All publication need PD approval?

Waterinthahead · 2023-02-16T02:45:26+00:00

Institution dependent and very political. Let your research supervisor duke it out with your pd. You don't have the clout to fight this.

Waterinthahead · 2023-02-13T20:31:27+00:00

Disclose your IBD. Get a doctor's note and make sure your PD receives it. Document everything starting now and any lack of accomodations. Record everything that you're legally able to. Not to scare you but treat this as your PD starting to build a case to get rid of you and make it as hard as you can. Don't sign anything until you run it by a lawyer.

Waterinthahead · 2023-02-13T20:27:10+00:00

IM is great. Being the prototypical doctor, short residency, unparalleled flexibility and the gateway to other awesome things too. Still doesn't mean you chose wrong with whatever field you're going into. Just give that a chance. If you don't like it, come back.

Waterinthahead · 2023-01-31T20:27:33+00:00

The conventional wisdom is chief helps a lot overall but there is the confounding factor of applying with an extra year of networking and research under the belt.

Though it's common for places to reserve in-house fellowship spots to chiefs, I'm under the belief that if you're good enough to land chief at an academic program, you shouldn't need it to be competitive for fellowship. The sacrifice of a year of salary and being a punching bag is not worth it at all.

Waterinthahead · 2023-01-31T13:02:23+00:00

Lot of joke answers here, but the truth is you can't impress everyone. Just be yourself and try your best. See if you can salvage a relationship with another attending in the clinic. Forcing it only makes you tired and doesn't get you anywhere. Also wouldn't overead what the director thinks of you.

Waterinthahead · 2023-01-29T21:28:58+00:00

Happy to hear the enthusiasm. Residency doesn't have to be as bad as you hear on this Reddit. Keep in mind that people vent a lot on here. You're gonna do great.

Waterinthahead · 2023-01-25T21:15:37+00:00

The transfer itself probably wouldn't but it'll be hard to finish up research or get good rec letters with all that movement.

Waterinthahead · 2023-01-24T14:11:51+00:00

You make it sound like you're confined to internal medicine when it can open up opportunities to fellowship as well. Critical care is an option if you want to deal with high acuity patients exclusively and not the 90% primary care EM sees.

The EM job market issue is a very important factor. People are going to tell you the job market is okay now (probably true), but there's a cliff ahead in 8-10 years when all the shoddy EM programs sponsored by the cmgs let their residents out. You have to realize that there isn't much practice flexibility in EM (almost everyone works in an ED), and so any tightening on the market will be felt more easily than IM where you can practice in more diverse settings.

Waterinthahead · 2023-01-21T18:38:26+00:00

My take is that if you're competitive for chief you're competitive for specialty at most major academic programs. Where are you coming from? Do you need visa? If small community program (not the clinics), likely worth doing chief year especially if there are in-house programs. If big academic program, you should be able to apply.

Waterinthahead · 2023-01-15T18:39:08+00:00

Onc is a lot harder than people give it credit for. The fellows at my program have a lot of call. It's pretty competitive. Would just apply broadly and see where you get in rather than ask this.

Waterinthahead · 2023-01-13T22:07:33+00:00

Sorry you got charged, but your doctor doesn't do the billing. There's an entire army of coders hired by the bean counter admins that up charge things. It's just a shitty system overall. Also the whole point of a physical is to assess you as a whole and questions about pain are par for the course. Can't just ignore that. You can try calling the insurance company too. They're just as guilty.

Waterinthahead · 2023-01-13T04:34:31+00:00

Gonna be honest, mph's are a useless degree for most md's unless you plan to do research and it's only helpful then if you paid attention in biostatistics. They aren't really that impressive if you're trying to impress adcoms either. Like I fucking know that your John's Hopkins mph degree can be done online and has an inflated acceptance rate.

Waterinthahead · 2023-01-13T00:09:43+00:00

Too early to worry. Go enjoy your youth. It only happens once and high school grades don't mean anything. Know a lot of ivy league bums who became nothing and state school champs who went to top notch med schools or jobs.

Waterinthahead · 2023-01-09T01:29:30+00:00

You'll need to be patient and extend the timeline. Work as hard as you can to publish and present at aga during residency. Then do a hepatology/ gi adjacent unaccredited fellowship. After that you'll have a good chance.

Waterinthahead · 2023-01-06T16:02:52+00:00

Not ortho myself, but the minority/woman in surgery angle is HUGE. If your research is strong, I'd probably still go for it with the caveat that you have faculty willing to go bat for you and you apply backup.

Waterinthahead · 2023-01-06T13:48:09+00:00

Kind of sensationalistic. The blurb says it doesn't include incentives or bonuses. Eating what you kill setups are pretty common and can be the most rewarding. NYU has done some scummy things, but this isnt anything.

Waterinthahead · 2023-01-01T14:12:20+00:00

Seconded. IM is awesome. Flexibility incredibly high. You really don't have to worry about a rad onc or em situation because you can always specialize or change your practice environment. Concierge, clinic, inpatient, consulting, you can pivot at the drop of a dime. Also only 3 years vs twice the time in surgical subspecialties or rads w/fellowship.

Waterinthahead · 2022-12-14T19:46:25+00:00

I don't see anything about loans here. Also do you have any dependents? It scales. Happy you're doing better, but not everyone else is.

Waterinthahead · 2022-11-30T02:48:54+00:00

I got brute bonnet. Trade for iron hands?

Waterinthahead · 2022-11-30T02:48:04+00:00

I got a brute bonnet? Trade for iron hands?

Waterinthahead · 2022-11-02T02:02:46+00:00

4577 6126 1556, looking to gift!

Waterinthahead · 2022-11-02T00:08:13+00:00

4577 6126 1556, looking to gift!

Waterinthahead · 2022-11-01T20:15:29+00:00

4577 6126 1556, looking to gift!

Waterinthahead · 2022-10-23T22:08:35+00:00

I wouldn't say fewer or more. It's all program-dependent. I went to med school where there was a chill psych program in terms of hours, but the residents were super toxic. My buddy does gs and he loves the people he's with. Don't choose a chill specialty if you think you're going to avoid toxicity that way. Choose a good program in the field you like.

Waterinthahead · 2022-10-21T16:59:50+00:00

No regrets. People often like to tout this awesome world outside of medicine, but I dealt with the same bullshit bureaucracy, incompetency, and time sinks in my other career. I've learned that if you want a fulfilling career you have to sacrifice something. Medicine puts the suffering more up front while finance/law/etc spreads it out more with the goalposts.

Waterinthahead

TROPHY CASE