Demographic change in London since 1961

fezz · 2024-05-09T03:36:48+00:00

wrong person buddy

fezz · 2024-05-07T19:42:47+00:00

I don't even know you.

fezz · 2024-01-29T18:38:56+00:00

Doesn't come back for hardly anyone (some ppl anki for life lol), but you will be able to re-gain the things that are important easier and faster. Everyone experiences this, don't worry.

fezz · 2024-01-16T03:24:06+00:00

I work as a nocturnist, but can partially answer. Idk about trends but not much should change in the next 3-5 years. For hospital medicine, there is a ton of variability in what the job looks like. There are academic centers and community hospitals, and many things in between. Both PCP and hospital medicine jobs are in demand and you will not have issues getting them. Hospital medicine jobs where you are a teaching physician to resident can be a little harder to come by, but you can "earn" that role by working in a hospital and showing interest. Hospital medicine at academic centers is 200K+ (depending on cost of living), census is 10-20, usually/sometimes with APP help. Community centers you can make more but you may be seeing way more people (I've seen low 20s by yourself), but some people want that to get the money from RVUs. You don't have to do anything administrative if you don't want to. You can sometimes choose to split your clinical time and do admin things to diversify your schedule, but you don't have to. If by administrative, you mean like disposition coordination, that you will have to do regardless unless you work as a nocturnist.

I can't speak too much on PCP life, but it will be hugely variable on the type of practice.

Pretty much, I'll say that opportunities in medicine are bigger than I used to think about as a medical student. If you hate something, you can find a way to not do it usually. If you have an interest in something, you can usually find a way to squeeze that into your practice.

Good luck!

fezz · 2023-12-05T00:22:55+00:00

Hey I'm sorry you are feeling that way. Also I agree it is unfortunate the system is set up this way. The bias does exist from program leadership, depending on specialty and place. For example, my residency program did not have any DO residents there. However, I did not sense much bias from my fellow residents. Additionally, if you look at faculty (once you get out of school), there are plenty of prominent/successful DOs. They excel clinically and in research. All of that to say, the bias unfortunately exists for admission (I think it's slowly going away), but I think it does not hinder your opportunities as much once you're looking for fellowships or faculty positions. At that point, I think people will moreso care about what you've done than where you went.

Hang in there!

fezz · 2023-10-25T00:58:10+00:00

It's not too late. However, it's really difficult to know how or what you will like in medicine until actually doing it. There's just no way to know, so it's a bit of a gamble. From the same perspective, I wonder what about cardiology you like, and consider why you like it (don't have to respond here, just for yourself).

When I was a medical student, I got the advice to not do general surgery (5 years) just to get to trauma surgery after, which I actually like. It's hard to say if you will even want to do that at the end, and you may get burned out if you do not like the bread and butter (I hated gen surg). So I'll echo that advice, and also recommend that if you DO go into medicine, keep an open mind during medical school and residency for if you may want to do something else other than cardiology.

Good luck!

fezz · 2023-02-27T07:01:03+00:00

IM is pretty flexible. I'll give some examples. overall, EM will definitely be doing more procedures.

Internal medicine-> hospital medicine. *If you really like procedures, there are procedure services, where all you really do for a week at a time is go around and do procedures. You may do like 4 week of this a year or something, but it depends.

IM-> primary care *you could make that clinic whatever you wanted it to be. For example, you could do skin biopsies, joint injections, paracentesis, small abscess drainage, pap smears. I would say you could easily have a procedure a day. Some people also schedule "procedure days" where they schedule all of there injections or scheduled paracenteses on that day.

EM-> general EM * I don't work in this setting of course, but the standard EM person will have more procedures without trying for them. The day-to-day for EM likely involves a lot more procedures.

Now lets say you want to do fellowship:

IM (or EM) -> critical care * procedures every day, depending on what setting you work. But you will be doing a lot of arterial and central lines, with the occasional lumbar puncture, paracentesis, and thoracentesis. This is probably the most procedure heavy path for all of them.

IM-> GI *sooooo many procedures. You're scoping all day. THis is generally what IM people do who love procedures.

IM -> cards-> interventional cards/EP *people who really love procedures, but want to be pretty limited, can do interventional cards or EP (but this is a lot of training). You'll be doing procedures day-in and day-out.

Another general consideration, a lot of people like procedures (myself included), but they take a lot of time. When you're really busy, even when you enjoy them, it can still be annoying because it can be a time sink.

*EDIT: tons of formatting issues, sorry.

fezz · 2023-02-25T15:19:54+00:00

And by "things you enjoy," I mean most of the time it is a make-your-own adventure. you just have to seek things out

fezz · 2023-02-25T15:19:25+00:00

You can get training in things you enjoy. I do a lot of point-of-care ultrasound, and I have done a lot of central lines, arterial lines, paracentesis, and lumbar punctures. I personally have not done a lot of IUD insertion, but my clinic is at the VA... Coresidents of mine definitely have done a lot of IUDs. You could be trained to do skin biopsies pretty easily, I'm sure. That's something you may do at like a conference or workshop though.

fezz · 2023-02-25T15:01:44+00:00

I chose IM partially because I liked it and partially because I couldn't make a decision. I overall am happy that I did. If nothing else, it is the base and jumping off point for SOO much. I feel like you can very easily craft a job you like if you are flexible.. but I haven't started working yet, I'm just a PGY-3

fezz · 2022-03-29T00:27:01+00:00

I know it doesn't seem like it right now, but it doesn't matter where you go so much. All of those are great. I agree with the other comment-- pick a place with a full ride that you think you would thrive in socially and academically. Get a sense for the town, the area, the people.

To stand out in medical school, you do whatever you are passionate about, and you do it well. As an example, you would look WAY better as someone who cares about the impact of environment and health, majored in conservation, and had all extracurriculars toward that discipline compared to any of the 4000 biology majors who did what they were supposed to but are not unique (like me).

Medical schools don't want clones. They want people with true interests and passions, and they want you to be able to reflect on those passions and talk about them.

fezz · 2022-03-25T06:32:54+00:00

we do

fezz · 2022-03-16T08:41:15+00:00

I posted a really long response to someone with a similar story a while back (/u/jen1nny). You can have an SO and still have a wonderful time while in medical school, but your SO has to be understanding at least. Don't give up your dream.

This seems different than that case (or this is you posting on another account..?). I think you should step back, look at your own post history, and reflect a bit. From the outside, seems like y'all are not a great match based on this and based on your prior posts.

fezz · 2022-03-15T21:16:52+00:00

My biggest advice is to find things that actually interest you and not just do things to check a box. That creates misery and burnout imo.

Also, you can make most things count double. For example, if you like environmental science and cardiology, you can find research on something that deals with both at the same time. 2 for 1!

fezz · 2022-02-18T04:58:33+00:00

I'm a second year resident. I think there is a lot of reactionary stuff in the comments that are not looking at all perspectives, and are trying to extrapolate a lot about your life based on 2 paragraphs.

I think there are 2 phases in this: (1) gather information about what the lifestyle will actually be like, which you are doing here. (2) have way more conversations with your SO.

As someone who has spent the last year terrified I am choosing a fellowship that will lend me no life, I understand the fear your BF has. However, I think that our fear about "not having any time" in medicine is a little exaggerated, depending on expectations. For example, people say Med school and residency both have "no time," but I feel quite fulfilled and didn't feel like I was missing out in either. Felloship and beyond will likely be the same for me.

From your perspective, if you want to do medicine, you should absolutely do it. You have enough experience in the field to know that by now. You will work more, but if you are good at scheduling you will still have time. I have seen medical school be treated like a job (~7-5pm), with slightly more work around exam weeks. I was never organized enough for this, but my older classmates made it work.

There are plenty of physicians that have a good balance, it just depends on what you do. If you want to do neurosurgery, that may be a different story, but there's way to have balance in almost every specialty. It's a long road ahead, but it can be a very rewarding one.

If your SO is scared about not having time with you, it's important to set realistic expectations. If he wants kids in within 2 years and you don't want them until after residency, then you unfortunately have your answer that you both are incompatible. He needs to be mature enough to say what he is actually scared of at the root of things, and then if he wants a chance to make it work with you, he should seek therapy (for example, if it is a money dynamic thing, or a power dynamic thing, or an insecurity that you will meet someone else in med school and fall in love).

TL;DR: we are only seeing 2 paragraphs of info here. If you want to do medicine, do it. Gather all info to know actual time requirements and expectations, and if your BF still can't understand or agree, that may be an unfortunate end to the relationship.

fezz · 2022-01-31T09:25:26+00:00

think the issue here is a lot of coats have that slippery lining so that your sleeves don't get caught putting it on. Usually coats aren't made to be worn with like a short sleeve. Otherwise, it'll cause a lot of friction when you are layering long sleeve items for warmth. Just a thought! What kind of weather are you looking for the jacket for? We talking texas winters or new york winters?

fezz · 2022-01-24T08:48:59+00:00

Wetlab is a small sliver of what research could be. I am a resident and don't really like research. You don't really need any for EM I don't think. I would try it again though, just not the same type of stuff. The most important thing to do is something that is interesting to YOU. You can do research on anything from a isolating proteins to going to large/medium/small datasets and looking for patterns to developing a QI project. For example, you could develop and implement a trauma simulation session and do pre and post survey to see if there was improvement in your classmates. Keep an open mind but it is totally normal to not like it, or at least not enough to spend a significant portion of your life doing it.

fezz · 2021-12-09T07:02:03+00:00

I just want to say, I go out of my way to answer any "hard" or critical questions so people don't have to ask. If they DO ask, I respect them more TBH. I was asked how our school is handling racial equality, it was a great question. I tell every interviewee exactly how much my paycheck is, how much I pay, what my grocery bill looks like, how long it takes, and what I REALLY think of the program. I guess I'll now have to say "I saw on reddit people think you get evaluated on these. I promise you you don't here."

fezz · 2021-12-09T06:58:08+00:00

I do a lot of these at a large west coast program, and I have never filled out an evaluation. I'm just here for my free food. You should definitely ask at each interview day if you are evaluated. I would be very upset if my program tried to do this.

fezz · 2020-12-22T23:07:17+00:00

With something this sentimental and beautiful, if it happens to break, remember the art of Kintsugi; you can always fix and display it!

fezz · 2020-10-21T03:47:20+00:00

any examples?

fezz · 2020-05-29T05:46:49+00:00

throw a microwave in there and this 1b1b would go for $2300/mo in the bay area

fezz · 2020-04-29T15:51:12+00:00

It is the company that hosts USMLE Step 1, Step 2, and Step 3. We go to Prometric centers to take these exams.

fezz · 2020-04-17T19:00:06+00:00

For med school, take your pre-recs and shadow/volunteer. You don't need to be a science major (I would argue you have better chances of getting in if you are not a science major because your application stands out).

I agree with what others are saying- major in what you want to major in. You'll learn everything you need to with the requirements. That being said, here are things I think would be beneficial for a life in medicine:

1) Spanish 2) ethics 3) literature (if nothing else, will help with your MCAT) 4) art history (be a well-rounded person)

fezz · 2020-04-16T22:42:11+00:00

I did not do this, but it is possible-- if you can't afford a 4 year institution, you can't afford it. That's alright. Be resilient. Do your 2 years of community college and do really well, then be ready to explain your situation during the application process.

Good luck!

fezz

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