EX-Surgery Resident gets board certified in Urgent Care Medicine!

Discussion in 'General Residency Issues' started by Paulista, Nov 8, 2004.

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  1. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    after two years of general surgery
    after half a year of ER residency
    after scoring highest in the in-service exam in surgery.
    after being accepted as PGY-3 in Neurosurgery...
    after becoming a Director of Primary care medicine and urgent care medicine
    after becoming eligible to become an ATLS instructor
    after being offered another Directorship position in Occupational Medicine
    Now, today I got the letter of passing the Urgent Care Medicine boards...

    Now what???
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  3. Celiac Plexus

    Celiac Plexus Senior Member 10+ Year Member

    Oct 9, 2002
  4. maxheadroom

    maxheadroom Rhinestone Cowboy Moderator Emeritus 10+ Year Member

    Urgent Care Medicine is not a ABMS board certification.
  5. stapes

    stapes 5+ Year Member

    Oct 7, 2004

    Why are you an ex surgery resident? What do you want to do?
  6. fourthyear

    fourthyear Senior Member 7+ Year Member

    May 29, 2002
    Urgent care medicine boards answer key:
    What do you do with a difficult patient you can't figure out? - CONSULT SOMEONE ELSE TO FIGURE IT OUT FOR YOU.

    C'mon really, Urgent care is essentially basic outpatient primary care with no long-term follow up (and therefore no real responsibility for the patient that an FP would have) and if anyone is really sick you send them to a real ER at a real hospital to be taken care of.

    I'm not quite sure what the purpose of this post is...are you trying to brag?
  7. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    I see many ER docs getting tired and doing urgent care...
    I see an ex general surgeon running an urgent care...

    I am just saying people's priority do change with time...

    Urgent Care board is not ABMS certification, however it is an AMA
    self-designated specialty. So it is recognized..

    The organization itself has about 7000 active members who are either owners or staff of urgent care practices. From those approximately 800 are currently board certified.

    This same organization is actually talking with third party payors regarding
    payments for services rendered by physicians with these credentials.
    In addition, they are talking about residencies in urgent care...So I guess
    it is a movement of certain group of well organized people.
  8. pre-doc

    pre-doc Member 7+ Year Member

    Dec 6, 2001
    Chicago, IL
    For some strange reason, i though this was going to be another one of those Mastercard commercials . . .

    wasting several years of your life to find that you are still confused?

  9. stoic

    stoic "Time you enjoy wasting, was not wasted" Lifetime Donor 10+ Year Member

    Nov 4, 2000
    sodom, south georgia
    likely repeat troll. see vukken or vulkken or something like that how was former surgery/former ER/current urgent care/total douche.

    posted with the same mannerisms.
  10. endodoc

    endodoc Endocrinologist (MD, PhD) 7+ Year Member

    Aug 6, 2004
    This person is one lost sole.... I hope he/she is still in high school trying to figure out their life. If they are really in a residency program we are all in trouble. I sure hope medical schools are not producing these type of people.
  11. pseudoknot

    pseudoknot Lifetime Donor 10+ Year Member

    Paulista is the new name of the banned user vukken99.
  12. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    I thought douche was not recommended.

    This shows the lack of reality in the hardset mentality of poor med studs.

    The key is making money and at the same time helping and serving people in need.

    It is a broad idea.

    There is not a perfect path toward the peak.

    entertain the mosaic of ideas in this very political medicine.
  13. I'm confused.
  14. banner

    banner Senior Member 7+ Year Member

    Sep 2, 2003
  15. hans19

    hans19 I'm back... Moderator Emeritus 5+ Year Member

    Jun 9, 2004
    Feeling a little grandiose today?
    Board certified in urgent care? WOW!!!
    Does it impress the ladies?
  16. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    Those out there wondering what am I all about.

    I am all about practicing medicine and surgery.
    I guess I have seen through all angles...

    I see few gen surgery guys struggling to make ends meet..
    I see FP trained guys not being able to pay their own student loans...
    Some making like 85k a year and practices making them pay their own malpractice close to 20k a year.

    Took up a rural med directorship with my background then i was offered another directorship in a large metropolitan area.
    I grade many physicians out there to be mediocre at best...with minimal interest in patient care...no wonder many PAs and NPs are taking up their slacks.....

    After being certified in Urgent Care Med..I plan to continue working...provide care and make a decent living....
  17. dry dre

    dry dre All hat, no cattle 10+ Year Member

    Dec 20, 2003

    Anyone else hear crickets chirping?

    A loose paraphrase of Shawshank: "Ego is a bad thing, maybe the worst of things. And no bad thing ever dies"
  18. edinOH

    edinOH Can I get a work excuse? 7+ Year Member

    Nov 13, 2002
    And to loosely paraphrase and slightly modify a line from the movie "Tommy Boy"...

    "We'll you can stamp certified on the box if you want, but what does that really give you? A certified piece of ****!"
  19. neutropeniaboy

    neutropeniaboy Blasted ENT Attending 10+ Year Member

    Feb 10, 2002
    You strike me as someone who lacks direction and goals.
  20. lawmd

    lawmd Member 7+ Year Member

    Dec 15, 2003
    north carolina
    give me a break.
    isn't there a DSM-IV diagnosis for you-multiple personality disorder
    did you just apply to medical school because you were smart and say "what the hell, i'll be a doctor"
    make up your mind, see a shrink

    not wondering what you are about, don't care.

    please don't treat any of my relatives-a little too much knowlegde in too many important specialties- will you put burr holes in someone's head because they have a headache?
  21. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    My endless of search for my calling led me to seek my current path.
    No regrets really...

    I am probably making more than most of you out there.
    In addition, I have specialists asking me for patients....

    I still enjoy and do whatever I can for my patients.
    Last week a CT surgeon discharged a patient of mine after CABG with a glucose level of 490!!!! I was very upset...

    Today this same patients showed up with SOB for three days...huge pericardial effusion on his left lung; he lost about 40% of his lung capacity on that side... I changed all my specialists on this care from scratch..Patient is admitted and being worked up..

    In my view, a good physician is the one who is willing to struggle with the patient and help him get better.

    I let you guys be the judge.
  22. MD'05

    MD'05 Money Hungry Pervert 7+ Year Member

    Feb 12, 2002
    blah blah blah ... g*d I can't freaking take it anymore. I have lost all patience with this madness. "taking up their slacks"? Why don't they buy slacks that fit???

    I plan to run an urgent care out the back of my SUV and make $500K a year with no overhead. Who the frig cares?
  23. tom_jones

    tom_jones Senior Member 5+ Year Member

    Jul 7, 2004
    At no point during this rambling did you come close to making a coherent point. We are all dumber now for having read this. may god have mercy on your soul.
  24. lawmd

    lawmd Member 7+ Year Member

    Dec 15, 2003
    north carolina
    making more than the most of us.

    great. congratulations, you have reached the pinnacle of medical success, making more than the most of us. Maybe you can now be secretary of health and human services.
  25. Purulent DC

    Purulent DC Member 7+ Year Member

    Feb 23, 2003

    Uh... my friend....if you keep diagnosing pericardial effusions of the LUNG (??!!!!?), you might be going to see Judge Wopner before long. [Hint: The root "cardi" in the word "pericardial" refers to an important organ, and it's not the lung.]
  26. Derek

    Derek 10+ Year Member

    Nov 20, 1998
    1. I believe there already is a residency for the urgent care specialty it is called an internship.

    2. Post CABG effusion is common. Tend to be left sided. May return if drained.
  27. Purulent DC

    Purulent DC Member 7+ Year Member

    Feb 23, 2003

    Pericardial effusions occur in the pericardial space which surrounds the HEART. Pericardial effusions can be (about 30% of the time) accompanied by a coexisting PLEURAL effusion of the LUNG.
  28. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    For those of you still in training either medical stud level or resident level, I do have to give you very bad news....

    There are PAs and NPs with their own practices hiring Physicians..yes that is right!

    While you guys were talking about the beauty of humanity and nice goals in life, the same guys who have created your schools and keep on making money from them are creating more PA and NP programs....juicing from all ends.....

    PAs only pay 2k a year in premiums but even a GP pay close to 20k a year...
    I have friends with 250K in loans..and not making enough to pay them back...
    Others who got pretty much screwed by older pals in this profession and they can't get licenses anywhere else...

    You guys can go on days and talk about how bad I am...but I am the voice from the within maybe even from the bowels of this profession.

    I work full time as director and on weekends I cover a urgent care...
    I really don't do it entirely for money...I do it because more clinical experience is good for new physicians....

    The point about the CT surgeon is that he discharged a patient with 490 in glucose....does not he worry about sternal wound infections????
    And, any infections in a Diabetic can make his sugar out of whack...making him harder to heal....God Bless training programs in America churning out inept so called pseudodoctors....open your eyes guys....your title does not assure that you would be good and successful......

    Anyone how you guys keep on busting you know what...
    I am gonna keep on providing service and making money to pay my loans...
  29. dry dre

    dry dre All hat, no cattle 10+ Year Member

    Dec 20, 2003
    I doubt that.

    No, you're talking out of your bowel.

    Recall Mark Twain's advice: "It is better to keep your mouth closed and let people think you are a fool than to open it and remove all doubt."
  30. ERMudPhud

    ERMudPhud Back for a visit 10+ Year Member

    Feb 24, 2003
    Does that mean if I start taking Zyprexa you'll go away?
  31. Sessamoid

    Sessamoid 1K Member 10+ Year Member

    Sep 11, 2003
    Los Angeles
    Maybe if you combine it with ibuprofen.
  32. stoic

    stoic "Time you enjoy wasting, was not wasted" Lifetime Donor 10+ Year Member

    Nov 4, 2000
    sodom, south georgia
    You sounds off about a lot of the same ridiculousness as MacGuvyer... you two wouldn't happen to be related, would you?
  33. Paulista

    Paulista Member 5+ Year Member

    Jul 17, 2004
    I don't seek glory...I only see satisfaction of helping those in need.

    It really would not matter what you guys have to say....
    I had evaluated many surgery students and interns in my past...taught them the little I know....

    I have friends graduating now from gen surgery residency some of them with me and some of them against me.
    The reality is I have survived the turmoil....of not finishing my training but getting a decent, actually a great job...making close to top 1% of all physician generalist salaries.

    I even have a friend who got terminated from his job in WestCoast by a group..a very well trained guy from a known place...They blackmailed him so He won't be able to get a license in another state. That is the state of affairs..that guy is actually doing some locum tenens job making 60bucks an hour.

    I plan to move forward...I plan to continue to educate myself and to get ahead. Maybe next year I will contemplate returning to residency but after making securing some financial stability....I am sorry but we all have to eat and pay bills...even though the current system thinks we should get paid less than PAs and be trained like slaves...

    Open your eyes fellahs...
  34. pushinepi2

    pushinepi2 Bicarb chaser 10+ Year Member

    Starry, starry night.. Paint your palate blue and gray...

    Just think of what Paulista can do when he gets certified through AAPS? Perhaps a triple decker certification in Preneurosurgical/preemergent urgent care? Or.. preventative emergency medicine? Hmmm....

  35. carpe diem

    carpe diem Senior Member 7+ Year Member

    Mar 6, 2002

    No offense meant to anyone, but the only thing I've been able to extract from the OP's posts is that English is not this person's first language.
  36. PairODocs

    PairODocs Member 5+ Year Member

    Nov 28, 2004
    Tobacco Road
    Survived the turmoil? You sound like you survived a traumatic brain injury!

    Hello!?!? What kind of crack pipe is this guy hitting??? I no longer wonder why I'm having to shell out $1000 to go to Philly/Atlanta/Houston/ wherever and prove I can speak English and am not a total fruitcake/jacka$s.

    Thanks, Paulista, I can tell your patients leave your office more confused than when they got there. What admissions committee let you into med school to begin with? You should send them copies of your posts here- I'm sure they would be proud!
  37. leorl

    leorl Moderator Emeritus Lifetime Donor 10+ Year Member

    Jan 2, 2001
    Ignore trolls... it should be obvious to everyone that people who gain true success in medicine don't toot their own horns on medical website message boards. (they toot them insufferably to their patients and coworkers on a more personal level).
  38. MasterintuBater

    MasterintuBater Senior Member 10+ Year Member

    Feb 5, 2004
    You are so friggin' weird. I don't post much...but I couldn't help myself. You're just weird.

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