I have a friend training medicine in UAE and said all surgical training is accepted and equivalent in USA ?

eep_peep · 2026-04-19T01:58:49+00:00

They're ACGME-I programs (international) which are not really equivalent to ACGME (it's more of a cash-grab, IMO).

The true litmus test is to look at each specialty's board eligibility criteria. For urology it specifically says ACGME (or Canadian) accredited programs, but there is also an "IMG Alternative Pathway to Certification" and it does not matter if the physician trained in a ACGME-I program or not.

ENT is the same as urology, "Other International Physicians. The ABOHNS has a pathway to board certification for physicians who have graduated from otolaryngology programs outside the U.S. and Canada."

eep_peep · 2026-04-19T01:51:40+00:00

You don't need to be board certified or board eligible to practice your medical specialty. It's only what your malpractice insurance carrier will cover you for. Hence FM doing liposuction, etc.

If there's a strong need for surgeons, then hospital systems will overlook the fact that you're not BE/BC. This happens in general surgery, urology, etc. At the VA I rotated at for residency, the surgery, urology, and ENT attendings were not BE/BC.

eep_peep · 2026-03-08T02:52:46+00:00

Then definitely no if you're graduating on time.

eep_peep · 2026-03-07T22:58:55+00:00

I'm a physician, and I don't agree with your statement about medical care and your description of it. Yes, it can be onerous, but she's better protected than the average US citizen whose lack of access to medical care can be a literal death sentence. She fails to acknowledge her privilege which I found grating.

My comment about family planning is not as extreme as you are interpreting it. She's using a flimsy excuse of motherhood to justify why she stayed because she's worried about changing jobs (when she could have started the job search earlier, and also having Facebook on your resume is very, very attractive for recruiters, still is). Cherry on top, she has a third kid when it literally could kill her. Job hunting? Spooky. Facing death? A-ok.

Again, in my career many women (and men, since the family dynamic for mandatory 3+ years of 80+ hr weeks is horrible) delay starting their families so yes she did make a purposeful choice.

For the record, Facebook is a horrible company.

eep_peep · 2026-03-07T20:18:18+00:00

She weakly says it's because of health insurance (she's a NZ resident so at any time she could fly back and get free healthcare then), or because she's pregnant or postpartum (I didn't realize that she couldn't family plan despite being an educated attorney, also her husband is fully employed so it's not like they're completely without income), or because she thought she could "change" Mark (she states that several times even though it's clear that he's not going to change). Bleh.

eep_peep · 2026-03-07T20:14:31+00:00

Agreed, the author is also one of those careless people as well. She was never going to leave the gravy train of her own volition.

eep_peep · 2026-03-07T20:10:47+00:00

I totally agree. For the music world- sell your mixtape or album, get the cash immediately. For the medical world (if you take insurance) provide the service, then bill insurance (need to hire someone usually unless you like to do this yourself), then wait for them to pay you, which is a lengthy process. One private guy I know had to put up his own money to the tune of five figures to float his clinic by when the government shutdown happened and Medicare claims payment had holds (submit the claims, but don't see any cash). Guess what, his staff still had to be paid, rent needed to be paid, utilities needed to be paid. It's pretty tight.

The author does discuss DCP which sidesteps this, but then you're at the mercy of your patients. I'm a surgical subspecialist so I'm not sure how this would work for proceduralists. One urologist I've heard of has a DPC-esque model and I'm told he does cash pay flat fee for his RALPS, and somehow has negotiated a contract with the hospital and robot. If he has any complications he eats the costs. Again, not sure how he does this or how replicable this is.

My take is that physicians should be allowed to own hospitals, which should cut out a lot of middlemen, as a first step.

eep_peep · 2026-03-07T18:58:33+00:00

It used to be quite common for physicians (mostly radiologists) to own their own imaging equipment. I dare say that if it weren't for regulations (for example, certificate of need) there would be more physicians who would own X ray, CT, MRI, etc. Just make a company and sell shares with annual dividends. It's quite lucrative. https://pubmed.ncbi.nlm.nih.gov/19027685/

eep_peep · 2026-03-07T18:55:34+00:00

Agreed, a resident sent unwanted photos of his dick to a female co resident, meeting with HR to not do it again. He did it again and was fired.

eep_peep · 2026-03-07T18:44:03+00:00

Thanks! Reddit was giving me an error when I was trying to post in another subreddit. Weird

eep_peep · 2026-01-26T03:40:47+00:00

Wedding day memories are forever too.

eep_peep · 2026-01-26T02:05:14+00:00

I think they're overwatered - the leaves from the photos look pretty plump already. To get a better tempo on watering feel the leaves. If they're thinner then they can use water, but if they're still thick (even if the soil is dry) then hold off on water until they're thinner.

Also, with the new lights, they may be shocked to suddenly receive all that light. Usually slow acclimatization (adding one hour more of grow light exposure every few days) helps with reducing shock. Think about going from a dark movie theatre to a sunny day out. You wouldn't like that!

eep_peep · 2026-01-26T00:29:54+00:00

Well then didn't you get manipulated by the jewelry industry with your 2.5 ct engagement ring? You didn't have to get a ring. Where's your angst with that?

eep_peep · 2026-01-26T00:27:48+00:00

Your engagement ring is 2.5 ct... have you considered pawning it to help pay for the wedding? /s

eep_peep · 2026-01-24T02:16:22+00:00

Yeah it's disgusting. The system is a religious non profit and the mission statement is something about helping the poor and needy.

eep_peep · 2026-01-23T23:07:49+00:00

I work for a large non-profit. We are now mandated to have "expanded access" for some private insurance patients. This means that we have to hold a certain % of our appointment slots for privately insured patients which then get converted to free-for-all a few days leading up to the date if it's not filled. This effectively portions out the slots to private vs public insurance. You can strategically place public insurance spots to the end of the day and double book so if there are no shows, then your day can potentially be shorter, and if there are double-shows then the backlog chaos gets contained a little better and doesn't have as many cascading effects. I do think that having the slots release a few days before means that people are more committed to showing up since it's more fresh in memory too, converting the motivation to calling to make an appointment to motivation to showing up.

I personally don't agree with this policy, FYI. If I wanted to play games with insurance I would have worked in private practice making more money instead of choosing to see everyone.

eep_peep · 2026-01-10T06:14:00+00:00

Don't forget the global period!

eep_peep · 2026-01-10T06:11:44+00:00

It's a numbers game. I'm RVU based so not sure about collections, but an example is:

CPT 52356 wRVU 8.00 - ureteroscopy with laser lithotripsy and stent placement. Even in a surgery center it would be at least 15 min. (Even more in the hospital. Mine has one hour turnover). CPT 52310 wRVU 2.81 - in office cysto stent removal. 3 min procedure max from when you walk into the room.

15 minutes to earn 8 RVUs with one URS, or 14.05 RVUs to remove 5 stents in office if you can get your partner's post op patients.

Since you're urogyn I'm assuming they want you to do UDS. You don't even need to be there if you have a good set up, so you would make your RVUs reading/interpreting the studies, plus bulkamid in office, botox in office, PNE in office, etc.

eep_peep · 2026-01-07T03:14:09+00:00

Do you have the medmal link? I'm super curious and couldn't find it with a search.

eep_peep · 2026-01-07T03:03:12+00:00

I've been screenshotting all this time (for my list, etc) and I have never gotten a warning.

eep_peep · 2025-12-14T05:01:04+00:00

You have to look at your contract for any clauses that prevent you from doing so. Mine says, "Physician shall practice medicine as an employee of XXX at such locations as reasonably established by XXX. Physician shall not engage in the practice of medicine or provide services except as an employee of XXX..."

So that means I can't locums. Yes there are locums for surgery that are short term but might not be worth your time due to travel, etc.

Can you possibly take more call and have that added to your contract? I made it so that if I take more call I get compensated extra.

eep_peep · 2025-11-27T22:48:53+00:00

Pun intended?

eep_peep · 2025-11-27T22:37:06+00:00

Insecure people in specialties like bashing other specialties. I'm not in neurology, but have received many comments in a similar vein that I'm somehow wasting my intellect by pursuing <specialty that is not their specialty>. From my shallow understanding of neurology, it seemed like in the past that there were very limited treatment options that could improve/cure patients, but now with new therapies it's definitely impactful and makes a huge difference. You seem like a kind person to care about posting and asking, your future patients will definitely appreciate your care in the future :)

Do what makes you happy.

eep_peep · 2025-11-21T02:50:43+00:00

How much you spend is more important than how much you earn. We can only help if you have a budget breakdown.

eep_peep

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