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PhD2MD

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PhD2MD last won the day on August 11 2019

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About PhD2MD

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  1. I would agree that that sort of "emergency radiology" is ideal (and I hope your field grows). My point still stands though, what of the many cases where management decisions are made based on a subspecialtist's interpretation? It's still quite common, and not just in neuro/stroke. Should that work continue to go unpaid? Especially when there are major discrepancies in relativity? And it's not just with rads. For example, many acute decisions are made based on ECGs, but billings go to a cardiologist who interprets them much later. It's a recurrent theme. Perhaps it wouldn't matter so much if relativity wasn't skewed so heavily.
  2. I imagine that's at your fellowship center in the US? Was it the same when you did residency in Ottawa? At most of the places that I've done stroke rotations, neuro stands at the scanner and reads it live and decides on TPA before rads is in the room. Of course Rads are the best trained in the field, but for the neuro example, unless its a subspecialized neuro rad they trust, neuro will usually just interpret it themselves. You see this with even more specialized fields (like the stroke example I gave, or the MS specialists who see one thing all day every day. Sure they'll miss a thyroid mass, but the MS management decisions often come down to the specialists read of the image).
  3. The Witcher. Just finished watching it for the second time.
  4. Yeah and I'd also say that that logic should be applied to the services that make management decisions (some times split second ones like in stroke) based on their own reading of scans, independent from the rads read that may show up hours to days later.
  5. Don't know if there's any documents out yet. This is from the neurology OMA section call few nights ago.
  6. Very minor changes. If I remember correctly you were in neurology? As an example, neurology ranked in the bottom 4 from a relativity perspective, so the ~500 neurologists in Ontario were essentially awarded an extra 5 million/year total to help with relativity (roughly 10k each lol). Laughable when a group of 5 optho/rads could essentially make that amount.
  7. Now I'm on the other side and putting one on....wishing someone other than me had answered last time haha. I wonder if it matters much in this market.
  8. You're not wrong, but just slightly over estimating the difference....30% is a bit of a stretch, maybe 20%. Really depends on speciality and center. The stipends from unis is often times negligible. Also, my staff finished at the same time I did yesterday, 7pm. You're right about teaching, but it seems the magic of brings a teacher wears off quickly for many people (however those that keep it are amazing)!
  9. Usually some combination of staff and residents. Often PD is one of the (many) staff involved.
  10. Are the special fee codes only for ER? Do GIM or subspec clinics done in evenings/weekends get bonuses?
  11. That's called. You're pretty much just leave it in the room that everyone sits in while waiting for their interview.
  12. So I was in your position but a bit later (maybe 2nd or 3rd year). The MD program told me to just finish the PhD, then start the MD. I did, but a slightly regret it. If MD is going to be a major focus on the future then the cost-benefit analysis for doing the PHT first listen to that great. There is a huge opportunity cost in the form of salary (25k vs 75) and relevance of you do it during residency vs as a grad student.
  13. I'm not the most knowledgeable person on the topic on these forums, but the big picture is some hypothetical good with lots of practical bad. The idea was the combine things to reduce duplicate overhead (less admins) which is a great idea. But what they did at the same time was also reduce total resources to a level lower than the amount they projected to save on admin. Admin is probably the biggest source of $$ waste in our healthcare system, but this approach isntt working very well.
  14. For a little balance, a major advantage is not having to deal with the disadvantages of capitation/salary models (lower productivity leading to longer wait times and possibly higher system costs because you need more docs to see the same number of patients, unequal work load burden, potential loss of autonomy).
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