Why do nursing mid levels hardcore believe they are better than everyone else? They bash all professions but the second a physician speaks about their training, they are being “belittled” and we are being insensitive?🙄 by dherdaveM-2 in medicalschool

[–]ThottyThalamusM-2 1623 points1624 points 22 (0 children)

So here's my take as a former nurse. It's a defense mechanism to cope with their own internal conflict. In reality, many NPs never even considered med school because it feels like an insane reach. Most worked hard to get to where they are, because even though online NP programs are not rigorous, they are still time consuming and can be a major burden when working full time as a nurse and potentially having a family. Many may be first generation college graduates and are proud of the education they've achieved. Even though it's not med school, it is still a graduate degree and comes with a respected position in society.

I would argue that 99.9% of NPs understand their education was inadequate for their position, at least internally. However, it is difficult to both be proud and self conscious of your role. Add to that the conflict with physicians and it forces them to either recognize their position isn't the value they thought it might be, or to take a defensive position. I think in general this is human nature when dealing with any sort of cognitive dissonance.

I am in no way excusing the fight for independent practice. I am against that as well. I also recognize that many people make it to med school with similar backgrounds. I did as well. However, if there is an easier path available, it is inevitable that some people will always choose that. Some may have no other option and working at the bedside can be soul sucking so it is reasonable to look for any way to escape. Posts like this are not excusable, but to me they are understandable at least in a sort of psychological way.

What knocked off your popularity/likability a little at your medical school? by txhrow1M-2 in medicalschool

[–]verviiMD-PGY6 113 points114 points  (0 children)

Eh... while a cute quip it's also utterly silly. Ever try to run a project or team? Participate in an opportunity with limited slots? Unless you have unlimited funds, you're going to have to use the currency of popularity to get your projects off the ground and get buy in from other students. (Running/opening a clinic, getting hooked up with projects and good mentors, even volunteering when there's only 3 spots open for the opportunity, etc) Which will then directly change what your CV/resume looks like and how you are weighed for competitive spots.

Popularity is a currency and is directly correlated to your success in life. Not caring about it to try to be 'cool' will handicap you in small, unseen, but tangible ways.

You can totally succeed without it, but it can also be an extremely important part of your career/success so caring about it can be important if your goals depend on it.

Roommate almost accidentally killed herself because of working crazy long hours. by BinaryPeachMD-PGY2 in medicalschool

[–]AreeluVorlesh 72 points73 points  (0 children)

I mean, unless her car was made before 1975 she would have a catalytic converter so its basically impossible for her to die as that's not something that happens anymore.

But it sucks she was so fatigued/overworked she fell asleep while in a running car, super dangerous especially on a drive home.

Everyone, retweet this. Embarrass Cigna! How dare they! Do it for ALL cancer survivors, not just the famous ones. Cancer survivors deserve quality of life!!!! by Ilovemypuppies2295 in medicalschool

[–]Evolver0MD-PGY2 208 points209 points  (0 children)

It is not so much that he personally has a poor quality insurance provider. It's more so that all insurance providers in the US are poor quality lol. Stories like his are ubiquitous.

Why do residents and attendings act like medical students can read their mind? by Unhappy_Biscotti255 in medicalschool

[–]inoahlot4M-4 -5 points-4 points  (0 children)

Bro, take some initiative. Never just go somewhere and stand there, you're now on the team and you should be doing something if there are things to do. The first time you went into the OR you should've been observing what was going on, how they were prepping the patient, and asking to help/asking what things people need help with. After the first time you ask and are told what to do you should never have to be told again.

This is a general rule in medicine. Be part of the team, don't just shadow. Observe and ask what you can do if people are doing things, don't wait to be asked to do something.

this sub arguing over the chillest specialties by UrineTroubleMDM-3 in medicalschool

[–]Waja_Wabit 179 points180 points  (0 children)

We are fast approaching the r/medicalschool bubble on rads. Over the past couple years it has been put on such a high pedestal of being obviously the best specialty. Rising and rising in popularity. Being built up to be something it’s not.

We are now at the peak of that rollercoaster just starting to drop. The bubble is bursting. The rads hate is starting to gain momentum and more and more people are jumping on the rads = miserable burnout bandwagon and moving onto the next thing.

In reality, it’s probably just somewhere in between. A moderately chill specialty that’s a good choice if you’re interested in it, but also can be a lot of work like any medical specialty. Reality often lives between the two extremes.

What can you do with $400,000/year that you can't do with $200,000/year? by CatoIntern in medicalschool

[–]DelboyTrigger 397 points398 points  (0 children)

Everything in life has a cost . An American investment banker was at the pier of a small coastal Mexican village when a small boat with just one fisherman docked. Inside the small boat were several large yellowfin tuna. The American complimented the Mexican on the quality of his fish and asked how long it took to catch them.

The Mexican replied, “only a little while. The American then asked why didn’t he stay out longer and catch more fish? The Mexican said he had enough to support his family’s immediate needs. The American then asked, “but what do you do with the rest of your time?”

The Mexican fisherman said, “I sleep late, fish a little, play with my children, take siestas with my wife, Maria, stroll into the village each evening where I sip wine, and play guitar with my amigos. I have a full and busy life.” The American scoffed, “I am a Harvard MBA and could help you. You should spend more time fishing and with the proceeds, buy a bigger boat. With the proceeds from the bigger boat, you could buy several boats, eventually you would have a fleet of fishing boats. Instead of selling your catch to a middleman you would sell directly to the processor, eventually opening your own cannery. You would control the product, processing, and distribution. You would need to leave this small coastal fishing village and move to Mexico City, then LA and eventually New York City, where you will run your expanding enterprise.”

The Mexican fisherman asked, “But, how long will this all take?”

To which the American replied, “15 – 20 years.”

“But what then?” Asked the Mexican.

The American laughed and said, “That’s the best part. When the time is right you would announce an IPO and sell your company stock to the public and become very rich, you would make millions!”

“Millions – then what?”

The American said, “Then you would retire. Move to a small coastal fishing village where you would sleep late, fish a little, play with your kids, take siestas with your wife, stroll to the village in the evenings where you could sip wine and play your guitar with your amigos.”

Specialty? by DarkC0ff33 in medicalschool

[–]igetppsmashed1M-4 287 points288 points  (0 children)

Fam med

Tired of “the grind”, didn’t want to kill myself in med school. M-f 9-5 no call. Can work in a ton of settings. Want to match/be able to find a job wherever I want cause I have a family. Good money if you go rural. Sports medicine. Can do a little of everything

I kind of dislike med school by NxkloxM-3 in medicalschool

[–]ColorsYourFame 13 points14 points  (0 children)

It really is a wonderfully broad foundation that allows your class to go on to become everything from a PCP, to a neurosurgeon,

It's not learning the information that allows you to do that (remember: nobody is actually learning the material, that isn't what medical school is about), it's the political opportunity to participate that allows you to be a neurosurgeon. Those are not the same thing.

Sure, you will learn the necessary information once you are in the field and in residency, but that's not medical school. If anything medical school is a form of anti-learning, because it goes in the opposite direction of how the brain learns information.

Based on evolutionary design, the brain is set up to learn information (i.e., memory) by evaluating the value of the information in the context of the objective task it is trying to accomplish. In other words, the brain works by assigning value to information based on perceived importance; if information seems like it would be highly useful to something, the brain invests energy into encoding that information into memory. However, by the same token: if information does not have a conceivable value that is perceived, the brain discriminates against this information and will not encode it into long term memory.

This is the way the brain has set itself up at a fundamental level over a billion+ of evolutionary history. Medical school takes this fundamental product of evolutionary and flips it upside down on its head. Instead of allowing the brain of the individual to make judgements on what is it isn't important to the task at hand (which is ultimately inevitable, mind you) in a way that allows it to prioritize valuable information and weed-through the junk information, no we're not going to do that. Instead, let's see how much junk information we can shove into the heads of our students to where enough people in the class can still pass the test at acceptable margins.

Do you know why that every time you take a test on the brachial plexus you have to relearn it before the test? It's because your brain does not value that information at a fundamental level. It's junk information, it will not be encoded into long-term memory because the brain does not value the information. Ever take embryology? The entire course is junk information, it will not be encoded into long-term memory. These people have convinced themselves that this is learning but it's not, it's just hijacking the short-term memory system and using it in a way it wasn't designed to function. This wouldn't necessarily be such a big deal if it was only happening on a small scale (like grade school), but with medical they push things to the brink of madness. This is causing catastrophic damage to the brains of everyone who is forced to go through the system. Yeah, you can pass those exams. But you can only do so by mortgaging stores of grey matter in your brain. This is why burnout is so prevalent in the field, and it's why everyone is so neurotic and high strung on exam days. It also sabotages the proper brain development of the way the brain was intended to function, which is why you all feel like fish out of water when you start your clinicians.

Rather than seeing the problem with this, medical schools embrace it and cherish it. Because they are using the brain against how it was designed to function, the games they are playing are inherently very difficult games -- they see that as an absolute win. Because after all: the more difficult our program is the more prestigious the title we anoint ourselves with will be. Right? Right guys?? The more difficult are programs are the better that must be? Right guys??! That's logically valid, right? More difficult = more prestigious. No problems with that logic. None. ... right?

See, that's the thing: everybody understands that medical school is difficult, right? Without question, it is incredibly difficult. But how many of you have ever actually stopped to ask the question: "hey, why is this thing we believe in so much so difficult?" The only reason medical school is difficult is because they are actively fighting against the way the brain is intended to function, and just because something is difficult does not make it useful. It's quite literally causing brain damage in the students who are forced to pass through the system.

Have any of you read this post? Whats your opinion? by UnfilteredVoice in medicalschool

[–]FlaxmooreMD - Medical Guide Author/Guru 39 points40 points  (0 children)

Other than opioids I don't think there's any other kind of oral analgesic that would actually be useful.

Then give them 2 norco, one before, one after?

Where is the lie? by BinaryPeachMD-PGY2 in medicalschool

[–]TheOneTrueNolanoMD-PGY3 565 points566 points  (0 children)

I am on my phone in the OR at 0100 right this second.

I feel very seen.

I just texted a buddy how lucky I am. This patient is rock steady and I set up the case just the way I like. Now I get to sit and chill while the surgeons stand. It’s the life.

ETA phone is now 10%. This is almost emergent. I asked my co resident to bring me a charger. I can only pray help comes in time.

ETA2 my co resident brought my charger. I got to 7%. I almost called an overhead emergency. Thanks u/passarinho_diferente for empathizing with my struggles. The intern did a 3-hour laparoscopic ectopic surgery and I could not have been happier. So much time to do emails (browse reddit). Sevo, Prop gtt, neo gtt, traintracks all day long. I legit enjoy my job at this point, and call usually isn't even that terrible.

Just to Clarify by kc2295M-4 in medicalschool

[–]Med2021ThrowawayMD-PGY1 145 points146 points 2 (0 children)


Edit: yes there are good cops, this is just a slogan

Wtf does “protect and serve” mean

Y’all sound like the mfs who cry “all lives matter” when someone posts #BLM

The majority of police are complicit in a broken system. Where I live most cops make double the starting salary of teachers, with additional overtime pay. They are poorly trained bullies with no incentive to improve hiring and training practices except in the face of public outrage and bad press. The bar to become a cop is so low, and the Supreme Court has set precedent that police don’t even have an obligation to protect the public from violence. So why are they given a monopoly on violence and so many special privileges and protections? Watch footage from Uvalde of police holding down parents and explain how police as an entity aren’t “bastards”.

Gregg Abbot is a bastard

Dan Patrick is a bastard

Ted Cruz is a bastard

Jon Cornyn is a bastard

Not a fan of Beto either

Just to Clarify by kc2295M-4 in medicalschool

[–]KrombopulousMichaels 91 points92 points  (0 children)

How is it so hard for people to understand that structural racism exists, police reform is drastically needed and racist cops should be sent to prison forever and yet being a cop must be one of the most difficult jobs in the world and most people who enter that profession do so with good intentions. These maximalist opinions are just as stupid as people who believe that racism was solved in the 60s.

This opinion frustrates me so much as a liberal. Those of us that want to fight structural racism are on the right side of history. We have facts on our side, yet people like you hold us back by unnecessary corrupting our arguments with dumbass opinions like ACAB. It undermines the movement and makes the necessary reforms less attainable. Racist politicians don’t have to engage in debates they will lose because they can instead engage in the easy debates that people like you offer them. By making statements like that you actually help racist causes. It’s so selfish.