171–180 of 241 posts
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Sure - convince Scott Alexander to review more books? The problem is the supply of good reviews like this.
Sivers.org has got reviews and cliff notes for quite a lot of HN's favorite books, if you're interested. They're actually such good summaries of the books that a lot of the time I just read his synopsis and skip the book.
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This is a bit more nuanced than this. There's 31,757 positions offered. However, if you are applying into a specialty, you apply simultaneously for a PGY1 and PGY2 position, so those people are being double counted. As a result, you need to subtract 2,677 advanced positions from the 31k positions, yielding 29,080 PGY1 + PGY2. There are 18,539 US MD applicants, but with the merger of the ACGME and COCA, DO applicants…
When it comes to the admission process aren't all IMG's considered the same irrespective of citizenship. So 5069 (citizens) + (x non-citizens) compete for the remaining seats (6951). Isn't that correct?
IMGs have the advantage of speaking English and have no potential visa issues.
This distinction will matter more and more as the race for residency spots tightens and the US becomes more insular, because a lot of IMGs have US educational debt. It also matters where the person went to medical school, e.g. US citizen who went to Israeli medical school vs someone who went to the Caribbean vs an Indian national vs an Iranian national who now will have visa issues with trump. Visa issues are huge, because no one wants to match someone who can't show up for work 2 months later.
These subtle distinctions are not easily sussed out by NRMP data, but the trend is that in the current era, IMGs have a slight advantage.
My wife is a medical resident and the issues described by this doctor are absolutely pervasive in residency. The strange part is, the overwork also seems to be pervasive among the attending physicians who have been out of residency for decades. Not just the residents. As a tech founder analyzing the system from the outside, I think this writer has nailed the core issue: "... a doctor is just one of the many commoditi…
My wife is now an attending, and all I can say is Amen. The worst part is that many doctors often defend and work to perpetuate the system, rather than organizing to make it sane. It is truly boggling.
I am a lawyer, and if this was a lawyer's story, this would be my advice for the firm. First, they need to hire more lawyers. This guy is way too busy and will make a mistake. Second, he needs a receptionist, secretary, and paralegal to support him. It is wasteful to pay him a doctor's salary to answer phones. Third, they need to streamline their record keeping so he doesn't spend so much time filling out paperwork.
Are you referring to:
> In the mean time, I field 12 phone calls from ED, GP and other units. … I get called four more times between midnight and 6am.
These are clinical calls: the other units need information about previous treatment, or clarification about current treatment, or updated instructions due to a change in conditions.
E.g.
> Ring, ring
> Hello, this is the Levi residence, Dr. Levi speaking
> Hello Dr, patient XXX's vitals have changed/is reporting discomfort, do you want to change treatment?
> Yes, administer X ccs of Drugaline and call back if their situation doesn't improve in 2 hours
> OK, thank you Dr
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It's well known within the medical field that being a doctor is really really tough. It takes a lot of smarts and grueling years in residency before you officially become a doctor. However it also pays incredibly well. Even moreso for specialities and surgeons, who can make over 200k a year even in low cost of living areas. Despite the difficulties of being a doctor it's harder to get into medical school than ever. T…
So it's okay that doctor's commit suicide because at least they're paid well?
*Probably would need to be government as would need exceptions from tons of laws.
My wife is a medical resident and the issues described by this doctor are absolutely pervasive in residency. The strange part is, the overwork also seems to be pervasive among the attending physicians who have been out of residency for decades. Not just the residents. As a tech founder analyzing the system from the outside, I think this writer has nailed the core issue: "... a doctor is just one of the many commoditi…
If docs didn't slot 15 minutes per patient, then they would need to charge each patient much, much more or make much, much less. There is no other way around that.
My wife is a medical resident and the issues described by this doctor are absolutely pervasive in residency. The strange part is, the overwork also seems to be pervasive among the attending physicians who have been out of residency for decades. Not just the residents. As a tech founder analyzing the system from the outside, I think this writer has nailed the core issue: "... a doctor is just one of the many commoditi…
Western medicine has turned into a ponzi scheme. The verifiable proof of this is to have an elderly family member in a nursing home who goes through the usual monthly trips to the hospital from 'falling'. While Medicare covers almost all of it, it became so nauseating to read the outrageous EOB totals that I tried to put a end to it - I requested that unless the on call nurse (after hours) or physician (during busine…