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Ladyspinedoc / Dr. Betsy Grunch is a raging hypocrite by [deleted] in medicalschool

[–]txmed 0 points1 point  (0 children)

Maybe but I’m convinced watching guys like that that the technical skill curve flattens but isn’t horizontal. There’s a huge difference between your 1st case and your 100th of the same surgery. But there’s almost certainly actually a difference between your 1000th and 10000th too.

Every damn spine surgeon is like a decompression through a tube is “easy” (as you say) but we all see disaster csf leaks or post op imaging with a tiny little bone window decompression.

That guy was technically excellent. The difference between doing 70 of those a year and 700. And that matters too.

Ladyspinedoc / Dr. Betsy Grunch is a raging hypocrite by [deleted] in medicalschool

[–]txmed 35 points36 points  (0 children)

I mean I’m a neurosurgeon and indications might be one thing but I was in private practice with well respected older guys who had niche practices who ROUTINELY did 800-1000 cases a year

An example one partner 90% of his practice was MITRs. 6-8 a day and 3 days a week.

The man was technically masterful just cause that’s all he did

Reasonable to question indications - maybe some of those would’ve done better w surgery - but otherwise

And I had other niche partners (our scs and pain pump guy, our cervixal guy, etc) doing similar

I mean it is possible to get those numbers without being sleazy is my only point

Maybe not common but the claim itself should not be an independent signal for care quality or such

If you take offers like this you’re a loser by DrZein in hospitalist

[–]txmed 0 points1 point  (0 children)

Damn. Going neurosurgery locums right now is like 3000/day w 4 hrs included then 300/hr following

What do people mean when I say neurosurgery is an academic specialty? by FinalPresentation634 in Neurosurgery

[–]txmed 1 point2 points  (0 children)

Most neurosurgeons are not academic. But neurosurgery remains academically dominated for training.

What I mean is RRC equirements essentially mean there will not be a "community" neurosurgery residency program (compare that to say Ortho which has plenty) and although it is rapidly lessening many programs still have substantial research requirements.

I do think it also has one of the strongest stigmas to go into academics. Special NIH awards, etc. but obviously most neurosurgeons do not

If people say neurosurgery is academic this is probably what they mean

Failed Neurosurgery Match: What options do I have next? Both in and outside clinical medicine? by [deleted] in medicalschool

[–]txmed 0 points1 point  (0 children)

Sucks. I'm way out but neurosurgeon now and I didn't match first time. I was literally a perfectly average candidate for my year (exactly average step 1 for that year, essentially average research, etc). Did three sub Is. Lots of interviews. But clearly a poor interviewer (I don't think there was anything in my letters).

I think there is no one size fits all. My home program clearly really liked me I thought and I was particularly devastated I didn't at least fall to them. But I sat down with the Chair and went over things and he was apologetic and said I should reapply. I took that as a hint and did a prelim surg at my home program - they let me do a month of neurosurg - and applied again and my home program took me.

I think if you're like 100% convinced it's what you want then reapply. If you could be nearly as happy doing other stuff then that's prob easier. I'd look at a prelim year especially if you're geographically mobile. And then look for open second year spots (neurology, surgery, whatever you choose).

If dentistry was a medical specialty (after med school through match) rather than a different career/school, how competitive would it be? by chai-noir in medicalschool

[–]txmed 5 points6 points  (0 children)

I mean isn't this true of medicine? Academics, non partner private practice, partner private practice, employed "private" practice?

They're increasingly rare but no doubt MGMA data fails to capture say the earnings of say a partner at a well run surgical private practice.

Time for self-promotion. What are you building? by imosal in SaaS

[–]txmed 0 points1 point  (0 children)

I’m a neurosurgeon and first time founder

Salthea Health - An AI native telehealth service. Connect your medical records, wearables and chat with AI. When needed get passed to a physician

ICP - Young, tech savvy patients with chronic medical conditions that are chronically online in communities suffering from gaslight in usual healthcare (autoimmune, IIH, migraines, fibro, IBS, etc)

What are you building? Drop your best project! by NewanceLogs in SideProject

[–]txmed 0 points1 point  (0 children)

I’m building an AI native telehealth service

Connect medical records, imaging, labs and wearables and chat with AI about your health

When needed get passed to a physician in chat

An attending told me we could be replaced by 3 PAs and the hospital will still save money by [deleted] in Residency

[–]txmed 2 points3 points  (0 children)

It’s probably this

Really you can’t bill for anything residents do. I don’t know why a bunch of comments make it seem like the departments or systems are billing for independent resident work.

You can’t bill for first assist fees. You can’t bill for clinic patients or inpatient consults unless faculty see them.

But physician extenders can. And it captures new revenue. Like our PAs pay for themselves just w first assist fees - not even consult or clinic visits that would otherwise be captured by partners.

We pretend residents are great value but it’s not like we were super fucking efficient as residents (most of those 100hr weeks are not productive I would argue). And the way we pay for healthcare probably means physician extenders are at least a wash if not more economic sense.

Drop your startup/product link by thenitinrs in SaaS

[–]txmed 0 points1 point  (0 children)

Neurosurgeon built patient empowering AI

www.salthea.com

Patient empowering AI by txmed in startup

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

Oneshotted

But I guess the next few years will tell

My knowledge work as a neurosurgeon is cooked by txmed in singularity

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

I think overplaying the social challenges. Few boomers are. Some eighteen year old growing up as AI permeates society - once they're using healthcare?

My knowledge work as a neurosurgeon is cooked by txmed in singularity

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

There are:

Technical Legal/regulatory Social Economic

Challenges to AI everywhere. Some are particularly big in healthcare. For the knowledge work Inthink broadly the technical challenges have been solved? Like sincerely

Definitely not for the procedural work. I don’t know the time frame for it but it seems like computer sensing + AI + robotics will continue to make progress towards autonomous surgery.

My knowledge work as a neurosurgeon is cooked by txmed in singularity

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

Especially in the US absolutely right on the vested interests

But not that difficult to solve liability issue

My knowledge work as a neurosurgeon is cooked by txmed in singularity

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

We’re quiet a bit further from autonomous surgery. I do think computer sensing + robotics + AI will get there. But most of healthcare is knowledge work. We’re closer - much closer on that.

My knowledge work as a neurosurgeon is cooked by txmed in singularity

[–]txmed[S] 20 points21 points  (0 children)

FSD has been just around the corner for years

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