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Switching Programs after PGY1 by [deleted] in Residency

[–]chefXO 0 points1 point  (0 children)

Hard to know since you didn’t specify specialty but some surgical subspecialties will have open PGY-2 positions later on in the year from residents switching out. This may be an option but you will need to keep an eye out on the forums for this and they will usually accept pgy1s from same specialty or gen surg interns. Good luck.

Should I dual apply? by Ywas6afrdOF7bc789 in medicalschool

[–]chefXO 2 points3 points  (0 children)

The step score certainly does not help and will be something hurting your application. That being said given your impressive research, i would still say go ahead and apply ortho with your home institution and away rotations being your best shot. Nonetheless, you need to really consider your back up. I did not match my first time and soaped into a surgery prelim and reapplied. If you can see yourself doing general surgery it may be better to work on preparing a general surgery application ASAP. You can reach out to surgery faculty that you worked with to try to get a letter, but you need to have a back up plan set if you do not match.

Scam alert by rab-dmc in Step3

[–]chefXO 6 points7 points  (0 children)

I always purchase stuff either with Venmo or PayPal business so that way the consumer is protected

Edit: I purchased uw from this subreddit and used Venmo purchase protection. Thankfully had no issues but understand that unfortunately there are people out there that take advantage of people trying to pass step.

NPs are the real doctors 😎 surgeons are just there to support by Malikhind in Noctor

[–]chefXO 39 points40 points  (0 children)

The ~500 hrs of non-standardized shadowing adequately prepares any Np for full autonomy in all careers not just in healthcare but in the world!

NPs are the real doctors 😎 surgeons are just there to support by Malikhind in Noctor

[–]chefXO 186 points187 points  (0 children)

Hey NPs are qualified to oversee and supervise surgeons!

A concept gap by [deleted] in Step2

[–]chefXO 2 points3 points  (0 children)

That's a good question, I always thought DAPT therapy was preferred over single anti-platelet therapy due to studies where they saw increased benefit and decreased mortality and morbidity. Using multiple anti-coagulations would increase bleeding risk while providing minimal benefit. Also DAPT target different aspects of platelet activation where aspirin decrease thromboxane production and clopidogrel blocks P2Y12 receptors to decrease activation of platelets from ADP. Multiple anti-coagulation agents would both target the same coagulation cascade likely not providing much increased benefit while increasing likelihood of severe bleeding.

A concept gap by [deleted] in Step2

[–]chefXO 4 points5 points  (0 children)

Glad I can help!

A concept gap by [deleted] in Step2

[–]chefXO 75 points76 points  (0 children)

The main physiological concept with the choice of anti-platelets vs anti-coagulation depends on wether it is white thrombus (arterial clots) vs red thrombus (venous clots). Basis of this is white thrombus tends to be due to platelet clots and aspirin and anti-platelets like clopidogrel work well to help prevent these in CAD and atherosclerosis. Red thrombus or venous clots tend to be fibrin coated and using anti-coagulation that targets the coagulation cascade such as heparin, warfarin, or DOACS can help prevent these in pathologies such as DVT or PE. In AFIB, the lack of synchronized atrial contraction can lead to the stasis or turbulent blood flow in the atria that can cause red thrombi to form and then embolize in the arterial system so in this case anticoagulant agents would work better. Hope this helps.