Earlier quoted context omitted.
Characterizing it as a "short cut" is disingenuous. The argument here is that medical boards are too rigorous, and test things that do not matter practically. To give a ridiculous example, if a medical school required you to climb Mount Everest before becoming a doctor that might result in only 1 person becoming a doctor per year. However that scarcity isn't proof that climbing Mount Everest is needed to become a doc…
In fact, the medical licensing exams and board exams are too lenient. The general quality of people going to medical school in the US has been dropping for a generation. The standards are sliding, to our detriment.
Why you should not go to medical school
121–130 of 186 posts
Re: Why you should not go to medical school
#122So, surprisingly, this rant is more or less accurate, imo. (I went to med school, residency, fellowship) I mean some things stronger than others, but it hits on the major negatives as you go through training. I know a lot of these rants tend to romanticize how hard people's own professions are in a "no one else has it this hard" type stance. We see similar "how hard it is to be a programmer" type rants as well. But,…
I'm dating a newly minted resident, and she's inspired me to start my own essay and why not to be a doctor. Her, and a lot of the freshmen I teach who say they want to be doctor.
If you want to work in medicine, be a nurse instead. If you're the sort of person who'd like to see a draft, send an e-mail to seligerj [AT] gmail ((dot)) com .
Re: Why you should not go to medical school
#123Earlier quoted context omitted.
> I make over 800k a year Does it bother you that you are profiting handsomely from sick people?
Not at all. I'm very good at my job, and I worked very hard to get where I am. Sick people should be happy that I'm reading their CT scans. If the pay wasn't good I would have chosen a different field, and somebody else would be doing my job, less well. For reference, before medical school I worked in IT, and at the age of 23 ( 15 years ago ) I was making six figures. I left that to go back to school, partly because…
After all a radiologist armed with software that prescans each CT scan looking for interesting areas could work way faster then otherwise.
Re: Why you should not go to medical school
#124I'm married to a resident and this article is a very accurate portrayal of a resident's life. Her work schedule is insane. It's not just the amount of hours but the fact that these hours are packed and spent with difficult people and life or death situations. After a day of work she often mentions she didn't have time to eat or pee during the day. She has had some call shifts that lasted 40h strait (more than 3 days)…
Also, anyone thinking about medicine should realize how little autonomy they have. When my girlfriend explained how residency works, I was shocked: it sounded like a circumstance ripe for an anti-trust lawsuit. Turns out it was the subject of a lawsuit: http://www.nytimes.com/2004/08/14/us/antitrust-lawsuit-over-... , but one that Congress and President Bush granted an anti-trust exemption. So residents can't even negotiate outside the match. The legal barriers to medicine help explain why it's so miserable.
Re: Why you should not go to medical school
#125Earlier quoted context omitted.
Thank you for your honesty. May I ask, what exactly do you do that you feel justifies your 800k per year? It seems to me that your career is ripe for disruption.
The Health Care Finance Administration ( Medicare / Medicaid ) sets reimbursements rates, and most private insurance companies follow suit. So, I don't get to charge whatever I want to read an MRI. And, I don't order the studies that I read, other doctors do that. The only thing I can control is the number of studies I read. If I work harder and read more, I make more. It just so happens that I am very fast, and I ha…
It would not be surprising that the quality of diagnosis is correspondingly lower. But the CYA between doctors so prevalent in the medical field keeps the truth from being seen. If I was your malpractice insurance company I would definitely want to keep a close eye on you.
Re: Why you should not go to medical school
#126Earlier quoted context omitted.
> I make over 800k a year, and take 14 weeks of vacation. I, for one, am disheartened by this gross misallocation of resources, but good work on the vacation time.
The median salary for experienced radiologists is $300k-400k. And increasingly radiology has been outsourced overseas with mostly technicians required stateside (scan during the day, radiologist in India examines at night, results available the next morning). But roentgen claims to be a businessman as well as a radiologist. If so, most of his income would be from several radiology businesses. In that case the 800k/ye…
http://www1.salary.com/Physician-Cardiology-Non-Invasive-Sal...
http://www1.salary.com/neurologist-Salary.html
That radiologists make 100K more than cardiologists and 200k (!!!) more than neurologists absolutely screams market manipulation. Radiology seems literally one generation of Intel processors away from being automated into oblivion. God speed that it is.
Re: Why you should not go to medical school
#127Earlier quoted context omitted.
It's also worth noting that radiology has been undergoing some significant transformations. Formerly, a practice would contract with one nearby hospital to read their cases. With the advent of teleradiology, though, it is no longer necessary for the practice to be all that close to the hospital. As a result, radiological practices are contracting with more hospitals. They are growing and sometimes putting smaller pra…
My group does this, but not because we're evil. Larger groups often have fellowship trained radiologists who are experts in a certain sub-specialty, for example Neuroradiology. Smaller groups are usually all 'general' radiologists. If we can read pediatric brain MRIs more accurately from across the country than the local small group, why shouldn't we? One additional note. My 'customers' are not really the patients, m…
If a group of specialized radiologists in India can read them even more accurately for a fraction of the cost, why should they be legally forbidden to do so? Note, preserving your high income is not a valid reason.
Re: Why you should not go to medical school
#128Earlier quoted context omitted.
The median salary for experienced radiologists is $300k-400k. And increasingly radiology has been outsourced overseas with mostly technicians required stateside (scan during the day, radiologist in India examines at night, results available the next morning). But roentgen claims to be a businessman as well as a radiologist. If so, most of his income would be from several radiology businesses. In that case the 800k/ye…
If you read my other comments, I state that I make twice the average salary, because I read twice as many films. > increasingly radiology has been outsourced overseas with mostly technicians required stateside (scan during the day, radiologist in India examines at night, results available the next morning). This is not true. Some "preliminary reads" are read overseas at night, but the doctors reading the studies are…
Re: Why you should not go to medical school
#129Earlier quoted context omitted.
I know this is off-topic, but I figured I'd take the opportunity to ask: As a medical student who aspires to enter radiology and ultimately own imaging centers, like you, what advice can you offer that'd help me and other HN-med students position ourselves to be appealing candidates for a radiology residency?
"and ultimately own imaging centers" Contact the MD here for advice: http://upper-dublin-mri.com/aboutus.aspx A nice guy, he was glad to help when I was thinking of starting up an imaging center. (The upshot from the meeting is that you have to have a tie in with a hospital and be aware that the hospital could end up doing the same in house etc. He's a businessman and a MD and would have profited from the association…
Re: Why you should not go to medical school
#130Earlier quoted context omitted.
> I make over 800k a year Does it bother you that you are profiting handsomely from sick people?
Not at all. I'm very good at my job, and I worked very hard to get where I am. Sick people should be happy that I'm reading their CT scans. If the pay wasn't good I would have chosen a different field, and somebody else would be doing my job, less well. For reference, before medical school I worked in IT, and at the age of 23 ( 15 years ago ) I was making six figures. I left that to go back to school, partly because…