Solo private practice
Hey guys, long-time lurker here in my mid-40s. I've been a solo employed general ENT in a small town for several years. I'm extremely busy, with very strong reputation and referral base, but hospital administrators are making conditions toxic and unsustainable. I'm planning on leaving but need to figure out my next steps. I'd like to run my options by you and get some opinions.
Option 1: open my own private practice in the same small town as long as I can get my non-compete waived. I...
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Source: Student Doctor Network - April 6, 2024 Category: Universities & Medical Training Authors: ENT_Slick Tags: Otolaryngology Source Type: forums
Private Practice thoughts, 5 years out
Hopefully this will be more amusing than talking about nailcare.
1. Be wary of making long term decisions based on short term financial incentives.
2. A private practice essentially requires all of its members to work at full steam. A podiatrist is either collecting or you are carrying them.
3. Collections are important - but controlling costs is a millimeter behind. A lean office doesn't need a fortune in collections.
4. Toxic partners can make you physically ill. They create a myriad...
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Source: Student Doctor Network - March 18, 2024 Category: Universities & Medical Training Authors: heybrother Tags: Podiatric Residents & Physicians Source Type: forums
Getting rescinded by employer?
Hi everyone,
I am a current medical student. My partner is applying this cycle and was accepted to a medical school. They have been working at a super toxic clinic (run by a physician who is faculty at a different medical school) over the past gap year and put in a one month notice to quit (plans to quit within the next month), although when they initially started the job they were supposed to work right up until their new school started. The job contract they signed said that the...
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Source: Student Doctor Network - February 2, 2024 Category: Universities & Medical Training Authors: pythonmorsels Tags: Pre-Medical (MD) Source Type: forums
Can't decide between Cards and GI
IM intern here. I went into residency wanting GI since I enjoyed the pathology and learning about it in med school. I published 2 papers so far and currently working on multiple others, but I felt a little disappointed after my GI rotation this year- I found the content to be a little dry and the majority of consults boiled down to a decision about scoping. The people were also kinda toxic, badmouthing colleagues and other residents, and I think that soured my experience but I realize that's...
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Source: Student Doctor Network - January 24, 2024 Category: Universities & Medical Training Authors: Tollats Tags: Internal Medicine and IM Subspecialties Source Type: forums
Toxic residency
I don't deserve this. I know I don't deserve this. In fact, no human being deserves the psychological torture that my program is putting us all through.
It is not normal to be harassed and disrespected just because you are a resident at an institution that turns a blind eye to residents who are being mistreated.
I'm so frustrated, sad, and mad. I wish I would have never matched here. I would have rather SOAPed into another specialty. Or quit medicine entirely. The way we are treated is...
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Source: Student Doctor Network - December 30, 2023 Category: Universities & Medical Training Authors: hippieskippy Tags: General Residency Issues Source Type: forums
Matthew Perry Ketamine overdose
According to the toxicologist, he had “general anesthetic” levels of ketamine in his blood and that trace amounts were found in his stomach, however his last infusion was 1.5 weeks prior. So did he overdose on oral ketamine??? Also therapeutic levels of buprenorphine found.
Curious to hear your thoughts. I personally view oral ketamine and buprenorphine a rather benign combination as far as accidental overdose risk goes. So tragic. (Source: Student Doctor Network)
Source: Student Doctor Network - December 16, 2023 Category: Universities & Medical Training Authors: PainBrain78 Tags: Pain Medicine Source Type: forums
Tox fellowship questions
Hi all!
I’m an occ med resident heavily considering applying to tox this next year. Was wondering if anyone would be willing to chat about the app process and all things fellowship. Google has been hard to get a feel of things compared to other, bigger, fellowships (ie lifestyle, compensation, pros/cons, etc.)
Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - November 18, 2023 Category: Universities & Medical Training Authors: VarthDader Tags: Medical Toxicology (MD, DO, PharmD) Source Type: forums
Dental school toxic?
Is it just me or is dental school extremely toxic? Administration, certain faculty, patients that don’t care to show up to appointments, that don’t value your services, etc. So many people think they’re godlike dentists when they probably were very average or terrible with the public outside of school. I will miss some friends. I will never miss dental school. It’s not what I thought it would be. (Source: Student Doctor Network)
Source: Student Doctor Network - October 14, 2023 Category: Universities & Medical Training Authors: D1Bound Tags: Dental Students Source Type: forums
Switching specialities : when to tell PD
I’m an intern. SDN has been very helpful as I know no one who has done this and my program is not a “share your feelings and concerns” type of program. Kind of toxic, including my Co interns- but that’s not even why I’m trying to transfer.
I have an interview in 2 weeks with a program in that new speciality I want —- interested in me! Via a connection.
I have not told my PD yet, they are new to being PD. The faculty and DIO has said many times to us from orientation to now - do NOT try...
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Source: Student Doctor Network - October 12, 2023 Category: Universities & Medical Training Authors: smileybabi06 Tags: General Residency Issues Source Type: forums
Trials to send referrings
I thought it might be good to have a running thread of recent trials or papers you’ve sent or will send to your referrings to create new referral patterns.
I’ll start:
Prophylactic Radiation Therapy Versus Standard of Care for Patients With High-Risk Asymptomatic Bone Metastases: A Multicenter, Randomized Phase II Clinical Trial - PubMed
Radiation delivered prophylactically to asymptomatic, high-risk bone metastases reduced SRE and hospitalizations. We also observed an improvement in OS with prophylactic radiation, although a confirmat...
Source: Student Doctor Network - September 30, 2023 Category: Universities & Medical Training Authors: grenz Tags: Radiation Oncology Source Type: forums
Fun Cases!
I go over to the human med side of SDN and recently found a good thread about fun/cool cases in the ER subforum. I think it would be fun to share cases we liked, found interesting, etc.
This week I had an adult Husky come in for xylitol toxicity of 2.0-2.4g/kg (4x the hepatotoxicity level). Hospitalized thinking he'd die despite my best efforts. Nope! Kiddos BG maintained normal levels the whole time. Liver values never changed. And the psychopath howled and hollered the whole time on ace...
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Source: Student Doctor Network - August 30, 2023 Category: Universities & Medical Training Authors: battie Tags: Pre-Veterinary Source Type: forums
M3 on surgery. Can I put in minimal effort going forward?
MS3 here midway through my surgery rotation. I received my final eval already (I know, VERY early), and it was amazing (5/5s throughout). However, I realized during the rotation that surgery is just not my thing. The attendings and residents are all super nice (not at all toxic or demeaning), and the hours aren't horrible (6am-5pm most days), but I'm just not enjoying surgery in general. I can't see myself going into this field. I still want to honor the shelf to honor the rotation...
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Source: Student Doctor Network - August 29, 2023 Category: Universities & Medical Training Authors: Super_Med Tags: Medical Students (MD) Source Type: forums
Siuh gpr toxic do not go
The program is a hospital-based dental clinic composed of 11 ops. The ops are designated as follows:
2 chairs for Emergency walks in
2 chairs for Hygiene / Treatment planning
2 chairs for special needs patients
1 chair for overflow patients
4 chairs for scheduled patients
Considering you have about 4 weeks of specialty service rotations outside the clinic and take on-call, this means that for the duration of the program, you will spend less than 30% of your time performing standard...
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Source: Student Doctor Network - July 17, 2023 Category: Universities & Medical Training Authors: Avengerlad55 Tags: Dental Residents and Practicing Dentists Source Type: forums
Critical care fellowships
Are there any CCM Anesthesiology programmes that people would say should be avoided? Either because of poor teaching, too much of a “workhorse” mentality rather than education mentality or because of overtly toxic personalities.
Also can those of you who’ve recently done a fellowship in CCM who can talk a bit about your average day/week? I know it’s a bit painful lifestyle wise but just wondering roughly what to expect.
Interested in people’s thoughts both re US and Canada. (Source: Student Doctor Network)
Source: Student Doctor Network - June 11, 2023 Category: Universities & Medical Training Authors: BritAnaesthesia Tags: Anesthesiology Source Type: forums
How do you deal with toxic premed advisors?
I had a meeting with our school's advisor who constantly compares us to our school's T20 accepted students. She started going off when I told her I'd like to apply to a couple T20s next year, telling me that nothing I have done was competitive enough and proceeded to tell me to retake my 518 because "that score is not competitive for Harvard, Yale, UPenn or any T20 as an ORM".
What is the best way to deal with such people? I didn't even make T20s a big deal, I simply just said I wanted to...
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Source: Student Doctor Network - June 7, 2023 Category: Universities & Medical Training Authors: ohno2 Tags: Pre-Medical (MD) Source Type: forums
