I'm a family med hospitalist. It's pretty sweet I signed with a smaller (more rural) hospital without many specialists bc they paid ALOT more and I get to do a lot more variety. I am in charge of the ICU as well, which I enjoy. The other larger hospitals that I looked at had Intensivists that took anything serious and the hospitalists took the shit admits (they see a bunch of its each day too); seemed sucky to me. I'm doing procedures (EGD, colonoscopy, central lines, chest tubes, etc), seeing less pts/day, all while getting paid more
Easy for me to say now, but relax. Nothing you can do now to change anything. Life will never be easier than it is now. Hang out with your boys as much as you can because once yall leave its damn near impossible to get everyone in the same place again.
Whoa whoa whoa. Hospice is all about how much narcotics you can give. I'm an expert at that. And feelings.
Know nothing about the competitiveness of the match in that field but I think with a 235 you have a shot at most things. Some things may be tougher than others, but if you have a strong, well-rounded app and you have good LORs/contacts, they can overcome a lower score.
Not thinking of starting a hospice program, fwiw. That would require at least an ounce of business sense. Love palliative care, but would like to still have a foot in alive people medicine to some degree. The fellowship would make it more feasible to land an inpt gig. Still a lot to figure out there, and this will likely be a laughable idea in 3 2 1 year's time
It will vary from hospital to hospital, but I think if you have admitting privileges at most hospitals, you will be able to continue to see those patients when they transition to inpatient hospice. If you want to be in charge of the inpatient unit, you're going to need the fellowship. Otherwise, there really isn't a good reason to exclude a family doc from continuing the care.
You still may not need a fellowship for that. Some inpatient palliative consult services use nurses to handle most of the work. I also know of an internal medicine hospitalist that splits time between hospitalist and palliative consults that I'm pretty sure didn't do a fellowship.
Correct. It'll come down to job availability. Not everywhere has palliative consult services yet, the larger hospitals and AHCs around here are staffed entirely by folks who are fellowship trained, and there's a mixed bag in between. It's pretty hard to anticipate how the field will change in years to come. Seems like there's somewhat of a push from more and more hospitals to get fellowship trained docs, but it has really only manifested as the established ones getting stretched thinner and spread out over multiple hospitals, without an increase in fellowship training spots. So, like you said, lots of IM, FM and NPs doing the actual work while those with the extra training take on the admin duties. It's a field that really WANTS to grow, but hasn't taken off yet. Hard to say when, and to what degree, that happens. Hopefully the picture becomes clearer in the next couple of years.
Prettay prettay pissed off that I have to report for one more day of neuro consult tomorrow following the shelf today. Probably just gonna play up my eagerness to watch some hopefully lengthy neurointerventional stuff and phone husk/tmb the day away.
Not sure if this was discussed anywhere yet, but Samkon Gado (former GB/Houston RB) now pgy1 in ENT at SLU. Met him while he was interviewing and I was rotating in ENT. Just not fair for one person to be that talented.
don't know about for that, but my parents live in STL and it gets a really bad rap but I enjoy it some real nice up and coming young professional areas where the hipsters have really set the stage for awesome foods/beer/music/etc
yeah he went to med school here at MUSC. Met him while he was doing his Sub-I while I did my research. That guy is one of the nicest people I have ever met. He basically could've picked where he was going, but chose SLU based on his wife's family being there. Always nice to know those are the type of people you compete against in ENT. Are you thinking ENT pnk$krtcryna$ty
I asked about that when I did my interview up there and it seems like they have some nice pockets with plenty of young professionals. I liked it a lot
Can't speak to the single life there, but the neighborhood around the campus to the North (I think) is nice. A bevy of bars and restaurants. Most residents I met lived close by with fairly affordable housing.
No way I can compete with the samkon gados of the world. Did not particularly enjoy the 10 hour neck dissections. Family med here
Ortho is no different. Sucks that everyone and their mom are applying for it this year. Will just be happy to match
so once you put 'em in and hit "certify," you're done, right? There's not some retarded double certification or something else I'm missing, right? Locked them in a few weeks ago. I think.
There needs to be an option where you submit and you can't turn back. Too much waffling and time to think
Submitted my fellowship rank list. Not due till tomorrow at lunch. While not near as stressful the first time around I've still revised it 3 times.
semi related, but ive always found this story interesting my dads friend was working as a surgeon at a hospital in the bad side of st louis when MLK got shot. the only way there was through some really shitty neighborhoods. the cops told the doctors to just run stop lights and stop signs on the way to work because if white people stopped their car, theyd get shot at
Just kidding buddy. I'm only in my first year and it's wearing on me, but I've heard from plenty of people that first and second year are just a really shitty grind with all the class stuff and third/fourth year are much better because you actually feel like a doctor and get to apply much of the seemingly useless stuff from the classroom years. Don't fret about the application process/MCAT and don't read SDN. Many people on SDN have unrealistic expectations and just want to talk about how awesome they are with their 95th percentile scores and how they can't decide between two top 10 schools. It may sound cliche but if you're meant to do it, you can get in. If it doesn't happen this time around just remember plenty of people make it into medical school their second/third time around. And if you do make it in this time enjoy the last bit of freedom you have left. Good luck