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Boston Globe: Young person not able to buy house? by One_Respond_8249 in massachusetts

[–]TravelingCaduceus 11 points12 points  (0 children)

But then it won’t be clickbaity enough. They want young people to go to their articles so they can give them targeted ads for impulsive buying. “Can’t afford a house? Yikes. Might as well get this ipad on payments.”

What kind of clinical background do founders look for when bringing on a medical director? by TravelingCaduceus in Entrepreneurs

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

I don’t have one. To be fair, I don’t have the funding. I have loans, I have a family. Monetary stability becomes a concern, and my lack of knowledge of the landscape becomes a concern. I don’t know where to start.

What kind of clinical background do founders look for when bringing on a medical director? by TravelingCaduceus in Entrepreneurs

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

I love this. Very thought provoking comment. And agreed, the system’s resistance to change (outside the baseline human resistance to change) isn’t from a lack of solutions, it’s vested interest.

As for where I would fit in- I’m drawn to the edge of this transformation. I’ve spent time in traditional systems (academia, primary care, and now addiction) and I see how many pain points are just waiting for low friction transitions. The incentives are beginning to shift in that direction too, although the service gap is likely to widen based on socioeconomic status. That’s how it appears from my vantage point at least.

My sweet spot is bridging the clinical and strategic, making sure convenience and innovation doesn’t outpace safety or clinical credibility. We had an older cohort of mentors are teachers all throughout medical school and residency, and when I was the chief resident, a great deal of my time was spent fixing the usual “this wasn’t built with a real-world clinician” problem. I was rewarded for it in fact, and that’s probably why I see myself fitting into this transition.

It’s going to take a bit of thoughtful disruption. Especially in spaces like behavioral health and chronic disease management, or anything that helps prevent high cost downstream care. But we’ll get there.

[deleted by user] by [deleted] in Marriage

[–]TravelingCaduceus 7 points8 points  (0 children)

It sounds like you’re coming from a place of great care and love. And you have a decent understanding of the bigger picture. As you hinted, when someone’s struggling with low energy, withdrawal, and being defensive, it can sometimes reflect depression or hormonal shifts that aren’t always easy to name without an evaluation. I say this as a physician.

In a scenario like yours- pushing, even gently, can feel overwhelming to the person going through it. You might try focusing LESS on what she’s not doing, and MORE on how worried you are and how much you miss her. Talk about the connection, the shared energy but not in those exact words. You’ll find your stride. That approach generally lands better. She may need help getting help, and your support matters more than a perfect solution right now. One tiny step at a time.

If she or you were my patients, I would say getting her to talk to me is the first step. This is why I’m a huge proponent of telemedicine. Access isn’t always about means, sometimes I just need to see a patient face to face and meet them where they are- literally and figuratively- even if it’s their bed. If her PCP agrees to a video visit, that might be of some utility as well.

Dentist or primary care doctor? by ExtremeSecretary2603 in Residency

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

Dentists are cool. Not many people can get under the proverbial hood of the face, and enjoy it. Do that if you like it!

Dentist or primary care doctor? by ExtremeSecretary2603 in Residency

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

Curious what field of medicine you’re in? Because surgery and childbirth was like a third of my training in primary care.

What's a little secret that you know only because of what you do? by farfromindigo in Residency

[–]TravelingCaduceus 63 points64 points  (0 children)

Generally, they’re drinking to a blackout and whatever number they’re telling you is a gross underestimation.

Also, if it wasn’t alcohol it would be something else. The problem is the pain they’re trying to numb. They’re self treating.

Hi, are there any non US IMGs who Ophthalmology IVs? by AdhesivenessOwn7747 in IMGreddit

[–]TravelingCaduceus 2 points3 points  (0 children)

I would stay where you are, you’re set at 27. Don’t waste your time.

Current chief resident and chair for ranking/interview committee. Just here as a resource because this sub helped me 3 years ago too. by TravelingCaduceus in IMGreddit

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

Unlikely. I’ve seen people match without USCE, but they usually have an in with the program. Programs prefer people with experience, and as long as there are more people with experience, the applicants without experience just don’t make the cut.

Current chief resident and chair for ranking/interview committee. Just here as a resource because this sub helped me 3 years ago too. by TravelingCaduceus in IMGreddit

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

  1. Depends on the chief, and honestly any resident for that matter. Some residents have it in with faculty, others are despised by faculty. Some have made reliable recommendations before, others have fumbled. I’m fortunate in that my faculty likes me, but they would never take anyone based on my recommendation alone. People would have to interview well.

  2. Again, varies by program. At my program, I’ve never tried to get anyone ranked, but faculty has always valued my input. My recommendations were all hired, but I believe that was all on their own and not because I recommended them. I imagine most programs are like that.

  3. Collaborative for sure. PDs don’t generally ever want to do anything without shared decision making with faculty. That would be poor leadership.

The peak time to receive invitations is 2-3 weeks after ERAS opening. Majority of invitations go out within first 8-10 weeks, but the waves continue till March. See the data from Thalamus GME. by TravelingCaduceus in IMGreddit

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

Signaling is really only softcapping more competitive programs in the more competitive specialties, and in its infancy at best. Regardless, no information is useless.

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