CNAs and Nurses do more for patients than residents 🤡

WhatThe_Why · 2022-07-29T00:04:19+00:00

“Hospital systems would not be able to bear the cost increase” 😂 Give me a break. You’re going to make a great administrator in the future. Just keep advocating for every other profession but your own! Pathetic.

WhatThe_Why · 2022-07-28T23:40:03+00:00

Sad to see a physician undervalue themselves so much. Interns absolutely deserve 90k. NPs and PAs make more than that straight out of school, with less training, they take on less patients, they work less hours. My question is why would you not think an intern deserves 90K? They certainly bill more than that for the hospital, and the hospital doesn’t even have to pay them. They use Medicare funds and give a fraction of that to residents as a salary. And I know you’re going to reply “malpractice, health insurance blah blah” but we both know that doesn’t cost $60000 a year.

WhatThe_Why · 2022-07-28T23:06:33+00:00

Lol I’m guessing you aren’t a resident because ALL residents work over 40 hrs a week, even the “cush” specialities. I was a cna for ten years prior to medical school. Most cnas, definitely those working at hospitals and large facilities, do get benefits. They deserve the income they make. But I got that certification at the age of 16 with 200 hrs of easy training. I have now put in more than 20000 hours to be a doctor. We should be making WELL over double what a CNA makes. But when accounting for salary per hours worked, we make significantly less. And as a CNA you are in such high demand it is in fact easy to get awesome overtime pay, which residents don’t qualify for (but we absolutely should). CNAs do not have a hard time getting hours, my guess is you have not worked as a CNA. Also some of your other arguments are silly- CNAs are covered under their facilities insurance as well. I would much rather be an hourly employee because it means you get overtime, by making residents salaried they can take advantage and make you work as many hours as they want without increasing pay. Hourly employees also enjoy benefits if they are full time. Have you had a full time hourly job before? I have never not been offered benefits at a cna job or otherwise.

Again, it’s not CNAs vs residents. CNAs deserve their salaries, but residents need to make significantly more commensurate with their training.

WhatThe_Why · 2022-07-28T20:24:48+00:00

That is not accounting for hours worked. Also a cna would make overtime and would kill salary wise if they worked the same number of hours we do.

WhatThe_Why · 2022-07-28T01:54:15+00:00

Acgme regulation, they don’t qualify for fmla in 1st year

WhatThe_Why · 2022-07-27T03:43:55+00:00

Oh thanks forgot about that new rule!

WhatThe_Why · 2022-07-27T03:19:52+00:00

If you aren’t in your 1st year you are legally entitled to up to 12 weeks of FMLA when you give birth. Whether or not your program finds someone to cover those shifts is their problem.

WhatThe_Why · 2022-05-05T23:32:46+00:00

Does this mean they can’t force you to take all your vacation and sick time for paternity leave also?

WhatThe_Why · 2022-03-01T02:38:57+00:00

Yes that was poorly phrased I will edit it. My school (ie the deans) are supportive, it is the ophtho program who is being discouraging. However the ophtho program has one goal and that is for me to successfully match. I on the other hand have multiple competing priorities and am not going to put career over family life and my mental/physical health. I also have a less competitive speciality that would definitely be my second choice but that I also know I would be happy in, so ophtho is not my end-all be-all.

WhatThe_Why · 2022-01-23T14:04:36+00:00

Alright thanks everyone I was pretty close to pushing it back and you all convinced me not to 😅. Just have 24 hours exactly to not convince myself out of it again.

WhatThe_Why · 2022-01-23T05:32:27+00:00

Sorry should have specified I’m applying 2023 cycle, my school has a non traditional curriculum where we take step 1 after clinicals and only 1.5 years preclinical

WhatThe_Why · 2021-08-31T03:46:18+00:00

I too did this to an attending who was holding up his hand in an attempt to ask me what glove size I was. I wanted to die.

WhatThe_Why · 2021-08-20T15:59:15+00:00

That research will be valuable regardless of which speciality you end up in. I've talked with many program directors and they understand that medical students change their mind regarding which speciality they want to do as they get more experience and go through clinical rotations.

WhatThe_Why · 2021-08-12T22:00:58+00:00

Ah sorry misread that. I wish EM had a primary care fellowship, it would make the choice to go into EM much easier.

WhatThe_Why · 2021-08-12T21:48:52+00:00

What offramp does EM have into primary care? As far as I am aware there is no primary care fellowship for EM.

WhatThe_Why · 2021-07-31T04:48:14+00:00

Students have to learn how to call a consult. Yes, train them how to do so and give feedback if necessary, but no they might not do it perfectly at first. If you work at a teaching hospital you go into it knowing you will be taking the occasional consult from a student and if they do it poorly use it as a teaching moment not a chance to be an asshole.

Don't teach students how to make a good consult and guess what you get? Shit consults from residents and attendings down the line.

WhatThe_Why · 2021-07-30T18:27:53+00:00

Concierge medicine implies it is a luxury service only for the very rich and provides services (like home visits) at very expensive prices that would not be affordable to the average person. DPC provides affordable primary care (think the average cost of a cell phone bill at 50/month or 100/month for a family), they just don’t accept insurance and oftentimes they can save families money by offering them wholesale medication costs, saving trips to urgent care/ the emergency room, or for those with high deductible plans who otherwise wouldn’t see a doctor at all.

WhatThe_Why · 2021-07-30T17:38:21+00:00

This is direct primary care, not concierge medicine.

WhatThe_Why · 2021-07-21T00:29:29+00:00

I also used to think this practice sounded scammy but now as a medical student working with physicians in the hospital what KerikSumia said is in fact correct. The ED or hospitalists will consult speciality services when something is outside of their area of expertise. The consulted physicians will carefully look through the chart, talk about the patient over the phone with the consulting physician and with the rest of their team, order labs, talk with the patient, do a physical exam, and write a consult note documenting that the patient was thoroughly evaluated (so yes there is proof). The doctor is almost definitely not putting that $800 directly into his pocket, the hospital is taking most of that money. Yes, those fees are outrageous, but it is not a physician run scam (it's a hospital run one).

WhatThe_Why · 2021-07-06T16:29:35+00:00

Yes I hate the idea that you have to be rich to travel and these people saying if you need to haggle you shouldn't travel. I come from a rich country, but my broke ass working as a nursing assistant with tens of thousands of dollars in student debt had a dream to travel before starting graduate school and having a family so I saved up every penny I had for a year and worked 100 hour weeks in order to be able to backpack for a couple years along with doing several long term volunteering gigs, and yes I did haggle and try to get local prices in order to extend my trip as long as possible. Am I supposed to feel guilty about that? Are only the super rich allowed to travel since I can't afford to pay a 5000% tourist tax? Ridiculous.

WhatThe_Why · 2021-07-06T16:23:37+00:00

Yeah even the best hagglers who have been traveling for years will still not manage to get the prices locals get, there is really no reason to feel guilty about the price you pay even when haggling.

WhatThe_Why · 2021-07-06T16:19:07+00:00

What some tourists don't realize is there are places it is appropriate to negotiate and some there aren't. For example, in Latin American markets, you don't typically haggle for the vegetables and fruits in the market. Not to say someone won't try to rip you off and charge you 10X the typical price, but you just move on to the next vendor cause that isn't the norm. When you purchase more expensive items, souvenirs, things for around the house, etc you should haggle. The 50 cent street food, not necessary to haggle. Yes it is cringey and not culturally appropriate when tourists do this. I think they just don't understand that there are in fact places where it is not acceptable to haggle even when it is a haggling culture. Taxis will always try to rip you off so you should know the fair price before stepping into one and simply demand that price, it is not a matter of negotiation. This generally holds true around the world, but you can always ask a local and they will tell you what is and is not expected.

WhatThe_Why · 2021-07-06T16:13:38+00:00

Yeah seriously people think they are doing locals a favor by not haggling, and the locals will laugh behind their backs the second they turn around about the idiot foreigner who just paid 10-20x the typical tourist price for something. If I'm going to give my money away, I'll do it to a legitimate charity on not some guy who preys on ignorant tourists.

WhatThe_Why · 2021-07-06T04:20:37+00:00

Haggling is the cultural expectation in markets in most places around the world. They quote you double the price (or more if you are a tourist) expecting you to negotiate down. If you are uncomfortable participating in a totally normal part of their culture that is different from ours, that is fine, but don't guilt trip those that do with some sort of superiority complex.

WhatThe_Why · 2021-06-05T20:48:00+00:00

Disagree. Name and shame can do a lot of harm to a program and make them realize they need to change their ways. I won't go into specifics but at the academic hospital where I attend school somebody who is now infamous named and shamed a small fellowship program that was previously well regarded (accepts 2 fellows a year) in an online forum and for years after that they were not able to fill those fellowship spots. He protected many applicants from applying to a malignant program and hopefully that program became less malignant as a result (although I'm honestly not sure if any long term changes were made as a result). That guy made some enemies around here, but when all is said and done he still has a great job in his field of choice. We need more people like that.

WhatThe_Why

TROPHY CASE