Thanks friend! But hey, next time show your face!
It’s certainly not too late to start a career in medicine. There’s a guy in my program who didn’t start college until his mid-30s and is now a 2nd year resident! From what I’ve seen, the non-traditional students tend to be the best ones because they’re the most driven and serious about their studies, plus they have some life experience under their belts.
It’s gonna be hard though. It was super hard going through it single, so I’m sure going through it married will be tough. But you have a built-in support system, which is awesome! And people do it all the time, so don’t feel like you’re the only one.
If going back to school makes you feel selfish, you need to have a talk with your husband and kids. More than once. Like before the beginning of each semester. They’re a part of your life, and their opinions count too. If they are fully supportive of your aspirations, then go for it! You still have several years before you have to decide about med school, so y’all have some time to see how things work with you being in school.
Wow, not even through Step 1 and already worrying about residency prospects?
Seriously. You haven’t even done any clinical rotations yet. How can you be SURE you wanna do derm?
Anyway, one way to be sure you won’t get into derm is to spend all your study time worrying about it. Don’t worry about being the best. Focus on doing your best. Study hard and study well for step 1 so you can make a great score and have options when it comes to residency time.
Also, please have an open mind. Almost EVERYONE changes their minds about their career goals once they reach third year. Don’t go in going derm Derm DERM and miss out on some other great specialties. But even if Derm really is “the one”, you won’t get in through sheer worry. I’d advise you to talk to someone at school about your anxieties about grades on a regular basis so you can get it under control. Find an upperclassmen, a school counselor, or your academic advisor. There isn’t a magic formula to stop worrying. You have to make a concerted effort every day to change your focus from worry to productivity.
Name does potentially matter, but it doesn’t weigh heavily in the big scheme of things. Your grades and extras are what really matter. But if you apply to med schools who know your undergrad, it can help if they know your school’s reputation. Having a “good name” doesn’t necessarily mean big or ivy league or private or state school or whatever. It just means that your school has a reputation for turning out good science graduates and other pre-meds.
Any research is good research. It can be easier to get a spot at a smaller school, but you may find more prestigious opportunities at larger universities (though they come with more competition). At my school, research was basically always available if it was wanted.
If I had to do it all over again, I absolutely would have chosen the same school. It’s a smaller liberal arts school but still has a really great reputation, and the town, campus size, and class size were all perfect for me.
And I didn’t care about research, so I didn’t take it into account in my school choices.
Remember greyface, even the “best” school on all the lists may be the worst school for you. Find one that fits your wants, personality, and needs. That will be the absolute best school you can go to.
Um, yes and no. I mean, an oncologist has to go through general internal medicine residency before oncology, so if they keep up their certification in both specialties, they can cover both.
You can diagnose outside your specialty. For example, I’m not an oncologist, but I’ve found cancers on several patients. But it would not be right for me to prescribe them their chemo drugs or manage their radiation. We’re supposed to stay within our scope of practice. That is, if you don’t have training in something, you probably shouldn’t practice it.
All that being said, House is a TV show (albeit a good one when I used to watch it). Very little on House is accurate.
Attending addressing all office staff: As a group, we have lost over 800 pounds during our fitness challenge!
Attending 2: Whoa, that’s like 2 of our patients!
A narcotic contract is something we do with patients who are on chronic opioid medication. Sometimes we do it with chronic benzodiazepine use as well. It’s all about the terms under which we are willing to prescribe those meds. Every pain management clinic I know of does them.
We write up the contract to say that we agree to prescribe their medication if the patient agrees:
Most of my patients are very compliant with this agreement, but like I said before, we do fire people over this fairly frequently if they violate any of those terms. Our most common violations are inappropriate urine drug screens (either they show up negative for a drug they should be taking, or have drugs they shouldn’t be taking in their system) or obtaining drugs from other docs.
um, we don’t give antibiotics for hives or for bee stings (unless they get infected, in which case metronidazole still wouldn’t be the right drug anyway). We give antihistamnes like Benadryl or prescribe an epipen for severe allergies.
Sounds like someone’s searching leftover meds to treat themselves at home.
Don’t do that. That’s dangerous.
Also you should never have leftover antibiotics. You should always finish the whole prescription unless a doctor tells you to stop them.
Do y’all see many anti-vaxxer’s?
Not a bunch, but enough to make me nervous. I personally only have 2 families who are anti-vaxxers. One family is almost militant in their views, whereas the other were initially anti-vax because they come from a country where there is not a big emphasis on preventive care, but eventually they came around to the idea and accepted an alternative schedule for their kid, which to me was not ideal but better than nothing.
Personally, I think firing patients is ok. The whole point of firing patients is to remove people who are taking advantage of resources, acting inappropriately, or who do not respect our policies and medical decisions.
My clinic allows us to fire patients for several reasons:
man working out in gray velcro Nike’s with knee-high black dress socks…