MD & DO co'21 Residency Panic thread

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Who is going to attend these virtual events? I’m not going to attend a virtual graduation or match day. It’s purpose is defeated by being virtual. I suspect that it’s going to take some time before we have in person events again, and I don’t think that the vaccine alone will bring them back. There is so much stigma and fear attached to covid that people will continue to wear masks and social distance even if cases go down.

All for vaccinating and protecting the vulnerable (mostly the older folks) but a clear endpoint for social distancing and mask wearing is lacking. There is a media circus surrounding it that only emphasizes the number of new cases, which is a terrible statistic since we are testing the HELL out of everyone. I suppose it would be less impressive and intimidating to the general public if they stated the actual case fatality rate.

A family member had the sniffles for 12 hours the other day......BOOM! Covid test. There is no clinical judgment with how we’re even testing for it. The media will be a huge determining factor for when people resume normal life, not medical professionals.

Really? You think that American's are being TOO diligent about masking and social distancing???

If you don't like case numbers, how do you feel about the fact that there are currently more americans in the hospital with Covid-19 than ever before?
 
Who is going to attend these virtual events? I’m not going to attend a virtual graduation or match day. It’s purpose is defeated by being virtual. I suspect that it’s going to take some time before we have in person events again, and I don’t think that the vaccine alone will bring them back. There is so much stigma and fear attached to covid that people will continue to wear masks and social distance even if cases go down.

All for vaccinating and protecting the vulnerable (mostly the older folks) but a clear endpoint for social distancing and mask wearing is lacking. There is a media circus surrounding it that only emphasizes the number of new cases, which is a terrible statistic since we are testing the HELL out of everyone. I suppose it would be less impressive and intimidating to the general public if they stated the actual case fatality rate.

A family member had the sniffles for 12 hours the other day......BOOM! Covid test. There is no clinical judgment with how we’re even testing for it. The media will be a huge determining factor for when people resume normal life, not medical professionals.
Agree that case count alone isn't a great metric, but as @FindersFee5 mentions, hospitalizations are up, icu admissions are up, and all the like. As to your point about testing the hell out of everyone. I disagree. I don't think we're testing enough and to be frank we haven't tested nearly enough since this pandemic started. Currently I think the national test positivity rate is 11.1% per JHU's data. That's pretty far off from the <5% that we should have to indicate we're testing enough. I think CFR and IFR are kinda faulty statistics for the lay public. It's often the covid-deniers that use those values as evidence that this isn't a big deal at all. Personally, daily fatalities as well as the 7 day rolling avg is probably the most important number to track and it's grim and has been grim for some time.

I kind of see where you're coming from regarding clinical judgement about administering tests. But like, come on. We're in the middle of the most significant pandemic in our lifetimes and really in the last century with the exception of 1918. There's significant community spread everywhere. Do you honestly think we should be frugal with our testing? Seems counter intuitive to me. Ignorance in this circumstance is most definitely not bliss.

Edit: to add this link for the 11.1% statistic Daily Testing Trends in Usa - Johns Hopkins
 
Greetings,

I am a disabled (L4/L5-L5/S1 disc bulge) painful enough I'm likely to get a spinal stimulator, stem cell injection or consider a partial discectomy if indicated.

IMG ms4 applying this year... [step 1 / step 2]:[220 / 225]

I was applying for General Surgery, FM, and a few TY after talking with my DME she said this kind of spread would be decent...

( 70 FM and 75 GS categorical, 75 GS prelim, 10 TY).

I started with four LORS... at the start of December two people I did rotations with decided to stop communicating and did not write any LORS.

One refused because I could not lift patients for wound care.
The Second is the surgical clinical director for students and stopped responding, taking meetings, or likewise.

So, I'm left with 2 LORS ( 1 DME, 1 Psych) and I only have 2 General Surgery Interviews, 0 FM.

I feel I am being discriminated against for my disability and being gatekept from a field that thinks "you need to be 3rd Reich level healthy or be put to sleep".

Alternatively, I feel this screwed up my chances for FM cause I did not get letters specifically for this and would have applied broader.

What will happen when these interviews occur in 4-5 days? Im guessing they shoo me out the door and say sorry, bye.

Any help would be greatly appreciated, I'm not sure of a similar situation.

Thanks,
 
Greetings,

I am a disabled (L4/L5-L5/S1 disc bulge) painful enough I'm likely to get a spinal stimulator, stem cell injection or consider a partial discectomy if indicated.

IMG ms4 applying this year... [step 1 / step 2]:[220 / 225]

I was applying for General Surgery, FM, and a few TY after talking with my DME she said this kind of spread would be decent...

( 70 FM and 75 GS categorical, 75 GS prelim, 10 TY).

I started with four LORS... at the start of December two people I did rotations with decided to stop communicating and did not write any LORS.

One refused because I could not lift patients for wound care.
The Second is the surgical clinical director for students and stopped responding, taking meetings, or likewise.

So, I'm left with 2 LORS ( 1 DME, 1 Psych) and I only have 2 General Surgery Interviews, 0 FM.

I feel I am being discriminated against for my disability and being gatekept from a field that thinks "you need to be 3rd Reich level healthy or be put to sleep".

Alternatively, I feel this screwed up my chances for FM cause I did not get letters specifically for this and would have applied broader.

What will happen when these interviews occur in 4-5 days? Im guessing they shoo me out the door and say sorry, bye.

Any help would be greatly appreciated, I'm not sure of a similar situation.

Thanks,
You’re an IMG with low scores and only 2 letters. Honestly even getting 2 GS interviews in that scenario is extremely lucky. You are not being discriminated against, so you can chill with the Nazi references.
 
Really? You think that American's are being TOO diligent about masking and social distancing???

If you don't like case numbers, how do you feel about the fact that there are currently more americans in the hospital with Covid-19 than ever before?
Is that what I said? I'm serious, I want you to re-read what I wrote and ask yourself that question. I could write "the sky is blue" on SDN and people would take issue with it.

I think it's great that people are wearing masks and social distancing, and I am doing that as well. My ACTUAL complaint is that there is lack of a clear endpoint for when the masks stop and we can resume normal activities. I think that is going to be a difficult thing to define and sell to the public.

Whenever you just use one number to define an entire pandemic, you're doing it wrong. Whether that's case number, case fatality, number hospitalized.....all of those need to be considered together. And that's all that I'm proposing. The problem with saying that there are "more Americans in the hospital with COVID-19 than ever before" is that we're in the peak of flu/cold season. Of course that number is going to go up. Did we really think that wouldn't happen?

The other problem is that it is unclear if COVID is the principal reason for hospitalization or if it is just occurring in a patient with other comorbidities that require hospitalization. This could also be a contributing factor since COVID is more severe in elderly patients with medical comorbidities.

I guess my overall point is that there is a lot of nuance to this and you can't just parrot the "more people are in the hospital than ever before!" line and expect people to listen. You have to explain the why.
 
Agree that case count alone isn't a great metric, but as @FindersFee5 mentions, hospitalizations are up, icu admissions are up, and all the like. As to your point about testing the hell out of everyone. I disagree. I don't think we're testing enough and to be frank we haven't tested nearly enough since this pandemic started. Currently I think the national test positivity rate is 11.1% per JHU's data. That's pretty far off from the <5% that we should have to indicate we're testing enough. I think CFR and IFR are kinda faulty statistics for the lay public. It's often the covid-deniers that use those values as evidence that this isn't a big deal at all. Personally, daily fatalities as well as the 7 day rolling avg is probably the most important number to track and it's grim and has been grim for some time.

I kind of see where you're coming from regarding clinical judgement about administering tests. But like, come on. We're in the middle of the most significant pandemic in our lifetimes and really in the last century with the exception of 1918. There's significant community spread everywhere. Do you honestly think we should be frugal with our testing? Seems counter intuitive to me. Ignorance in this circumstance is most definitely not bliss.

Edit: to add this link for the 11.1% statistic Daily Testing Trends in Usa - Johns Hopkins
You make some good points about the positivity rate being that high. I'm not saying it should only be clinical judgment call, because I understand that certain people (especially healthcare workers) need to be sure they aren't positive. But the tests are really only as good as people's willingness to sequester themselves and I don't think that has been Americans' strong suit. I'd really like to learn more about how other countries approached this, and why there is the perception (or reality) that America did so much worse than everywhere else. Why are we having so much more trouble than other countries?

Also curious as to why you think case fatality is a bad metric? And why would daily fatalities be a better measure?
 
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Your statement reeks of ableism.
You made a reference that compared programs to the third reich, and insinuated that it's because of your disability you aren't getting interviews. You have four great explanations for why you don't have more: IMG, low step 1, low step 2, and most importantly, only two letters! Without at least three, your application isn't complete at most places! Good god.

You need to ditch your attitude and the scapegoat of "ableism" and take some personal responsibility. Or, go to medtwitter and complain where there is ZERO personal responsibility and everything is the system's fault, despite the fact it is obviously your application that is lacking.
 
You do realize pulling letters because of disability is discrimination go look up the ADA.

If other students get something for doing the same thing you did and you got nothing; you have been discriminated against.

Maybe you should worry less about scores and more about the content of a person and what they can do.

I have a higher EQ than you should I list more?

You are so hyperfocused on the least important part of the post. Have you considered its odd I have zero FM? Hell they havent even uploaded my clinical rotation score or comments for FM and I got an A.
Lol, your application isn’t good and your attitude is worse. I wouldn’t have written you a letter either. Best of luck at your interviews.
 
Yes, now i am reminded why I don't ask people who don't have disability about advice on disabled issues. Thanks I don't require any further comments or advice. You do not have all the details its is a very novel-esque story. Its not scapegoating at all. Its identifying a cultural attitude that needs to be changed. I hope the both of you acquire more EQ in the future. Rural FM programs a 225 isnt bad for and a 225 for surgery is on the lower end of matching. Forget the IMG crap that's all old men in an ivory tower. We took the same exam, i took it with zero accommodations and I have many other medical problems. Enjoy your career and pull your head out of your ass and read about disability.
You should take your crusade to its own thread where you can get specific advice, empathy, and traffic to it and not do it in this thread. You aren't going to get the responses you want here and the other posters don't want to read this derailment either. Putting it in its own thread will help it reach the people you actually need/want to read it as they don't read this applicant thread. It's exhausting. Good luck.
 
Yes, now i am reminded why I don't ask people who don't have disability about advice on disabled issues. Thanks I don't require any further comments or advice. You do not have all the details its is a very novel-esque story. Its not scapegoating at all. Its identifying a cultural attitude that needs to be changed. I hope the both of you acquire more EQ in the future. Rural FM programs a 225 isnt bad for and a 225 for surgery is on the lower end of matching. Forget the IMG crap that's all old men in an ivory tower. We took the same exam, i took it with zero accommodations and I have many other medical problems. Enjoy your career and pull your head out of your ass and read about disability.
People apply FM as a backup all the time. I have a classmate applying FM and a hyper competitive surgical subspecialty and hasn't gotten any FM interviews because his application was obviously surgical. FM is all about fit, and unfortunately without a LoR from FM it would appear they're your 2nd choice. However, as to answer your question, try to do well on the interviews. They sent you an IV therefore they are ok with your letters/scores but be prepared to discuss it.
 
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Yes, now i am reminded why I don't ask people who don't have disability about advice on disabled issues. Thanks I don't require any further comments or advice. You do not have all the details its is a very novel-esque story. Its not scapegoating at all. Its identifying a cultural attitude that needs to be changed. I hope the both of you acquire more EQ in the future. Rural FM programs a 225 isnt bad for and a 225 for surgery is on the lower end of matching. Forget the IMG crap that's all old men in an ivory tower. We took the same exam, i took it with zero accommodations and I have many other medical problems. Enjoy your career and pull your head out of your ass and read about disability.
LOL it's "all old men in an ivory tower". Whatever, but the numbers don't lie and IMGs have a hard time matching. Do you honestly think that it isn't part of your problem?

Also, you only have two letters and at the vast majority of programs that leaves your application incomplete and it won't be considered. So how about you remove your own head from your rear?

You totally are scapegoating. You're blaming everything on someone else, when the actual problem is your incomplete application!
 
Yes, now i am reminded why I don't ask people who don't have disability about advice on disabled issues. Thanks I don't require any further comments or advice. You do not have all the details its is a very novel-esque story. Its not scapegoating at all. Its identifying a cultural attitude that needs to be changed. I hope the both of you acquire more EQ in the future. Rural FM programs a 225 isnt bad for and a 225 for surgery is on the lower end of matching. Forget the IMG crap that's all old men in an ivory tower. We took the same exam, i took it with zero accommodations and I have many other medical problems. Enjoy your career and pull your head out of your ass and read about disability.
Your lack of proper letters for FM is what is hurting you most.
 
Also curious as to why you think case fatality is a bad metric? And why would daily fatalities be a better measure?

Case fatality rate is only really a useful metric once the majority of the population has been exposed and with robust testing to identify a reasonable estimate of asymptomatic patients. Because case fatality is only based on deaths and recovery of confirmed cases, it could be wildly overestimating the mortality rate, or it could be underestimating it if those who recover do so much faster than those who don’t.
 
Your statement reeks of ableism. You do realize pulling letters because of disability is discrimination go look up the ADA. If other students get something for doing the same thing you did and you got nothing; you have been discriminated against. Not having them write letters for the other specialities also hindered my app. Its as if they are purposefully trying to sink it. Maybe you should worry less about scores and more about the content of a person and what they can do.

Why else do you think I got 2 interviews? I have a higher EQ than you should I list more?

You are so hyperfocused on the least important part of the post. Have you considered its odd I have zero FM? Hell they havent even uploaded my clinical rotation score or comments for FM and I got an A.

You are the same type of person who would say you can tell a person's disabled based on their appearance. You completely overlook the disabilty issue cause you know nothing about it, and that's fine I wouldn't wish it on you.

and surgery is notorious for the Nazi health standards to the comment is 100% applicable and this ****ing prevalent kind of antediluvian mentality needs to be broken up.
Bruh. We’re in the eleventh hour of interview season. You only have two letters. Neither in the fields you’re applying to. Never mind the scores and IMG status. You’re complaining about having only two interviews when you have a below average and technically incomplete app. I’m surprised you have any.
 
Maybe try Path? It amazes me that people don't know the 3 letters thing. It's been a requirement for basically every speciality for years. Ask everyone, collect, and then choose 3 so this kinda stuff doesn't happen. You're literally giving them a reason to screen you out
 
I don't think @Renferos is talking about being discriminated for interviews, rather not getting the LORs and people ghosting him.

"One refused because I could not lift patients for wound care."

This is pretty bad; it is written in my school's policy that basic accommodations for disabilities are to be made - now the person could just use that as an excuse not to write a letter... So I feel for him and understand the frustration there.

Apart from being an IMG with average scores, I think the lack of letters has hurt him.
 
most everyone having virtual graduations? and will we be able to travel / enjoy life in May/June (go away virus!)?
All of our students will be immune by the end of January, so I'm hoping for an in person graduation.
 
All of our students will be immune by the end of January, so I'm hoping for an in person graduation.
Don’t forget about guests/families...also vaccines efficacy is only 94-95%...still pretty risky...
 
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I don't think @Renferos is talking about being discriminated for interviews, rather not getting the LORs and people ghosting him.

"One refused because I could not lift patients for wound care."

This is pretty bad; it is written in my school's policy that basic accommodations for disabilities are to be made - now the person could just use that as an excuse not to write a letter... So I feel for him and understand the frustration there.

Apart from being an IMG with average scores, I think the lack of letters has hurt him.
This is such a tough situation..only med student here but if I write a letter to vouch for someone for a position, I put my reputation at risk and have to be confident that that person will be able to carry out job and pretty good at it...not everyone are suited to be surgeons. Let be honest, surgeries require lot of standing and back pain sure makes it more difficult...should I write a letter for someone just because I don’t want to violate the discrimination law, vouching for that person even though I don’t believe that person will be able to do the job? I am not saying the person who refuse to write the letter is right...remember there maybe more then that what OP posted...also at the end of the day, you also put your reputation on a line when you write letter...and really not every student pick the right specialty for themselves
 
I don't think @Renferos is talking about being discriminated for interviews, rather not getting the LORs and people ghosting him.

"One refused because I could not lift patients for wound care."

This is pretty bad; it is written in my school's policy that basic accommodations for disabilities are to be made - now the person could just use that as an excuse not to write a letter... So I feel for him and understand the frustration there.

Apart from being an IMG with average scores, I think the lack of letters has hurt him.
What constitutes reasonable accommodation is pretty subjective. If the physician witnessed OP struggling with basic patient care tasks it very well could have been their judgment they don’t think OP would be the best candidate for a specialty that has known physical demands, particularly on people’s backs. This doesn’t violate school policy or the ADA. People aren’t obligated to write LORs.
 
All of our students will be immune by the end of January, so I'm hoping for an in person graduation.
Lucky you! Word is invites for students to be vaccinated started going out last week at my school, but I still haven't heard anything. I have a parent getting elective surgery next week (we went back and forth on whether this was a good idea...but basically decided the risks from not getting surgery exceeded the COVID exposure risks) and I am planning to be their driver/caregiver while they recuperate. Sure would be nice to get that email...
 
Just curious where you were expected to help lift a patient? At my medical school we were not allowed to lift patients outside of moving the feet for bed transfers due to liability (the potential for us to hurt ourselves and the potential for patients to be hurt by us).
 
Just curious where you were expected to help lift a patient? At my medical school we were not allowed to lift patients outside of moving the feet for bed transfers due to liability (the potential for us to hurt ourselves and the potential for patients to be hurt by us).
Interesting. At our hospital medical students are expected to help with patient transfers in the OR.
 
Is this for real?! Too many days off between intverviews? What is albelism?!
 
Don’t forget about guests/families...also vaccines efficacy is only 94-95%...still pretty risky...
This is what I mean when I say there is no defined endpoint for covid precautions. We’re going to have everyone vaccinated at 95% efficacy and people will still focus on the 5% and insist on virtual gatherings. I’m not blaming you and I get that guests/families may not be vaccinated yet, but Fauci himself said we should still all wear masks after the public is vaccinated. It’s ludicrous to continue these measures when the vaccine is so effective and the data to date shows a pretty low mortality rate. And as our testing ramps up even higher it’s likely that the case fatality rate will drop even further as a symptomatic cases are discovered. At some point I think people need to accept that there are risks to living life, and living as hermits isn’t really living at all.

This isn’t even mentioning the catastrophic effects on the world economy which most doctors have zero understanding of and neglect to address. Oh and the 130 million people who will starve as a result of covid’s economic effects. But sure, let’s focus on JUST the number of people dying from covid per day. So shortsighted.
 
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This is what I mean when I say there is no defined endpoint for covid precautions. We’re going to have everyone vaccinated at 95% efficacy and people will still focus on the 5% and insist on virtual gatherings. I’m not blaming you and I get that guests/families may not be vaccinated yet, but Fauci himself said we should still all wear masks after the public is vaccinated. It’s ludicrous to continue these measures when the vaccine is so effective and the data to date shows a pretty low mortality rate. And as our testing ramps up even higher it’s likely that the case fatality rate will drop even further. At some point I think people need to accept that there are risks to living life, and living as hermits isn’t really living at all.
There is risk in life I agree...but not worth it to put lot of people in a small space sitting next to each other even with mask and ?~95% immune just for graduation ceremony....don’t forget there is a new strain so whether the vaccine will protect against that as well is questionable..I personally don’t plan to attend match or graduation with or without covid...sure as hell I am not putting my fam at risk now 🤣 it is an easy decision for me...for others, it is not.
 
There is risk in life I agree...but not worth it to put lot of people in a small space sitting next to each other even with mask and ?~95% immune just for graduation ceremony....don’t forget there is a new strain so whether the vaccine will protect against that as well is questionable..I personally don’t plan to attend match or graduation with or without covid...sure as hell I am not putting my fam at risk now 🤣 it is an easy decision for me...for others, it is not.
So if the virus keeps mutating, we just continue this cycle indefinitely? economy and entire world be damned?
 
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This is what I mean when I say there is no defined endpoint for covid precautions. We’re going to have everyone vaccinated at 95% efficacy and people will still focus on the 5% and insist on virtual gatherings. I’m not blaming you and I get that guests/families may not be vaccinated yet, but Fauci himself said we should still all wear masks after the public is vaccinated. It’s ludicrous to continue these measures when the vaccine is so effective and the data to date shows a pretty low mortality rate. And as our testing ramps up even higher it’s likely that the case fatality rate will drop even further as a symptomatic cases are discovered. At some point I think people need to accept that there are risks to living life, and living as hermits isn’t really living at all.

This isn’t even mentioning the catastrophic effects on the world economy which most doctors have zero understanding of and neglect to address. Oh and the 130 million people who will starve as a result of covid’s economic effects. But sure, let’s focus on JUST the number of people dying from covid per day. So shortsighted.
I agree with what you’re saying mostly, but the emphasis will need to be on “everyone vaccinated”. We’ve had vaccines with similar efficacy in the past (smallpox I think is 95%?) that worked out well. I’m hopeful for the same this time around.
 
You make some good points about the positivity rate being that high. I'm not saying it should only be clinical judgment call, because I understand that certain people (especially healthcare workers) need to be sure they aren't positive. But the tests are really only as good as people's willingness to sequester themselves and I don't think that has been Americans' strong suit. I'd really like to learn more about how other countries approached this, and why there is the perception (or reality) that America did so much worse than everywhere else. Why are we having so much more trouble than other countries?

Also curious as to why you think case fatality is a bad metric? And why would daily fatalities be a better measure?

Case fatality rate is only really a useful metric once the majority of the population has been exposed and with robust testing to identify a reasonable estimate of asymptomatic patients. Because case fatality is only based on deaths and recovery of confirmed cases, it could be wildly overestimating the mortality rate, or it could be underestimating it if those who recover do so much faster than those who don’t.

Regarding the CFR, basically that. I'd also add that in order for CFR to be accurate you have to have confirmed cases. And we're not doing a great job tracking that. For most epidemics in the modern era, CFR and IFR is a rapidly evolving number and it isn't until the dust settles that you get a more accurate idea of what it is.

I think regarding your comment about America specifically. A lot of it seems to be due to the basically lack of trust in the government in general, as well as a society that is more individualistic by nature. COVID has really highlighted this imo. A lot of us vs them attitudes in a society whose success against a transmissible virus is dependent on the cooperation of that society.

This is what I mean when I say there is no defined endpoint for covid precautions. We’re going to have everyone vaccinated at 95% efficacy and people will still focus on the 5% and insist on virtual gatherings. I’m not blaming you and I get that guests/families may not be vaccinated yet, but Fauci himself said we should still all wear masks after the public is vaccinated. It’s ludicrous to continue these measures when the vaccine is so effective and the data to date shows a pretty low mortality rate. And as our testing ramps up even higher it’s likely that the case fatality rate will drop even further as a symptomatic cases are discovered. At some point I think people need to accept that there are risks to living life, and living as hermits isn’t really living at all.

This isn’t even mentioning the catastrophic effects on the world economy which most doctors have zero understanding of and neglect to address. Oh and the 130 million people who will starve as a result of covid’s economic effects. But sure, let’s focus on JUST the number of people dying from covid per day. So shortsighted.

I disagree with this. There's a sharp difference between vaccines and vaccinations. And what you're referring to with Fauci is right in that transition between the two. Vaccines the main purpose is for the population level immunity, and that comes with time (vaccination). So I think Fauci et al are basically saying get the vaccine and keep your guard during this immediate phase of the pandemic.
 
Regarding the CFR, basically that. I'd also add that in order for CFR to be accurate you have to have confirmed cases. And we're not doing a great job tracking that. For most epidemics in the modern era, CFR and IFR is a rapidly evolving number and it isn't until the dust settles that you get a more accurate idea of what it is.

I think regarding your comment about America specifically. A lot of it seems to be due to the basically lack of trust in the government in general, as well as a society that is more individualistic by nature. COVID has really highlighted this imo. A lot of us vs them attitudes in a society whose success against a transmissible virus is dependent on the cooperation of that society.



I disagree with this. There's a sharp difference between vaccines and vaccinations. And what you're referring to with Fauci is right in that transition between the two. Vaccines the main purpose is for the population level immunity, and that comes with time (vaccination). So I think Fauci et al are basically saying get the vaccine and keep your guard during this immediate phase of the pandemic.
I hear you, and I get it. That is a good point that there is a difference between the start and end of vaccine administration.
I have a hard time faulting people for their distrust of the government though. See MKultra, Tuskegee, etc. There are a ton of valid reasons not to trust the government and medical professionals. Our profession has literally experimented on society’s most helpless and vulnerable individuals within the last fifty years. I guess only time will tell with regards to how these measures ease up. The missing piece here though is that nobody is addressing the economic fallout of this. Several docs who have spoken up about it have received intense scrutiny, even though it should be a consideration.
 
This is what I mean when I say there is no defined endpoint for covid precautions. We’re going to have everyone vaccinated at 95% efficacy and people will still focus on the 5% and insist on virtual gatherings. I’m not blaming you and I get that guests/families may not be vaccinated yet, but Fauci himself said we should still all wear masks after the public is vaccinated. It’s ludicrous to continue these measures when the vaccine is so effective and the data to date shows a pretty low mortality rate. And as our testing ramps up even higher it’s likely that the case fatality rate will drop even further as a symptomatic cases are discovered. At some point I think people need to accept that there are risks to living life, and living as hermits isn’t really living at all.

This isn’t even mentioning the catastrophic effects on the world economy which most doctors have zero understanding of and neglect to address. Oh and the 130 million people who will starve as a result of covid’s economic effects. But sure, let’s focus on JUST the number of people dying from covid per day. So shortsighted.

He’s not saying we should wear masks forever. He’s saying once we are vaccinated to continue wearing masks until we hit herd immunity and for a bit after to make sure we are good before we start relaxing things.

And focusing on the health effects is not shortsighted. The virus isn’t only killing people. It’s not “you’re fine or you die.” You can die, you can languish in the ICU for a while before you die, or languish in the ICU for a while before getting better with permanent sequelae, etc. And every person that takes up an ICU bed or a hospital bed potentially takes that bed from someone else who needs it for a non-COVID related illness.

What has been shortsighted is treating this pandemic like a bad flu and keeping bars open while closing elementary schools. Not mandating masks. Doing half ass lockdowns that destroyed businesses without doing much to stop the spread, then opening back up and making it worse.

Edit: also, it is a false dichotomy to say we either close down and save lives or open up and save the economy. Even opening up, the economy would be ****ed because the amount of people getting sick would continue to tank it.
 
What constitutes reasonable accommodation is pretty subjective. If the physician witnessed OP struggling with basic patient care tasks it very well could have been their judgment they don’t think OP would be the best candidate for a specialty that has known physical demands, particularly on people’s backs. This doesn’t violate school policy or the ADA. People aren’t obligated to write LORs.

Frankly neither you nor I know the bold. You're correct though that nobody is obligated to right LORs.
 
Frankly neither you nor I know the bold. You're correct though that nobody is obligated to right LORs.

Yes we do. They aren't hiring OP and they aren't representing the school. They are a personal entity being asked to perform a mentorship type task. It's a completely voluntary thing, and they don't have to write it regardless of their reasoning.

And this is all assuming anyone can definitively prove, without a doubt, that the SOLE reason they won't write the letter is discrimination.
 
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He’s not saying we should wear masks forever. He’s saying once we are vaccinated to continue wearing masks until we hit herd immunity and for a bit after to make sure we are good before we start relaxing things.

And focusing on the health effects is not shortsighted. The virus isn’t only killing people. It’s not “you’re fine or you die.” You can die, you can languish in the ICU for a while before you die, or languish in the ICU for a while before getting better with permanent sequelae, etc. And every person that takes up an ICU bed or a hospital bed potentially takes that bed from someone else who needs it for a non-COVID related illness.

What has been shortsighted is treating this pandemic like a bad flu and keeping bars open while closing elementary schools. Not mandating masks. Doing half ass lockdowns that destroyed businesses without doing much to stop the spread, then opening back up and making it worse.

Edit: also, it is a false dichotomy to say we either close down and save lives or open up and save the economy. Even opening up, the economy would be ****ed because the amount of people getting sick would continue to tank it.
Focusing only on the health effects is what most doctors are doing, and I think it is shortsighted. See the part about 130 million people starving this year. Think that doesn’t have health effects?


I do agree the schools and businesses thing has been terrible. Small business owners are getting absolutely boned.

I don’t buy into that false dichotomy crap either....it’s not an either/or. We just need to have countermeasures that actually make sense. And that needs to be balanced against the economic effects of the virus.
 
Just my $0.02. My school's dean doesn't think live graduations will be a thing this year, and I'm inclined to agree. From a very practical standpoint, if we had a live graduation we'd feel extremely obligated to bring all our family (including grandparents) there to celebrate given how much hard work everyone put in, and that alone would be dangerous. Plus, if med schools started doing live graduations that could be seen as a precedence for larger institutions (undergrads) to have their own, which would definitely add a lot of travel and risk.
 
Focusing only on the health effects is what most doctors are doing, and I think it is shortsighted. See the part about 130 million people starving this year. Think that doesn’t have health effects?


I do agree the schools and businesses thing has been terrible. Small business owners are getting absolutely boned.

I don’t buy into that false dichotomy crap either....it’s not an either/or. We just need to have countermeasures that actually make sense. And that needs to be balanced against the economic effects of the virus.

Totally agree with you. We should have had a nationwide full lock down back in March like they did in Australia. But since we don’t want to do that here, these half ass lockdowns we keep doing are pointless and just keep ****ing over small businesses.
 
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Totally agree with you. We should have had a nationwide full lock down back in March like they did in Australia. But since we don’t want to do that here, these half ass lockdowns we keep doing are pointless and just keep ****ing over small businesses.

There was no chance a nationwide lockdown would've been imposed in US in the first place. Sloppy lockdowns are unavoidable until mass vaccinations become widely utilized
 
There was no chance a nationwide lockdown would've been imposed in US in the first place. Sloppy lockdowns are unavoidable until mass vaccinations become widely utilized

There was only no chance because of how stupid our country is.
 
There was only no chance because of how stupid our country is.

Nationwide lockdowns didn't work in most countries unless they're isolated islands with stable, decisive leadership. Stupidity plays a serious problem when it comes to covid conspiracy theories and antivax sentiments. I have hated lockdowns before so i can completely understand the lockdown skepticism.
 
Nationwide lockdowns didn't work in most countries unless they're isolated islands with stable, decisive leadership. Stupidity plays a serious problem when it comes to covid conspiracy theories and antivax sentiments. I have hated lockdowns before so i can completely understand the lockdown skepticism.

Australia is an enormous country with multiple states. Worked fine for them. I’d hardly call them a small isolated island.
 
Nationwide lockdowns didn't work in most countries unless they're isolated islands with stable, decisive leadership. Stupidity plays a serious problem when it comes to covid conspiracy theories and antivax sentiments. I have hated lockdowns before so i can completely understand the lockdown skepticism.
Hi Taiwan & New Zealand
 
Australia is an enormous country with multiple states. Worked fine for them. I’d hardly call them a small isolated island.

It's an island nation. They can close down their borders very easily and stomp out the virus. It's not completely preventive because they still suffer from multiple waves (including current one). But what Australia did right was taking the pandemic seriously and launching a coordinated response with restrictions that made sense and were respected.

US society is completely dysfunctional to the core. The real danger at the moment now is antivax sentiment becoming mainstream
 
Hi Taiwan & New Zealand

Why did you list island nations to prove my point

UK, France, Germany and India imposed nationwide lockdowns and had disastrous results. UK even created a Variant of Concern to worsen the misery
 
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