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PilotMD

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PilotMD last won the day on December 19 2017

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  1. Going to completely agree here. At your level, the MOST I would expect of a student intern is that they are hardworking with a good attitude and a willingness to learn. You check those boxes, you pass the rotation. Everything else is gravy....these physicians obviously take themselves way too seriously (and honestly, most physicians in general are absolutely terrible at presentations themselves). Touch base with the UME people as others have suggested - and try to move past it. Don't let these a$$holes ruin the rest of your clerkship experience. PMD
  2. The topic is an interesting one - at the risk of offending 'snowflakes' who may be perusing the forum, I will give my two cents. First - I do not think women make better physicians or surgeons. That is, I do not believe there is some inherent advantage conferred by a double X chromosome that results in improved clinical outcomes. I believe that anyone is capable of being a great physician (or firefighter, or nurse, or teacher, or....) regardless of gender (or sexual orientation, religious belief, political leanings, etc). However, there is good data to suggest that women have better outco
  3. This is very saddening for the medical community at large - no one wins here. The government and her colleagues invested time and money into her training and the population was to reap the benefits of that investment. That skill set/talent is now wasted. Let me clearly define my position before going further - her punishment is absolutely warranted. It is clear (from the facts available for us to review) that she is not fit to practice medicine. It does nothing but strengthen our relationship with patients when they know harsh punishments are handed out by our governing bodies for inappr
  4. As a urologist, I would warn you that urology, as NLengr has stated, is not a lifestyle specialty. If you want lifestyle (again, as NLengr stated - notice a trend amongst surgeons?), do not go into a surgical discipline. PMD
  5. Way back in the day I looked into the military as an option (I must confess, I have inquired as to whether my services could be of some use to the military more recently - alas, my specialty is not required at this time). This really is a great deal for the right individuals - think of it as a sort of return of service if you will. You get a fully funded residency position and the opportunity to practice medicine with no overhead. As well, if you want to further sub-specialize down the road, there are opportunities for this as well (ranging from dive medicine/flight surgeon qualification to fu
  6. Come on...... There are many reasons not to become a surgeon - this one should be positioned right at the bottom of the list. What next - don't drive because you have an increased chance of dying in a car accident if you drive versus if you don't? Don't fly because your chances of dying from a plane crash increase if you fly versus if you don't? Yes - a surgeon can loose his/her privileges if he/she contracts a blood borne illness. The statistically likelihood of this is extremely low. Couple that with PEP for HIV and the cure rates for HIV C, and I think you have very little t
  7. As none of the posters here are lawyers (I assume), all comments are really based on personal opinion and interpretation of the charters of rights (including yours ABU). I can appreciate your frustration and I don't disagree that the system has serious flaws: you trained many years to be a physician, investing a significant amount of your time and money to do so. Further, you can't practice medicine without residency training. This fact is poorly understood by the general population, including our government. It's a shitty deal when you don't go matched. Do I think it's a violation of th
  8. Only you can determine if it will be an issue. Surgery requires working with your hands 'most' of the time - over a 30+ year career. It's a very difficult job and surgical residency is no joke. What are surgeons (such as myself) going to care about when you are a resident - can you do the job. What are your patients going to care about when you are a staff surgeon - can you do the job. Thats it. Full stop. If the pain limits your ability to do the job (effectively or period) then this is not the place for you. So only you can really answer your own question. Honest advice - surgery is painful
  9. They are high numbers. I'll echo what NLengr said - it is program dependant for sure. General surgery/neurosurgery seemed to lose more residents than any of the other programs (when I was in residency, general surgery lost 75% of their residents one year - but this was an anomaly). The other thing is you have to take the number of residents in a given program into consideration when interpreting these high drop out rates. If 1 or 2 residents transfer out of a smaller program (around 10 residents - think urology/plastic surgery/neurosurgery/cardiac surgery), that can be 10-20% of the program. W
  10. What's your confusion with what I said? I personally know some individuals who were gunning for competitive non-surgical specialties (like emerg) - instead of backing up with family and securing only two years of funding, they also applied to surgical disciplines. Here they get five years of funding (easier to transfer into another five year program). Plus surgical residents often have many desirable quantities (whether they actually possess these qualities or are assumed to have them as surgical residents is another issue topic altogether) for other programs (hard working, motivated, etc).
  11. Agreed - though there is a balance. Surgical residency (residency in general) often amounts to a 5+ year job interview (especially in surgical disciplines that have few jobs available). So you want to pace yourself, but you also want to impress (typically with work ethic and competence + a willingness to 'fill a role (usually amounting to fellowship training in a less popular area of subspecialty - aka - fill a need; with a graduate degree on top of that)). I agree though - it wasn't the crap residents transferring out of programs (in fact, many of the best residents did); and your sh#t tolera
  12. Though certainly three accusations increase the chances this physician is guilty, last time I checked, the law stipulates that you are innocent to proven guilty. Lets wait for the decision before burning this physician at the stake. I, as should we all, take accusations of sexual misconduct between a physician and patient very seriously (and any accusation of sexual misconduct/abuse for that matter). However, for you future physicians, you should be terrified by the what appears to be a shift in public mentality from 'you are innocent until proven guilty' to 'you are guilty until proven
  13. When I went through residency (7 year experience), dropout rate across the surgical specialties was about 20%. I could talk for hours as to why I think surgical residents drop out, however, I believe one of the biggest factors is 'expectation' vs 'reality'. I feel that medical students these days are getting a 'softened' exposure on their surgical rotations - reality hits hard when you are a PGY1 (especially when you do all the crap work - taking care of inpatients, consults, etc. without the 'fun' suff - operating). You find out pretty quick whether you truly believe the 'juice is worth the s
  14. - Grab a keychain and some thread - Tie two handed and one handed knots on the keychain - make sure the keychain does not move when you tie the knots - alternate the 'position' of your body relative to the keychain - you have to learn how to tie square knots from various angles relative to your position - Do this 1000x/day until you can tie perfect knots in your sleep Learning to tie perfect knots is critical - most times, if your suturing, your tying (few exceptions - instrument ties, stay sutures, etc). Practice your knots - you would be surprised at how many surgical re
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