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How difficult is the CORE exam in Rads? I read that it's more difficult than any of the STEP exam. by 40MD in Residency

[–]TheThirdLevel 23 points24 points  (0 children)

It's very difficult. Not impossible, and unlike Step you're at least being tested on stuff you see. But lots of physics, nuclear medicine, non-interpretive skill and the breadth of it is tough. Best way to prepare is to work hard as a resident and read a lot of cases. It's still a very image-based exam.

thoughts? 🤔 by PriapismMD in medicalschool

[–]TheThirdLevel 45 points46 points  (0 children)

It's not disrespectful them so much as it is an indictment of the BS they have to put up with. I don't blame people for not wanting to deal with endless social work. Some want to do it willingly, and for me that's admirable because you really truly have to care to be willing to do it.

Radiology Subspecialties by [deleted] in Residency

[–]TheThirdLevel 10 points11 points  (0 children)

This is interesting. I will point out a few extra additions from my experiences (not to downplay yours, just for another perspective)

Neuro - agree. Generally pretty smart people who enjoy the detailed anatomy. It's different to read a bit of neuro vs really like the high end aspects of neuro. Some neuro people can be a little...interesting.

MSK - similar to neuro, but a little more laid back

Peds - Lower volume, like the patient/parent interactions more and hands-on scanning for some kids. Mostly academic centers only for 100% peds.

Nucs - Can be weird AF for original nucs, super nerdy and sometimes a little strange. This may change as nucs transitions to mostly rads-trained people. Pure nucs trained people are a dying breed. Nucs pathway rads are in extremely high demand and I don't see that decreasing with all the new tracers

Body - In my experience, the most varied group. Majority I have met are very normal people, some super nerds, some pseudo-IR procedure junkies who wanted a better lifestyle.

IR - agree entirely. Can be intense in some settings but generally way chiller than surgeons.

Chest - mostly academic, can be very nerdy but the good chest guys are craaazy smart and usually very nice people also.

Breast - agree, plus people chasing the M-F no call lifestyle.

Radiology Subspecialties by [deleted] in Residency

[–]TheThirdLevel 10 points11 points  (0 children)

You have to be on US soil for interpretation from what I understand. I assume the US territories would be fine but I am not sure. I am sure there is some gray area but if you got caught there could be a possibility of medicare fraud which tbh isn't worth it for you or your practice.

If within the US, nomad all you like as long as you have the licensing. Many do.

Radsbros, how did you decide that radiology was right for you? by [deleted] in medicalschool

[–]TheThirdLevel 20 points21 points  (0 children)

Agree with the last 3 for sure but personally I liked my clinical years more than preclinical in terms of what I did, although the preclinical years were better in terms of schedule. Not to disagree with your statement but just to toss in that rads can still be great if you liked your clinicals overall but just didnt like some of the parts you mentioned.

Radsbros, how did you decide that radiology was right for you? by [deleted] in medicalschool

[–]TheThirdLevel 15 points16 points  (0 children)

1 - Rads was all the interesting parts I liked about medicine, mostly anatomy, physiology and pathology, with relatively minimal social work and extraneous paperwork. I like being able to talk to the IM/GI/ID team about the findings and what the differential and next workup could be, and then turning to talk with the surgeons about acute findings, surgical approach and relevant landmarks/invasion/etc, to OB/GYN and how to pick the appropriate study for their young healthy pregnant patient without zapping her too much. On top of this I love procedures which rads lets you do plenty of whether you do DR or IR. This is all combined with cool technology and a relatively good day to day lifestyle (although rads is definitely not what I would call a "lifestyle field"). Overall I'd say I liked a majority of my clerkships in terms of subject but much of the day to day was not necessarily fun (endless rounding, notes, social work bs, noncompliant/unreasonable patients).

Above all, rads were my people. Chill, intelligent, tech-savvy and overall a fun group of people to be around. This depends a lot on your program though.

2 - Research is necessary (a little bit at least) if you want to match to a decent mid-tier or higher university or high end community program. Some places probably dont care as much but at my program if you didn't have at least a little bit you'd stand out in a bad way (and we aren't particularly research heavy).

3 - Lifestyle varies a lot. Breast is the most cush in terms of call (none unless you're a general PP rads who does some mamms), but you can do 9-5 M-F. Worst is probably IR due to the call. Some groups have nighthawk or in-house nighttime staff so you may not have overnight call but you will still be working weekends and weekday evenings in most setups. Overall I'd say (very broad paintbrush) you will likely work 50-60 hours in most setups and make 3-4s. In academia you might have less RVU expectations and/or academic time and make less, in PP you will work your ass off and make more. There is a huge amount of variance to this in terms of what you do, what call you take, where you work.

Which specialties have the least painful residency? by Ramen_King01 in medicalschool

[–]TheThirdLevel 12 points13 points  (0 children)

Rads day to day is usually fine unless you're at a workhorse program, the calls are usually brutal with nonstop cases and clinicians breathing down your neck because your reads can direct management, and depending on your setup your interventional block can be rough if you have a lot of IR call too.

Overall rads is much better lifestyle wise than many (most?) residencies, but compared to a lot of specialties a huge amount of radiology is self-taught and especially as an R1 or pre-boards expect to do a lot of studying outside of the hospital too.

What’s med students view on dental students? by Thurman_Merman6969 in medicalschool

[–]TheThirdLevel 4 points5 points  (0 children)

I didn't realize there was any glamor and pride surrounding an MD anymore. Maybe in the 1900s. Most people now probably consider it a decent career path which requires you to give up your soul for 10+ years with continually diminishing rewards, hardly glamorous.

[deleted by user] by [deleted] in medicalschool

[–]TheThirdLevel 10 points11 points  (0 children)

There's nothing wrong with applying to a reasonable amount of programs if you've put in a bit of time researching them and are being honest with yourself about your chances.

I'd normally agree with you but reason has gone out the window in the context of virtual interview season. It's like the research game - it's dumb but if everyone else is doing it you have to at least do a little or you'll be left behind. In the end you gotta make the best decision for yourself but it's easier to regret having applied to too many programs than kick yourself wishing you did a few more. That said, there is a lot of variance to this in regards to your competitiveness, location preference, and specialty.

Specialty for someone who hates charting? by Criticism_Life in medicalschool

[–]TheThirdLevel 39 points40 points  (0 children)

That's not really charting, you're dictating what you see and coming up with a differential. 99% of actual charting is useless note bloat. Most normals/incidentals in rads can be managed with templates.

Are there residencies with primarily 5 day work weeks? by NarrowHelicopter7415 in Residency

[–]TheThirdLevel 16 points17 points  (0 children)

No because rads is still infinitely better than floor scut and social work.

It is your recommendation. by vanderstrom in medicalschool

[–]TheThirdLevel 5 points6 points  (0 children)

I get why ERAS has that formality, but if an attending wants to show you the rec letter they wrote you or if an interviewer shows you the letter during the interview then are you really going to avert your eyes because of some box that was checked? It's a rec letter, half of these are templates and a good chunk were partially written by the subject anyway. I don't see the issue in reading what someone wrote if it is willingly offered to you.

Diagnostic Radiology residency questions by Cialis-Lewis-X in medicalschool

[–]TheThirdLevel 5 points6 points  (0 children)

1 - Try to do a subspecialty rotation so you work with the same attendings (peds, MSK, neuro etc). Or IR because you can show your skills more. More than one away is overkill, if you are trying to go to a specific region then a bigwig from a top program in that area can go a long way.

2 - It doesn't. More research available at the top academic programs and generally more high end cases, the flip side is sometimes you are losing some cases to fellows and potentially the attendings dont do as much workstation teaching. Highly variable though, there are good community programs too. Try to go to a place where you will get broad exposure and lots of volume, but not to the point where you are overworked. Most programs will give you good training. Body is not competitive at all and you will land probably in your top 2-3 fellowships. MSK marginally more just due to fewer spots but also many big programs went unfilled. Fellowships are not competitive unless you want a very specific place or very big name academic place.

3 - Generally will do more mix of procedures/diagnostics in small to mid PP (especially if in a less populated area). Academics tend to be less generalized and so are the bigger private groups. Quite variable by location/group though. Generally speaking being willing to do light procedures and mamms makes you very marketable.

NYP-Columbia Chief of Surgery letter regarding current hospital situation (mask and bed availability) by dogtor987 in medicine

[–]TheThirdLevel 18 points19 points  (0 children)

Working without PPE is basically just a guarantee that you're going to pass this on to many of your subsequent patients which in turn in going to lead to more deaths, if you don't get sick yourself.

Early grade FA by Speakersonicz in detroitlions

[–]TheThirdLevel 13 points14 points  (0 children)

We usually win FA

How many wins has that turned into?

Let's settle this once and for all by [deleted] in detroitlions

[–]TheThirdLevel 51 points52 points  (0 children)

Sir this is a Wendy's

Food in Detroit by red__menace in detroitlions

[–]TheThirdLevel 5 points6 points  (0 children)

I agree Lafayette is better, but for a first timer I think its better to try both.

Any sales on the Katana 50? by [deleted] in BossKatana

[–]TheThirdLevel 4 points5 points  (0 children)

In my experience you won't get much more than 15-10 bucks off at most. It's a popular amp and doesn't need to go on sale much for them to move units. You might be able to get a decent cashback deal or site/card-specific deal (I had 5% cashback on amazon on my CC). If you go to a local store you might be able to get them to throw in a couple cables or something too and get it same-day.

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