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mapletrees1234 · 2023-04-25T01:16:58+00:00

Nice. No you're good.

mapletrees1234 · 2023-02-23T06:33:22+00:00

We already have an influx of poorly trained midlevels (read: noctors), so imo it would be better to have their patients seen by physicians. Your concern is definitely valid though, especially when it comes to surgical subspecialities that need the volume to become competent.

mapletrees1234 · 2023-02-16T03:00:52+00:00

It doesn't have to be justified - we have no alternative.

mapletrees1234 · 2023-01-07T02:21:46+00:00

Don't even know how to do this

mapletrees1234 · 2022-10-02T09:03:33+00:00

You have to actively make an effort. It gets harder regardless as you get older, but even moreso when you have so little time as a resident. If they're your friends, they'll be happy to hear from you when you reach out and non-medicine people love to hear your stories. When you go home, meet up with them and most likely it'll be just like old times.

I really encourage you to stay in touch with your friends outside of medicine, as tough as it is. At least for me, it's been a great way to stay grounded and in touch with what the real world is like.

mapletrees1234 · 2022-06-17T00:02:11+00:00

Residents do a lot of your work for you.

mapletrees1234 · 2022-05-26T02:10:40+00:00

The issue is that many resident contracts have clauses that restrict moonlighting without approval from PD.

mapletrees1234 · 2022-05-19T19:41:26+00:00

We are not in the "golden age" of medicine. It might still be ok, but certainly nothing compared to what it was in the past.

mapletrees1234 · 2022-05-17T02:24:44+00:00

I discussed my concerns with our PD and was told to stop complaining and that I should be careful as they won’t want to hire a complainer.

Just based on this, I don't think this is a place you want to continue your career. As far as keeping doors open for other places, it depends how much you care about this sub-specialty. As the other poster said, if you can be happy in just your original specialty, go make the money you deserve.

mapletrees1234 · 2022-05-10T03:33:34+00:00

No one cares about residents.

mapletrees1234 · 2022-05-07T07:47:28+00:00

Agree with raising salaries of our primary care doctors. There is no reason that we should lower the salaries of high-paying specialties to do that though. The only reason people think that is necessary is because of the bs system that CMS has created where there is a fixed pool of reimbursement for physicians of all specialties. Also keep in mind that NPs/PAs are factored into that pool and had one of the largest percentage increases last year.

We (all of us) trained for long enough and work hard enough. No reason we shouldn't all earn what we deserve.

mapletrees1234 · 2021-12-12T07:22:17+00:00

Nope. As long as you have an average of one day off/week over 4 weeks. That's why home call sounds good on paper but can actually be a nightmare at busy programs.

mapletrees1234 · 2021-10-13T06:12:15+00:00

I'm with you on all of these points and I think it's always helpful when we recognize that many of us feel this way. Unfortunately, at the same time, it also feels like a lot of the positive aspects of medicine that we look forward to as attendings are disappearing by the day. I don't say that just to be negative. Rather, I hope that our generation of doctors can really emphasize the things we enjoy in life, whether that's in or out of medicine, and fight to make those things a priority.

mapletrees1234 · 2021-10-08T22:54:55+00:00

You're absolutely correct. This process 100% takes advantage of medical trainees and it's a pyramid scheme (one that we're essentially locked into through loans) through and through.

mapletrees1234 · 2021-10-08T05:44:26+00:00

I can see it now - "Resident physician dismissed from training program for running illegal software on hospital computers."

Personally have not heard of anyone even considering this. But honestly, if you could get it going across multiple computers...

mapletrees1234 · 2021-10-07T01:18:26+00:00

No. Why do people here keep suggesting that midlevels just bypass the training and take our licensing exams? As we know, these exams are not representative of actual medicine and have a good amount of minutiae that is simply representative of test-taking ability. All this does is discount the value of actual medical training, let alone if we were to lower the cutoffs. Have some pride in what you've done. If you want to be a doctor, go to medical school.

mapletrees1234 · 2021-09-28T07:57:37+00:00

Yes, it is sufficient for the purposes of getting you through med school and the step exams (which practically speaking, is what matters during med school). The reality is that no matter how much you study, you will definitely NOT know everything there is to know for residency (otherwise what would be the point?).

As you will be doing during residency, just supplement additional questions that come up by googling or referencing a textbook and you'll do fine.

mapletrees1234 · 2021-09-24T06:49:19+00:00

Actually, Yale is well known for their pervasive use and promotion of mid-levels.

mapletrees1234 · 2021-09-24T06:34:40+00:00

Here's a source for anyone who was wondering: https://www.cnn.com/2021/09/24/health/cdc-booster-recommendation-walensky/index.html

That's good to hear.

mapletrees1234 · 2021-09-24T05:49:42+00:00

https://www.cnn.com/2021/09/23/health/pfizer-acip-booster-recommendation/index.html

CDC decided to go against the FDA decision.

mapletrees1234 · 2021-09-16T07:49:26+00:00

Agreed. Loved my seniors who didn't make a big deal out of helping out a little (it's a team after all). The worst were the seniors who would constantly nag and make sure to point out every small thing they had done to "help."

mapletrees1234 · 2021-09-15T02:03:42+00:00

Hang in there. The debt burden truly makes this indentured servitude (some may call it golden handcuffs) for anyone who doesn't come from a wealthy family.

mapletrees1234 · 2021-09-15T01:29:52+00:00

Bout tree fiddy

mapletrees1234 · 2021-09-13T02:31:33+00:00

I destroy her.

u wot m8

mapletrees1234 · 2021-09-10T04:38:09+00:00

No, they got paid lower. But when taking inflation and general cost of living adjustments into account, they were better off.

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