- Joined
- Mar 28, 2005
- Messages
- 14
- Reaction score
- 0
Any experience getting into dempath? What should i do to get a position? how difficult is to get it? please be realistic...
Thanks,
Thanks,
yaah said:It's tough but people do it all the time so it's far from impossible. Chances are improved by
1) Doing residency at a place with a dermpath fellowship
2) Having an interest in dermpath and knowing people in the field
3) Publishing or researching in the field.
4) Badmouthing dermpath to every dermatologist you meet.
yaah said:The dermpath folks here are dermatology trained and from what I hear (haven't done a dermpath rotation yet - not till next year) they treat the derm residents much better but make us do the work in terms of tracking down problem cases, calling clinicians, etc. I am really not at all interested in derm path although it does make you more marketable. I think instead of worrying about classifying melanocytic lesions though (which is basically why people want to hire dermpaths for their private practice - everyone can diagnose BCCs and AKs) someone should just publish a paper where everything is either called benign nevus or melanoma (recommend wide excision) and be done with it.
LADoc00 said:Damn, Im so jazzed at the moment I would beat serious a$$ if I had a dermatologist close by....ok Im done posting tonight. Pure hate has overtaken me.
AndyMilonakis said:geez quant, it's all about **** this and **** that with you tonight. **** **** ****ity **** **** ****
LADoc00 said:I saw a surg path fellow humiliated so badly by a dermpath attending at signout while the dermatologists laughed that the Surg path director had to intervene. I almost went f*cking wild bunch on that crew. Pathology residents are treated COMPLETELY differently than the dermatologists on the same team by the attending. Damn, Im so jazzed at the moment I would beat serious a$$ if I had a dermatologist close by....ok Im done posting tonight. Pure hate has overtaken me.
DrBloodmoney said:I would *misplace* their cases for a few days. Then roll my chair over their slides and have to get some recuts... and *accidently* step the whole block.
LADoc00 said:Or show up to derm grand rounds with a ski mask, a can of mace and a baseball bat.
LADoc00 said:I saw a surg path fellow humiliated so badly by a dermpath attending at signout while the dermatologists laughed that the Surg path director had to intervene. I almost went f*cking wild bunch on that crew. Pathology residents are treated COMPLETELY differently than the dermatologists on the same team by the attending. Damn, Im so jazzed at the moment I would beat serious a$$ if I had a dermatologist close by....ok Im done posting tonight. Pure hate has overtaken me.
SoCalRULES!!!!! said:I was looking at the rank lists for the various programs and it looks like pretty much no one goes into path from Stanford/UCSF/Harvard etc...while tons of people from those places go into Derm, rad onc, rads, optho etc...that might have something to do with it. They might just see path people as "not worthy", just like they see Path as not a worthy specialty.
I know of at least one from Duke who matched in pathology this year. And the year before that 3 from Duke matched into path.SoCalRULES!!!!! said:Duke put...0 in path
AndyMilonakis said:So your argument is that smart people or people who go to elite schools (and therefore are clearly entitled to get any competitive specialty of their choosing) don't have to "settle" for path because they have "better" options? So rads and derm is like the filet mignon while path is rump roast?
I can see how this mentality may influence some people to apply for certain specialties over others. Maybe some people are so self-conscious that they put too much stock on others' perceptions of them and let that dictate their career decision. Well, I guess, now, the yardstick for judging how cool and worthy a certain specialty is the number of folks from the prestigious institutions who match in that specialty. Wow, what an earth shattering concept! I guess pathology will continue to soar since all the students at the 120th best medical school will have to "settle" for applying to pathology.
Look man, I have had some people ask me why I didn't apply to one of the more competitive specialties given my credentials. They probably think of me as some idiot who passed up a better opportunity (stupid ****ers). Nonetheless, I chose the field I liked and that I was most interested in. Skin bores me (which is a tragedy because if I liked skin, I could've matched in derm and ended up making 2-3 times as much money when all is said and done). Rads is not scientific enough for me.
Sure pathology may not be the most glamorous, sexy field. Sure I may get **** for choosing pathology instead of let's say derm or rads. But to those folks, I extend a spoon and they can go to town on the dingleberries and klingons in my asscrack.
AndyMilonakis said:So your argument is that smart people or people who go to elite schools (and therefore are clearly entitled to get any competitive specialty of their choosing) don't have to "settle" for path because they have "better" options? So rads and derm is like the filet mignon while path is rump ............
yaah said:I can't imagine how much $$$ derm would have to provide before I would do that as a career. The month I spent in it was simply not interesting to me. Dermpath, I can't necessarily rule it out. I don't really like it right now, and I am fairly sure I don't want to ***** myself out to the dermpathologists to suck up for a fellowship spot, but I can't rule it out. There are a lot of neat diagnoses to make in dermpath.
yaah said:I can't imagine how much $$$ derm would have to provide before I would do that as a career.
WTF?!? Where did you come up with those bull**** matchlists? I know for a fact that at least one is dead wrong....watch your credibility dude, check your facts before broadcasting BS.SoCalRULES!!!!! said:WTF to you,
Stanford put six in derm and six in rads and zero in path.
Harvard put 6 in derm, 6 in rads, and 1 in path
Columbia put 3 in rads, 3 in derm and 0 in path
Duke put 11 in rads and 4 in derm and 0 in path
C'mon there's not that many more rads and derm spots than path!
Penn put 3 in derm and 4 in PATH but 17 in rads.
Get real
Here are the number of spots for each in 2004.
Derm 263 (1 unfilled)
Rads 975 (5 unfilled)
Path 477 (39 unfilled)
Hmm...interesting.LADoc00 said:Its a very common misconception dermatology is somehow the key to mad bank, they do okay but no where near a solid pathologist, surgeon, radiologist or rad onc. Most of their jobs start to top at 200 and to get further they have to journey into cosmetics, which in relation to their business skillz can either suceed or fail miserably.
Its interesting, most academic dermatology department lose MAD $$$ for the hospital. I think it was so bad at Davis Med Center that the new chair of Dermatology took all the skin biopsies to Derm department, away from Path (!) just to bring his dept. into the black.
cytoborg said:WTF?!? Where did you come up with those bull**** matchlists? I know for a fact that at least one is dead wrong....watch your credibility dude, check your facts before broadcasting BS.
cytoborg said:Hmm...interesting.
I just spoke with one of our med students who is contemplating derm vs. rads vs. path because he is a "visual person" and "doesn't want to get bored" with his specialty. I tried to set him straight on the derm thing...but I could see the $$ in his eyes as they glazed over...too bad he's been innoculated already.
SoCalRULES!!!!! said:Stanford put six in derm and six in rads and zero in path.
Harvard put 6 in derm, 6 in rads, and 1 in path
Columbia put 3 in rads, 3 in derm and 0 in path
Duke put 11 in rads and 4 in derm and 0 in path
Penn put 3 in derm and 4 in PATH but 17 in rads.
SPECIALTY Years 1-2 >3 Max
Allergy/ Immunology $158,000 $221,000 $487,000
Ambulatory $80,000 $112,000 $152,000
Anesthesiology: Pedi$283,000 $311,000 $378,000
Anesthesiology: Gen$207,000 $275,000 $448,000
Anesthesiology: Pain$315,000 $370,000 $651,000
Cardiology: Invasive $258,000 $395,000 $647,000
Cardiology: Intervent$290,000 $468,000 $811,000
Cardiology: Noninvas$268,000 $403,000 $599,000
Critical Care $187,000 $215,000 $320,000
Dermatology $ 195,000 $308,000 $452,000
Emergency Medicine$192,000 $216,000 $295,000
Endocrinology $171,000 $187,000 $260,000
FP (with OB) $182,000 $204,000 $241,000
FP (w/o OB) $161,000 $135,000 $239,000
FP - Sports Medicin$ 152,000 $208,000 $363,000
FP - Urgent Care $ 128,000 $198,000 $299,000
Gastroenterology $265,000 $349,000 $590,000
Hematology/Oncolo$181,348 $245,000 $685,000
Infectious Disease $154,000 $178,000 $271,000
Internal Medicine $154,000 $176,000 $238,000
IM (Hospitalist) $161,000 $172,000 $245,000
Medicine/Pediatrics $139,000 $168,000 $271,000
Medical Oncology $198,000 $257,000 $455,000
Neonatal Medicine $286,000 $310,000 $381,000
Nephrology $191,000 $269,000 $447,000
Neurology $180,000 $228,000 $345,000
Obstetrics/Gynecol$211,000 $261,000 $417,000
Gynecology $159,000 $213,000 $358,000
Maternal/Fetal Me $286,000 $322,000 $610,000
Occupational Medic$139,000 $185,000 $290,000
Ophthalmology $138,000 $314,000 $511,000
Ophthalmology Reti$280,000 $469,000 $716,000
Orthopedic Surgery$256,000 $342,000 $670,000
ORS - Foot & Ankl $228,000 $392,000 $791,000
ORS - Hand & Uppe$288,000 $459,000 $770,000
ORS - Hip & Joint R$330,000 $491,000 $715,000
ORS - Spine Surge $398,000 $670,000 $1,352,000
ORS - Sports Medic$266,000 $479,000 $762,000
Otorhinolaryngology $194,000 $311,000 $516,000
Pathology $169,000 $321,000 $610,000
Pediatrics $135,000 $175,000 $271,000
Pediatrics - Cardiol$145,000 $282,000 $607,000
Pediatrics - Critical$196,000 $259,000 $398,000
Pediatrics - Hemat$182,000 $217,000 $251,000
Pediatrics - Neurol $175,000 $189,000 $362,000
Physiatry $169,000 $244,000 $313,000
Podiatry $128,000 $168,000 $292,000
Psychiatry $149,000 $169,000 $238,000
Psychiatry - Child $158,000 $189,000 $265,000
Pulmonary Medicin $215,000 $288,000 $417,000
Radiation Oncology $241,000 $385,000 $787,000
Radiology $201,000 $354,000 $911,000
Rheumatology $179,000 $229,000 $378,000
Surgery - General $226,000 $291,000 $520,000
Surgery - Cardiova$336,000 $515,000 $811,000
Surgery - Neurolog $354,000 $541,000 $936,000
Surgery - Plastic $237,000 $412,000 $820,000
Surgery - Vascular$270,000 $329,000 $525,000
Urology $261,000 $358,000 $619,000
EUA said:brainwashed. they're all brainwashed. god forbid a med student has an independent thought. derm derm derm. and this year, in my class, gas gas gas. oh god. please. you couldn't pay me enough cash to be a dermatologist. it's disgusting (but not cool-disgusting) and agonizingly routine. the worst part, of course, is the crappy holier-than-thou, kiss-my-ass attitude the derms get. god they are hateful.
and i don't care what anyone says. path IS sexy.
Peter Gibbons: What would you do if you had a million dollars?
Lawrence: I'll tell you what I'd do, man, two chicks at the same time, man.
Peter Gibbons: That's it? If you had a million dollars, you'd do two chicks at the same time?
Lawrence: Damn straight. I always wanted to do that, man. And I think if I had a million dollars I could hook that up, cause chicks dig a dude with money.
Peter Gibbons: Well, not all chicks.
Lawrence: Well the kind of chicks that'd double up on a dude like me do.
Peter Gibbons: Good point.
yeah wtf is up with gas. gas was popular at my school too.EUA said:brainwashed. they're all brainwashed. god forbid a med student has an independent thought. derm derm derm. and this year, in my class, gas gas gas. oh god. please. you couldn't pay me enough cash to be a dermatologist. it's disgusting (but not cool-disgusting) and agonizingly routine. the worst part, of course, is the crappy holier-than-thou, kiss-my-ass attitude the derms get. god they are hateful.
and i don't care what anyone says. path IS sexy.
AndyMilonakis said:yeah wtf is up with gas. gas was popular at my school too.
my roommate is in gas. he showed me some job listings a while back (forgot the url for the site) but i was like "Damn!" gas folks make a ton of bank. problem is they also pay a ****load of malpractice insurance too. but the lifestyle is great! lifestyle lifestyle lifestyle rah rah rah! yay yay yay!
Yeah, my thoughts exactly...I have a little hunch that his "reasoning" is BS and he's fallen victim to the $ misconception LADoc has described.yaah said:Wow - someone who "Doesn't want to get bored" with their specialty should probably consider something other than derm. After a one month rotation I feel like I saw 95% of the things they see day to day. Derm is one of the more routine specialties out there.
yaah said:I can't imagine how much $$$ derm would have to provide before I would do that as a career. The month I spent in it was simply not interesting to me. Dermpath, I can't necessarily rule it out. I don't really like it right now, and I am fairly sure I don't want to ***** myself out to the dermpathologists to suck up for a fellowship spot, but I can't rule it out. There are a lot of neat diagnoses to make in dermpath.
beary said:The derm residents and faculty I have been working with are cool and all reacted very favorably about my interest in path. They seem to think it is better to be trained in derm than in path to be a dermpath, but I guess their bias makes sense. There are two dermpaths here - one trained in derm, and one in path.