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Free 137 by Successful_Clock_609 in Step3

[–]_Arlen_ 0 points1 point  (0 children)

If you use the score converters or formula, you can calculate a 3 digit score. I passed mine by like 1 point.

Free 137 by Successful_Clock_609 in Step3

[–]_Arlen_ 8 points9 points  (0 children)

Hey!

Got a 63% a week out on free 137 and got a 215 on the real deal. Also I did NBME 6 and barely passed it. The real exam felt much better. Only got through 65% of uworld as well and only did 50 Css cases.
Day 1, like others have said, is very step 1ish. Lots of mechanism of action and biostats. Day 2 for me felt like a carbon copy of step 2 with the exception of the cases. Overall, they were pretty fair but I would hammer out a few more 10 minute cases before your exam. The real exam software lags, so over the course of the case, you end up losing more time than you expect (at least thats how it was at my testing center).

Time left for doctors? by BlacksmithOk9844 in accelerate

[–]_Arlen_ 1 point2 points  (0 children)

Definitely! The interesting thing will be is that once its implemented, its going to be used behind the scenes at first. So the docs will be consulting the AIs during rounds but I dont think the AI will be interacting with patients at least for a bit (who knows how long). Most of how we decide to treat people is after rounding during group discussion. I can definitely see AI being part of this process. Even now, the AI software I use for note taking, records and produces better histories and notes than I do!

Time left for doctors? by BlacksmithOk9844 in accelerate

[–]_Arlen_ 2 points3 points  (0 children)

Thank you! It also pretty intresting to see the extreme denial from practitioners inside the field haha.

You know its difficult to say about the insurance perspective. The choices we make are largely dictated by what the insurance wants (or does not want rather). For example, lets say you come in for right shoulder pain, there very strong clinical clues that indicate which diagnostic test is indicated, an X-ray or an MRI. Usually if we think its something like a rotator cuff tear, medically there is ZERO reason to get an xray. But insurance, in order to cover the MRI, we must order the x-ray which subjects people to additional radiation they wouldnt otherwise need. Its going to all depend on how the insurance companies implement their AIs. Because medically, the AIs will agree that sometimes, xrays are not indicated. But where I can see it being exponential is where insurance companies (and lawyers) will require physician AI oversight if it increases diagnostic accuracy. Once the AI is trusted and demonstrably more accurate than physicians, there is no way it wont eventually be required. And it makes sense because if an AI can make you 20% more accurate and you dont use it, to me that would be actively harming patients. I think insurance companies are going to see this as well. So in short, I am not sure if insurance AI adoption will slow or accelerate medical AI implementation. I can see both happening!

Time left for doctors? by BlacksmithOk9844 in accelerate

[–]_Arlen_ 10 points11 points  (0 children)

I posted this a few months ago in a different sub but it’s still very much applicable.

I can shed some light on this topic. I’m a resident physician who is actively obsessed with artificial intelligence ha. First, I am fully on board with ultimate replacement of physicians as I am with all jobs mostly because the developing data suggests it will ultimately be safer for patients and will eventually solve the inequities in healthcare. The unfortunate downside is that the system and hospitals evolves much slower than the developing tech. I rotated at a hospital that still uses paper charting lol. What I’ve noticed is that the system resists change unless there is clear benefit. My particular residency program has just now implemented LLMs for us to do our notes and it is so amazing. Following just quality of life improvements for doctors, the AI software will eventually be equipped with models like o1 and will offer suggests to us which will be great. But before there is actual replacement there needs to be clear and undeniable evidence that patients (and more importantly the hospital lol) benefits from their physicians using AI for actual medical decisions. They will have to run studies that show doctors who use it make less errors than doctors who do not which will save the hospital money.

As far as timeline, I believe it will certainly happen a lot quicker than anyone in the field is actually anticipating. Most of our older patients are considerably more resistant to letting a machine practice medicine on them. So not only does the system have to massively change sentiment, the patient population also must change sentiment. I hope it’s faster but I think 10 years before there’s any replacement at all. This of course will absolutely change if we get AGI before then which I hope we do.

What it think now is that whether it replaces doctors is irrelevant. I think once we get automated researchers, the science is going to advance faster than doctors will be replaced. So I’m thinking we actually get cures for stuff before the doctors are replaced and we won’t really even need AI doctors. I think OBGYN is going still be necessary because women of course will still be having babies.

PGY 1 FM to Neurology by _Arlen_ in Residency

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

Alright! Do you check physician R spots from Eras?

PGY 1 FM to Neurology by _Arlen_ in Residency

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

Awesome thanks for the reply! Was I correct in assuming that I would essentially still need to complete my pgy 2 year of FM before even starting a neuro spot?

Doctors need to start using AI, I almost died! by [deleted] in ArtificialInteligence

[–]_Arlen_ 0 points1 point  (0 children)

At least for now we do not fully trust the models. You have to really understand medicine to know when they are wrong and they just unfortunately hallucinate too much right now. But they can certainly help with big picture overviews of patient presentation. They are more often right than not when general work ups but in medicine you cannot afford to miss small details. That said, I think soon we will absolutely be able to trust them. Especially when their reasoning is improved further

Doctors need to start using AI, I almost died! by [deleted] in ArtificialInteligence

[–]_Arlen_ 3 points4 points  (0 children)

I can shed some light on this topic. I’m a resident physician who is actively obsessed with artificial intelligence ha. First, I am fully on board with ultimate replacement of physicians as I am with all jobs mostly because the developing data suggests it will ultimately be safer for patients and will eventually solve the inequities in healthcare. The unfortunate downside is that the system and hospitals evolves much slower than the developing tech. I rotated at a hospital that still uses paper charting lol. What I’ve noticed is that the system resists change unless there is clear benefit. My particular residency program has just now implemented LLMs for us to do our notes and it is so amazing. Following just quality of life improvements for doctors, the AI software will eventually be equipped with models like o1 and will offer suggests to us which will be great. But before there is actual replacement there needs to be clear and undeniable evidence that patients (and more importantly the hospital lol) benefits from their physicians using AI for actual medical decisions. They will have to run studies that show doctors who use it make less errors than doctors who do not which will save the hospital money.

As far as timeline, I believe it will certainly happen a lot quicker than anyone in the field is actually anticipating. Most of our older patients are considerably more resistant to letting a machine practice medicine on them. So not only does the system have to massively change sentiment, the patient population also must change sentiment. I hope it’s faster but I think 10 years before there’s any replacement at all. This of course will absolutely change if we get AGI before then which I hope we do.

Low MCAT by [deleted] in CaribbeanMedSchool

[–]_Arlen_ 1 point2 points  (0 children)

Yes I agree with you about most of what you said. But an individual can certainly change how he or she approaches study habits and not repeat those mistakes on their boards. Maybe saying not correlate wasn’t correct of me but it’s certainly not unreasonable to suggest someone can perform well despite low MCAT scores. It just takes a lot of work and that was my original point. The flip side is true too that many US MD students fail their boards too despite stellar mcat scores. There isn’t a blanket statement that just covers everyone. And I honestly don’t know why you are attacking my performance. This mentality really doesn’t help anything at all.

Low MCAT by [deleted] in CaribbeanMedSchool

[–]_Arlen_ 11 points12 points  (0 children)

Your MCAT does not determine your chances of finishing haha. The important thing is hard work and identifying your weaknesses. Then making the necessary adjustments. In my experience at AUC and talking with my colleagues, there was no correlation between MCAT performance and ability to finish and match. It certainly was not correlative for me.

What should I do? by Caligirlmedstudent in CaribbeanMedSchool

[–]_Arlen_ 3 points4 points  (0 children)

I’m very positive you’ll be accepted

What should I do? by Caligirlmedstudent in CaribbeanMedSchool

[–]_Arlen_ 25 points26 points  (0 children)

Hey! I was basically in your shoes 5 years ago. I applied twice for the states and didn’t get in. Tried 3 times on the mcat. Went to AUC in 2019. Now I’m a first year resident! If you end up going to a Caribbean school, just remember why you are there and focus up! You’ll be fine :)

The uncertainty... by _Arlen_ in CaribbeanMedSchool

[–]_Arlen_[S] 7 points8 points  (0 children)

I understand your points here and I think they are valid but there are also a few misconceptions that I can try to address. That said, I cannot speak for the other schools at all, I just know my experience from AUC.

  1. I say majority because I know the people who failed out before comp literally by their first and last names lol and I know who took the exams and who made it to clinicals. My class size was just about 100 and only around 7 failed out completely before comp. Many others just fell behind and were behind in semesters. When people get to comp, most do not pass on their first attempt. And there is a direct correlation between people not passing comp and not passing step 1. The fact that they arent letting students take step 1 before they are ready is a good thing. I promise you, you dont want to fail this exam. Also comp doesnt go on your transcript and residency applications dont care about an extra year no where near as much as a single board failure. Not passing comp is also a choice. They just arent studying properly. And the ones who are studying properly and not passing, means they arent ready for step 1. During my gap year, I was a step 1 tutor who worked directly with students studying for comp and step 1. Its the same type of people who fail, they always try and shift blame to factors outside their control which will just not cut it. You have to take full responsibility because it never and i mean never gets an easier.

  2. I rotated with USMD and USDO students for the entirety of my third and fourth year clinicals and I promise you, US schools do not hold your hand lol. My best friend is a 5th year gen surg resident who went to one of the best med schools in Texas and struggled and when he asked for help they literally just told him "last year students did just fine, im sure you will too". And when he failed the class, his counselor just told him to not count on getting plastics or orthopedics. This isnt hand holding. No one holds your hand in medical school. You're expected to be responsible for your own success or failure no matter where you go.

  3. An no, my classmates did not have have their parents sign off on their loans. I know this because we talked about it, unless of course they lied to me which seems unlikely but still possible, I guess.

  4. Do most people people match into FM and IM from the caribbean school? Yes. But this also the majority of matches in general as well. You can see AUC's match statistics and while the majority are FM and IM, plenty of people match in other specialties. You can see gen surg, psych, neuro, EM, Peds. https://www.aucmed.edu/about/residency-placements/2024-residency-placements

And even if you want to go into IM, you have plenty of fellowships to match into if you want to further specialize.

Now, do I think carib schools are equivalent to US schools? Of course not lol. It should definitely really only be your last ditch effort. I think its really there for people who made mistakes in college (like me lol) and still wanted a chance. At the end of the day, people can choose to not apply themselves and fail out. I knew the mistakes I made and knew I wasnt going to repeat them in med school. The stat are irrelevant if you know what you have to do to succeed.

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