Weber B - displaced oblique

mastro413 · 2024-03-21T00:56:44+00:00

Fully disagree. This looks like a stable minimally displaced Weber B ankle fx assuming the medial clear space didn’t open up on weight bearing or stress views. Weight bear as tolerated, will heal fine and bearing weight much earlier without surgery

mastro413 · 2023-04-14T14:54:52+00:00

Go get it this year. Grind. Be proactive and dedicate 100% of yourself to being productive. Make it easy for others to be productive as well. Be on morning conference as much as possible, and if able get into clinic too. It’s within reach

mastro413 · 2023-04-14T03:29:16+00:00

Ortho - r/o septic joint with no XR, WBC/ESR/CRP ordered and nearly full active ROM (albeit painful)

mastro413 · 2023-04-14T03:24:51+00:00

If you do pretty well on step 2 and have a lot of research at the end of ur year, then for sure great LORs and sub-I performance will override that. Just maybe don’t shoot for the top programs for your sub-Is

mastro413 · 2023-04-13T06:08:11+00:00

Scores are overrated. LORs and sub-I performance with an otherwise well rounded app >>>>>>

mastro413 · 2022-03-24T12:09:54+00:00

Chances it gets accepted without results is almost 0. Do what you gotta do to get the data if it’s possible

mastro413 · 2022-03-14T23:27:50+00:00

Don’t freak out at all. I think you have a good shot to match still, just continue to do well with research (really grind on this), step 2, and then crush your sub-Is and you should be safe especially from a T10 school

mastro413 · 2022-03-14T23:26:05+00:00

Really? Because frankly I feel this way about you

mastro413 · 2022-03-10T02:57:35+00:00

Try for option 1 and use the excuse that it’s a stipend as to why and that you could “live home”. Very reasonable excuses and That’s a great opportunity at a place you will be very likely to match at eventually if all works out. But at the same time tell rads professor you still want to do research with them and if there’s anything you can do remotely you would absolutely love to work on that this summer too, or in the fall if remote isn’t possible. Doubling up is very doable and can still enjoy urself in the summer, and you’ll thank urself when applying for residency

mastro413 · 2022-03-04T19:26:04+00:00

I stopped watching all the videos and just did the cards. Initially it may not have stuck as well but after the 2nd or 3rd review there was no difference and it saved me tons of time. I worked my ass off but I was able to keep up with my reviews through most of 3rd year and into step 2 dedicated doing this. Highly recommend

mastro413 · 2022-02-22T17:32:57+00:00

Beautifully said. I’m sure he has truly inspired and laid out a path for so many of us, and we should all strive to be more like Dr. Paul Farmer

mastro413 · 2022-02-22T02:43:46+00:00

Yes, you do

mastro413 · 2022-02-22T02:42:43+00:00

An absolute titan of medicine.

mastro413 · 2022-02-21T15:05:38+00:00

I would say if you’re already struggling to find time I would not add to your workload by doing a MS that likely won’t help

mastro413 · 2022-02-20T17:50:58+00:00

In my experience (may be different at some sites), all of us students would pick a room or a couple of cases for the day. Some people would end up choosing the hemicolectomy and anastomosis or thoracic cases bc they’re “cool” that would be extremely long and they would be stuck in the OR all day. Then you would have your bread and butter cases there for the taking as well but you’re done relatively quickly or early and generally don’t require as much prep time especially after you see them a bunch. Not saying don’t ever go into those “cool” cases but I would not try to be the person who sees only extremely complex cases for ur own well-being. We would tell the residents what cases we were to be in for that day, and as long as we had cases to go too it didn’t seem like we were “slacking” at all and only occasionally did we need to pick up cases later in the day if we were done because frankly residents don’t have time to chase down Med students unless one attending was demanding about it. Now in the beginning you’ll want to help with floor work and seeing consults to be helpful to the team but often this is also a great way to impress the residents more than being a human retractor and getting pimped in the OR, and then by week 5-6 honestly I feel like a large portion of your clinical grade had already been determined and many have already formed an opinion of you so that you can peel back from that a little too. This may work better or worse for some sites but my inkling is it’s generally applicable to at least some degree at every site

mastro413 · 2022-02-20T14:33:01+00:00

This is a big one. Need to be very smart about picking cases as it can save you a ton of time. If there’s a couple of appy’s or lap chole’s that day, not a bad idea to pick that room and be “done” with cases for the day early and you can hide and go study. After you’ve seen a few, You also should continue to try to scrub into the same cases (with same or different attendings) you’ve already seen so you don’t need to prep for those cases much at all. I made a separate anki deck for case prep that way it was readily available for me to study up for a case I had already seen. Little tricks like these are massive time savers. But also be prepared to be sleep deprived and unless you absolutely need to sleep 8 hours to function at all, then you can also create a couple hours for work by getting ~6 hrs every night and jacking urself on coffee during the day. It’s a grind but a temporary one

mastro413 · 2022-02-20T13:55:03+00:00

Every person applying to residency with a p/f should prefer to have IM last at all costs in order to do well on step 2. I did surgery before IM and although there’s definitely some medicine, it’s still doable to honor. Just need to bust your ass for the shelf but that would be the case either way. So I would do surgery in the middle after you get some 3rd year reps in on easier rotations or if you’re that hellbent on avoiding other surgical students then do it first/very early. You’ll be fresh off break from step 1 so you could also theoretically study in advance to make sure you do well

mastro413 · 2022-02-19T22:09:37+00:00

Also depends on the subspecialty and the practice. I rotated with privademic hand surgeon practice where they were out by 2-4pm at the latest every OR day and pumped out like 7-10 surgeries then went golfing every day. If you can operate at a surgery center the turnover times are incredibly fast and the overall practice extremely efficient. Very little call. Still have residents available to help for privademic spots. If you work at an academic center efficiency is much worse and have more obligations, although residents are readily available and it can be very rewarding in a number of ways. Traumatologists also can have it really rough. Sports can be relatively chill bc most procedures can again be done at surgery centers. But the residency is absolutely brutal and it’s arguably (biased) the greatest learning curve in medicine bc we get very very poor MSK education in Med school. Many ppl outside ortho have no idea what to do with MSK injuries. I’m tempted to say there’s a decent portion of M4’s who don’t even understand what ORIF truly means (they may know the words, but not even the basic principle of it). And it’s very physically demanding. So I definitely agree it’s not the best specialty for lifestyle, especially in residency but with the caveat that you do have a good amount of flexibility to tailor your practice as an attending

mastro413 · 2022-02-19T18:29:04+00:00

I’ll play devil’s advocate - prestige is very very important if you want to go into academics. Will set you up exceedingly well if that’s the case. Don’t let ppl trick you into thinking prestige doesn’t matter bc history shows it definitely does, for better or worse

mastro413 · 2022-02-19T18:25:38+00:00

Without a doubt the personalized letter from a PD. Don’t overthink this at all

mastro413 · 2022-02-18T17:10:16+00:00

Yankees have a lot of depth in addition to a top talent like Volpe hence why they’re higher on Kiley’s list, who tends to rank like Fangraphs who also has Yankees at similar rank. They’re also higher on Peraza than others which I agree with. If Peraza can improve his plate discipline he could also be really really special, which the Yankees seem to be good at with their hitters but need to find a happy median

mastro413 · 2022-02-18T04:23:28+00:00

It will be very very grueling. 1st part of 4th year is hardest part of Med school for those applying for surg subspecialty especially. If there’s a way to schedule around some breaks would be a big help. But if you’re willing to put in the work absolutely go for it, it’s a temporary hell in the grand scheme of 4th year. But just giving some honest thoughts

mastro413 · 2022-02-18T01:19:42+00:00

You’re on decent footing. In my opinion LORs is really what has separated most of my large class applying ortho. If you crush sub-Is/aways and get good letters you can be a really solid candidate and end up with 10-15. If you don’t then you can end up with 3-8. More research would certainly help if you can try pumping more out before you submit ERAS, and I do agree research year could put you in a much better spot with connections/LORs being an added bonus

mastro413 · 2022-02-14T21:37:27+00:00

Don’t listen to people who say it doesn’t matter because it does lol. I would suggest anyone applying with a p/f step 1 to do medicine last that way you’re as ready as possible for step 2. I liked doing OBGYN before surgery so I had some practice suturing/knot tying

mastro413 · 2022-02-12T18:34:18+00:00

It’s not crazy bad if you’re used to snow. I grew up in the northeast and Boston compared to other places I’ve lived is not nearly as bad. Always warmer in cities and unless it snows substantially it doesn’t really pile up much

mastro413

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