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MarsRover

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About MarsRover

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  1. MarsRover

    Struggling in Med School ...

    Interest groups are essentially useless on your resume. I am convinced the giant jump to join lots and be involved. Is just putting that residual pre-med energy of joining things and resume padding to use. Because the reality is pre-clerkship you could do absolutely nothing and just enjoy your life and still land in a competitive specialty
  2. Stupid question. But if a faculty has multiple streams do you interview multiple times or just for the program?
  3. I was came upon this link "http://www.ominecamedicalclinic.com/omc_services_surgery.html#bbatchelor" and it was talking about two GP's in rural BC and the scope of surgical procedures they will do. I was just curious how common this actually is? I am assuming that it must be limited to fairly rural locations, and job prospects not exactly high given OR shortages.
  4. My go to resource is a thick book of sudokus nothing impressing attendings like someone who's got some good material and some guts. The rest of that boring medical stuff can be taught.
  5. MarsRover

    FM Hospitalist Questions!

    What level of procedures would a person get working as a hospitalist? The family doctors in my centre actually round on their own patients that are in the hospital. So not a true hospitalist position. But I don't tend to see many procedures... is this true of someone doing a dedicated job as a hospitalist?
  6. I think it is definitely true that in general medical students come from a disproportionately wealthy background
  7. MarsRover

    Unhappy in medicine?

    I feel I may have been a little poor in my explanation. I certainly didn't mean to belittle any of those specialties (not that i think you are particularly suggesting i am - just in case anyone reading thinks i am). More I think that i can relate in the OP that when you put a ton of pressure on needing to find this perfect specialty that will make you happy it can be easy to become cynical and reductive when evaluating specialties. Ie. i mean i didn't entering expecting like Dr House. i think we all know thats not real. but then i did come from having just started to scratch the surface of research (ie saw the positive and none of the negatives). So then expecting this specialty that would involve a lot of problem solving, always new stuff, using the skills i had learned in unique scenarios etc etc. Ie kind of like a doctor from years in the past. So then entering say a specialty at first it's like oh cool cardiology is the one who does this. then they do have their set group of cases that become routine - not to say it requires no thought. just its like yea ok this protocol is to start.. if these meds don't work we can then try these. So then with all that pressure its super easy to become reductive and be like oh this is boring and algorithmic. then next specialty have same thoughts. I just think that when you sort of just try to take the pressure off and relax. just think all i need to find is a job i like not some perfection. focus on the fact that you just want to help people and have a life and be friendly with your colleges. suddenly when the patient that came in with STEMI but their unique issue meant the cardiologist started a different drug. you will see that as oh that's cool they were thinking - not just again oversimplifying as okay this is just some other fact they memorized and know now nothing interesting. That knowing the algorithm is imporatnt but knowing when to deviate from it is what makes a physician. just as a learner its easier to miss that when you are just starting to learn the algorithm and also are under stress trying to find some ideal. Likely at some point all specialties will become at least a little routine day to day and thats a good thing really. But obviously there are still some unique differences. i find internal goes into details more than i care to or subspecializing doesnt fit me. I like the surgical fields a lot but not the lifestyle. so i think OP obviously will have some individual things different than me. just figured it was important for them to realize that the pressure they were putting on themselves probably contributes to this. With that said i have always had this feeling radiology would be really cool and challenging with or without IR - but again its one of those things that you need to just relax and calm down. As a med student if you don't understand it much the OP could again just be like oh well that seemed boring they just read a lot of films and said what they saw. but that definitely not what radiology is. I found radiology hard to understand if i would like as a student shadowing. But since starting clerkship it has seemed really cool the times physicians call the radiologist just generally describing the patient's symptoms and being like "what should we do." So again OP should definitely IMO just calm down and try to just enjoy the rotations and keep their eyes out for just things that are interesting to them .
  8. I think it is because they are around eachother a lot.. but also because they happen to understand what the other person is going through a lot too. In terms of while in school can study together or relate to what is needed Also personalities are more similar. med students/residents tend to have a certain personality haha.. it seems to be more in medical students, then less in residents. then i find attendings seem to have more variety in their personalities. i guess we are all just really stressed with figuring oh what to do and gunning to get into med.
  9. MarsRover

    Unhappy in medicine?

    Basically I am saying once you take the massive pressure off having to love and find this specific field that has all these things, and just accept it is a job things get easier. then just ask what job do you like your coworkers, the lifestyle, and the patient presentations/care. Probably any other route you take will end up having just a "job" feel at some point. I find certain fields of medicine definitely have more people who view it as their life or purpose - so personally i will chose a specialty that has more people who view it as a job
  10. MarsRover

    Unhappy in medicine?

    Hey. I had similar feelings to you. I imagined medicine with a lot of thinking aspect. So then I would start a new sub-specialty of internal and at first love it as I was learning more, and it seemed like they were there ones who sussed things out more. Then realized it was just going through 3-5 bread and butter cases, then some zebras. Even general internal which should be seeing stuff from everything has some of the same bread and butter stuff, and then even stuff that's out of it usually fits into a bit of an algorithm - either that or okay initial tests that catch 80% of stuff were negative lets just reorder a tonne of tests and see what comes back. Emerg wasn't much different. Oh she has stomach pain in a focal point? Lets just throw in a chest work up just in case. Oh she is having chest pain? You are telling me it's right sided and dull - ecg, trop, bnp work up just in case. what I love is learning new information, so at the start of each rotation it feels super cool and fun. then I would realize that this specialty too has a lot of algorithms. Not that i had them mastered of course. There is also a lot of "just in case" medicine. Which makes it seem like there is less thought and analyzing etc going into it. But that is likely just how we as students see it. With that said right now I love plastics, I love how reconstruction cases require a lot of planning and thought to make things look aesthetically pleasing and even some other stuff still requires a unique approach to how can i tailor this to look good on the patient. With that said my advice is how I dealt with it. I STOPPED trying to imagine medicine as some ideal amazing career for the future that I would love and have all this fun problem solving etc. Then it takes the pressure off and it can be like oh yea I do still like helping people, clinical medicine is interesting even if sometimes routine, AND I want to love the other aspects of my life. Instead I am just going to try to see it as a JOB, and pick the one with the best lifestyle - for my life goals that is ER or hospitalist. I think stuff can become routine after years of it, even say plastics for me, and that requires a brutal residency, hard job market, poor control over where you life, limited ability to ever travel, and difficult hours as an attending. Perhaps at times in ER I can't work them up as much as I like, but the others only work that up. ER work can become algorithmic but at least the patients coming in always have an interesting story. More than anything though I just like working with ER docs the most, we are most similar in personalities. They also tend to see ER as a job and want a life outside of medicine, and are okay that you do too. Also during emergency situations the algorithm will feel like a life line, and also working with some wounds that come in is fun problem solving too. I did consider switching to an MD-PhD cause I was good at research and loved it. It is amazing actually using what you know to probe and wonder okay this pathway works in X way, but what if we do Y to it. Asking and answering unknown questions. However, I think that is an idealization of research. Do you like reviewing other peoples papers? Writing grant applications? Teaching students? Grading papers/exams? Not being in the lab directly because of all these responsibilities and instead having students do the fun procedural part for you?
  11. In the ER I work in which is mainly Fam docs this isn't true. Mind you most the new ones have the +1 em, and the older ones have been doing it for a while. But they definitely all work a fairly equal amount of shifts in trauma/Acute/non-acute.
  12. Right now I am just studying using Uptodate and toronto notes. Our school does cumulative tests now, not block tests for clerkship. But I feel like I should be getting more to study from. Are case files worth the 300$ price tag to get internal, peds, obs, psych, family, ED? Is first aid better? I am not just studying for a block exam, so ideally resources that would also help with the LMCC would be helpful? I know some PDFs float around online, but for studying I find nothing beats physical copy. Is there a resource I am missing?
  13. Haha yes, that would be quite ridiculous. "im working trauma tonight, but i only deal with non-acute sorry."
  14. I recently met an endo who refuses to take any consults for diabetes. I was surprised to hear this as that is sort of the bread and butter of endo. It made me wonder how common this is? I honestly didn't know you could refuse certain illnesses. Does this take place in surgery too? Gen surg who refuses to do lap chole? I obviously understand if something is out of the scope of what the person is comfortable with.
  15. Yea that makes a lot of sense. Each condition has a variety of symptoms and findings necessary to satisfy its criteria. So then a lot of it is uncovering knowns like you said and putting it into the best fit based on them. These are the available treatments for this. The key is just committing them all to memory, and obviously because medicine is so wide its not possible hence subspecializing. Definitely most premeds do not realize this I agree 100%.
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