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- Jan 22, 2020
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- 172
Can someone clarify what the Step 2 CS disaster is? I'm a slowpoke in terms of news.
Can someone clarify what the Step 2 CS disaster is? I'm a slowpoke in terms of news.
Or just pay rural more. A solid half of my residency class went rural at first. Between more money and insane loan repayment, its absolutely worth it for a few years at minimum.I think the best way to increase access to primary care in rural areas is to do what Florida has attempted. Give unmatched IMG/FMG a limited license so can only practice medicine in facilities designated by the state.
The generation as a whole. You just happen to be one student interested in NSG and that supply won’t change. No one on SDN is going to self identify with the “zoomer” caricature but my gestalt is that Zoomers like to diss the Boomers yet they themselves are growing up in an age seeking quick money and instant gratification. This is the generation of TikTok, kids who think they can day trade for income instead of working a job, and for SDN millennials and zoomers who post tons of maximum salary for 40hr/week threads.If I wanted instant gratification, I wouldn't be in medical school nor potentially entering nsg. There's good and bad doctors of every generation. Also, from my understanding, medical schools are emphasizing high value care more than ever (at least my school is)
Or slapping some sense into him so he can use his platform for something productive.Well Step 1 of the revolution is getting rid of Dr. Mike, the ring leader. Haha
In my group chat, we were actively talking about the problem of mid-level encroachment a few weeks ago. I wouldn't say that proves anything tbh haha.@Matthew9Thirtyfive see my point?
That certainly should be part of the solution, but from what I see in my graduating class, many won't go rural because of their family dynamic.Or just pay rural more. A solid half of my residency class went rural at first. Between more money and insane loan repayment, its absolutely worth it for a few years at minimum.
Best I heard was one of my classmates who ended up "rural" SC (hour from Columbia, 30 minutes from Florence). 250k starting (and this was 8 years ago mind you) with 50k loan repayment per year for I believe 3 years (might have been 5).
IM is less useful in rural settings so that's not really the target audience, especially with the emphasis y'all put on being hospitalists these days.That certainly should be part of the solution, but from what I see in my graduating class, many won't go rural because of their family dynamic.
Are you saying that we are pseudo PCP? LolIM is less useful in rural settings so that's not really the target audience, especially with the emphasis y'all put on being hospitalists these days.
I have a friend in a decent size Midwest city (largest in the state) making over 300k as a pcp and got over 150k in loan repayment for a 5 year agreement. Income includes committees and bonuses based on RVUs, not base but still not a bad gig for not being in a rural setting.Or just pay rural more. A solid half of my residency class went rural at first. Between more money and insane loan repayment, its absolutely worth it for a few years at minimum.
Best I heard was one of my classmates who ended up "rural" SC (hour from Columbia, 30 minutes from Florence). 250k starting (and this was 8 years ago mind you) with 50k loan repayment per year for I believe 3 years (might have been 5).
Rurally, yes. Full scope FM is much more valuable in super rural places than IM since 1 doctor can see all ages, hospital included, and do maternity care.Are you saying that we are pseudo PCP? Lol
The generation as a whole. You just happen to be one student interested in NSG and that supply won’t change. No one on SDN is going to self identify with the “zoomer” caricature but my gestalt is that Zoomers like to diss the Boomers yet they themselves are growing up in an age seeking quick money and instant gratification. This is the generation of TikTok, kids who think they can day trade for income instead of working a job, and for SDN millennials and zoomers who post tons of maximum salary for 40hr/week threads.
LololAAPA responds to medical groups' opposition of rebrand
The American Association of Physician Assistants responded to resistance over its intent to rebrand the PA title towww.beckershospitalreview.com
As an IM guy I agree that overall basic primary care is best handled by the FM guys. It’s weird because IM is trying to get into that but it’s half-assed because our training doesn’t adequately cover OB/GYN which is an important aspect of primary care. That said the field of IM is pretty complex and IM training does offer value especially for adults with chronic disease.Rurally, yes. Full scope FM is much more valuable in super rural places than IM since 1 doctor can see all ages, hospital included, and do maternity care.
We need a special program that recruits doctors to only work in designated underserved areas. Like when they apply they know they’re not working anywhere else; akin to contract that the military does where they decide where you go. Don’t think anything else is going to get these places healthcare
The PHS actually decides where you go way more than the military. We get to put in preferences and at least in the Navy they take it into account. Doesn’t mean you won’t get sent to Guam or something, but they at least look at your preferences. The PHS says straight up before you even start med school that you’re going to this place for this many years lol. Wouldn’t be too hard to do something similar.
The NPs are listed as attending physicians in the EMR here. It’s the EMR build, not the hospital. They have big badges that say NP or Nurse Practitioner on them.
I think i'm losing track of which midlevel thread and topics we're discussing here
Military hospital with a new emr (new as in built over the last few years). I don’t have a choice since I’m a med student lol. It’s ridiculous. The only saving grace is that thus far I have not seen a single NP misrepresent themselves at this facility.Where do you work that this is allowed? Is this at a military hospital? That sounds like the confusion on paper would lead to liability issues at some point. And I’m assuming that you’re mentioning this because it’s not something you’re happy about, but since it’s how it is where you work, you (edit: added on the sentence I didn’t finish) live with it.
When I saw "medical groups' opposition", I thought NPs had joined in too (I've seen a few role their eyes at the title change). Oh well.Lolol
Words have meaning.I mean.. it is just a word. Seems a little ego fragile to worry so much about what someone calls you. You know you're a physician, your team knows, and the licensure/law knows. Aside from boosting one's ego who really cares. This is just as nitpicky as the whole PA movement to get themselves to feel better about themselves. Once a god complex always a god complex, regardless of what the official title is.
Yes but on the other hand, as I’ve said in other threads before, that suppresses the wages in those situations which discourages people with residency training from doing those jobs. So they get inferior care. I am from Florida, going into IM residency, want to do primary care, worked in prison for 10 years, strongly considered returning as a physician, but I have full COA loans and I can’t accept the compensation.I think the best way to increase access to primary care in rural areas is to do what Florida has attempted. Give unmatched IMG/FMG a limited license so can only practice medicine in facilities designated by the state.
I want to do primary care (from IM) so I specifically sought out programs with primary care tracks and/or strong primary care training/curriculum/exposure. I don’t see my future role as equivalent to FM, but I don’t want it to be. I specifically picked IM vs FM to avoid the components of FM primary care I don’t like. And I do agree with whoever said FM is better for rural primary care because it is more comprehensive.As an IM guy I agree that overall basic primary care is best handled by the FM guys. It’s weird because IM is trying to get into that but it’s half-assed because our training doesn’t adequately cover OB/GYN which is an important aspect of primary care. That said the field of IM is pretty complex and IM training does offer value especially for adults with chronic disease.
But… why can’t this be actually PROVIDER Associate?
On another note… where I work, there are lists of NPI numbers hang out for use for staff. There are multiple copies of them. They’re divided into “doctors” and “mid levels.” Out of all the copies, the one that hangs by the “we’re the forefront of medicine”-movement has “mid level” whited out and “advanced practice clinician” hand-written in. Lol. I cringe every time I see that…
Well then someone would have to education the patients on the different between physician and osteopaths as I have heard the argument that DOs should not be called physicians and should only be called osteopaths and only MDs should be called physicians.This is actually one of my few points of snark while I’m at work.
“Are you the provider for Mr. Smith?”
“No, I’m his physician.”
“Are you following Room 12?”
“I’m her doctor, if that’s what you mean by following.”
Well then someone would have to education the patients on the different between physician and osteopaths as I have heard the argument that DOs should not be called physicians and should only be called osteopaths and only MDs should be called physicians.
Well then someone would have to education the patients on the different between physician and naturopaths as I have heard the argument that NDs should not be called physicians and should only be called naturopaths and only MDs should be called physicians.
Yeah i consider DOs to be osteopathic physicians. So they should still be called physician like a MD.I have literally never heard anyone say this.
Yeah i consider DOs to be osteopathic physicians. So they should still be called physician like a MD.
Well then someone would have to education the patients on the different between physician and osteopaths as I have heard the argument that DOs should not be called physicians and should only be called osteopaths and only MDs should be called physicians.
Gotta get rid of those costly pediatricians I guess.This is getting too pervasive.
The Charlotte Ledger
Delivering smart and essential news to Charlotte, one email at a time. Click to read The Charlotte Ledger, a Substack publication with tens of thousands of subscribers.charlotteledger.substack.com
This is getting too pervasive.
The Charlotte Ledger
Delivering smart and essential news to Charlotte, one email at a time. Click to read The Charlotte Ledger, a Substack publication with tens of thousands of subscribers.charlotteledger.substack.com
This language drives me and my partner nuts. We figure it won't be long before they want to change our white coats and badges accordingly.This is actually one of my few points of snark while I’m at work.
“Are you the provider for Mr. Smith?”
“No, I’m his physician.”
“Are you following Room 12?”
“I’m her doctor, if that’s what you mean by following.”
I’d feel embarrassed. It’s not like you’re working in retail, and yet it makes it seem that way which likely doesn’t translate well to some people you’re treating.This language drives me and my partner nuts. We figure it won't be long before they want to change our white coats and badges accordingly.
"Hi, I'm Provider Mike. I'll be doing your surgery today."
It doesn't help when you hear the executive folks talking about the "consumer experience" and making it painfully clear we're a commodity.
This is getting too pervasive.
The Charlotte Ledger
Delivering smart and essential news to Charlotte, one email at a time. Click to read The Charlotte Ledger, a Substack publication with tens of thousands of subscribers.charlotteledger.substack.com
“The Ledger asked if the hospital has lowered its charge for newborn care, since replacing neonatologists with neonatal nurse practitioners should result in significant cost savings. Whitfield did not respond to the question.”
Oh, she responded. By saying nothing, she answered loud and clear.
I’m not gonna give you react points for Ms P’s cleverness.
Sunshiny plsI’m not gonna give you react points for Ms P’s cleverness.
Finally, someone said out loud what we were all thinking...Gotta get rid of those costly pediatricians I guess.