Got pimped for an exam - goodbye summer

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Are those numbers accurate? academic cardiologists are really in that range?

Depends on the university, but yeah at my place they start at $110,000 actually (assistant professor). A 24 year old pharmacist at Walgreens makes more than that.

Some of the private schools do a little better, but not by much. Academic medicine sucks for the specialists. There are academic hospitals that pay their neurosurgeons $180,000 starting, meanwhile administrative executives make over $300k (like Michelle Obama who made $300k as a public affairs director at UChicago Hospitals).
 
wow, i didn't realize the disparity between academic and private practice was so large. why would anyone go academic if the difference is that big? it seems unbelievable.
 
You want to talk about inequity?

- An associate professor in cardiology who works 65 hrs a week makes $160k.
- A nurse anesthetist with a third the education and training of the above, working just 40 hrs a week, makes $240k.

And the nurse is "a patient advocate," while the cardiologist is a "greedy doctor."

Life's not fair.

I don't think nurse anesthetists start out making that much. More like around $140,000 in my state. Also, I believe the anesthetist may have a lot more liability.
 
wow, i didn't realize the disparity between academic and private practice was so large. why would anyone go academic if the difference is that big? it seems unbelievable.

I agree. Why in the world would anyone want to take a 60% pay cut to work twice as hard?
 
I agree. Why in the world would anyone want to take a 60% pay cut to work twice as hard?

1- To do research/ be a leader in their fields.

2- Teaching residents/ having resident coverage.

3- It's debatable as to who works harder. An academic doctor who spends 2-3 days in clinical medicine and 2-3 days in administrative/academics vs. a private practice doc who works 50-70 hrs a week? Plus academic docs get residents to take first and even second call, so they are called after the patient has been seen/worked up and often don't have to come in to the hospital (specialty dependent obviously).

4- The pay discrepancy isn't always that large. Some spine surgeons make > 1 million dollars a year working in academics. This is their "salary." These docs often have other ties to industry and get other royalties. I doubt the figures quoted for cardiologists is reasonable at all (most general IM docs at academic places make more than that). This might be region specific.

Finally, 1 and 2 above are often enough for folks to take a pay cut.
 
Update:

My appeal went through. I am very, very pleased. 🙂
 
Rarely. Cardiologists usually make mad cash, and I've never heard of a CRNA making that much money.
A friend of mine makes that much as a CRNA but has to pay for all of his own benefits, including malpractice, making the actual salary more like what you'd expect (mid 100's).

Congrats to you, OP. What did they decide to do with you?
 
Update:

My appeal went through. I am very, very pleased. 🙂

Awesome. Now they just need to change the rule so they don't do the same thing to anyone else.
 
You want to talk about inequity?

- An associate professor in cardiology who works 65 hrs a week makes $160k.
- A nurse anesthetist with a third the education and training of the above, working just 40 hrs a week, makes $240k.

And the nurse is "a patient advocate," while the cardiologist is a "greedy doctor."

Life's not fair.

So are you suggesting that we should concede to the nurses?

I never said that action in the pursuit of equality guarantees it. I am merely pointing out that such action by an attending does not immediately imply "maturity" while the same action by a student equals "immaturity."
 
Congrats to the OP with the successful appeal of this case!

I just want to add that I recently went through a very similar remediation process at my med school, and I actually thought it was very fair. Your school's policy sounds nearly identical to mine - however, from how you presented the case, it sounds like they 1) didn't properly inform you of the procedure and 2) may have asked questions beyond the scope of your essays.

My school's curriculum is divided into four 10-week blocks with 8 weeks of class, 1 week of testing, and 1 week called the "special studies" week. Our testing week includes a clinical skills exam, an 8-hour essay exam based on patient cases we've encountered throughout the block, and a 200 question MCQ (a portion of which is an anatomy and histo practical). A student who fails any 1 of these exams must remediate the exam during "special studies week." Students who pass get the week off. Failing 2 or more exams is an automatic block failure and the entire block must be remediated over the summer.

A score below 75% on the MCQ exam is considered failing. Students who get between 70-75% must identify 3 areas they had difficulty in, write detailed essays on each topic, and discuss the content of the essays in an oral exam with faculty members designated by the student. Students with below a 70% take a completely new 200 question exam. If the remediation attempt is unsuccessful, the student fails the block and has to remediate the entire block over the summer. If a student fails 2 blocks in a year, he/she is placed on academic probation and faces a dismissal hearing - they usually won't be dismissed, but may have to repeat the year.

I scored a 73%, so I fell into the first category. I met with an assigned advisor who explained the entire remediation process to me. I reviewed my exam and chose 3 essay topics: fetal development in the 3rd and 4th weeks; origin, insertion, innervation, action, and blood supply of the 17 muscles that attach to the scapula; and the major arterial branches of the upper limb from the subclavian to the radial/ulnar arteries. I had 5 days to complete the essays, and then met with two professors for the oral exam. I was expected to know all of the material I put in the essays (which I don't think is unreasonable considering that I wrote them) and they questioned me for about an hour on the various topics I covered. I did well and passed the exam.

I'm only posting this because so many people on here seem to think this remediation process is ridiculous and completely unfair. I actually thought it was great; I think that writing an essay and then explaining the material you should already be familiar with is a much better way to evaluate a student's knowledge than a multiple-choice exam. I definitely preferred remediating with this method as opposed to retaking the entire exam because I didn't have to re-study the 90+ lectures our exam was based on - I only had to study areas I felt uncomfortable with. It gave me the opportunity to identify my weaknesses and re-tackle them in a comprehensive way. I also got to spend the majority of the special studies week relaxing with only 3 essays to write as opposed to extensive studying of every lecture we'd covered. My school requires students with below a 70% to retake the entire exam because it is more likely that they have more than a few problem areas.

Sorry for the excessively long post, I just wanted to point out that this method of remediation can be very fair when administered appropriately. I obviously don't know the details behind how the process was explained to the OP, but no school should initiate a remediation process without fully explaining the procedure to the student IN WRITING. The oral exam should only cover material that the student explicitly covered in his/her essay (if the essay was written in appropriate detail).

To the OP: hope everything goes well for you and good luck for the rest of the year!
 
You're right, I think it is fair. The thing I didn't find fair was the poor communication, which the school agreed with. I was definitely angry at first, but in hindsight the school handled it really well and I'm glad it worked out in the end. My remediation likely would have been completely reasonable had I known what was expected of me. Ideally, I won't have to go through it again so I won't have a chance to see. 😀
 
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