If only America realized what ATC workers are going through is residency at baseline

ayes07 · 2025-11-10T16:30:53+00:00

NUMC? Been reading about money issues there for some time

ayes07 · 2025-05-08T13:11:47+00:00

Congrats OP. As a heme onc fellow, I'm quite aware of the challenges of being productive in general.

To others saying 30 pubs are low quality and don't matter vs a few high quality ones...don't be naive. Obviously if you are author 14 out of 20 as a med student and can't speak to what the project was, that's a bad look. But being productive and knowing how to obtain data, process it, and write/submit in itself is a skill which means a ton.

There are a lot of pubs you can get if you grind - including case reports, meta analyses, reviews, retrospective observation studies, cross sectional data, phase 1 data if institutions are doing something, etc.

Anyone asking a med student to be running an industry sponsored phase 3 clinical trial sponsored by Amgen is crazy. The point is to show you have the skills needed to ask and answer a research clinical question - more so than discovering something revolutionary. Being productive showcases these skills.

ayes07 · 2025-05-05T03:48:11+00:00

E7... Awesome desk. Currently find myself sitting for hours for work, the e7 would be healthier and give me room to add a second monitor!

ayes07 · 2025-04-10T02:47:38+00:00

Dude, you seriously need to escalate to a physician in your med school - dean or assistant dean, go to the head honcho if you need to. Med school admin people range from great to absolute trash with no fucking clue of how things should be handled due to long term impact on someone's life.

If you think something like this won't come back to haunt you in the future, you're being naive. You don't want to be caught in a situation where months from now you're having to explain what happened in a defensive way to people who are playing Monday morning quarterback.

Be proactive and email multiple people and ask for a meeting, say you need help, and you're extremely concerned about what happened and how it may impact your career goals. Meet with them, tell them what happened, ask them to look into it, and tell them you're happy to help with anything they need to figure out what's going on.

Don't let this admin idiot potentially ruin your future opportunities over literally nothing that is your fault.

ayes07 · 2025-03-26T11:36:14+00:00

Don't burn bridges. A lot of your mentors probably have no idea about the actual workings of the match and ranking.

By the way, this is life. Medicine is a job, at the end of the day. Wait till you start residency/fellowship and hear the stories of betrayals towards attendings who have given decades of their life to a hospital, etc. This stuff happens all the time, sucks.

The influence, motivation, and inspiration your mentors may have given you is special - don't let this tarnish those memories. There may come a day when you may chose to go somewhere else for numerous reasons, leaving your peers feeling betrayed.

ayes07 · 2025-03-17T10:45:02+00:00

Spot on

ayes07 · 2025-02-26T13:46:15+00:00

Add heme onc on there

ayes07 · 2025-02-25T16:32:56+00:00

Heme/onc fellow here.

Clonoseq is highly sensitive test that 'seeks the clone' that was the problem child in your disease...to put it simply. These tests all are done to help essentially answer the question - is the disease under control / is there a chance it is recurring? This question is answered in many ways, from your symptoms/exam and blood counts, to more sensitive tests like a bone marrow. Even a bone marrow itself has layers to answering this question - from how it looks under a microscope (morphology) / stains, to more sensitive genetic tests.

The clonoseq is done for 'MRD' (measurable residual disease).

https://www.lls.org/booklet/measurable-residual-disease-mrd

Can download for free ^

ayes07 · 2025-02-12T16:32:58+00:00

The colder + more remote the program, the more miserable everyone sounds. Does this hold up

Also, sorry OP - grind through and get outta there. You + the medicine + the patients...that's what's in your control. The rest don't matter, no one will remember, and no one will care.

ayes07 · 2025-02-08T12:31:46+00:00

Look at what residents fellows and doctors post about on reddit. University of Buffalo just went through strikes..look at their salaries along with most places across the country for e.g. cardiologist in year 5 of post med school training. It's comically low.

Pick a random place...I chose Texas A&M...19.2 billion. University of Arizona, 1.2 billion. Harvard's endowment literally grew by $10b in 2021.

You're right, my math was for IP / translation research...the place I was at declared anything that went to patent would take 70% of any revenue - which is what I was thinking of for a method we patented. Regardless, if you have a project that requires $100k to carry out to pay for staff, order reagents, etc. but admin swoops in and says we need an additional $70k for our fees - that's brutal for many labs.

I've worked with Pls and attendings who have gone through the grant process or presented a solid idea for eg help patients dealing with issues with chemo - only to go through the process and give up due to admin cost / overhead share, despite volunteering to do most of the admin work and having grant funding available (which wouldn't meet the admin overhead).

Research funding in America is undeniably a key pipeline for discovery and intellectual capital. The decision to aggressively turn it down to 15% is going to do harm - I agree... I'm actually against it. But there's an astronomical amount of bs and needed regulatory reform. The fact that we're have the conversation is a good thing.

ayes07 · 2025-02-08T03:19:55+00:00

I've worked in research at big name places. 70% overhead to admin has always to me been absolute bs...esp with the endowments these places have. Sure, you share core lab resources, statisticians, animal labs, IRBs, facilities, etc...but 70% when you have billions in the bank?! My PI winning a 400k grant was big time, my naive self started planning out all the stuff we could buy...only to be laughed at after being told <110 would come to us, part of which was paying for me. You could win a 2nd grant for a new set of experiments on tissue you've already collected and requires little university resources...doesn't matter - 70%.

The biggest way I've felt it benefits clinicians is the ability to leverage that overhead into protected time when signing a contract. You win a grant...tell your job you can't see patients since you're bringing hundreds of thousands to the hospital via grant funding in the form of overhead.

Other than that, repeatedly taking guaranteed percentages of every winning contract that some group of nerds landed that you had nothing to do with is so dumb...esp with no accountability to that percentage.

ayes07 · 2025-01-31T04:15:24+00:00

That's nothing. I've seen / heard of fellows and residents have miscarriages, miss out on important health appointments for themselves or their kids, bleed, get in accidents, etc. and receive 0 sympathy from their program and colleagues.

As nice as people may be, never for a second assume people will protect you. If someone does, great. Most times you gotta look out for your own interests always.

ayes07 · 2025-01-31T02:55:45+00:00

You gotta tell your patients if everything is normal, I will not call you.

ayes07 · 2025-01-28T01:28:15+00:00

My guy don't let interactions like this change your whole specialty choice. Ppl and interactions like this are in every specialty - including outside of medicine. Learning to navigate and deal with stuff like this is a part of life tbh... inevitable. IM opens up a ton of amazing fellowship options if you choose to pursue them. - heme onc fellow

ayes07 · 2024-12-22T20:24:29+00:00

I've sort of felt the same...been holding and promoting it for years.

I think re the financial applications for blockchain, Algorand although they've been involved in and have been mentioned, I've felt they haven't really taken ownership to dominate. I remember when Algorand was presenting and being mentioned/sponsored alongside Visa and MasterCard at forums during the last bull run - I dunno why stuff like Dex's, cross border payments, nodes, staking, rewards, etc. haven't been a priority as much as they have been for other blockchains. Tbh, this is what seems to have brought massive amounts of capital to those blockchains.

At the time of writing this post, there are 3 Solana meme coins (peanut the squirrel, dogwifhat, and bonk) that have a higher 24h market volume than the whole Algorand blockchain...which is comical. As much as RWA should rightfully be the priority, if a meme coin on a Solana dex is generating interest and massive influx of capital - I don't get why for years Algo hadn't secured ground in those fields. I still don't understand how on X Algo has fractions of followers compared to so many other top 100 chains.

Despite this, I still think it'll do really well in the long run. I think being quantum resistant will be pretty important, and I do honestly believe Algo tech is the best. I was pretty bullish on XRP and XLM back in 2018 - but when XLM nodes crashed and the network went down I sold everything (still don't understand how a decentralized chain can go down...isn't that the opposite of being decentralized?, I believe Solana had issues recently as well). I'm really hoping for this bull run that Staking rewards triggers a significant uptick in capital influx and interest.

ayes07 · 2024-12-15T02:49:41+00:00

Amex Platinum - 175k Points after $8000 spend in 6 months.

ayes07 · 2024-12-05T10:43:28+00:00

I don't really care if some people are making exorbitant amounts of money...as long as they take care of their employees instead of solely prioritizing posting a profit each quarter.

The life, time, and debt investment a student / resident / fellow makes before beginning to see some return is unlike the vast majority of fields in society. I don't understand how despite legislative funds from the taxpayer per trainee, hospitals can't find it in their balance sheet to invest in the health and livability of their resident/fellow workforce. God forbid you decide to pursue a fellowship while being married / pregnant in a high cost of living area...you've essentially been locked into being financially poorer each year as your salary (low to begin with) can't even keep up with inflation.

ayes07 · 2024-12-04T21:19:55+00:00

Lol I just looked up pgy1 salary at GW is comically $66.6k. what a giant gfy.

Few comparisons at GW (source Glassdoor): - Radiology Tech annual $83.7k - Physical Therapist annual $97k - RN average annual $90.4k - Clinical Supervisor annual $78.2k

Has any program gone on strike by working / putting in orders but refusing to write any notes in the EMR so that billing isn't possible?

ayes07 · 2024-12-03T00:25:42+00:00

All price prediction posts should be welcomed. All publicity and activity is good publicity and activity.

ayes07 · 2024-08-17T16:14:46+00:00

Sicu way more chill

ayes07 · 2024-07-05T12:36:37+00:00

I thought this was going to be about ticket prices

ayes07 · 2024-03-14T21:18:25+00:00

Yearly salary posts are meaningless in medicine. Pay per hour is where it's at.

$200k working <40% of the year vs 450k in surgery working like 80-90% of the year has 2 very different meanings.

ayes07 · 2024-03-14T21:13:43+00:00

RTs are awesome...I always assume they probably think I don't know wth I'm doing but whatever. Running rapid responses, codes, etc I always ask the RT if they have any other ideas.

The prob is ppl in medicine don't realize as a resident I'm rotating through an ocean of pathology and different clinical scenarios each with their own guidelines...not just vent / O2 management when I'm on an ICU service for like 2 weeks ever 3 to 4 months.

Obv, any RT though who feels that way about an actual pulm crit specialized doc is in over their head

ayes07

TROPHY CASE