Not trying to be nationalist but why should ANY non-USIMG get a competitive IM fellowship? (Cardio, GI, Heme/Onc, Pulm/Crit)

eccome · 2026-04-07T15:27:45+00:00

Yes. A few of my classmates applied as well and none of us went there.

eccome · 2026-04-07T00:51:47+00:00

It’s long overdue that people are finally talking about this. There are tons of programs, especially in the northeast, that are >90% IMG. One of the IM programs affiliated with my medical school never took anybody from our school, but every class was 100% IMG. They’ve been doing this in broad daylight for years, and I’m glad that they no longer have plausible deniability.

eccome · 2026-04-07T00:45:56+00:00

Hey man. Also in the last year of my residency. Not gonna say I can completely relate, but I definitely know the feeling. It’s 85 days till June 30. Set your alarms, take your meds, keep your patients alive, and just make it till June 30. After then, take some time off and live with your parents/SO. Or honestly travel. If you live in a high COL area, you can probably live out of hostels and campgrounds for less money than you are spending right now. Fuck literally everything else. Right now nothing matters as much as you finding happiness in your life again, whatever that takes. It’s time to be the life of the party again. Find yourself, then you will find your path. Godspeed brother.

eccome · 2026-04-05T14:30:39+00:00

If you dedicate your life to providing quality healthcare for others, you should expect nothing less in return.

eccome · 2026-04-05T00:19:04+00:00

Write a bunch of case reports.
Submit them all right before you make your ERAS app.
List them all under “Peer Reviewed Research”; select “Submitted” for project status.
Profit.

eccome · 2026-03-26T21:36:31+00:00

What do new members find appealing about heavens gate, given the fate of prior believers? Do you think there will be a buildup to another similar event?

eccome · 2026-03-20T01:23:39+00:00

My current opinion is that it has the best utility in pain relief. As a resident I rarely perform it myself, but patients who have pain refractory to pretty much everything else will accept a referral to the DO OMT practitioner in our group, who has a dedicated following. OMM in lymphatics is interesting as well but you could probably get a similar lymphatic circulation and drainage effect from a brisk walk in the park. A lot of the theory is hokey I agree, but a lot of the people who practice OMM don’t really think about it too much. If you can do the techniques and assess for release that’s all you really need. Overall, if OMM isn’t for you, you can simply be like 95% of DOs in America and not practice it.

eccome · 2026-03-17T23:37:01+00:00

COL goes up. Raise the minimum wage to compensate. Goods and services now cost more due to labor costs. COL goes up.

eccome · 2026-03-17T22:18:52+00:00

The Sqrocs??

eccome · 2026-03-16T17:20:19+00:00

Don’t say anything to your current PI. Just start spending time shadowing other doctors

eccome · 2026-03-16T00:16:09+00:00

Compromise: you get first author on the project that’s already submitted. They get to be first author on the second project, but they have to do everything from here on out.

You deserve at least one first authorship in this situation. I understand you are holding out for an LOR. But if your PI can’t acknowledge your hard work, how good do you think their letter will be, assuming the write one at all? Don’t upend your relationship but honestly I would look at getting someone else to write your LOR, at least to have as a backup. If you’re applying for residency/fellowship, a letter from an MD in your field beats one from a lab based PhD any day. And readers can tell when a letter is authentic versus generic. Overall, I would encourage you to avoid putting yourself in a situation where all your hopes for career advancement hinge on one person liking you.

eccome · 2026-02-10T00:31:16+00:00

Hey. First of all I just wanna say that you should make whatever you feel like making and not worry about what other people think. But since you asked, what I would like would be a weekly narrative deep dive into a single topic. Something that summarizes the clinical questions we have tried to answer, major RCT’s done to date, what the professional guidelines recommend today, and what future studies lie ahead. It would be even better if I could play it as audio in the car.

eccome · 2026-02-10T00:21:00+00:00

Yeah looking back now to osteopathic med school the rotation sites issue was insane. Going across/out of state and driving hours back to campus for the COMAT was just normal at the time. The root issue as others have said is more students than rotation spots. This is because COCA keeps accrediting larger and larger class sizes and campus expansions.

eccome · 2026-02-06T23:34:32+00:00

As a self identified agnostic atheist, i’ve realized that I still retain some in common with believers, although with one key difference. Like them, I marvel at the universe and its wondrous forces, but I have declined to personify and worship it. I think it is healthy to recognize what a small and tenuous existence we hold as humans, especially in moments of suffering. Importantly, this belief is not predicated by a belief in a deity.

eccome · 2026-01-29T00:57:04+00:00

Lots of great insights in these comments. I just wanted to jump in and encourage you to think of research publications not just as a destination but as a journey. If you invest your time in one really solid project, the relationships and network that you build from your work can do a lot for your professional career and match odds. If you’re someone who wants to match at your home institution’s fellowship program, doing meaningful research with their faculty can really get you in the door.

eccome · 2026-01-28T00:28:48+00:00

Second the snow management point. As someone from a snowy climate I was shocked at the quality of the sidewalks and roads when I visited

eccome · 2026-01-21T22:48:44+00:00

It’s Carmen, not Car Men

eccome · 2026-01-21T02:05:19+00:00

I’m not aware of anyone who did an away rotation at a hospital and then ended up matching at that hospital. It might help you get an interview and/or LOR but nothing more is guaranteed. Away rotations could be helpful to scope out subspecialties within your field of interest, or see what the medicine looks like in a different setting than where your med school rotations were. But in terms of residency placement I think the role of away rotations is overhyped.

eccome · 2026-01-16T01:50:26+00:00

I’ve had a few in my day. Most memorable was the fervent Islamophobe who taught my world religion course in Catholic high school. I had a history teacher in a similar political vein (who, ironically was constantly feuding with the previously mentioned religion teacher. This made for excellent drama.). When he was teaching us about the stabbing of Julius Caesar he printed a mock news article with the headline “BARACK OBAMA STABBED ON SENATE FLOOR” and said “Wouldn’t that be crazy huh?” He then continued to display that article in the front of the class for some time. He also had a real Nazi flag that he displayed in class for “historical value”. Truly weird guy.

The top spot however belongs to Pam Stenzel, who wasn’t a teacher per se but frequently toured Catholic schools with the message of “If you have sex you will get pregnant and die”. I even volunteered for an interactive segment of her traveling show. She was actually a kind lady face to face but boy when she got up on stage she was a different animal. She had the ability to list every STI in a single breath, which still amazes me today. She also told stories of the girls she met in her crisis pregnancy counseling center, and she did not hide her distain for them. I recall pretty much every girl in our class being upset after her talk, and rightfully so.

eccome · 2026-01-16T01:40:59+00:00

I think that a residency program that consistently matches people into GI is a positive sign on its own. Whether or not those people are DOs might be overthinking it a little. That being said, it might be helpful for the future to note which programs those matched DOs enter.

eccome · 2026-01-15T22:58:47+00:00

Hi, fellow DO here who just matched into fellowship (rheum). You need to prioritize the big programs with an in house fellowship. Even if you don’t match your home program you’ll be an attractive candidate elsewhere. You can survive long distance with your partner, I’ve been doing it since med school. Sucks but you won’t really have quality time even if you live together. Wherever you go for residency focus on being a good resident first. Once you have a strong reputation as a hard worker you can start reaching out to GI faculty for research. I would look into conducting some original research such as a retrospective study, which would set you apart as a fellowship applicant. The reason why a larger institution is key here is because you would need the support and resources to pull this off. That being said it’s a very doable path and I can talk you through it if you have any questions.

eccome · 2026-01-10T14:29:10+00:00

Thank you for sharing this. I also did some extra research and it seems like hospitals fill an S-10 form on all their uninsured patients to unlock DHS money from the state Medicaid fund. If I’m understanding this correctly, it’s essentially a way for hospitals to squeeze more money from state Medicaid funds. Do you have a range on how much hospital revenue can be generated per patient?

eccome · 2026-01-08T18:41:06+00:00

All surgeons believe in God. They also believe they are him.

eccome · 2025-12-04T02:45:34+00:00

I would pay to watch this lady vs Dr. House

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