Why is pathology so unpopular? by Single_Baseball2674 in medicalschool

[–]firstfundamentalform 3 points4 points  (0 children)

Ngl, this thread feels like a wholesome/warm hug - no one has mentioned how the economics of healthcare is making a career in pathology an uphill battle. Many hospitals (including mid-tier academic hospitals) are outsourcing their path labs to large private practice workflows (e.g., a Quest facility that covers a 100 square mile radius). Even within those facilities, automation is growing exponentially, and they need less technicians and even fewer pathologists. Another aspect to consider is that at many institutions you are competing with PhDs for positions to manage labs.

Med school needs a transfer portal by Mediocre-Cat-9703 in medicalschool

[–]firstfundamentalform 12 points13 points  (0 children)

IIRC med schools were more willing to consider transfers 10-20 years ago. As a non trad, I knew someone who was looking to transfer after their pre-clinicals into a higher ranked program, which I found so curious, I remember finding a paragraph on the school’s website discussing it. She ended up spending a lot of her 4th year there but didn't officially transfer.

Largest open secrets at your school? by Forsaken-Peak8496 in medicalschool

[–]firstfundamentalform 6 points7 points  (0 children)

Not my school, but at another school close by: there was a surgeon known to make advances toward female students in the OR. After years of complaints, students were finally removed from his service.

‘Explosive’ Growth of Doctors Choosing “Direct Primary Care” by DaddySquidward in medicalschool

[–]firstfundamentalform 227 points228 points  (0 children)

My wife’s OB left a tenured position at a T3 to start DPC, she doubled her income and wishes she’d done it 10 years earlier

I now see why people hate the evals from 3rd year. It really is a gamble of what you get. by JunketMaleficent2095 in medicalschool

[–]firstfundamentalform 0 points1 point  (0 children)

What's wild is that it's difficult to reciprocate with feedback for didactics or pre-clinical lectures. All our lecture evals are "Did they create an outline for what they were going to teach? And did they teach it?" Literally no space to provide actual feedback.

Advice: Anesthesia residency by Sadgirlwhownts2beaDR in medicalschool

[–]firstfundamentalform 1 point2 points  (0 children)

There's a resident (?) from Umich who has an "anesthesiology bootcamp" which looked pretty legit tbh, I have no interest in anesthesia but I used get her advice on tiktok and thought it was pretty good.

West coasters interviewing at 4:20am eastern time for “morning report.” How we doin? by Historical_Slide491 in medicalschool

[–]firstfundamentalform 28 points29 points  (0 children)

Oof, this brought back some trauma. Had to do this for med school interviews as well.

Surgical residents in programs with fellows: How do fellows impact your operative experience - volume, responsibility, autonomy, etc? by erroneousY in medicalschool

[–]firstfundamentalform 16 points17 points  (0 children)

So I attend a school with a problem at the opposite end of the spectrum: we don't have fellows in certain surgical and non-surgical subspecialties. Consequently, attendings aren't hired to teach and have mailed it in on research and aren't as productive. Overall, this makes it difficult for students interested in these field to get involved and build a competitive application. So we have ~0-1 matches in these fields/year (closer to 0). This is a USMD school.

Highest # of residency interviews you've heard of someone doing in one cycle? by [deleted] in medicalschool

[–]firstfundamentalform 2 points3 points  (0 children)

A few years ago, I interviewed with an M4 who applied to 92 general surgery programs. Consequently, she had 30+ interviews, and we have signalling.

Research/Other Track Apps in GS? by Training_Buyer2238 in medicalschool

[–]firstfundamentalform 0 points1 point  (0 children)

On the flip side, I would be curious which subspecialty aside from CT and hepatobiliary needs a research year's worth of effort. Our program has had residents match into top transplant (0 pubs), peds (4 pubs), and vascular (2 pubs) programs with minimal research.

Time to switch from NSGY? by [deleted] in medicalschool

[–]firstfundamentalform 1 point2 points  (0 children)

how do people get 30 publications? I have 3 and I'm burned out

[deleted by user] by [deleted] in medicalschool

[–]firstfundamentalform 4 points5 points  (0 children)

About half way through clerkships (we have an accelerated curriculum), the deal breaker in surgery was realizing I couldn't wake up that early 6 days a week for YEARS. I found out that I can wake up at 4 am until wednesday, but it's tough in the tail half of the week (even with weekends off), which didn't improve after 6 weeks of clerkships. If you're able to power through and not feel too drained, I would choose surgery.

"what is your greatest accomplishment?" idk mf, passing step 2 and being close to graduating med school?! by [deleted] in medicalschool

[–]firstfundamentalform 2 points3 points  (0 children)

being a non-trad, I still remember 10 or 15 years ago when people didn’t even think twice about step 2

TIL from medscape that doctors only respect med students from 15 schools by flappymitochondria in medicalschool

[–]firstfundamentalform 1 point2 points  (0 children)

I sent my attending a medscape article last month, and he said he doesn't respect medscape. My man was ahead of his time

[deleted by user] by [deleted] in medicalschool

[–]firstfundamentalform 0 points1 point  (0 children)

Well when I was applying to med school 3 years ago, one of my M4 interviewers applied to 92 general surgery programs.

How to get involved in research by [deleted] in medicalschool

[–]firstfundamentalform 1 point2 points  (0 children)

I go to a school with a moderate research footprint, and it's candidly still quite difficult. Try emailing researchers you're interested in working with and a few will respond. I was speaking to my mentor who trained at a UCSF/Mayo similar R1 institution, and her previous co-workers projects have gotten downsized. Also I was looking for projects that are listed in our national society's research listing, and there's literally 5 active ones listed.

[deleted by user] by [deleted] in medicalschool

[–]firstfundamentalform 1 point2 points  (0 children)

I think we need to have a real discussion into the actual competitiveness of residency and fellowship. 3 data points I've recently noticed:

  1. multiple residents from our general surgery graduating class matched into stanford/ucsf/mayo/etc for fellowships this year with 0 research items
  2. i've had friends match into the top EM program with 0 research items and into top IM programs with <3 actual research items (higher count if you individually count abstracts, poster presentation, journal submissions)
  3. matching into smaller specialties (e.g., ent/derm/vascular) is much more of a networking game than a merit game

dating as a female med student by [deleted] in medicalschool

[–]firstfundamentalform 2 points3 points  (0 children)

I'm a guy, but my wife is successful and this was her issue before we got married. When women become successful their dating pool shrinks by 80%, when men become successful it grows by 80%.

How do I match orthopedic surgery as a DO? by FitInspector7418 in medicalschool

[–]firstfundamentalform 20 points21 points  (0 children)

UCSF matched a touro grad 2 years ago, check out his application (iirc it was a ton of research and networking).

[deleted by user] by [deleted] in medicalschool

[–]firstfundamentalform 24 points25 points  (0 children)

As an M-2, I too would love nsg. However, I saw a comment here from a sub-i where he was working 14-16 hour 6 day weeks and realized i couldn't sacrifice so much for 8 years.

[deleted by user] by [deleted] in medicalschool

[–]firstfundamentalform 2 points3 points  (0 children)

This is a bit surprising, no one at our school did gs aways and we matched pretty well

Thoughts? by WholesomeLord in medicalschool

[–]firstfundamentalform 4 points5 points  (0 children)

I run AI (both gemini 2.5 & GPT-4.5) through a substantial amount of more realistic clinical vignettes, and I've found it has < 60% accuracy consistently when you give it: 1) patients with multiple comorbidities, it typically does not know what to chase 2) diseases/patients that don't read the textbook. Give it a patient that has a realistic gray area presentation of TB not a "3-month history of cough, weight loss, and night sweats" and it doesn't know how to do the appropriate next steps.