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Lactic Folly

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Lactic Folly last won the day on March 17

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  1. Lactic Folly

    UAlberta vs. U of T

    What are your ultimate long-term goals? If you want a fresh start out east, I think it makes sense to go to U of T. It will be easier for you, and more cost-effective, to set up electives in that part of the country if that's eventually where you want to settle down. This may have a larger influence on your future trajectory than the difference in debt.
  2. To me, the fact that rebates have been declining is a reassuring sign - that is, claims are being approved.
  3. Agree - you can't do electives at every school, and remember most people will have similarly positive evals and references, so you need to stand out in some way to get interviews at schools you haven't done electives at (that being said, what they might be looking for can be variable).
  4. Our medical school class was told the same thing by the residents ahead of us - it's residency that trains you to become a physician. Medical school is but an introduction to the breadth of the field - the role of the student is too dissimilar from that of the resident or attending to serve as direct job training. ralk posted on this previously: https://medicalblarg.blogspot.com/2016/01/underpants-gnome-theory-of-medical.html
  5. First, congrats! Do you have *any* reason to prefer Calgary other than the difference in cost? Does the difference in program length matter to you otherwise? How sure are you of the residency programs you'd apply to or are you completely undecided at this point?
  6. Start researching and narrowing down specialty choices now. Do not wait until your official electives to "explore" - that is when you should be putting your plan into action, not forming it. Remember that what you might see during any one particular experience as a student is likely only a limited glimpse of the breadth of different practice settings/styles that might exist in the vast field of medicine. Therefore, read, and speak to those farther along in their careers (senior trainees may not have completely accurate ideas either). Yes, at the end of the day, it's most important to be considered (and also be) someone who is nice to work with. All other things being equal though, a stronger paper record will get your foot in the door to make that personal impression (outside of electives that are first come, first serve or lottery). It's a marker of hard work and motivation used to distinguish among equally unknown candidates.
  7. While yes, it is an opportunity that a preceptor has to do some work to provide, as a student who is undertaking an elective presumably to demonstrate your interest in a field, I don't see any issues with simply asking whether opportunities exist. If it doesn't look like the person you're asking can think of anything, I'd leave it, but if there was something that you could write up, it's easier to get started on earlier on during an elective while you still have regular opportunities to meet with them for discussion.
  8. Lactic Folly

    Accountants and missing tax deductions

    Well, yes, a good accountant should be providing you with expertise and advice. Better you've found out now than later.
  9. Lactic Folly

    How do you deal with a bad break up?

    Don't give up now! Think how much better you'll feel when you've succeeded and left your ex behind. Don't give him a reason to look back and feel self-satisfied, instead of regretful.
  10. Off-topic: Sure, of course this can be done from the perspective of the manufacturer. I was considering more from the perspective of the party who is making the decision to use AI in patient care, i.e. hospitals. Would they be comfortable employing AI as a diagnostician in its own right (in effect making the hospital responsible for the decision to employ AI in case a worst-case scenario adverse event occurs), or would AI be considered in the realm of equipment (still requiring human input to accept or overrule what AI is doing - thus keeping the liability with the physician). Doesn't seem there is a consensus based on a quick survey of articles out there - legal landscape is still evolving.
  11. The demand for the diagnostic information that imaging provides is ever-increasing. I can't see that humans in radiology are more susceptible to replacement than humans in any other field of medicine (for which there are also AI applications for diagnosis). If there is an error in a machine read, who will take liability? Experiments have shown that AI systems can be hacked, leading to wrong test results. Instead, AI can be better applied throughout all areas of healthcare to help make us more efficient and deal with the increased demand - for example, in radiology, this might include triaging urgent exams and helping pull clinical information.
  12. I don't know if it would be possible to slow down due to the high clinical demand. Although I have heard of unread studies piling up in other jurisdictions due to physician shortages, at the hospitals I've worked at in this region, there is an expectation that ER examinations be reported within an hour or two. Our hospital also has a report turnaround time policy (being discussed) that if routine exams are not signed off in a certain number of days, the issue can be escalated to the Site Chief and Medical Affairs as it is considered that patient care is being impacted. I've heard the same thing from pathologists under salary - they are being asked to do more and more volumes, which can make it difficult to maintain high quality of work and avoid burnout. Even if the employer doesn't hold us accountable for volumes, there is pressure from other services to decrease turnaround times, as of course they are also under their own pressures to manage patients, facilitate discharges and so forth.
  13. I think this thread shows that public perception isn't what we really have to ward against, it's internecine strife (worse in my experience). Given the high demand within our system, it only makes sense that everyone is working hard to provide the best care possible to our shared patient population, and relativity can be approached from a more constructive standpoint. As stated in another thread, I would hesitate to cast aspersions on anyone else's value or hard work, as I could not predict when I might need their particular expertise someday.
  14. What's often left out of a discussion focused on billings/overhead is the amount of work/care that is provided. Hospital-based rads may have fewer overhead expenses than clinic-based; but if patient volumes and higher acuity/complexity are considered, the more intense workloads mean that on an hourly basis, income probably does not differ as much from the other hospital-based physicians that I know of. Given that in a hospital, we all expect: 1) the imaging department to be running as efficiently as possible to accommodate the volume of studies requested and reduce the amount of time patients have to wait for tests 2) high quality interpretations and reports (which obviously take time to do properly) 3) reports to be released as quickly as possible to support patient care this means ++after hours work to keep on top of things on a regular basis. Not on call, but last week was working basically from 7 am to 1 am except for a short dinner break, and then continuing over the weekend as the scanners keep running (we are a bit short-staffed right now). Admin work and meetings (e.g. quality improvement) are also part of a hospital-based practice, but if they can't be scheduled on days off, it means putting off less urgent clinical work to accommodate.
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