How high yield is Goljan audio?

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rocketbooster said:
Give 10 derm conditions not treated by steroids or antibiotics. I'll give you 5 min bc Googling it is cheating
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UV light - Phototherapy
5-Flourouracil
Retinoids
Methotrexate
Tacrolimus
Protopic
Propranolol
Nitrogen mustard
Excision
Vemurafenib
 
DermViser said:
UV light - Phototherapy
5-Flourouracil
Retinoids
Methotrexate
Tacrolimus
Protopic
Propranolol
Nitrogen mustard
Excision
Vemurafenib
Click to expand...

I said derm conditions not 10 different meds. And in many cases that you'd use some of those listed you can still use steroids lol.
 
rocketbooster said:
I said derm conditions not 10 different meds. And in many cases that you'd use some of those listed you can still use steroids lol.
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Melanoma
SCC
BCC
Acne
Keratosis Pilaris
Bullous Pemphigoid
Hemangiomas
CTCL
Mycosis Fungoides
Eczema

Now you can buzzoff Smallville.
 
DermViser said:
Melanoma
SCC
BCC
Acne
Keratosis Pilaris
Bullous Pemphigoid
Hemangiomas
CTCL
Mycosis Fungoides
Eczema

Now you can buzzoff Smallville.
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Awesome now let's see which of those can be treated by a pcp without needing derm.

Bcc, acne, eczema, MF, hemangiomas, KP.

6/10 a pcp can do lol
 
rocketbooster said:
Awesome now let's see which of those can be treated by a pcp without needing derm.

Bcc, acne, eczema, MF, hemangiomas, KP.

6/10 a pcp can do lol
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Yawn. Is that really your best response? If I listed any other dermatologic diseases you wouldn't even know what they are. I figured I should at least use ones that you would know. Thanks for moving the goalposts though. 😆😆😆😆

And no BCCs, MF, and hemangiomas can't be treated by PCPs, and acne/eczema in mainly mild cases. Nice try though. Might want to recharge your rocketbooster, it's running low on batteries.
 
DermViser said:
Yawn. Is that really your best response? If I listed any other dermatologic diseases you wouldn't even know what they are. I figured I should at least use ones that you would know. Thanks for moving the goalposts though. 😆😆😆😆
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And how common are those ones you might list? Exactly
 
I feel bad. I just made tons of readers realize how boring derm is. I just ruined the potential interest in derm of thousands of med students in one single sdn thread lol.

Oh well. Everyone knows sdn is the best resource for med school after all.
 
rocketbooster said:
I feel bad. I just made tons of readers realize how boring derm is. I just ruined the potential interest in derm of thousands of med students in one single sdn thread lol.

Oh well. Everyone knows sdn is the best resource for med school after all.
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😆😆 😆You wish.
 
DermViser said:
BCCs, MF, and hemangiomas are definitely not treated by PCPs, genius. Nice try guessing, though.
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Yea Bcc is treated by oculoplastics, plastics, ENT and derm. Def exclusive to derm huh
 
rocketbooster said:
Yea Bcc is treated by oculoplastics, plastics, ENT and derm. Def exclusive to derm huh
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Oculoplastics and ENT may only be involved if it involves a certain area, but even then in consultation. No disease states are "exclusive" to any specialty. Medicine as a whole is segmented into specialties which are then defined by scope of practice and the amount of malpractice risk a provider is willing to take.

You just said a moment ago that BCC can be treated by a PCP. The next moment, you say, "it can be treated by oculoplastics, plastics, ENT and derm." It would be nice if you stayed on one line of thinking and maintain the goalposts of your question, rather than hop around like you're manic.
 
DermViser said:
Oculoplastics and ENT may only be involved if it involves a certain area, but even then in consultation. No disease states are "exclusive" to any specialty. Medicine as a whole is segmented into specialties which are then defined by scope of practice and the amount of malpractice risk a provider is willing to take.

You just said a moment ago that BCC can be treated by a PCP. The next moment, you say, "it can be treated by oculoplastics, plastics, ENT and derm." It would be nice if you stayed on one line of thinking and maintain the goalposts of your question, rather than hop around like you're manic.
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What are medical specialties? I thought there was only pcp and derm?
 
rocketbooster said:
What are medical specialties? I thought there was only pcp and derm?
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Well, now that you've been reduced to almost nothing, with respect to your knowing what you're talking about. My work here is done. Based on your view point, there are all these PCPs treating basal cell carcinomas with Mohs surgery. Reality is quite different.
 
DermViser said:
Well, now that you've been reduced to almost nothing, with respect to your knowing what you're talking about. My work here is done. Based on your view point, there are all these PCPs treating basal cell carcinomas with Mohs surgery. Reality is quite different.
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Alright so when I'm a pcp I'll treat everything I can but if I get a severe acne or eczema case I'll call you up.

And folks, this is why PCPs get hated on so much. You have ppl like this in fields like derm who think they're above us.

Fortunately, I have met some dermatologists who are not full of themselves and do not think the world centers around derm. Dermviser is just not that type.
 
rocketbooster said:
Alright so when I'm a pcp I'll treat everything I can but if I get a severe acne or eczema case I'll call you up.

And folks, this is why PCPs get hated on so much. You have ppl like this in fields like derm who think they're above us. Fortunately, I have met some dermatologists who are not full of themselves and do not think the world centers around derm. Dermviser is just not that type.
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Ah, so now we're getting to the underlying feeling here from you finally, which I suspected all along. But yet, somehow, I think I'm above PCPs, bc I don't think that basal cell carcinomas can be treated by them, but rather by Mohs surgeons? Really?

Feel free to be the PCP who wishes to take on huge malpractice risk to your license. You are free to completely treat BCCs, Mycosis Fungoides and other Cutaneous T-Cell Lymphomas, on your own. Absolutely no one is stopping you. Your ego in being the "knight in shining armor" should be secondary to the patient getting the best care.

If you want to deal with a real turf war, you should talk with OB-Gyns who don't feel that FM doctors have the proper training to deliver babies.

Edit: Just saw one of your threads, "Lol compare the ones at the top to the bottom. All the ones toward the top are the ones with either the highest reimbursement or a mix of good lifestyle and high reimbursement. The bottom are the ones with basically the lowest compensation or combo of bad lifestyle + low compensation. Hilarious." --- now I'm completely understanding where your worldview is coming from, although very much deluded and misguided.
 
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@rocketbooster, in another thread, you complain about how apparently the happy specialties are high reimbursement or a mix of good lifestyle + high reimbursement: http://forums.studentdoctor.net/threads/medscape-2014-i-would-choose-the-same-specialty.1067829/. With Ophtho being #3 on the list.

Yet, I see you just matched into Ophtho: http://forums.studentdoctor.net/thr...ppealing-anymore.1059500/page-5#post-15018412.

One could make the same accusation against you for pursuing Ophtho that you make towards people who pursue Derm, hypocrite.
 
rocketbooster said:
It'd because of ppl like you needlessly bashing primary care that no one wants to do it
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I can't remember a single time I've bashed primary care. Not once...

With that said, I think primary care is less popular because:

  • It lacks prestige
  • The reimbursement is among the lowest in medicine
  • The hours and patients can be very difficult (this is something that FM/IM/EM have to deal with, there is no filter since they are usually the first physician to be seen. Therefore they sometimes have some very difficult people to deal with. EM obviously is #1 in this area, but FM/IM also deal with this)
  • Lifestyle CAN be rough. If you have to handle all your inpatient services and call. If you can outsource inpatient and limit call, then it can be 9-5pm. Some FM physicians end up working as hard as any other physician (save general surgery), in this case they are working a ton and not being paid very well.
I think that's it. If FM paid 400k per year and all other specialties paid the same, I believe FM would be very popular. And with that increase in popularity it would have more prestige. $ really does set the tone in medicine.
 
rocketbooster said:
Awesome now let's see which of those can be treated by a pcp without needing derm.

Bcc, acne, eczema, MF, hemangiomas, KP.

6/10 a pcp can do lol
Click to expand...

There's no reason to belittle a specialty.

I'm sure I could think of reasons to make little of the day to day of a FM doc, but I wouldn't. The physicians I've worked with provide a great service to their community and they are very valuable. Just because someone does something you think it's important doesn't mean their contribution isn't valuable.

This is why I've always believed it how you do it rather than what you do. I've worked with impeccable surgeons who are so mean spirited that it makes me sick. And I've worked with FM doctors who are so important to their patients that they would show up at their funeral. We're don't live forever. How you treat people matters - and MUCH more than exactly what medical service you're providing.

So - I say that I love dermatologists and their contributions. I don't run into many egotistical jerks in derm. They work hard and they are smart. Their patients enjoy their contribution. That's enough for me. What more do you want?
 
DermViser said:
@rocketbooster, in another thread, you complain about how apparently the happy specialties are high reimbursement or a mix of good lifestyle + high reimbursement: http://forums.studentdoctor.net/threads/medscape-2014-i-would-choose-the-same-specialty.1067829/. With Ophtho being #3 on the list.

Yet, I see you just matched into Ophtho: http://forums.studentdoctor.net/thr...ppealing-anymore.1059500/page-5#post-15018412.

One could make the same accusation against you for pursuing Ophtho that you make towards people who pursue Derm, hypocrite.
Click to expand...

Yeah, you can't complain about people not wanting to do primary care then go into a surgical-subspecialty. Poor form.
 
@JackShephard said:
I can't remember a single time I've bashed primary care. Not once...

With that said, I think primary care is less popular because:

  • It lacks prestige
  • The reimbursement is among the lowest in medicine
  • The hours and patients can be very difficult (this is something that FM/IM/EM have to deal with, there is no filter since they are usually the first physician to be seen. Therefore they sometimes have some very difficult people to deal with. EM obviously is #1 in this area, but FM/IM also deal with this)
  • Lifestyle CAN be rough. If you have to handle all your inpatient services and call. If you can outsource inpatient and limit call, then it can be 9-5pm. Some FM physicians end up working as hard as any other physician (save general surgery), in this case they are working a ton and not being paid very well.
I think that's it. If FM paid 400k per year and all other specialties paid the same, I believe FM would be very popular. And with that increase in popularity it would have more prestige. $ really does set the tone in medicine.
Click to expand...
I think #3 (as you said, there is no filter) and #4 along with not a concrete & defined scope of practice, which varies with what you are "allowed" to do based on location (urban vs. rural), is why it is not popular.
 
@JackShephard said:
Yeah, you can't complain about people not wanting to do primary care then go into a surgical-subspecialty. Poor form.
Click to expand...
Yeah, I almost took @rocketbooster seriously, re: his complaints on reimbursement and lifestyle, until I realized the hypocrite matched into Ophtho. It doesn't exactly help your case when you cry tears about doctors not choosing primary care, when you yourself are entering a "ROAD" specialty.
 
DermViser said:
Yeah, I almost took @rocketbooster seriously, re: his complaints on reimbursement and lifestyle, until I realized the hypocrite matched into Ophtho. It doesn't exactly help your case when you cry tears about doctors not choosing primary care, when you yourself are entering a "ROAD" specialty.
Click to expand...

Glad you two became acquainted. We were enjoying a nice hiatus there for awhile.

Stay tuned for more.
 
DermViser said:
Yeah, I almost took @rocketbooster seriously, re: his complaints on reimbursement and lifestyle, until I realized the hypocrite matched into Ophtho. It doesn't exactly help your case when you cry tears about doctors not choosing primary care, when you yourself are entering a "ROAD" specialty.
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Only almost? I had you going for a good hour. Good times. And too easy. :roflcopter::laugh:
 
rocketbooster said:
Only almost? I had you going for a good hour. Good times. And too easy. :roflcopter::laugh:
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No, I'm saying I almost took you seriously for not being a hypocrite. Seeing that you're going into Ophtho confirmed that you were in fact an utter hypocrite. Understand better?
 
DermViser said:
No, I'm saying I almost took you seriously for not being a hypocrite. Seeing that you're going into Ophtho confirmed that you were in fact an utter hypocrite. Understand better?
Click to expand...

Lol I'm still winning by you calling me a hypocrite. I clearly was taking the side of a pcp to mess with you.

All too easy. Btw I was serious about derm tho. Most boring field. I don't consider all non ophtho fields boring. Just derm really.
 
rocketbooster said:
Lol I'm still winning by you calling me a hypocrite. I clearly was taking the side of a pcp to mess with you.

All too easy. Btw I was serious about derm tho. Most boring field. I don't consider all non ophtho fields boring. Just derm really.
Click to expand...

Actually you weren't as your ability to troll was quite obvious: http://forums.studentdoctor.net/threads/medscape-2014-i-would-choose-the-same-specialty.1067829/

"Lol compare the ones at the top to the bottom. All the ones toward the top are the ones with either the highest reimbursement or a mix of good lifestyle and high reimbursement. The bottom are the ones with basically the lowest compensation or combo of bad lifestyle + low compensation. Hilarious." --- when you're going into Ophtho, which is ironically enough enjoy it's share of reimbursement cuts.
 
DermViser said:
Actually you weren't as your ability to troll was quite obvious: http://forums.studentdoctor.net/threads/medscape-2014-i-would-choose-the-same-specialty.1067829/

"Lol compare the ones at the top to the bottom. All the ones toward the top are the ones with either the highest reimbursement or a mix of good lifestyle and high reimbursement. The bottom are the ones with basically the lowest compensation or combo of bad lifestyle + low compensation. Hilarious." --- when you're going into Ophtho, which is ironically enough enjoy it's share of reimbursement cuts.
Click to expand...

@DermViser, you got schooled. Give up.

And ophtho already faced a lot of reimbursement cuts in the last decade and still makes about the same or more (depending on the subspecialty) than derm. Ophtho is not expected to face any more drastic cuts. The cuts have stabilized for the most part and reimbursement isn't expect to decrease any worse than all other medical fields. Derm on the other hand has never really been cut much so far, and those are the fields that are usually on the chopping block next. Derm, ortho, rad onc, etc. I understand rads is already in the process of big cut sand cards was cut by 25% last year.
 
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Man this thread turned out to be a disaster. As boring as a specialty might be there's no reason to bash it, everyone has their own opinion. Primary care = Rough life, Dermatology = Hella boring but either way both are respected neccessary fields of medicine.

What exactly is the point of bashing each other just because you guys have different opinions? guys you're medical students not middle school teenagers. HAVE SOME SELF RESPECT.
 
rodmichael82 said:
Man this thread turned out to be a disaster. As boring as a specialty might be there's no reason to bash it, everyone has their own opinion. Primary care = Rough life, Dermatology = Hella boring but either way both are respected neccessary fields of medicine.
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True dat
 
rocketbooster said:
@DermViser, you got schooled. Give up.

And ophtho already faced a lot of reimbursement cuts in the last decade and still makes about the same or more (depending on the subspecialty) than derm. Ophtho is not expected to face any more drastic cuts. The cuts have stabilized for the most part and reimbursement isn't expect to decrease any worse than all other medical fields. Derm on the other hand has never really been cut much so far, and those are the fields that are usually on the chopping block next. Derm, ortho, rad onc, etc. I understand rads is already in the process of big cut sand cards was cut by 25% last year.
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Is this true? I've seen figures like 120-150k starting...
 
Dave89 said:
Is this true? I've seen figures like 120-150k starting...
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I don't know about salaries that low, but yes, Ophthalmology has been hit hard by reimbursement cuts. I'm curious what will happen now with Medicare billing released to the public, with outrage over high billers in the system, which just happened to be Ophthalmologists.

Radiology has also been hit hard by imaging cuts from Medicare as well.
 
Dave89 said:
Is this true? I've seen figures like 120-150k starting...
Click to expand...

Yes starting salary in the big coastal cities (NYC, LA, SF, Chicago and yes I know it's not coastal lol) is around there. All fields have much lower starting salaries in those cities but I don't know exact numbers. I have no interest in living in the heart of these cities, though. My understanding is living 30-60 miles outside those cities is a lot better. But anyways, aside from those cities, most starting salaries are probably ~$200k. They say it takes 3-5 years to build your practice/become partner and at that point your salary should double. Avg ophtho salary is near $400k, while for retina it's like $600k+ plus. Retina also doesn't have the typical lifestyle of an ophthalmologist, though. And of course the LASIK ppl and high volume cataract ppl can make north of a million supposedly but that is definitely not the norm for the field. Avg ophtho works 4.5 days per week and makes $400k and doing so while treating a person's most important sense, their vision, using medical and surgical treatment..sounds great to me. :clap:
 
So the problem with resources is overload. Unless you have no social life, its going to be impossible to do Goljan, Pathoma, Firecracker, Picmonic, UWORLD, FA and whatever else you can think of. Sample upperclassmen and ask them for advice and what resources worked for them. For me, it was very well communicated that to get the score I wanted I needed to use Pathoma, do UWorld at least once, know FA by heart and use Picmonic for Pharm and Micro. Guess what, I did better than I thought and I wasn't freaking out like a lot of my classmates who wanted to absorb every resource available.

I've listened to a few Goljan lectures. Keep in mind these are pirated (moral issue), they're audio, and a lot of times he refers to images etc. I tried to listen to a few while working out and I couldn't concentrate. I tried to listen to them following his book, and there was too much jumping around (I have a 2012 version). Pretty much, Goljan has old lectures and its a novel product if you're a med student in 2003 when iPads, universal wifi and all of these other resources don't exist. At this point there's no denying Goljan has its merits, but there are some badass new products out there which do a much better job and suit med student lifestyle and study habits better.
 
rahndell said:
So the problem with resources is overload. Unless you have no social life, its going to be impossible to do Goljan, Pathoma, Firecracker, Picmonic, UWORLD, FA and whatever else you can think of. Sample upperclassmen and ask them for advice and what resources worked for them. For me, it was very well communicated that to get the score I wanted I needed to use Pathoma, do UWorld at least once, know FA by heart and use Picmonic for Pharm and Micro. Guess what, I did better than I thought and I wasn't freaking out like a lot of my classmates who wanted to absorb every resource available.

I've listened to a few Goljan lectures. Keep in mind these are pirated (moral issue), they're audio, and a lot of times he refers to images etc. I tried to listen to a few while working out and I couldn't concentrate. I tried to listen to them following his book, and there was too much jumping around (I have a 2012 version). Pretty much, Goljan has old lectures and its a novel product if you're a med student in 2003 when iPads, universal wifi and all of these other resources don't exist. At this point there's no denying Goljan has its merits, but there are some badass new products out there which do a much better job and suit med student lifestyle and study habits better.
Click to expand...
He should just do an audio lecture to accompany his text, since he'll be retiring soon.
 
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