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I’m not exactly sure of the question. But anytime the ultrasound dildo makes its way into your post, it makes it worth the read.
 
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so let me reiterate
Does academic medical centers use business analytics when they expand the departments
why do academic centers keep hiring when there are already 4-5 pedi PM&R or 5 Brain injury specialists or 7 sports medicine?
Do they hire business analytics people to justify the needs?
I do not think so
I have seen pedi PM&R attendings fight against each other for RVUS and more patient loads because chairman hired too many pedi PM&Rs

WHen i was resident, I was forced to make referal to sports medicine for greater trochanter bursae injections/ academic dildo(ultrasound guidance) to help them grow

Academic medicine is not like old days and academic attendings have to meet RVUs still
so why do those academic folks encourage residents to pursue fellowships in peds or SCI or Brain INjury when academic medical centers themselves do not even have enough volumes to justify

Medicine changes like with everything
Except if someone absolutely loves pediatric pm&R and sees themselves doing nothing more, I don't think most people should go into pets pm&r nor do I think there is a big push for that. As has been discussed before, doing a brain or sci fellowship is only helpful if going to an academic center, outside of that, in private practice, most of us see those types of patients without a fellowship. pain/spine realistically in my mind is one of the few more helpful fellowships to do if one is very set on doing a fellowship.
very few places could support a brain injury/sci physician exclusively
 
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Some academics can only manage like 6 patients per day and they still work as many hours as you do.
 
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so let me reiterate
Do academic medical centers use business analytic folks when they expand the departments
why do academic centers keep hiring when there are already 4-5 pedi PM&R or 5 Brain injury specialists or 7 sports medicine?
Do they hire business analytics people to justify the needs?
I do not think so
I have seen pedi PM&R attendings fight against each other for more RVUS and more patient loads because chairman hired too many pedi PM&Rs

WHen i was resident, I was forced to make referal to sports medicine for greater trochanter bursae injections/ academic dildo(ultrasound guidance) to help them grow

Academic medicine is not like old days and academic attendings have to meet RVUs still
so why do those academic folks encourage residents to pursue fellowships in peds or SCI or Brain INjury when academic medical centers themselves do not even have enough volumes to justify
So much truth to this lol
 
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