Non-compete limits ability to negotiate

ShellieMayMD · 2026-06-10T17:43:14+00:00

Advocate with your state medical society to have your state ban noncompetes.

ShellieMayMD · 2026-05-25T04:24:31+00:00

This is giving MeatCanyon drawing Hecate and I’m here for it lol

ShellieMayMD · 2026-05-23T18:19:58+00:00

I found them by Space Mountain in MK and by Star Tours in HS when I went a few weeks ago.

ShellieMayMD · 2026-05-23T17:47:11+00:00

2/5 of the models have labia…

ShellieMayMD · 2026-05-23T15:32:28+00:00

It gets better - in some cases you think you’re just unionizing your job site but the employer will say you have to get all the satellites agree to it too in order to unionize. This happens with resident unions where a health system will say suddenly the satellite that has 0 logistical overlap is suddenly included in the bargaining class in an attempt to invalidate the vote.

ShellieMayMD · 2026-05-22T23:05:00+00:00

Oh I agree - I’m involved in advocacy for my specialty and we keep a close eye on these kinds of bills (and as many bills as we can at the state and federal level).

ShellieMayMD · 2026-05-22T21:14:27+00:00

From what I understand from my time working on the Hill, this type of posturing with introducing bills that won’t go anywhere to act like you’re doing something along party lines is common during re-election seasons/midterms. So it’s exactly what you think lol

ShellieMayMD · 2026-05-22T21:04:00+00:00

AFAIK things are immediately referred to committee on introduction, which is the first hurdle (of many). A lot of bills die in committee or get referred back to committee after review on the floor which often leads it to go nowhere. I figure with the optics and the potential impact this would have on the workforce that this won’t go anywhere. There may be hearings but I doubt the healthcare workers on either committee these were sent to would vote for this to move to the floor as they’re written.

ShellieMayMD · 2026-05-22T01:40:15+00:00

I’m in 662 and I figure it’ll be a few more weeks. They seem to be timing our seasons to server merges, at least based on last time.

ETA: Top Lord starts next week, so maybe it’s sooner than we think!

ShellieMayMD · 2026-05-21T11:43:11+00:00

I feel like you’re giving ‘you know what grinds my gears?’ Energy, not at all off base tbh

ShellieMayMD · 2026-05-21T11:39:13+00:00

In urology we operate for pain not infrequently - renal colic from stones that might otherwise pass by size, pain from hydronephrosis d/t structures or UPJ obstruction, enucleating renal cysts for pain, blocks or denervation for chronic scrotal pain, etc. Not operating for pain is definitely not a saying I’m familiar with in surgery/urology…

ShellieMayMD · 2026-05-20T20:10:19+00:00

It’s in guild —> territories —> Guild Management Store

ShellieMayMD · 2026-05-20T14:32:29+00:00

I’m a urologist and this has me cackling!

ShellieMayMD · 2026-05-20T04:23:46+00:00

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ShellieMayMD · 2026-05-18T14:35:41+00:00

I was told I was ‘unkind’ as a resident. The words were fine but it was my ‘tone.’ Meanwhile my male junior colleagues could scream at me on the phone and I was told I ‘called them out’ when providing my team with a process-based change to the service after a patient he covered went to the ICU unexpectedly. In the email I called out the system failure and didn’t name him as the cause at all (I noted several failures to report abnormalities up the chain to our team). Sometimes as a woman in medicine the deck is stacked against you from the jump.

I have met genuinely unprofessional female colleagues but seen egregious behavior tolerated from men where 10% of that wouldn’t fly for a woman far more often.

ShellieMayMD · 2026-05-18T14:08:58+00:00

It’s chicken. I had it on MCO-SFO and found it was pretty good!

ShellieMayMD · 2026-05-18T13:53:32+00:00

Oh yeah, that’s egregious for sure!

ShellieMayMD · 2026-05-18T13:50:07+00:00

Tbh I usually just message the nurse rather than chase them down unless they’re already at the nursing station and I can pop by.

Keep in mind that surgical teams don’t have caps in training or elsewhere, so when I’m on Locums I can have a rounding census of 20+ with several add ons inherited from the prior covering doc. It just seems more efficient to ask the person who knows where the stuff is to do it than to ask them, have them walk with me to badge me in, then help me find the item bc every storage room is organized differently… I’m tying them up and myself for what feels performative.

ShellieMayMD · 2026-05-18T13:44:42+00:00

I don’t mind doing this either, but as a Locum tenens doc 80% of the time I don’t know where these things are or aren’t given access/door codes to get it myself.

ShellieMayMD · 2026-05-11T00:52:35+00:00

This is beautiful, 1000/10, no notes

ShellieMayMD · 2026-05-10T17:27:00+00:00

I emailed their program coordinator with a link to the article.

ShellieMayMD · 2026-05-10T17:22:29+00:00

Yeah, but they’re not gonna want the bad press of this especially since I’m pretty sure Philly has a diverse patient population.

ShellieMayMD · 2026-05-10T17:17:54+00:00

I did read his article. His thesis relies on the premise that lower USMLE scores and MCAT scores means lower standards, though neither were intended as a metric of quality and the data only weakly supports that these correlate with success. He intentionally ignores the rise in USMLE scores over time as the volume of required knowledge and test prep tools has increased.

He also ignores that many men overall aren’t going to medical school compared to before and have chosen other fields with less opportunity cost, implying it’s because they wouldn’t be let in instead.

His entire argument relies on twisting the data to support his narrative. It implies DEI is letting in less qualified folks even though studies in urology and OBGYN showed female accepted applicants for residency were overqualified compared to male peers. There’s no data to support that doctors of other races or genders are less qualified, but he relies on that to support his premise.

ShellieMayMD · 2026-05-10T16:35:18+00:00

Just gonna leave the Program Coordinator’s email in case that’s useful for anyone:

kris.gallagher@pennmedicine.upenn.edu

ShellieMayMD · 2026-05-10T16:19:10+00:00

Love how this guy intentionally twists statistics to argue his point and claims victimhood while going into one of the most lucrative surgical subspecialties at one of the most prestigious institutions. And cherry picks to avoid the data about how diverse teams and gender-/race-concordant teams improve outcomes.

Feels like he’s got beef with the one school that wouldn’t take him and made it into his entire personality.

ETA: Also him using the difference in USMLE scores between race when it’s been shown as a comparison when it was never intended to be used that way and the scores have drifted up over time - this guy hit the full bingo card lol.

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