Is it a relief to be a resident
Started by Tortaspie
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No.
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Residency is wayyyyy better than med school. No grades or shelf exams to worry about, what you do actually matters and you get to profoundly affect people's lives, and you are actually getting paid (usually above the median income in the US).
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yes it is a relief to finally get paid and not pay absurd tuition. that has been one of the best things during this long training route.
So basically you only have to come to required lectures.
That's something to look forward to for sure.
With skills like these, you should work for the Hillary campaign.
Way easier, though it took me a year or so to get out of med student mode.
You worry about doing the best you can and learning the practice of what you're doing rather than worrying about what some random preceptor thinks of your "enthusiasm"
Seriously, med school sucks. I never understood people who enjoyed their clinical years.
You worry about doing the best you can and learning the practice of what you're doing rather than worrying about what some random preceptor thinks of your "enthusiasm"
Seriously, med school sucks. I never understood people who enjoyed their clinical years.
Yeah I did an ortho rotation 4th year and the pimp game was intense. All of it directed at passing those things.
Most fields are not that serious about inservice exams that I'm aware of.
My MS3 ortho rotation was back when the residents got their scores back. It was kind of a "aww shucks this is embarrassing" kind of mood more than anything too serious.
The in-service where I'm at isn't all that emphasized , though one or two residents love to have a gunner-off about it. Most treat it as a "well this is where I'm at for a baseline while not studying" sort of thing. As chief this year I found out we had one guy score REALLY low on it, but he was an outlier. We're not quite sure what to make of it, because we haven't had a board fail in a long time.
Btw, @ChiTownBHawks I'm concerned that you're repping my posts during a playoff game.
Lol. Gotta do something during the commercials.
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This is good to know and is really motivating. Many people act like med school is 8 years because of the residency but really the residency is more like just working a job. I want to do RAD or PATH which I know have long residencies.
I think you mean never-ending fellowships.
I've heard they have 1 fellowship.
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Hillary Clinton is one of the worst things that could potentially happen to this country. The last thing we need us another corporatist neo-con masquerading as a liberal.
Your program is an outlier in this respect (though it might be specialty specific). At my program (IM) the in service exam is only to inform the resident about his/her knowledge base. So not stressful at all.
It took me a while to realize you aren't @sb247 when reading this. I thought I was having a seizure.
How much residents get paid on a biweekly basis during residency?
Residency was so, so much better than med school. And I liked med school a lot. I've said before, as a resident I still had to do things I didn't want to do- wake up early, sleep less, do the less glamorous tasks of various services. But I never had to pretend to like it for the sake of my evals.
Why google things since I have SDN...🙄
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I dislike both clintons but "neocon" isn't really my vernacular
Statist though, statist has passed my lips few times 😉
It IS specialty specific.
Surgical programs as a whole, not just Ortho and not just Tireds program, take the ITE seriously. Programs are well known to put residents on probation for scores below the 30% percentile; firing someone would also not be out of the ordinary.
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Derm absolutely is.
My program is very similar to Tired's in that scoring below the 50th percentile will definitely earn you some negative attention. And of course, all the attendings get your scores as well.
Why would they give all the attendings your ITE score? Is it just to purposely embarrass you? I don't see how that would help or motivate you, unless you count fear as a motivator. Is that the point?
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I agree with the above, residency is much better than medical school. The first and possibly the best aspect of improvement that I've noted is that I now can use the bathroom whenever I want.
If that was the reason, scores would be disseminated anonymously. That way faculty know what areas the residents need to improve. I suspect part of the motivation goes beyond that.
I think @Tired was trying to point towards multiple applications. One to identify trends at large, but another to allow attendings to consider "customizing" (my words not his) their instruction for the most "at risk" residents allowing for the greatest overall improvement.
But he ended by saying he suspects that in reality the exam is often used both as a tool for improvement and fear.
I was amazed when I interviewed that some programs were very upfront about their lofty expectations. The odd thing, though, is that the busiest programs seemed to be the ones that placed the most emphasis on the ISE, which is counter-intuitive
you learn by doing...
Not the esoteric stuff the derm ITE tests. More time in clinic will not make you better at having to know the very long names of the 30 most common chemicals responsible for shoe-associated contact dermatitis, or knowing the 40 most common causes of flower induced contact dermatitis (as well as their Latin names), or knowing which enzymes are defective in a particular type of porphyria (FYI, there are many more types of porphyria than what one learns about in med school), or being able to remember which HLA genotypes are associated with an increased risk of developing rare dermatologic diseases no one ever sees.
If you're expected to do 200-300 pages of reading a week (so you can memorize minutia for the ITE and boards), having to spend more time in clinic takes away from your reading time. Although it may be different in other specialties, I've had advisers and faculty interviewers tell me the same thing: dermatologists who read more, know more.
not totally unique to Derm...
Like it or not, the boards aren't real life, and are just one test out of a 3-7 year learning process. You'll take them in the end and you'll be done (MOC discussion deferred... )
are you at a hotshot derm program then? because it seems illogical for there to be concern about being under 50th percentile, seeing as obviously half of the people who take it have to be there. so I guess it would only make sense if you were at a baller program
This usually refers to being under 50th %ile for the nation.
I know but I mean half the residents are still there so it makes no sense to have that policy unless it's a really good program I guess
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My program director just likes to make sure that the best looking Derm residents are also the highest scoring.
Ideally but as @GuyWhoDoesStuff points out, a lot of ITE stuff is minutiae.
In surgery, as a matter of fact, programs that work you the hardest in terms of hours are known to generally have lower ITE scores; I mean you aren't seeing glucagonomas every day and doing a truncal vagotomy and antrectomy frequently, but they *love* to ask about those things.
I tend to agree with this, though I don't much care for percentiles. The FM ITE gives you a raw score that correlates very well with board passing. They used to give our percentiles as well but I think they've done away with that - which is a good idea to my mind.
I feel like if I only depended on that....I would fail the boards in a heartbeat. I feel as if that doesn't help with 90% of practice board questions....
