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Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

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Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#141
post #96

I've always dreamed of leaving behind Silicon Valley and pursuing emergency medicine. I need to stay the course for a while to ensure my college approaching kids are taken care of but stories like this are inspiring reminders that age doesn't have to be a factor when I finally decide to make the move.

Resident physician here. I have > $200,000 student debt. Doesn't feel good at all.

Yes, I second the opinion that the costs the schedule issues etc are a US problem..

I think one could study at much lower cost in China, Russia, Eastern and Central Europe. They have now courses in English, and have become the new hub for medical education.

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#142

Earlier quoted context omitted.

Wow. I had no idea that one could get into medicine at that age. I feel like I'd been told that medical schools could discriminate based on age, with the idea being that an older person would be physically unable to serve for as long as a younger person. I have an interest in medicine but simply wrote it off as being impossible because of my age.

Beyond having the money or not. By the time you're in your mid-forties, I just don't have the stamina for late-nights that I did when I was 20, even 30. I'm sure the money, maturity, experience I've accumulated between 20-45 would help, but no doubt the raw endurance is lower. I would not enjoy these legendary 24hr+ rotations that residents apparently have to do. But hats off to this guy -- i think it's very cool. Ma…

But these 24hr shifts seems to be an US thing. In my country doctors would have a more relaxed schedule, in fact you will get a more pressing schedule if you are in tech.. but generally engineers start out with better salaries than doctors here, though slowly the doctors then catch up and retire with better salaries than engineers..

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#143

Earlier quoted context omitted.

But the 300-500k/ yr income is nice. Plus you are the only profession that can legally write prescriptions and do some services. The power of the medical cartels has intangible benefits too.

My wife is a resident. The salaries look nice when they're windowed to a single year. Career earnings, it's good but not that great compared to tech - especially when you consider the hours and stress. * 4 years of med school - $0 income - $40k+ of tuition * 3+ years of residency, minimum (4+ for most fields, even more for surgery) - $60k/year ------ If my wife had gone straight into tech, we'd have been better off f…

> Career earnings, it's good but not that great compared to tech

We are in a strange time when software engineer salaries can even be comparable to those of doctors. Rest assured that sooner or later tech workers will be middle-class schlubs like pretty much every other type of engineer.

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#144

A Tandy Corporation. They almost went under and then they were bought out by a leather crafts business. We used to joke around about Radio Shaft but my Trash 80 was the most hacked up PoS ever ! Great memories. And good on him for living his dream.

That's bizarre to read. I was a frequent customer of Tandy when I was doing leather as a hobby. No idea they ever related. How odd.

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#145

OT but does anyone have insight into why there are so few med schools in the US? There are way more prospective students than admissions slots. Are there high capital costs or something I haven't considered that make starting a med school unprofitable even with average tuition fees being so high?

The other question that is rarely asked, is why isn't much more of the training and services restricted to physicians expanded to other professionals? That is, it's not just "why aren't there more physicians?" but also "why do we need a physician for X?"

There are lots of provider types who could easily expand their scope of practice with additional training, and who are currently prepared to do so. The AMA lobbies heavily against any attempts to do so all the time, every year. Pharmacists, PAs, dentists, optometrists, psychologists, nurses, ... the list goes on and on. Every year they lobby heavily to just have the opportunity to offer more services, and more services independently, the AMA fights back against it in lobbying, and politicians respond to it.

The crisis in some ways highlights how absurd this is. Right now I know of many med schools whose in-class training is about 1.5 years, and some are trying to make that 1 year. The rest is studying for licensing exams and clerkships. Now many of these schools are graduating them early to help with the pandemic.

Compare that with PAs, who often are required to have substantial medical clinical experience before starting their programs. Then they do... 1.5 years of coursework and about .5 years of clerkships before going on and then... practicing under the supervision of an MD. So, then, what's the difference between a new MD and a PA with an extra 1.5-2 years of supervised experience, especially given that extra 1.5-2 years of experience is probably more independent than what the med student gets?

The current model is absurd, and at some level I have no sympathy for complaints that hospitals are understaffed right now. This is solely the fault of the AMA and their lobbies at some level. Many services could be offloaded onto other providers, who could easily expand the scope of what they offer, especially in the middle of a public health crisis per se. There could also be a much greater diversity of training routes than undergrad -> MD -> specialty (just for example, undergrad -> specialty doctoral/professional degree -> expanded training).

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#146
post #40

Earlier quoted context omitted.

I would guess the number of doctors making that range would be at least an order of magnitude more common than tech workers but I could be wrong. Additionally, the bay area in the US is essentially the only place in the world you can make that kind of money in tech.

If you're going into medicine for the money you are making a huge mistake. The front-side effort, commitment and cost is massive, and depending on your field it make impact important aspects of your life for as long as you practice. There are way easier ways to make money. One example: do a comparatively easier 4-yr undergrad in business and start with a bank straight out of school (they scoop up lots of new grads wi…

Medicine is the single most reliable path to the upper-middle class in America. Sure the other things you described are possible but honestly unlikely unless you have an Ivy League undergrad.

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#147

I think the most fascinating thing, to me, is that transitioning from CEO of RadioShack to med student in your 40s means you _must_ have a humble, down to Earth ego.

I met tons of rich kids doing residency in their mid 20s with massive egos and zero humility. I doubt a millionaire former CEO doing it as a hobby requires any humility.

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#148

Earlier quoted context omitted.

All of those roles are rather low stress (aside from RN which can vary wildly depending on your dept/floor). The high churn/burnout roles are in critical type care from my experience being married to a nurse. Many docs go without sleep. Either they are on call in the middle of the night and on weekends or they are on 48 hour shifts. Its crazy they are allowed to do that let alone it being the norm.

Anesthesiology can certainly be high stress (the party and the regular hours help make up for that though)

Past the edit window, but I didn't notice that autocorrect changed "pay" to "party" (which works just well enough in that sentence to be confusing, I'm sure)

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#149

Earlier quoted context omitted.

Plenty of medical schools give need-based financial aid. So those folks who took out loans probably came from pretty well-off middle class families.

Can you explain your logical reasoning for why you believe most folks with medical school debt come from well off middle class families? I'm confused because need based financial aid for medical schools is still mostly loans. My partner who comes from a relatively poor family (they used to be on welfare) had most of their need based financial aid in the form of loans. Out of her residency class the highest % of folks…

Anecdotally, I know some people who did not come from well off families who got need-based financial aid that covered the entirety of their medical school tuition. There was still some loans for living expenses but that’s about it.

Re: Former CEO of RadioShack now an ER doctor on frontlines of Covid-19 fight

#150
post #93

Holy Shit! Imagine being the CEO of a RadioShack, then saying "I want to become a Doctor" and actually doing it. That's amazing! Love this story.

A bit tangential, but this reminded me of Dexter Holland [0] the lead singer and songwriter of the band The Offspring. He went on to get a PhD in molecular biology (not an honorary one) and publish various papers about HIV. [0] https://en.wikipedia.org/wiki/Dexter_Holland

This info adds interest to song "The Kids Aren't Alright" , if he is doubly-accomplished but his childhood friends all burned out. Apparently Dexter did inspire/write the song: http://www.mtv.com/news/504023/offspring-rock-back-to-basics...
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