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Best Specialties for the Type-B Personality

Discussion in 'General Residency Issues' started by bustinbooty, Apr 18, 2004.

  1. bustinbooty

    bustinbooty Senior Member
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    For those of us "laid-back" types, which specialties seem to carry this kind of attitude? PM&R? Anesthesiolgy? Any specialties that Type B personalities should absolutely avoid?
     
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  3. doc05

    doc05 2K Member
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    think about: PM&R, anesthesia, rads, ophtho, psych, allergy

    forget about: surgery (all types), cardiology
     
  4. VentdependenT

    VentdependenT You didnt build thaT
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    Being a physician on a cruise ship doesn't sound too bad for a couple of years. Handing out scopolamine, protonix, and possibly imitrex shots in between pina coladas and ports sounds type-b.
     
  5. southerndoc

    southerndoc life is good
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    One of the attendings at the program where I matched is the medical director for Disney Cruise Lines. We offer a rotation doing a month of cruise medicine. I hear it's fairly intense -- 24 hours on, 24 hours off.
     
  6. chef

    chef Senior Member
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    also path, peds
     
  7. Chris_Topher

    Chris_Topher SeƱor Member
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    I think (hope) that a type-B can do rural or community EM.
     
  8. Pegasus

    Pegasus Senior Member
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    Of course you cant forget about EM!!
     
  9. flighterdoc

    flighterdoc Rocket Scientist
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    Wow, where is that program?
     
  10. Masonator

    Masonator Senior Member
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    You will find type A and type B personalities in all specialties. Some have predominately one over the other, but this shouldn't be the sole factor in your decision. There are plenty of type B urologist and orthopods. There are several type A anesthiologists, and even psychiatrists. There are rarely type B general surgeons, but it still can happen. Do what you love and be be yourself Type A, B, C or whatever.
     
  11. (nicedream)

    (nicedream) Fitter Happier
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    I'd say derm is type B, no? Ironically, to land it, and many of these other specialties, you have to be rather type A; at least for awhile.
     
  12. Masonator

    Masonator Senior Member
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    Nice dream, you expose your playa hata ignance yet again. Dermatologists are some of the most Type A people in Medicine. Just because you have a good lifestyle and high salary doesn't mean you are type B. Now get back on the playa hataz ball thread before I whoop your ass!
     
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  13. (nicedream)

    (nicedream) Fitter Happier
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    So what makes derm type A and optho type B?
     
  14. tripod

    tripod Member
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    Sure Derms are very type A. They are damn serious about being out of the clinic by 2 pm and having 4 days off a week.
     
  15. VentdependenT

    VentdependenT You didnt build thaT
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    I think working on a Disney Cruise Line would be the most stressful of all the cruise lines because of all the little virus spreading peds running around the ship. I'd shoot for a euro cruise line. Nice sohpisticated folks who may want an after dinner valium to enhance their pleasure cruise experience.

    PM&R sounds like the best of all I suppose. On top of that you are also sort of a coach. I'd wear a big sweat suit w/whistle to work along with a big faux mustache and a cigar to help push my patients through convalescence.
     
  16. Masonator

    Masonator Senior Member
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    Type A isn't just how hard you work, it is also how achievment oriented you are, how meticulous you are, how driven you are to seek others approval, etc. Derm is so damn competitive to get into that it is weeding out all the type B personalities who want to go into it. There are Type B derms, as there are type B in all professions. However they are a vanishing minority.
    Derm used to be less competitive and more of a draw for Type B people, but this has been changing over the past 20 or so years.
     
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  17. beyond all hope

    beyond all hope Senior Member
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    EM can be a very laid-back profession, depending upon where you work. If you choose to work in a hospital with a small census of not-sick people you can be very relaxed (but they pay less than the high-volume/acuity places)

    EM residency is one of the most benign possible. They have a good schedule, and you can finish completely in 3 years (most EM docs don't fellowship, even academics, although that's changing slowly).
     
  18. (nicedream)

    (nicedream) Fitter Happier
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    Isn't optho competetive too though?
     
  19. Masonator

    Masonator Senior Member
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    Once you start school you'll see the difference between the derm and optho level of competition. There is a very big difference. Optho is a field where as long as your smart and do a decent job you can get a slot. Derm is a whole other level.

    How has my spelling been nicedream??? Has it lived up to your high standards? Huh?? Has it?? Come on tell me?? I know you want to.
     
  20. BassDominator

    BassDominator Senior Member
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    Anesthesia is pretty chill. Mostly, because we just tend to freak out on the inside and not show it on the outside.... calmly put the fire out, then laugh it off later. It works for me.
     
  21. Pinky

    Pinky and the Brain
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    Type B personalities in med school?

    Someone once told me that in each med school class, there are usually only 4 individuals with type B personalities. It's usually yourself, and your 3 closest friends in the class.
     
  22. jazz

    jazz Senior Member
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    disagree with beyond all hope (unlesss you were being facetious).

    EM residents work fewer hours total than other specialties (like IM and Surgery) but EM residents often spend the entire time running around the ER (often have 5 minutes or less to eat lunch), see multiple patients at a time, have to be ready for a critical patient (gunshot dropped off at a non-trauma center, pregnant and delivering with no ob/peds) while seeing multiple other patients, talking with specialists/consultants (who are not always nice), have less than ideal working conditions (combative/rude patients, obese/recently ate lunch airways to tackle) and so on.

    most er residents love all that but i would say type b personalities would not like the er

    yea, true you can go live in a rural area where 3 patients come in per shift but you have to survive the training fist.
     
  23. Mirror Form

    Mirror Form Thyroid Storm
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    LOL, I think it's all relative though.
     
  24. kinetic

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    Yeah, the most dangerous place to be is between a Dermatologist and his car at 2 PM.

    ED guys are type B masquerading as type A. Don't confuse dialing quickly with competitiveness. (Yeah, I'm more diplomatic at times, but I'm a little bored today.)
     
  25. doc05

    doc05 2K Member
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    I tend to agree. but I'd use more diplomatic choice of words.
     
  26. Eyesore

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    I vote for Ophthalmology! We are so laid back, we even operate sitting down. :thumbup: :laugh:
     
  27. roja

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    EM can be very laid back. I am definately a type b and am quite content in EM.
     
  28. DrQuinn

    DrQuinn My name is Neo
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    Agreed. I think "Type B" is a purveying personality type in Emergency Medicine.

    Q, DO
     
  29. skontroller

    skontroller New Member
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    Your honesty is refreshing!!! You couldn't be more right.

    Moral of the Story: If you work hard in med school, you won't have to in residency

    Best of luck!
     
  30. kinetic

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    Uh, what honesty? Didn't you notice that MrHide lied throughout medical school? He even said that his colleagues were engaged in "duplicity and switcheroo" during medical school. Honesty after the fact is hardly being honest.

    So you went into the medical field in order to make a lot of money while hardly working? And you really don't see why people find you contemptible? Like I've said before, yeah, you guys are much more studious and/or intelligent than I ever will be - no question. But your priorities make you look like skeeves who want to "get the money and run". If we all had the mentality of doing as little work as possible, medicine would be in some sorry-ass shape. Some of us do what we do because we like it, not because we like how LITTLE we have to do it.
     
  31. Masonator

    Masonator Senior Member
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    Spoken like a true dermatologist. Guess what though, there is more to life then golf. You also have to ask yourself if the ends justify the means. Do you like being that two faced machiavellian, pseudo-intellectual poser with a high I.Q. that doesn't amount to much. The only derms who contribute anything meaningful to their field are in academics. Guess what, academic derm sucks just as much as other fields of medicine. Do you know what they do when the clinic ends at 2pm? They write grants, they write papers and they run labs. They also see all the tough referrals from private dermatologists. Do you know what private dermatologists treat? Moles, warts, and acne. If they've been fellowship trained then maybe they do some cosmetics, which is a glorified spa treatment. Anytime they hit some real pathology in the skin, they refer to that academic center. Otherwise they would have to spend more then 5 minutes with the patient and that would cut in to their high, double billed reimbursements, plus they might miss that 2 o'clock tee time. I think it's a waste to bust your ass for 8 years so you can treat moles, warts and acne. By the way arrogant one, derm residency isn't as easy as you think. Sure the calls are nonexistent, but you have to do a **** load of reading.
     
  32. GopherBrain

    GopherBrain MARK IT ZERO!!
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    You know what? I have no interest in Dermatology whatsoever, but I can certainly appreciate what MrHide is saying.

    It seems like lot of different fields take pride in feeling superior to dermatologists. They took the easy way out, grabbed the money, the lifestyle, etc.

    While we accept this fact, we still (somewhere deep inside) would like to think they feel guilty about it, and recognize they we (not they) are the real doctors. If we can't have that, we at least like to hear protesting about how hard derm is, and how they don't live the cushy life we picture.

    It just bugs a lot of doctors to no end to hear "I worked hard in med school so I could make the cash, drive the car, live the life, play some golf, and I love it".
     
  33. scootad.

    scootad. Senior Member
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    come on admit it. there are 2 types of people in medicine:

    Dermatologists & People who wish they could be dermatologists.
     
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  34. Masonator

    Masonator Senior Member
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    Yes! We are in full playa hata mode right now!! Your sarcasm speaks volumes. Boy, you get all your comebacks from old reruns of Will and Grace. I've seen better sarcastic comebacks from Al Gore. Anyway since you've cased it out so well, maybe when you'll be burning genital warts from your lovers ass you can decide: Will I use a CO2 laser, or some podophylotoxin. Maybe you could go old school and use liquid nitrogen. What a treatment dilemma you have. Good thing you got a 260 on the boards. You'll need all that brain power to figure it out. I have been enjoying that ocean breeze wafting out of your mom's koochie though. It is quite refreshing! Maybe that is what distracted me during medical school. Hahahaha!!
    Your right though, all our residency choices are based on that fact that we couldn't do derm. Treating moles, warts and acne in an outpatient setting is the pinnacle that modern medicine has to offer. How are you gonna treat that rash? Retinnoid or topical steroid? OOhhh, another treatment dilemma. Maybe you can try one, and if it doesn't work, then you can try the other. My board scores are far to low to comprehend this sophisticated medical problem.

    You've been hanging out with the machiavellian types too long my hata friend. They turned you into a bitter sarcastic "Chandler" wannabee! I can still see the laid back hata you used to be trying to claw his way out! As for your illiteracy problem, I think your parents used to smoke too much crack and beat you when you were a child. I would try hooked on dermatologic phonics.
     
  35. Masonator

    Masonator Senior Member
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    So which one are you skooter? If we are going to wish we could be something else, why not aim higher than dermatology. I wish I could have been Hugh Hefner!!!! I think all dermatologists are people who wish they could have been famous playas, rock stars, movers and shakers who got all the women. But their not. Oh well.
     
  36. Masonator

    Masonator Senior Member
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    I have a lot of respect for academic dermatologists. These guys motivated me to get into medical school. I also have a lot of resect for MOHS surgeons who do flap recontruction. But face it, I've seen so many cocky little tools start flame wars like this right after they've matched into derm. The basic sentiment: "I matched derm, I'm the ****, you guys are all stupid tools, I'm gonna be rich, and drive a nice car! Hahaha," I've seen this happen many times. Please! Even yuppie scumbag investment bankers have more tact and class. I know of FPs who do derm only private practices in long island. Cosmetics and everything. Face it, it is not that hard.

    But your right, I'm just projecting my own inner feeling of inadequacy for not being able to go into derm. Your right, I'm sorry.
     
  37. kinetic

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    Ever notice how lifestlye people have NO problem whatsoever in affirming that "yeah, we sure are smarter than you do-do heads". It's easy to compliment yourself, eh? But when it comes to talking about what's BAD about themselves, it's all twiddling fingers and hemming and hawing. Nice! Hey, I can admit I'm stupid/less studious compared to you, but apparently you can't admit that you're lazier than me. Why? Your big ego getting in the way? Instead, all you do is go off on a tangent about how I'm "whacking off to [my] medical school statement" and talking about you and your caddy, which, frankly, says more about you than I ever could. You may be book smart, but as your posting shows, you sure are a dumb person.

    Who loves their patients more than their family and friends? (Besides the guys getting arrested for sleeping with their patients, I guess - you psychiatrists know who you are, lol!) I sure don't. Actually, I wish I could kick the asses of every non-compliant, childish, drug-using, or homeless bum. I'm not asking you to apologize for saying that you put family over patients - you should apologize for NOT saying that. You pretended otherwise throughout medical school like a big P--SY (same as your colleagues). Then you land your spot and it's all "whoa, my golf game sure is gonna be good this summer"! (By the way, unless your wife is your caddy, it's strange how you say you love your family and then focus on your golf game in all of your posts. Apparently, your priorities go golf > family/friends > patients. I guess it would sound less noble to say "I like my golf game more than my patients".) If you WERE honest, I'd respect you and just shut the hell up.

    By the way, you're the one who's intelligent here, right? And you can't understand why you get no respect from physicians when you say you prefer golf to practicing medicine? I can understand why someone would put lifestyle over medicine - I'm just saying you can't have it both ways in my book: you can't have an easy lifestyle AND the respect of people who are working harder. What's so hard to understand about that? Why be so defensive about it? If I were you, I'd just say, "OK. I see your point. We have different priorities. Fine!" Grow up a little.

    Is that all you have? I'm constantly amazed at you guys with high USMLE scores whose entire EXISTENCE rests on said scores. Every time ANYONE criticizes them, their scores come out so fast that there's a crack of thunder. They carry their framed scores around on large chains around their neck (or chained to their nether regions) for easy access. Is your entire self-worth contained in that score or something? Like I said in another post to an orthopod - I made it through medical school, but I don't have to drive to the take-out counter at Wendy's every night and make fun of that guy to make myself feel good.

    P.S. I didn't score that high (because I'm stupid, like I said) but I know a LOT of people who did who weren't the slightest bit interested in Derm. Why do you assume everyone else is out trying to sell a kidney trying to get into Derm? We don't all want to "wet what is dry and dry what is wet".
     
  38. kinetic

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    Actually, there are 3 types:

    Dermatologists, people who wish they could be dermatologists, and people who don't mind working.
     
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  39. kinetic

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    I thought that was just low tide down at the beach. Don't worry - MrHide will do his best to "make what is dry wet" with his mom, too.
     
  40. Masonator

    Masonator Senior Member
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    Nice post hata! Again more sarcasm from old classic episodes of will and grace. Thank you for humoring me. I love these flame wars. My hata ranting is directed at everyone, from all walks of life. It does't matter if they are type A, B, C, etc. If you think all my statements contradict themselves, then maybe you aren't as bright as you give yourself credit for. My message is pretty clear, try rereading it. Did the hooked on phonics help? Now, as for hatin' on my relatioships with the ladies, do not worry about that, I'm all set. As for the "American residency", I'm all set there as well. I do thank you mom and her internet site for helping to teach me about the koochie though.
    I am so glad you find my playa hata posts insulting Mr. Hyde! That is exactly what I'm going for.

    Now back to you Hyde... Hyde is such a Machiavellian phony kiss ass, he thinks patient care is synonimous with showboating in front of attendings. Mr. Hydes so petty, he thinks afternoon golf is synonimous w/ life fullfillment.
    Mr. Hydes so shallow he thinks stem cell research is best used to fight acne.
    Mr. Hydes so unfullfilled he thinks love of non derm professions is displaced resentment for what he has and everyone else doesn't. He's so igorant that he equates dissenting opinion with carribean residency. As for the humor in inyour posts hata, dude friends is over. We know you are trying to relive Chandlers greatest snappy sarcastic comebacks. We all loved the show, but your going to have to let it go.

    By the way, this snotty little 16 year old bannana republic wearing preppie called... he wants his personality back. :thumbup:
     
  41. Sveet07

    Sveet07 Junior Member

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    I wonder why people like derm so much? Can someone in derm elaborate please? I thought the only best thing about derm is no work on weekends, not many calls and emergencies to worry about, and that's about it. I thought the clinics lasted way too damn long most of the time. The residents seemed to be overwhelmed with so much reading and presentations every morning. Most residents cant do anything on their weekends off since they have to find time to read and prepare for presentations. Most of the time they read off all these p-values, statistical sig, research lingo stuff about skin diseases which no one knows any definitive treatment for. Most of the residents (if not all) are usually females. Mostly type b on the outside, but type a on the inside. And I said "if not all" because the sole guy who manage to get in a spot is always a little "soft" and "girly" I think. The chief resident who graduated the year before is only making $170,000K/yr. I would think for people who had such high score on their USMLE go for Radiology or something else that makes well over $200,000K/yr right after residency. MOHS surgeons make more money, but not everyone wants to get into this kind of work. In general, the work of derm is not hard. The surgeries (ie. removing warts, moles, lipomas, removing ingrown toe nails, seb k's, treat acne, etc..) that they do I already did in my FP's clinic. Derm is ideal for a female, but for a guy, hmmm..... Just out of curiosity how many male derm are in this forum? :cool:
     
  42. Masonator

    Masonator Senior Member
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    Academic derm is cooler. They treat and do research on alot of interesting auto-immune disease with cutaneous manifestations. These folks make 150-200K and work 60-80 hrs per week doing research and writing papers. It isn't the Xanadu that everyone thinks.

    If you are a true lifestyle and money lover, rads and anesthesia might be more of a bang for the buck. If you really like lifestyle, money, and seeing patients in the outpatient setting then derm is probably a better option.

    I'm still waiting for HMOs to crack down on derm billing. It could happen soon. Double billing a full office visit and procedure for a 5 minute mole removal can only last so long... Insurance companies are pretty savy these days.
     
  43. Sveet07

    Sveet07 Junior Member

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    Ooops sorry I meant 170K and 200K ... 170,000K????? wow ahaha..

    Yeah, my aunt is in derm, so no offense to the derm people, but she too is complaining about the $10 reimbursements she got from insurance companies for the office visit. She said that unless she does lots and lots of surgeries, those bread and butter office visits treating acne does not pay the bills. God help us all with getting reimbursements.
     
  44. scootad.

    scootad. Senior Member
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    This is brilliant and so very accurate. :D
     
  45. cjw0918

    cjw0918 Senior Member
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    Wow, some of yall are getting pretty vicious regarding the whole derm thing- geez! I think there's a point here to all of this rage over lifestyle vs. industry. Who ever said humanitarianism and the desire to have a life have to be mutually exclusive?
    I have a theory that a lot of the folks going into derm aren't doing it for the field or the lifestyle, they're doing it just to see if they can get the spot- some of these folks are ultra competitive people who want the top prize in everything. If ass surgery were the top prize, they'd all be applying to that...
     
  46. Masonator

    Masonator Senior Member
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    Dude, what are you talking about? Ass surgery is the top prize. I'm doing a hemorrhoid fellowship after I finish residency. I hear they are reaallllly competitive.
     
  47. Masonator

    Masonator Senior Member
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    Tsk Tsk Tsk! It is too bad to see such a promising young playa hata like yourself trying to back pedal and take the moral highground. You were on a hatin' role man. You were hatin' people who worked harder then you, you were hatin' people who will make less money then you and you were hatin' people who scored lower then the boards. That is some true playa hatin' bud, you have nothing to be ashamed of. You are a little unusual though, most playa hataz hate people who make more money then them, have a better life then them, or a nicer looking mate, car, or whatever. You are hatin' people who have less then you(according to your own beliefs). Our playa hata psych consultant feels that you are displacing your rage. Perhaps you have kissed so much ass during medical school that all the rage and frustrations is causing you to hate on the "lesser specialties". If derm is so great, why even defend it? Why not keep it a secret?

    Your not going to sell us on the 260 without studying for the boards though. Feel free to exagerate your intelligence in other ways. You've misinterpreted what I've been saying, I wish I could clarify my point of view, but I think I'm not intelligent enough to articulate myself in a way that your brilliance can understand.

    By the way the other poster isn't me, believe it or not it is someone else with an opinion that is... different then yours. They must be stupid to disagree with such brilliance, I don't know what they are thinking.

    Is private practice derm easy, yes. Is reading for derm boards hard, yes. Ask some colleagues.
     
  48. Masonator

    Masonator Senior Member
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    So much good material... I had to come back and hate this worthy hata adversary again!!


    It is funny how such a type B insults people by calling them vet chiropractors, he manages to insult vets and chiropractors and ourselves simultaneously! Bravo. How many type B people whip out elitist lines like this? This guy brings his caddy with him everywhere... maybe there is something too that.





    I couldn't do all the hatin' I wanted because I was at work. These are the choicest quotes from the derm hata himself, mister hide. OOhhh, so many good places to start. Mr Hide, you should try that finely tuned turbo line the next time you try and pick up a woman. You can get back to us on how successful it is. I think to really give that line justice, you should be wearing a polo tennis shirt and have a sweater wrapped around your shoulders.





    The hatin' masta of ceremonies won't be logging off anytime soon my brotha!
    It is rare that I get this pompous of an ass to rip on, I need to savor it!

    You relationship with your catty is a delusion of social discourse. He doesn't like you you country club going elitist bastard. Every since you got the hots for N'Synch he as been hopelessly jealous.

    I wish I could make mad bank telling people how to apply sunscreen and handing out free facial cream... I guess I'm just not cool enough.

    We are glad you are happy hata! Tis dirty work, but somebodies got to do it( I'm talking about being an elitist bastard and not dermatology). I never said derm sucks to no end. You reacted that way when I pointed out some shortcomings. Maybe you should read slowly so that you don't misinterpret.

    I'm having so much fun with this... keep the witty comebacks coming mr hide.
     
  49. cancer_doc

    cancer_doc Member
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    DrHide

    I agree with you that there is a lot of unnecessary derm-bashing going on in this thread, but I have to admit, you opened yourself up with that beyond narcissistic-arrogant post. What did you expect, people worshiping you after you spit in their eye?

    BTW: you are the antithesis of easygoing. A true type B person would've shrugged off those (I'm sorry to say) rude trash-talking posts a long time ago, much less make such an instigating post in the first place. Please adhere to your name and go "hide" somewhere else for a while.
     
  50. bustinbooty

    bustinbooty Senior Member
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    I wish people who started a thread had the power to close it. If you children wanna talk/bash derm, one would think you were smart enough to start a new thread. That way I don't have to sift through all your stupid soliloquies to find any meaningful discussion from the thread I started.
     
  51. Masonator

    Masonator Senior Member
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    I'm sorry, what was your original question? Oh yes A vs. B.

    Well you can see that derm being type B is a very debateable issue. You will have many colleagues like Mr. Hyde to deal with. All of my chill laid back friends in medical school who "kept it real" went into radiology, psych, neurology and anesthesia.
    Any specialty with direct patient care and rounding is demanding and stressful. The specialties above are more of consultant specialties and are a step removed from patient care so you can set your own hours to some degree. Derm is theoretically a type B specialty but it has grown so competitive that it is not really type B any more. Believe me there is more Mr Hide out there then you think. Funny thing is, he might be one of the cooler ones if you actually got to know him. After all he at least refuted cheating and being duplicitous.

    Hope this helps, now you should run away from this thread and don't look back, no matter how bad the flames get!!!! :spam:
     

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