Least stressful residency?

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Few standard deviations! How? Average step 1 is 230 now and stdv is 21... Not sure what you mean by 'few'. Average step 1 for vascular surgery last charting outcome was 237... I would not call that 'few' standard deviation above the mean... Obviously it is not.
You realize the picture of an entire applicant isn't just based on a three digit USMLE Step 1 score right? I was saying people who enter those fields tend to be 2 standard deviations above in many areas. I wasn't referring only to Step 1 score.
 
This ideal is fine by me because if I need a vascular surgeon or a neurosurgeon, I want one that's a couple SD'S above average -- whether that be step scores, numbers of surgeries performed, desire to be in the hospital, work ethic, whatever.

...just not complication/mortality rates. 😉
 
You realize the picture of an entire applicant isn't just based on a three digit USMLE Step 1 score right? I was saying people who enter those fields tend to be 2 standard deviations above in many areas. I wasn't referring only to Step 1 score.
Come on! the poster was clearly talking about step 1 score... Besides, your step 1 score is one of the most important metrics in your residency application.
 
Come on! the poster was clearly talking about step 1 score... Besides, your step 1 score is one of the most important metrics in your residency application.
Which poster? @Cyberdyne 101? I wasn't talking about Step 1 scores.

You don't say!!! Tell me more about the residency application process.
 
I don't think @DermViser was referring to Step 1 scores and I certainly wasn't. At least to me, it seems that vascular surgeons, neurosurgeons, etc simply enjoy being in the hospital more than others.
No I defintely wasn't, in my comment to mimelim. I thought it was obvious.
 
The

Stop hyping stuff! You keep misstating so many stuff in here and think you are the 'supreme leader' of everything regarding med school/doctors...
What are you talking about? What have I misstated?
 
No I defintely wasn't, in my comment to mimelim. I thought it was obvious.

In the past, iirc, DV has referred to mimelin as well above average in aspects outside step scores... drive, motivation, work ethic, etc.

I guess it could be easily missed if you don't know their history...which I do not exactly know why is in my mind.
 
Come on! the poster was clearly talking about step 1 score... Besides, your step 1 score is one of the most important metrics in your residency application.
I wasn't talking about step 1 scores. A derm applicant and a neurosurgery applicant will likely have similar step 1 scores, but the neuro applicant is seemingly more willing to spend her/his time in the hospital by a few standard deviations. That's what I thought DV was referring to. It's possible that I misinterpreted his point, but I was not referring specifically to step 1 scores.
 
In the past, iirc, DV has referred to mimelin as well above average in aspects outside step scores... drive, motivation, work ethic, etc.

I guess it could be easily missed if you don't know their history...which I do not exactly know why is in my mind.
Thank you. This is what I was referring to.
 
In the past, iirc, DV has referred to mimelin as well above average in aspects outside step scores... drive, motivation, work ethic, etc.

I guess it could be easily missed if you don't know their history...which I do not exactly know why is in my mind.
Does he even know him in person? If he doesn't, I don't how someone can testify on someone else drive and motivation... This is an internet forum for GOD SAKE... Maybe I should also find the most faithful woman in FACEBOOK and marry her...
 
Does he even know him in person? If he doesn't, I don't how someone can testify on someone else drive and motivation... This is an internet forum for GOD SAKE... Maybe I should also find the most faithful woman in FACEBOOK and marry her...

The other fellow has, in the past, expounded on his experiences and approach to med school/residency/work/etc.

Most likely what he said was taken to be truthful (no reason it wouldn't be), and conclusions drawn from that.

Maybe he also has met him in real life. I do not know.
 
In the past, iirc, DV has referred to mimelin as well above average in aspects outside step scores... drive, motivation, work ethic, etc.

I guess it could be easily missed if you don't know their history...which I do not exactly know why is in my mind.
Or if even if you didn't know that, I said "I also realize your experience in medical school and residency has been very different than for a lot of people in med school (but you're also 2 standard deviations above the average in many respects"

I seriously can't believe we're talking about this, but whatever.
 
Or if even if you didn't know that, I said "I also realize your experience in medical school and residency has been very different than for a lot of people in med school (but you're also 2 standard deviations above the average in many respects"

I seriously can't believe we're talking about this, but whatever.

Sign it's a slow night on SDN.
 
The other fellow has, in the past, expounded on his experiences and approach to med school/residency/work/etc.

Most likely what he said was taken to be truthful (no reason it wouldn't be), and conclusions drawn from that.

Maybe he also has met him in real life. I do not know.
No, I have never met mimelim in real life - would be very cool to though. And yes, I was referring to his experiences/viewpoint/perspective on medical school/residency/etc as he thinks very differently than your average med student. Like I said (and I still stick by it) mimelim, when he was a med student, is about 2 standard deviations above your average med student (which is already a high bar already depending on med school) in many areas - drive, motivation, work ethic, willing to sacrifice, teaching of students, etc. if you have read his past posts.

While yes standard deviations can be done for Step scores, they can be done in other areas too.
 
Sign it's a slow night on SDN.
Apparently. I'm not surprised some people translated the sentence literally to mean Step scores. Bc there is nothing else that matters in medical education - but that one metric.
 
The other fellow has, in the past, expounded on his experiences and approach to med school/residency/work/etc.

Most likely what he said was taken to be truthful (no reason it wouldn't be), and conclusions drawn from that.

Maybe he also has met him in real life. I do not know.
Lol...
 
I wasn't talking about step 1 scores. A derm applicant and a neurosurgery applicant will likely have similar step 1 scores, but the neuro applicant is seemingly more willing to spend her/his time in the hospital by a few standard deviations. That's what I thought DV was referring to. It's possible that I misinterpreted his point, but I was not referring specifically to step 1 scores.
And more importantly one can be very intelligent beyond just a numeric score. Step 1 is not some IQ test - I realize we give great importance to this test - much more than is actually worth IMHO. But Step 1 can not test other qualities (and it was never meant to test those things) that are much more important in a resident that are critical esp. if one is doing something as rigorous as a surgical residency.

This is a guy who was considering going to a top law school if he had not made it to med school, and he would have excelled in that area, most likely, as well. I was referring to overall intelligence.
 
Apparently. I'm not surprised some people translated the sentence literally to mean Step scores. Bc there is nothing else that matters in medical education - but that one metric.
Lets be real here! 192 will have a mountain to climb if wants to match into derm/ENT/Neurosurgery... Step 1 might not be the only thing that matter for the match, but it is the most important metric if we are talking about the match here... PD survey certainly makes that rather obvious...
 
Lets be real here! 192 will have a mountain to climb if wants to match into derm/ENT/Neurosurgery... Step 1 might not be the only thing that matter for the match, but it is the most important metric when if we are talking about the match here... PD survey certainly makes that more than obvious...
Step 1 is a filter. It can be an initial barrier to entry, but is not THE measure used to select applicants, esp. when you have clerkship grades, Step 2 CK still left. If that was the case, you'd have IMGs who study for the exam for years who hit 250s/260s getting those spots. That PD survey has to be taken in context.
 
Step 1 is a filter. It can be an initial barrier to entry, but is not THE measure used to select applicants, esp. when you have clerkship grades, Step 2 CK still left. If that was the case, you'd have IMGs who study for the exam for years who hit 250s/260s getting those spots. That PD survey has to be taken in context.
A filter! Therefore, PD won't even get to see your application even if you are a nobel laureate... Well that is a heck of a filter!
 
A filter! Therefore, PD won't even get to see your application even if you are a nobel laureate... Well that is a heck of a filter!
PDs can filter however they want thru the ERAS software and not just on Step 1 cutoff score. Doesn't matter if you're a nobel laureate and have a high chance of failing your specialty boards.
 
A filter! Therefore, PD won't even get to see your application even if you are a nobel laureate... Well that is a heck of a filter!
Uhm…yes, that's exactly how it works.

If we want to set the filter to "only show me applications from those with Step 1 > 260", then we would miss your trip to Stockholm.
 
Uhm…yes, that's exactly how it works.

If we want to set the filter to "only show me applications from those with Step 1 > 260", then we would miss your trip to Stockholm.
You mean at a certain point in medical education you actually have to be competent based on certain non-negotiable metrics bc it can predict future passage/failure on specialty boards. For shame!!! How dare you!!!

(Not referring to a 260 here, I'm just saying all programs in all specialties use Step 1 score as a filter in some way when it comes to going thru apps for deciding who to interview.)
 
A filter! Therefore, PD won't even get to see your application even if you are a nobel laureate... Well that is a heck of a filter!
Wouldn't it be easy to filter using step1 score? That how most programs filter out applicants... PD survey shows that step1 is the MOST important metrics for residency appointment... I am not sure why are we arguing about that.
 
Wouldn't it be easy to filter using step1 score? That how most programs filter out applicants... PD survey shows that step1 is the MOST important metrics for residency appointment... I am not sure why are we arguing about that.
You replied to yourself. It's one of the metrics. It's not the SOLE metric. Other things are or can be more important: clinical clerkship grades and comments, Step 2 CK score, LORs, etc. Step 1 score has never been the SOLE metric when it comes to residency selection. There are other qualities that can't be measured by a multiple choice exam only.
 
I know you weren't picking on those who do transitional years or Derm residents as you previously stated. To be fair, by the time May rolls around, most prelims and transitionals heading on to another residency have mentally "checked out". People in advanced program specialties don't want to do internships - they have to. I'm not excusing the behavior, just saying that's how it plays out in real life.

There have been threads here in the past to the tune of, "What is the minimum level of work I can do during internship and still pass" (he was headed to Radiology). They could honestly care less if people's lives are being impacted. I also realize your experience in medical school and residency has been very different than for a lot of people in med school (but you're also 2 standard deviations above the average in many respects, so that's neither here nor there).

To me, that is sad. I mean I get 2nd semester seniors or or MS4s post-match. You are a student, taking a little breather is well, normal. It is a different story to approach residency at any point as, "I want to pass". Residency isn't school, it isn't about evaluations. Its about preparing for independent practice. It is also just sad that one can't be professional enough to continue to do their jobs and letting other residents and patients suffer. I understand that that is their prerogative to do whatever they want and that not everyone is going to share my opinion on this. But, that doesn't mean that I have to like them or not use them as an example of the people I'd rather not see in the hospital I work at.

Not to be intrusive, but aren't people who enter fields such as vascular surgery and neurosurgery usually a few standard deviations above the average?

Indeed they probably are.

Surgical sub-specialty residents are normal people. We like the sub-specialty that we chose and are fortunate that our academic prowess allowed us to get in. But, by no metric are we even remotely close to a few SD above others. There may be other things that are very similar about sub-specialty residents, but honestly, I doubt it.

It was more directed at mimelim, than to you, as to why the patient may not have been seen until Monday by the dermatologist, assuming the consult was actually put in properly.

I appreciate you giving him the benefit of the doubt but I can guarantee you that every hospital has medical staff requirements that must be met to be on staff regardless of whether this is a private facility or a tertiary care center.

All of the hospitals that I have ever had privileges that, and there are a lot, stipulate that consults must be seen or at least acknowledged (and with a good reason not to be seen), within 24 hours. That goes for all specialties even those that don't know where the ICU is.

This is about respect for your colleagues and for the patient; if you get a consult on Saturday you don't wait until Monday to see the patient unless you are specifically told by the consultant that is acceptable. Even the ward clerks calling these consults (and many hospitals now have rules that consultation requests must be made physician to physician) at job requirements which include documentation of all consultations and other outstanding duties.

I write this as someone who went in to see a new consult, over the holiday weekend, on a patient that could have reasonably seen me after discharge. So I find it somewhatdisappointing that other specialists don't feel the same.

The consult was put in properly. I called the Dermatologist's office myself. I talked with their staff on the Saturday and gave my name, attending name, my phone number, the ICU phone number and said the consult was for SJS. I specifically asked for a return call. I have no way of knowing if the office paged/called the Dermatologist on Saturday or later, or if their pager was off, or if the message was ignored.

My assumption is that it was ignored, or that they don't expect inpatient consults so they ignore/don't check whatever system they have in place to get these types of consults.
 
In the past, iirc, DV has referred to mimelin as well above average in aspects outside step scores... drive, motivation, work ethic, etc.

I guess it could be easily missed if you don't know their history...which I do not exactly know why is in my mind.

Does he even know him in person? If he doesn't, I don't how someone can testify on someone else drive and motivation... This is an internet forum for GOD SAKE... Maybe I should also find the most faithful woman in FACEBOOK and marry her...

Heh, missed this entire thing going on. @DermViser has told me repeatedly in multiple threads on multiple different topics that my opinions and views on things are greatly biased away from the norm by my background and who I am. It is a fair point, not as relevant to this thread as others, but something that I have taken into consideration when talking to others (outside of SDN) about these topics. And yes, it is valuable feedback even though we don't know each other outside of SDN. After a couple thousand posts, you can get a sense for who someone is and what they think. I post almost exclusively in pre-allo because it is the area that I feel most comfortable in my knowledge base. *shrug*
 
To me, that is sad. I mean I get 2nd semester seniors or or MS4s post-match. You are a student, taking a little breather is well, normal. It is a different story to approach residency at any point as, "I want to pass". Residency isn't school, it isn't about evaluations. Its about preparing for independent practice. It is also just sad that one can't be professional enough to continue to do their jobs and letting other residents and patients suffer. I understand that that is their prerogative to do whatever they want and that not everyone is going to share my opinion on this. But, that doesn't mean that I have to like them or not use them as an example of the people I'd rather not see in the hospital I work at.
Except a transitional or prelim year doesn't prepare one for independent practice and is not part of one's advanced specialty residency. In theory you're ready for independent practice once you've completed Step 3 and internship, but we both know that's not really true in reality, esp. since the General Practice role has been effectively phased out, except in rural areas where they have no choice. You can't do a year of internship and then be ready to practice on your own 100%. So it's not surprising (at least not to me) that someone who is going into Rad Onc, Rads, PM&R, Derm, Ophtho, Anesthesia, etc. don't care by the end of their internship year which they are required to do.

On the flip side of the coin, I'm sure categoricals hate us, as I can't imagine every month having to get work done with prelims/transitionals who don't want to be there who want to move on to their specialty, on top of med students who don't want to be there either and want to move on to their next rotation.
 
Heh, missed this entire thing going on. @DermViser has told me repeatedly in multiple threads on multiple different topics that my opinions and views on things are greatly biased away from the norm by my background and who I am. It is a fair point, not as relevant to this thread as others, but something that I have taken into consideration when talking to others (outside of SDN) about these topics. And yes, it is valuable feedback even though we don't know each other outside of SDN. After a couple thousand posts, you can get a sense for who someone is and what they think. I post almost exclusively in pre-allo because it is the area that I feel most comfortable in my knowledge base. *shrug*
I don't mean biased in a bad way or that people somehow shouldn't take your advice, but more just that your viewpoint/med school experience is just that - different. I would say it's 1-2 standard deviations above the experience of your average med student (although your average med student at different institutions will vary greatly). If one was able to easily maintain your attitude, work ethic, and demeanor in everything they do thru out med school they would be very successful. Your attitude and work ethic is what med students should aim to shoot for as the ideal, IMHO, and how to improve when they are actively struggling during clerkships when the hidden curriculum can have a big role to play. An analogous example would be an average to below average premed asking the med student who is Junior AOA at their specific med school, what med school is like. The student who is Junior AOA is not likely to have any complaints since they played the game well enough to come out on top anyways - it worked out fine for them. Hopefully that example helps a little.

Edit: That's funny bc I think your advice can be just as valuable for Allo as well.
 
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Surgical sub-specialty residents are normal people. We like the sub-specialty that we chose and are fortunate that our academic prowess allowed us to get in. But, by no metric are we even remotely close to a few SD above others. There may be other things that are very similar about sub-specialty residents, but honestly, I doubt it.
One can be 1-2 standard deviations above others in many areas, only one of them being academic prowess, and still be normal. Correlating personality to smarts or looks to smarts (in the case of female residents) is a fool's errand.
 
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