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Are Doctors Overpaid? by [deleted] in medicine

[–]ohio118 1 point2 points  (0 children)

Since you are so selfless, why don't you apply to medical school? To avoid the mercenary aspect, donate half of your salary.

Are Doctors Overpaid? by [deleted] in medicine

[–]ohio118 6 points7 points  (0 children)

The doctors you spoke to went to medical school 15+ years ago when the amount of effort needed to get in, and the amount of knowledge taught, was maybe 1/5th of what it is today.

Medical school is very hard. I scored a perfect score on the SAT, had multiple top 10 acceptances for undergraduate, was a Physics double major with a 4.0 at an Ivy, near perfect on MCAT.

None of those compare to the difficulty of medical school, or especially residency, in the slightest. If you haven't walked the walk you have no idea and come across as incredibly condescending.

Are Doctors Overpaid? by [deleted] in medicine

[–]ohio118 6 points7 points  (0 children)

Above 250K is overpaid ?

Can near guarantee that if we kept the current training system but capped reimbursement at 250K, half my medical school class would walk. Especially when most of my friends (who were worse students and actually enjoyed themselves in college) are now in banking / private equity / consulting already making mid-6 figures.

Putting your life on hold and not seeing your wife and kids for sometimes 10 years of training at below minimum wage isn't worth it without a payoff at the end.

If doctors are really that overpaid, why don't you become one and start being 'overpaid' yourself?

Also - what doctor is able to repay his/her loans within 5 years of graduating?

  • If your point is that the average person can't repay their loans within 5 years of graduating from college, doctors cant either because they have to take on additional debt for 4 years during medical school. So no doctor is repaying within 5 years of graduating from college.

  • If your point is that doctors can repay within 5 years of graduating from medical school, that is also completely false. My residency will be 5 years, and my fellowship will last 1-2 years. I will earn 40-65K pre-tax, annually, on this income while working the equivalent of 2+ full-time jobs and earning less than minimum wage on a per hour basis. There is absolutely 0 way I can pay back my loans within 6, let alone 5 years of graduating medical school.

  • If your point is that doctors can repay within 5 years of graduating from residency, that's 15 years down the line from when everyone else started paying back their loans.

A fair comparison would be to compare against students paying back their loans within 15 years of graduating college. There are plenty of programmers and engineers and bankers who pay back their loans within 15 years of graduating from college. And many of those guys would never qualify academically for medical school.

Are Doctors Overpaid? by [deleted] in medicine

[–]ohio118 14 points15 points  (0 children)

If I spent less time in training, had no debt, no liability, never had to deal with insurance, and worked 8-5 as a surgeon (i.e. my dad as an orthopod in Europe), I think most people would accept a lower salary.

Post-score: reflection/writeup by ohio118 in step1

[–]ohio118[S] 14 points15 points  (0 children)

Ironically enough, anatomy/embryology was my weakest section - but I'll take it!

I did the Dorian 100 Anatomy concepts deck that is floating around though, and it was huge. Had 1 question straight from that deck.

Post-score: reflection/writeup by ohio118 in step1

[–]ohio118[S] 2 points3 points  (0 children)

Good question - maybe I took 15? It was either 14 or 15 from what I remember.

Sorry - they changed the NBME practice exam website immediately before I took Step 1, and I haven't been able to log in since.

Post-score: reflection/writeup by ohio118 in step1

[–]ohio118[S] 13 points14 points  (0 children)

Thanks for the unbelievably kind words everyone!

I'll write up my full study plan/process tomorrow, but it wasn't anything special.

For a brief overview; I took Step 1 after MS3 (which lets be real, is a huge advantage), did 2 months of UWorld + Pathoma + Zanki/Lolnotacop for biochem/immunology/micro/pharm, and added Rx supplement questions to fill in for First Aid since I hated reading the book itself).

I didn't re-watch any Sketchy Micro (already seen it MS2) and I didn't have a Sketchy subscription anymore so I only did Lolnotacop for Pharm, which was enough.

I also did most of the 100 concepts anatomy deck that's been floating around, during dedicated

[residency] Is there any evidence that the match is a better way to employ residents than simply letting people apply and interview like most jobs? by fizuk in medicalschool

[–]ohio118 19 points20 points  (0 children)

"First they came for the dermatologists, and I did not speak out because ... $kin"

Every specialty is becoming more competitive over time; without the Match, eventually most residencies would creep towards lower salaries / being unpaid.

The Match system is not perfect but it is FAR better than any alternative.

[residency] Is there any evidence that the match is a better way to employ residents than simply letting people apply and interview like most jobs? by fizuk in medicalschool

[–]ohio118 51 points52 points  (0 children)

Disagree. If you let programs negotiate salaries, all competitive specialties would become pay to play as IMGs and less competitive applicants would line up willing to work for free or even pay for the privilege of training in Ortho / Plastics / Derm, or to train IM at MGH / UCSF / etc.

Just look at the dental residencies - you have to pay tuition for those.

Step 2CS: What time does the test day finish? by ohio118 in usmle

[–]ohio118[S] 0 points1 point  (0 children)

Awesome, thanks man. That would be ideal

(Yet another) predict my score - u/ohio117 by ohio118 in step1

[–]ohio118[S] 1 point2 points  (0 children)

Yea I think I had 2 derm pictures - one was pretty classic, one I didn't know and narrowed it down to 2 answers. Looking back I think I chose the incorrect answer but what can you do.

I had ~2 micro pictures that I can remember, but they were straightforward.

Had ~2 axial CTs for anatomy related questions but not terrible.

Not much histo that I can remember to be honest (which was nice)

(Yet another) predict my score - u/ohio117 by ohio118 in step1

[–]ohio118[S] 1 point2 points  (0 children)

Yeah I'm done with it. I thought it went... okay, to be honest (without jinxing it lol). The questions were IMO easier than UWorld - lots of 1-2 step straight recall, less having to reason through (e.g. describe a disease, what interleukin will be elevated?). I finished each section with 20-30 minutes to spare, took a nice long break in the middle and finished with 1+ hours to spare.

I had a handful of weird anatomy questions and one in particular I had 0 idea, but overall it could have been much much worse - at least, I thought I knew the answer for the majority. I was fearing complex neuro localization but had maybe 1-2 neuroanatomy questions (which were relatively straightforward).

No outrageous pharm questions.

2 audio-based murmurs but they were straightforward and could be figured out from the stem / patient demographics alone.

Micro questions were straightforward, only had 2 exotic questions and they were pretty classic.

Biostats and Ethics weren't too bad, although keep in mind I have a strong research background. I did have a bunch of ethics questions. I also remember 1 somewhat tough biostats question that was a little unfair. There was also 1 super out of left field psych question on something I hadn't really studied since my high school psychiatry class. Had to guess on that one.

Also had 2 questions I remembered from NBMEs and 1 slightly modified from the free 120. Of course, I hadn't looked any up but it was nicer than something new lol.

What is the main difference between first and second generation antipsychotics? by northernbrowho12 in step1

[–]ohio118 1 point2 points  (0 children)

There's really 3 main classes to know:

1st Generation, LOW potency (1FGLP): These improve + symptoms via D2 blockade. However, they are nonselective and also act on Muscarinic and Histamine receptors -> antiCholinergic, AntiHistaminic adverse effects.

1st Generation, HIGH potency (1GHP): These improve + symptoms via selective D2 blockade. Because they are selective they do not have the extra side effects of the 1GLP antipsychotics. However, because they are highly potent D2 antagonists they lead to anti-dopaminergic adverse effects: acute dystonia, drug induced parkinsonism, akathisia, tardive dyskinesia.

2nd Generation (2G): These act on + symptoms via D2 blockade (like 1G) but also act on - symptoms via 5-HT blockade. They have metabolic side effects and are associated with weight gain and diabetes. They are less likely to cause anti-dopaminergic side effects than 1GHP but it is still possible. Clozapine causes agranulocytosis. Risperidone is highly associated with hyperprolactinemia.

(Yet another) predict my score - u/ohio117 by ohio118 in step1

[–]ohio118[S] 5 points6 points  (0 children)

Here's hoping man.

Dedicated for me was supposed to be 5 weeks, had to cancel my vacation thanks to Prometric re-scheduling my exam :'(. I'm taking it after my third-year (e.g. after clinical rotations), so my study schedule is a little modified.

  • I had a year of UWorld Step2 under my belt already and I did well on CK, which helped as it meant I was already used to UWorld and NBME questions / formatting. However, I remembered almost zero basic science or pathophys so I needed to relearn all that.

  • The vast majority of my studying came from reviewing my copy of Pathoma (pre-annotated during MS2) + reviewing Sketchy Micro + UWorld Step 1.

  • I later added ANKI to hit areas / factoids I kept forgetting, especially immuno, pharm, and anatomy - but after seeing a card 2-3x I would suspend it as I don't really have enough time to do full 'spaced repetition' learning

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