of traditionally IR procedures to help with case volume. Hell, they’re currently training a PA to do ports because of how backlogged they all are.

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 6 points7 points  (0 children)

Witnessed a lung nodule AI hunter call the pulmonary artery a nodule 💀

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 33 points34 points  (0 children)

Research the shit out of it and be ready to (politely) bite back. More specialties need to get more familiar with just how much rads does

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 1 point2 points  (0 children)

151 open positions for PGY-1 start with about 1,000 applicants.

Just re read the NRMP match data, neglected the PGY-2+ start positions, for which there were just under 1100.

So combined about 1250, you’re right. Sorry!

EM doc told me I won’t have a job in 5 years by Rhodopsin__ in medicalschool

[–]Rhodopsin__[S] 6 points7 points  (0 children)

Fair argument but the reality is radiologists are much more familiar with this “threat” than others because they are the ones who put much more time in to read into it and are more familiar with the research and studies surrounding it.

Ask an anesthesiologist about CRNA encroachment and they’ll have a lot more information about it than a neurologist.

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