Baylor College of Medicine Nephrology
Hi all
I am a current fellow in the nephrology program at Baylor college of medicine in Houston Texas (BCM). Wanted to share my experience, our program is completely blind to our requests, I am hoping this negative post will have some effect for change, but probably not. Firstly, the fellows have to cover 6 different hospitals. They will tell you this is a plus because you experience different practice environments. The truth is you quickly learn to adopt to whatever environment you choose...
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Source: Student Doctor Network - April 4, 2022 Category: Universities & Medical Training Authors: Lima-Beans Tags: Internal Medicine and IM Subspecialties Source Type: forums
What is your teaching style for residents and/or fellows?
This is not a Nephrology bashing thread, I swear! Lol
I previously did academic faculty for a year with residents fellows before I moved onto private practice and voluntary faculty (meaning if my patients are in the hospital, I see my own patients but involve the residents and/or fellows on the case if it is on the housestaff floor and/or is an interesting case, respectively). Therefore, I do a lot of heavy lifting myself. When no housestaff are involved, I write all the notes (like real...
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Source: Student Doctor Network - March 7, 2022 Category: Universities & Medical Training Authors: NewYorkDoctors Tags: Internal Medicine and IM Subspecialties Source Type: forums
Hackensack vs wmed (merit scholarship)
Hackensack:
Haven’t received financial package yet so unsure about COA
Pros:
-3 year residency program (first class had people match anesthesiology, neurology, EM within HMH system).
-Better hospitals?? (Not completely sure how well regarded hackensack university hospital is but seems to be in top 50 for urology, cardiology, oncology)
-Likely more research given size of system
Cons:
-Newer program..may be some growing pains in terms of classes, rotations etc.
-150 student class...
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Source: Student Doctor Network - February 19, 2022 Category: Universities & Medical Training Authors: DukeSmith Tags: Help Me Decide: X vs Y Medical School (2021-2022) Source Type: forums
What the heck happened with the urology match this year? Match rates of competitive specialties are scaring me and deterring me from them.
I was bored and decided to head over to r/medicalschool and I learned that the urology match rate was 65% this year?? Apparently plastic surgery is looking even scarier this year potentially because 400 people are applying for 185 spots. I'm interested in ortho and historically it's an 80% match rate.
This is not really what I thought it would be like after getting into medical school. I was always told that getting into medical school would be the hardest part but it seems like I'm not...
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Source: Student Doctor Network - February 13, 2022 Category: Universities & Medical Training Authors: CuriousMDStudent Tags: Medical Students (MD) Source Type: forums
How will I ever know if I am competitive enough for a "competitive specialty"? I am considering doing a "less competitive" specialty.
Title sums it up. Urology matched 65% last year. I'm looking at the optho and the uro match threads on reddit and I am hearing about these amazing applicants not getting in because they got unlucky. Whether or not these people are lying or not I don't know. I know I don't have the full story. However, it's still a very scary thought.
For me, I'm interested in ortho but there's a 80% match rate. I also attend a T15 but last year out of the 4 that applied, only 2 matched. I know one of the...
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Source: Student Doctor Network - February 13, 2022 Category: Universities & Medical Training Authors: CuriousMDStudent Tags: Medical Students (MD) Source Type: forums
Nephrology
Hey all, what does the life of a nephrologist look like after graduating from fellowship? Hoping to hear from recent grads. Here are a couple of questions I have for you'll- Private vs academic? Does it help to get that extra year in transplant neph vs glomerular disease vs interventional when you apply for jobs? (Source: Student Doctor Network)
Source: Student Doctor Network - January 31, 2022 Category: Universities & Medical Training Authors: Jesse white Tags: Internal Medicine and IM Subspecialties Source Type: forums
Information on different pediatric surgical specialties
I am a current second year medical student interested in surgery, and also the pediatric patient population. I have heard it is extremely competitive to match into a pediatric surgical fellowship from general surgery, but is the same true for pediatric orthopedics/ENT/urology etc? (Assuming you match into their respective residencies, I understand these are also competitive.) Are there certain pediatric surgical fields which are only available in an academic setting? Can they all sustain a...
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Source: Student Doctor Network - January 17, 2022 Category: Universities & Medical Training Authors: account Tags: Surgery and Surgical Subspecialties Source Type: forums
Clinic is killing me
Current junior resident spending what feels like way too much time in clinic (4-5 days a week). I am not sure if this is a byproduct of being in a top-heavy program, a potentially clinic heavy residency program, COVID related, or whether this is inherent to the field. I joined urology because I loved the OR cases I saw as a student and didn't hate the clinic (especially compared to eg my FM, peds, etc clerkships in med school) but I am feeling ground down and possible regretting my choice of...
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Source: Student Doctor Network - January 3, 2022 Category: Universities & Medical Training Authors: deleted648625 Tags: Urology Source Type: forums
Subspecialty and Gen Peds
Hi,
I am a PGY-2 resident interested in Nephrology, Endo, and Rheum. I also enjoy Gen Peds and realize there is a strong time/monetary cost to pursuing these fellowships. Therefore, I would like to get opinions on which subspecialty training would be most helpful in Gen Peds if I were to potentially train and decide after a year or two to return to Gen Peds rather than complete the fellowship or to return/supplement my subspecialty practice with Gen Peds. Thank you. (Source: Student Doctor Network)
Source: Student Doctor Network - December 16, 2021 Category: Universities & Medical Training Authors: prinzmetal7 Tags: Pediatrics Source Type: forums
Cardiology after nephrology fellowship?
Hey everyone,
I was hoping to get some of your opinions on an idea I had. I am ultimately interested in Advanced Heart Failure Cardiology. My problem is that I am a US IMG from a mid-higher tier community hospital program in NYC, so my chances for the traditional cards then hf fellowship are slim. I was planning to do a nephrology fellowship at a large research institution to get some publications as nephro and cardiology have unique common grounds in heart failure patients. After...
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Source: Student Doctor Network - December 12, 2021 Category: Universities & Medical Training Authors: IMResApplicant Tags: Cardiology Source Type: forums
Why I think Rad/Onc has a secure career and bright future
When you rotated in the IR you will hear IR guys complaining about cardio and vascular take the lucrative part of their job away. The thing is, the technology IR uses is not exclusive, other specialities can use their equipment and do stuff. So even nephrologist are trying to take a bite from IR. Now, Rad/Onc has a great barrier that keep other specialities from touch, it is radioactive and needs good dosage / distribution calculations that none of any other specialities are allowed to do...
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Source: Student Doctor Network - December 3, 2021 Category: Universities & Medical Training Authors: RADOnCFUN Tags: Radiation Oncology Source Type: forums
Liver Failure (Depakote) Medical Malpractice Lawsuit
Link to case here: Liver Failure [Medication-Induced]
This case has an expert witness opinion from a GI doc.
Patient was started on Depakote, LFTs were initially fine.
Within 5 weeks she had a liver transplant.
The expert notes that she had positive ASMA and ANA titers and homozygous positive for H63D hemochromatosis. Do these results suggest that there may be an alternative cause for her liver failure? (Source: Student Doctor Network)
Source: Student Doctor Network - November 26, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Gastroenterology Source Type: forums
Able to avoid certain procedures?
Hello! I'm a medical student who is pretty much set on going into urology but I have a concern that I'm hoping to address with this post. Due to personal/moral/religious beliefs, I'm against the idea of performing non-medically necessary vasectomies as a form of permanent contraception (even if vasectomies have a chance at reversal, it's not high enough or reliable enough). I'd be happy to refer patients to someone who is willing to perform these (a colleague, co-resident, etc), but I'm...
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Source: Student Doctor Network - November 20, 2021 Category: Universities & Medical Training Authors: urologist to be Tags: Urology Source Type: forums
Med Mal: Kidney biopsy -- > Hemorrhagic Shock -- > Pressors -- > 9 fingers amputated
Case here: Hemorrhagic Shock from Biopsy
Lady with antiphospholipid syndrome (also history of PE and DVT) comes to ED with SOB.
No PE/DVT, admitted.
Presumptive diagnosis of lupus nephritis made, biopsy recommended.
Warfarin held, switched to heparin before procedure, then Lovenox afterward (plan to monitor with anti Xa levels).
Anti Xa levels never come back.
Patient develops hemorrhagic shock, started on pressors, fingers ischemic. 9 digits amputated (right thumb lives to fight...
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Source: Student Doctor Network - November 2, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Internal Medicine and IM Subspecialties Source Type: forums
Interpreting LFTs - stuck!
Hey all. Kept getting LFT questions wrong so did some questions from this UK journal. Stuck on Q5 and Q6 from Quiz on liver function tests - any help would be much appreciated!!
Normal values are found on the table here: How to interpret liver function tests (Source: Student Doctor Network)
Source: Student Doctor Network - October 31, 2021 Category: Universities & Medical Training Authors: locked92 Tags: Step I Source Type: forums
