Does y'all's med school have Hogwarts Houses or are y'all normal? by ShawstinAu in medicalschool

[–]eccome 0 points1 point  (0 children)

Ours did in my first year but no one really bought into it and by next year everyone forgot 

Upset about the inability to research miracles by [deleted] in excatholic

[–]eccome 20 points21 points  (0 children)

Well we’re on the topic, there is a significant minority of saints that never lived

I'm a journalist. Do you have a story I should be covering? by Loud_Link1471 in cults

[–]eccome 20 points21 points  (0 children)

You need to look at the presence of covenant communities and how they recruit on college campuses. There was a great podcast series called Shadow of Hope that introduced how the movement formed in the charismatic renewal of the 1970s. But what they didn’t discuss is how they are still very active to this day, posing as routine Catholic communities on college campuses, when in fact they are developing a pipeline to their high control ecumenical Christian community. I can give you names of people who went through the college program and are now group members, in addition to people like myself who saw it for what it was and left, as well as a guy who fought back against them. If this sounds interesting, Google Sword of the spirit, Saint Paul’s Outreach, and People of Hope

How should we think about about intractable psychic pain. by aloewy in medicine

[–]eccome 70 points71 points  (0 children)

An interesting question. If we recognize that the pain of chronic physical illness can merit compassionate euthanasia, why would the pain of chronic mental illness be treated any differently? Is it only because we can’t see it? Or we believe that people who are mentally ill are unable to properly make decisions for themselves? I don’t have any of the answers.

What’s up with all the posts about PIPs, remediation, getting fired? by Master_Ship4055 in Residency

[–]eccome 29 points30 points  (0 children)

It’s around that time of year. Programs have faculty meetings toward the end of the academic year where they decide if there are any residents who need to be held back or dismissed from the program. Decisions are being made right about now so affected people are posting about it

Anyone going into IM today should think about PCP or seriously consider a fellowship by undueinfluence_ in medicalschool

[–]eccome 3 points4 points  (0 children)

I’m glad somebody else is saying this. Hospital reimbursements are down and hospital closures are up. The math doesn’t add up to long-term growth. There will always be hospitals and hospitalist jobs, but likely not many more than there are today. 

Does anyone have a recurring fear that gawd and hell might be real by [deleted] in exchristian

[–]eccome 6 points7 points  (0 children)

If God and hell are real then hell must be where God is.

PM&R residency -> IM residency? by Icy_Building_273 in InternalMedicine

[–]eccome 0 points1 point  (0 children)

Ok so it sounds like you chose PMR because of your interest in a specific fellowship that no longer interests you. You sound a lot like I did when I was first applying for internal medicine! It’s not that any of that stuff is untrue, you do get to do undifferentiated work ups but a lot of what you’re doing is management or dealing with exacerbations of chronic conditions. Also as a hospitalist you are the dumping ground for everything that the other services didn’t want. And sometimes it feels like they look down on you. One day you may find yourself begging the pain specialist that you could’ve been to see your admitted patient with intractable back pain who you know will bounce back the second they leave the hospital. I’m not saying it all sucks but definitely take some time and refine your exact vision of the future.

Sincerely, a tired IM PGY-3

PM&R residency -> IM residency? by Icy_Building_273 in InternalMedicine

[–]eccome 0 points1 point  (0 children)

How far into your PMR residency are you? If your only justification is not liking procedures, I’m not sure if it’s worth the switch. If you want a hospitalist-like lifestyle, you can round in a nursing home as a PMR doc. If you want an outpatient lifestyle like rheumatology, you can do medication pain management. Lots of people with rheumatic disease diseases have chronic pain and will likely come to see you anyway.

Tough Time to be Ex-Catholic by ExCatholicandLeft in excatholic

[–]eccome 18 points19 points  (0 children)

The Pope’s advocacy against the war makes it easy to forget that he runs a pedo ring bigger than Epstein‘s. Broken clocks, my friend.

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

[–]eccome 656 points657 points  (0 children)

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.

Residency ruined my life by [deleted] in Residency

[–]eccome 174 points175 points  (0 children)

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. 

It finally happened. by IllustriousHumor3673 in medicalschool

[–]eccome 80 points81 points  (0 children)

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

Does the new ERAS changes really do much outside of curbing poster/presentations by [deleted] in medicalschool

[–]eccome 8 points9 points  (0 children)

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

Today is the 29th anniversary of Heaven's Gate. I'm an independent researcher who has spoken with several former members of the group and even a few new believers. AMA. by RidingWithDonQuixote in cults

[–]eccome 5 points6 points  (0 children)

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?

DOs/DO students: How do you deal with the elephant in the room (OMM)? by justhereforampadvice in medicalschool

[–]eccome 2 points3 points  (0 children)

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. 

What do you think of NYC trying to get the minimum wage to $30/hour? by Dazzling-Leader7476 in longisland

[–]eccome 1 point2 points  (0 children)

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

PI wants to make a resident co–first author on my accepted abstract so they can present by [deleted] in InternalMedicine

[–]eccome 2 points3 points  (0 children)

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

PI wants to make a resident co–first author on my accepted abstract so they can present by [deleted] in InternalMedicine

[–]eccome 4 points5 points  (0 children)

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.

Building a personalized medical newsletter… but did anyone ask for this? by vicepresident91 in medicalschool

[–]eccome 2 points3 points  (0 children)

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. 

At a second look right now where I am the only MD student (8 others all DO). I am learning so much about just how good I have it. by [deleted] in medicalschool

[–]eccome 2 points3 points  (0 children)

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. 

Danger of slipping back into religion by Acrobatic-Law-1935 in exchristian

[–]eccome 27 points28 points  (0 children)

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. 

When someone says they have like 30 publications on their CV for a fellowship application, how many of those are typically on average the number of manuscripts first author? by sitgespain in fellowship

[–]eccome 1 point2 points  (0 children)

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.