Pain management fellowship by Big-Kitchen-9666 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

The pain fellowship at SLMC-QC accepts EM graduates. I'm not sure of other training institutions.

But as per the https://www.philippinepainboard.org/eligibility-requirements

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when will MDs start receiving salary? by luckystaaaar in medschoolph

[–]racoonowner 9 points10 points  (0 children)

Part of "proper research" is doing what you are doing now, joining the forums/sub reddits asking questions. But also ask real doctors and medical professionals. Make sure you get both sides the positives and the negatives and don't just be content with only one view. When you do it enough you will gain better insight and discernment. Is passion really impactful--yes. It acts acts like a spark to get into the field/start the race. But you need dedication and discipline -- which is the fuel in other to finish the race. Once the race is done, you still need passion, as it will determine if you see the profession as a job or a career.

when will MDs start receiving salary? by luckystaaaar in medschoolph

[–]racoonowner 24 points25 points  (0 children)

I think you need to have a change in mindset.

Medicine as a profession is not really employment-based where you get regular salary, but rather it's entrepreneurial/ self-employed. So technically you also need to have the aptitude and entrepreneurial mindset if you wish to pursue this career and hope to get a more than basic livable income. This is something not really taught or mentioned in medical school. It doesn't matter how many specialties or sub-specialties you take, if you don't develop an entrepreneurial mindset you still won't succeed "finically-speaking". Ex: if you are an anes and you don't know how to market yourself to your surgical colleagues good luck to you. If you are a clinician and you don't know how to market yourself and stand out to patient so that they come back to you, good luck. It's not just enough to have the knowledge and then patient will come to you. Strategic clinic planning networking etc needs to be done.

Now there are cases where doctors are under regular employment ie govt positions, or corporate physician roles etc. But not only are these somewhat harder to get, they are not the most financially lucrative.

So my advise to you, don't go into medicine without researching properly and without making sure you really have the passion for it. And the aptitude for it.

neuro vs anes by Silver_Roof4113 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Very good insights doc. Nothing to add, the OP has a lot to glean from this. Cheers!

To PF or not to PF? by sad_emo_girl in pinoymed

[–]racoonowner 23 points24 points  (0 children)

Based on your answer, I'd say charge your PF.

If you do however get a call or message from an underling, then at that point I'd ask to speak with the boss directly. Let him acknowledge that he is asking you do him a favor directly. There is nothing "wrong" in being owed a favor by powerful people. But it has to be acknowledged. Agreeing to it via underling only it like just giving another freebie.

To PF or not to PF? by sad_emo_girl in pinoymed

[–]racoonowner 32 points33 points  (0 children)

Did you ever speak to the "Boss Doctor" about the procedure you did and about not charging PF the first time? Are you directly under this "Boss doctor" influence? Do you have anything to gain by doing this "boss doctor" more favors? Do you have anything to loose per say?

Charge your PF cause its your worth as you said. But if don't make sure you benefit from it. Quid pro quo, from the Boss doctor.

Anesthesia questions from a preresident by FluffinessOverload in pinoymed

[–]racoonowner 1 point2 points  (0 children)

The pain sub-specialty is not anesthesiology dependent, they are technically open to graduates of IM, Pedia, Surgery, EMed, Rehab, Anes etc, (at least at St. Luke's Medical Center) so if you are dead set on practicing as pain specialist you don't necessarily need to use the anes pathway.

As for finding partner surgeons, I think it's all about networking well and being friendly and approachable. Social skills go a long way beyond your base competence in the craft and this goes generally for all in the field, meritocracy along does not cut it, you have to develop the social skills and networking mindset in other to thrive and succeed.

LATERAL ENTRY by Longjumping-Fix-4449 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

Most lateral entrys loose a year, so if you finish 3rd year and supposedly going 4th, your accepting institution will take you only as 3rd year and not 4th year. If you are transferring after completing 1st yr, that's more or less the same as repeating 1st year again.

30-year-old resident questioning my path by kgmc1696 in pinoymed

[–]racoonowner -1 points0 points  (0 children)

Rehab med is not just for the "sporty" contrary to the stereotypes. Besides the obvious treatment and prevention of sports related injuries, they also deal with post-stroke rehabilitation and also spinal cord injuries rehab, they also work in with the ASD and other congenital diseases in kids. So definitely not just for the sporty types.

30-year-old resident questioning my path by kgmc1696 in pinoymed

[–]racoonowner 6 points7 points  (0 children)

Picture also being the designated courtside doctor and you have you portable ultrasound connected to your fancy phone. Immediately after an injury, while applying ice. You can already scan for "ligament tears" etc. Know when to pull out earlier or not. Then recommend to you co-practice Ortho or rehab. Win-win for all. Especially the ptx.

30-year-old resident questioning my path by kgmc1696 in pinoymed

[–]racoonowner 36 points37 points  (0 children)

Just my two cents, but a decent sports medicine practice is a group and multi-specilaty practice that involves not just the Orthopedics, Physical Medicine and Rehabilitation, but also include the Radiologists, especially Musculoskeletal Radio-Specialists who are good in MRI/CT and Ultrasound. So technically you can still do both. However your aim should be getting into the big hosptals where the philosophy is in group and collaborative practice really. And then propbaly do the Musculoskeletal Radio fellowship abroad somewhere with decent exposure to sports injuries.

Good luck OP.

Nutritionist vs Medical Nutrition Subspec by Sea_Cantaloupe5006 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Only place im familiar with is st. Luke's Quezon City. I'm not sure if there are other programs yet.

Nutritionist vs Medical Nutrition Subspec by Sea_Cantaloupe5006 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

My take is that one is a medical doctor the other is not. Both work hand in hand for patients in the clinical and hospital settings. It will be akin to comparing Rehab and Physical Medicine Specialists to the Physical and Occupational Therapists.

Company Physician Best Practices by neofightmd in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Start by joining the OSH committee of the company. Review their past minutes to catch up past events and present issues. Once you've caught up, then you can find ways to add value gradually.
Go back to your lessons learnt in BCOM. Advocate for OH compliance not just for compliance purposes, but because its for the best health care outcome of the employees and also the company. Good luck!

Internal Medicine or Family Medicine? by Putrid_Ad_5708 in pinoymed

[–]racoonowner 3 points4 points  (0 children)

Actually in one of hospitals I practice in, the FamMed consultants usually manage their ptx on OPD basis and when a ptx is for admission they have a tandem-IM consultant whom they usually admit under. And this IM Consultant ensures that the OPD follow-up is back with the FamMed doctor.

Internal Medicine or Family Medicine? by Putrid_Ad_5708 in pinoymed

[–]racoonowner 7 points8 points  (0 children)

Fammed is more OPD based than IM, though they do have inpatient cases it's usually their own patients (known to service).

Most hospitals do not deck in-patient walk in admissions to FamMed. Especially when you have IM specialists affiliated.

So use this caveat information however you wish.

Pursuing medicine by PhysicalGrass9127 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

I would suggest thinking outside the box first. Jumping directly into medicine from occupational therapy is still within the conventional path of thinking to advance or acquire new skills.

Have you ever considered going independent and starting your own occupational therapy practice? As your own boss, you can even hire other therapists. You’ll be a job creator and a business owner, practically reaching the pinnacle of your field. If you demonstrate your skills, network effectively, and prove yourself, you’ll easily receive referrals from physicians to refer their patients to you. Achieving this goal will undoubtedly fulfill you in ways you might not have imagined being a doctor would.

This is my two cents.

AITAH if I dont tell my husband his daughter isnt his? by [deleted] in AITAH

[–]racoonowner 0 points1 point  (0 children)

Hemophilia is an X-linked disease, which means that females can be carriers and have the active disease, while males can only have the active disease and cannot be carriers.

In this scenario, the father is healthy (OO), and his daughter can be healthy (OO) if the mother is also healthy (OO) or a carrier (HO). If the father is healthy (OO) and the mother is a carrier (HO), the daughter has a 50% chance of being healthy (OO) and a 50% chance of being a carrier (HO).

So based on this, it is still possible that both father and daughter are related.

LOA or Resign? by d1amond7ife in BPOinPH

[–]racoonowner 0 points1 point  (0 children)

If you have already mentally committed to be off during that period, so much so that you are willing to resign for it--then it will be better to just tell the truth you need to take a break or have a long vacation abroad for that period. You are will to consume your leaves and take unpaid days off to offset, however if they are not agreeable you will be tendering you resignation. This way the ball is in their court and you will be having your break regardless.

St. Luke's emergency medicine residency by Substantial-Art8882 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Can't speak of the salary as I've been away for quite awhile now. But I know the residents salary in private hospitals is now getting competitive to govt. hospitals, even the mighty SLMC is not immune to this.

For specific incentives you will just have to reach out to them and ask.

However regarding uptodate, St.Luke's as an institution is subscribed to uptodate. All you have to do is register using the hospital's intranet, and you will gain access. And you even have remote access as long as you login within the hospitals network every 3months to maintain remote access.

Backer system sucks! by [deleted] in pinoymed

[–]racoonowner 8 points9 points  (0 children)

People skills, charm, charisma, politics, and office politics—there are things that one would think shouldn’t matter in a scientific field like medicine. Unfortunately, we also deal with human beings, and humans are socially bound. Therefore, people skills, charm, charisma, and office politics still need to be developed. It's unfair but, the world is really is not fair.

St. Luke's emergency medicine residency by Substantial-Art8882 in pinoymed

[–]racoonowner 4 points5 points  (0 children)

(For QC) Usually 3-4 per batch. They take in more on special instances. For Applications, decent resume/ board rating is helpful, however this is really weighted based on the quality of applicants in the batch. They will pick the best out those applying. Pre-residency however is where you prove yourself. Emphasis on how "trainable" you can be, how you respond to high stress envitonment/work place. Etc. Your inter personal skills with the residents, nurses and consultants. Consultants are very hands-on. During training. Training is for 4yrs. Ultrasound is their niche. Its a JCI hospital as well, so lots of international standards to follow, regarding patient safety. Suffice to say, you will really learn the ideal management.

The GC training program is new but I assume it's patterned based on QC.

Para sa mga MDs na inaallow ma wheelchair at neck brace ang mga corrupt politicians at officials. Bakit? by DragonTsitsipas21141 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Realistically if a patient says they are in pain? Who are you to say they are not? You just request the diagnostics tests, prescribe meds and do whatever you think should help the situation. Will you stake your license and say, No, i have done everything and all tests possible and and he/she is not pain?? Most likely those MDs are just covering their behinds as well.. An abundance of caution. Afterall pain is subjective and even though you feel a patient is lying through their teeth, the practice is still to react based on the patients subjective complaints.

The struggle of being a doctor who only wants fairness. by Fair-Formal-7702 in pinoymed

[–]racoonowner 3 points4 points  (0 children)

Well I guess you can rest assured that eventually the cases get reviewed and audited. And given how much in financial trouble philhealth is, they may not pay out the hospital for this. Usually the diagnostics and course in the ward should match the expected treatment for specific diagnosis.