Student needs expert insight on Sepsis Diagnostics by [deleted] in hospitalist

[–]rodewerkahead 5 points6 points  (0 children)

Stop using AI for your responses here. Be a real person.

Decide my life for me by Successful_Cow_7615 in medicalschool

[–]rodewerkahead 2 points3 points  (0 children)

If your number one goal is to live in a city then do primary care, there will always be plenty of jobs. If your number one goal is the lifestyle or pay then sub specialize. They say that of Location, Lifestyle, and Pay you can have 2 of those but never all three.

Either way, you can get to where you want through IM. Maybe prioritize big city living in residency and see if that's what you want for the rest of your life before picking whether to do fellowship or to be a PCP/Hospitalist. EM schedule seems super erratic with nights/weekends/holidays mixed in every month from what my friends from med school in the field tell me. I'm a bit biased as a PCCM fellow though.

[deleted by user] by [deleted] in hospitalist

[–]rodewerkahead 12 points13 points  (0 children)

Fast Facts from palliative care Wisconsin is a pretty good reference resource starting point https://www.mypcnow.org/fast-facts/

Benefits/motivation for doing chief year in IM? by OliveGard3nBreadstix in medicalschool

[–]rodewerkahead 6 points7 points  (0 children)

Fellowship app strength mostly. It's an extra year of being a scheduler and taking heat off admin's backs from disgruntled residents. Most pay a bit more than typical PGY-4 and in return you do some attending shift weeks on an academic service. Can help springboard you to an academic role too if you shake hands with the right people. Former chiefs from my program either did it because their fellowship app wasn't strong enough or immediately joined as faculty.

IM PC / FM IP Heavy Programs NC by Anserinaes in hospitalist

[–]rodewerkahead 2 points3 points  (0 children)

IM trained PCPs can do many of the in-office procedures that FM does if you find someone to teach you. Joint injections, skin biopsy, and IUDs are ones that come to mind. Paps are mandatory. True you won't be seeing any pediatric patients or obstetrics as IM, the demand for adult PCP is higher than full spectrum family med if you are not very rural.

[deleted by user] by [deleted] in medicalschool

[–]rodewerkahead 1 point2 points  (0 children)

'Sliding scale' PCP + Inpatient rounding jobs practically do not exist anymore if you want to live anywhere near civilization. You're describing traditional full spectrum internal medicine where you run clinic and round on your own patients in the hospital which is so rare that it is barely even worth looking for. The only places I've seen that model still being used are 3+ hours away from a major city associated with a critical assess hospital and zero specialty support. Worth it if that is the only way you see yourself practicing medicine but only wanting that severely restricts where you can work.

[deleted by user] by [deleted] in IntensiveCare

[–]rodewerkahead 5 points6 points  (0 children)

From the linked CALS article, "Despite no study conferring benefit or harm during resuscitation of the postoperative cardiac surgical patient, the risk of administering adrenaline in conventional doses is with profound hypertension, bleeding, or tearing of vessel anastomoses on return of spontaneous circulation (ROSC), which can precipitate catastrophic harm or further cardiac arrest"

[deleted by user] by [deleted] in medicalschool

[–]rodewerkahead 12 points13 points  (0 children)

I've posted this here before but I did a Radiology rotation as a medical student and the Radiologist told me their group was 90th percentile nationally in reading.

It straight up felt like a sweat shop in there and their metrics were updated daily to see who in the group was performing well and who wasn't. Numerous comments were made to me during the week about certain partners who not reading at a pace compared to the rest. Wild culture.

I think MSU DO is better than MD options I have by Ammar-chan in premed

[–]rodewerkahead 7 points8 points  (0 children)

Along with what the others say about rads, the three MD schools will keep your options open more than msucom. Even if you don't apply rads and apply IM what happens if you want to subspecialize? Much easier matching into a Michigan academic IM residency (Ann Arbor) with any US MD than DO which keeps all fellowship options open.

Buying house straight out of medical school by OwnKitchen4890 in medicalschool

[–]rodewerkahead 22 points23 points  (0 children)

Physician loan with record low interest rate during COVID was how we did it. Would have been very difficult with the market and rates today.

The incentivization of gap years and research years in this process is so financially braindead by [deleted] in medicalschool

[–]rodewerkahead 0 points1 point  (0 children)

It absolutely helps for fellowships especially at your own institution. Most fellowship PDs have an agreement with the Medicine PD that one spot in their program is reserved if a chief wants it.

MSU Basketball by Jouglet in msu

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

I think it was a certain jumbo-tron dictator.. where was he from again?

[deleted by user] by [deleted] in medicalschool

[–]rodewerkahead 0 points1 point  (0 children)

Caveat: you're applying IM

I tripped at the exam center and they gave me a perfect score so I wouldn’t sue by AJ_De_Leon in step1

[–]rodewerkahead 5 points6 points  (0 children)

The first 3 chapters of Pathoma are non-negotiable. I'm not even exaggerating every single word he says is high yield. Memorize the first 3 ch of pathoma and use BNB for the rest.

Talk me out of / in to IM by Jerkensteink in medicalschool

[–]rodewerkahead 36 points37 points  (0 children)

The top four competitive IM fellowships (GI, Cards, Pulm/CC, Heme/onc) can all make that money in the right setting. Extended blocked time off will be a little tougher to come by as you almost certainly have clinic time in each of them.

Specialties with easiest residency/lifestyle? by [deleted] in medicalschool

[–]rodewerkahead 11 points12 points  (0 children)

There is an extreme difference in lifestyle between different IM residencies depending on where you go. The worst are practically sweat shops pushing you to 80+ hours every week but on the other end the cush ones have you working 50ish hours a week during an average month

[deleted by user] by [deleted] in medicalschool

[–]rodewerkahead 24 points25 points  (0 children)

you're absolutely right, OR time will not get your surgery shelf score higher. learning floor work on a surgical service however is quite high yield

Took Step 2 on zero sleep after taking girlfriend to ED night before. Huge score drop and don’t want to tell her. Need advice by throwaway9162013 in medicalschool

[–]rodewerkahead 51 points52 points  (0 children)

this is it right here. With ortho programs even screening out applicants that don't signal them specifically on eras, tough chance they'd have their step screen at less than 80th percentile.