Which is worse for residency applications: low step 1 score or leave of absence?
Current M2 at USMD. ~3 weeks out from step and got a 175 on NBME 26 (got a 160 on NBME 25 2 weeks ago AKA 5 weeks out from step). Uworld average is ~50% with 75% complete.
I had surgery in the beginning of dedicated (liver transplant for sibling), so I had 6 weeks instead of 10 weeks. My school is giving me 2 options: I can push my step date back by 2 weeks and not have it affect my M3 schedule, or I can take a temporary leave of absence and push my step date back by ~10 weeks. The first...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 28, 2021 Category: Universities & Medical Training Authors: whitetopaz Tags: Medical Students - MD Source Type: forums
Tough bleeding case
49 yo with widely metastatic adeno CA of base of tongue. In liver, adrenal , bones, brain being treated in academic center in Nashville. He is end stage and was on opdivo for a year. He has been bleeding heavily for 3 weeks from urinary tract. They see a 3-4 cm mass in left kidney. Urologist called and they see nothing up to the bladder. He is transfused every 3 days w Hemoglobin of 6 and platelets 25 k. Med Onc has scheduled an appt w Rad Onc on June 8. They have told pt that radiation will...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 27, 2021 Category: Universities & Medical Training Authors: Old rad onc Tags: Radiation Oncology Source Type: forums
Pathway for mid-career physicians?
Hello all,
I am an interventional radiologist a few years out of training, currently working in a community hospital setting.
A significant part of my practice has involved helping to provide end-of-life care for patients with cancer and end-stage liver disease. I've had longitudinal care relationships with these patients and their families as I have provided serial paras/thoras, pleurX placements, kyphoplasties & spinal met ablations, palliative locoregional treatments for hepatic...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 24, 2021 Category: Universities & Medical Training Authors: txcawa84 Tags: Hospice and Palliative Medicine Source Type: forums
Two types of applicants that should not go into nephrology
While I believe that some people go into nephrology for the interest in subject matter, I do believe that the majority who go apply to nephrology are at least hoping that they will be better off financially than a hospitalist, after they make partner. In my humble opinion, there are 2 groups of people who get screwed the hardest and they don't even know they are falling into a trap.
1) I would heavily discourage IMGs with visa issues from trying nephrology. Reason being is that you get...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 23, 2021 Category: Universities & Medical Training Authors: Renal_Prometheus Tags: Other Subspecialties Source Type: forums
Incidental renal cell in Stage III NSCLC
Have a patient with Stage III NSCLC with a PET avid (2 cm posterior) mass in the kidney, pending biopsy. Plan for typical chemorads for lung cancer, but wondering if I should SBRT this if it's RCC, and when. Given the typical issues with med onc getting everything perfect before seeing the patient, I figured I could just take care of this thing during the week before the lung/start of chemo. Otherwise, could wait until CRT is done and reassess/go down the typical RCC referral pathway and...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 19, 2021 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Ten Things Nephrologists Wished Hospitalists Knew?
I found a really great article on generic principles on ID. As a former resident, these are really good knowledge bites that if I had known in intern year I would have been better off for. I was wondering if someone would be willing to do something similar for Nephrology.
The Top 10 Things ID Specialists Wish Every Hospitalist Knew
In my experience, hospitalists usually have a greater knowledge of antibiotics and treatment of infections than other non-infectious disease (ID) practitioners who manage hospital patients. But that doesn’t stop ID physicians from wanting to m...
Source: Student Doctor Network - May 17, 2021 Category: Universities & Medical Training Authors: Redpancreas Tags: Other Subspecialties Source Type: forums
Rituximab and risk of HBV re-activation
[you guys probably give way more rituximab than I do.]
You know how you're supposed to get a hepatitis panel before starting rituximab, so what if the panel is positive for the inactive chronic charier state of HBV? (+HBsAg , +HBcAb , but undetectable viral load, normal liver enzymes).
Could you still give the rituximab? Or is even the inactive carrier state of HBV (negative PCR, negative LAEs) a contraindication? (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2021 Category: Universities & Medical Training Authors: DrMetal Tags: Hematology / Oncology Source Type: forums
Regional gurus: is block for liver intervention a thing?
My shop is kinda weird in that it’s very hard to get anesthesia support but a lot easier to get my pt to have a regional block. Sorry if this is a really dumb question.
I am slated to do a complex hepatobiliary procedure where I need to repeatly stimulate the liver with a 21 gauge needle, probably 10-30 times. It’s one of those cases that’s a bit borderline in IR literature, about 50/50 split between GA and IR directed moderate sedation.
I am wondering if I can get a regional block, but...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2021 Category: Universities & Medical Training Authors: IRattending2021 Tags: Anesthesiology Source Type: forums
Studying in Residency (In-Service vs Clinical)
While I am wasting away with nothing to do before intern year starts (and enjoying every second), I've taken some time to think about how I want to study once I start. I realize that there are two reasons to study: one, for the inservice exams; two, for my own learning (reading about patients in clinic, reading about cases, etc). For the former, I've seen old threads that recommend reviewing old SASP questions, going through the Wieder's italicized stuff, and maybe a review book or two. For...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2021 Category: Universities & Medical Training Authors: omegalomaniac Tags: Urology Source Type: forums
NF-1 and Prostate Cancer
I have a patient (60 years old) with unfavorable intermediate risk prostate cancer GS 3+4 in 6 cores PSA is 14 ng/ml big prostate like 70cc, BMI is 38, urology didnt feel he is a good surgical candidate so sent for RT. Last year he had a pheochromocytoma resected and turns out he has NF-1. Do such patients have high risk of second malignancies after RT, would you consider that a relative contraindication in this case and he should go back to explore option of surgery? Just forgetting some of...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 21, 2021 Category: Universities & Medical Training Authors: Haybrant Tags: Radiation Oncology Source Type: forums
Splitting time with EM/CC
Hi all,
I have a question here that has a couple components.
1) I am a current IM resident (PGY2) looking to pursue CCM. From the IM route, I know it is most feasible to go the PCCM route (or nephrology, ID...), and am told it's easier to get hired that way. Also, I know many people prefer an alternate work environment to the ICU.
2) I am finding myself not as interested in pulm, and don't foresee wanting to do clinic
3) I had a much better EM experience as a resident (absolutely loved...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2021 Category: Universities & Medical Training Authors: kdade Tags: Emergency Medicine Source Type: forums
GI Board Review Course: Mayo vs Steinberg vs Random
Hey everyone
I'm currently in my 3rd year of GI fellowship, and now looking into GI board review courses.
I have heard good things about both Mayo and Steinberg review courses. Here are some questions I was hoping some of you can help me with:
1. After taking either of these review courses, do we get access to the recorded version for a few months afterwards?
2. Did you find Mayo or Steinberg helpful. If so, why ?
3. I would say my weakest subject is liver. Do either of these courses...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2021 Category: Universities & Medical Training Authors: greensleeves Tags: Gastroenterology Source Type: forums
Why is nephrology not competitive?
I see LEGIT sources like MGMA say that their median salary is 400k. Why is it so uncompetitive?? I'd be okay with doing whatever hard work for 400K a year. (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2021 Category: Universities & Medical Training Authors: wanted101 Tags: Internal Medicine and IM Subspecialties Source Type: forums
GPA: 3.85 cGPA, 3.73 sGPA (518 MCAT) (ORM) (20+ Publications) (Any Chance at a Top 20?)
GPA: 3.85 cGPA, 3.73 sGPA
MCAT: 518 (128,129,130,131)
Freshman: 3.57/3.4
Sophomore: 3.95/4.0
Senior: 3.96/3.89
*I graduated in three years with an upward trend as shown above*
Clinical Volunteering: 1,220 Hours
Non-Clinical Volunteering: 2,330 Hours
Shadowing: 247 Hours (Nephrology, Neurosurgery, General Surgery, Pediatrics)
Research: 6,370 Hours
3 Posters (All Presented at National Meetings)
*21...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2021 Category: Universities & Medical Training Authors: Sampats Tags: What Are My Chances? WAMC Medical Source Type: forums
Rush vs Loyola Stritch vs Creighton vs EVMS
Hi all, I am in a very fortunate position to have been accepted to multiple schools and would appreciate insight from some of y'all. The most competitive specialty I'm really interested in is urology. Other interested specialties are IM, neurology, PM&R. I am from the south so am hoping to match to a big city in the south but would also be interested in going to Cali or DC.
All of these schools are far from home and support. Rush has the highest COL but also the lowest tuition. I am still...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 13, 2021 Category: Universities & Medical Training Authors: sonaldo Tags: Help Me Decide: X vs Y Medical School Source Type: forums
