Match 2025

[aneftp]

Damn this is stiff competition. The best of the best at Stanford.

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[CopaceticOne]

Damn this is stiff competition. The best of the best at Stanford.

Meh.

 

[Biochemist21]

Just do a better echo than the cardiologist for the structural room. Boom, problem solved. Bonus is you tell admin they don’t have to stipend a cardiologist to cover that room anymore. They can ship that cardiologist back to the clinic or fire the “Advanced imaging” doctor they just hired. Save them big 💰💰💰

I'm TEE-boarded, but I personally don't like structural cases. They take too long and I start getting bored. I want to be doing open CV cases. However, I am good at structural, as evidenced by the fact that one of the interventional cardiologists specifically asks for anesthesia to perform the TEEs in his Amulet and Mitraclip procedures instead of the new "advanced cardiovascular imaging" cardiologist they recently hired.

Keep in mind this imaging doc is the same guy who asked the nurse to fetch his lead for him and for the "thing you hang the probe on" (ie. the christmas tree). Nurse had no idea what he was talking about. I just sat there and laughed. He also rolled into the room late one time and asked why I hadn't placed the TEE probe prior to the biplane moving in place. I told him that's not a service I offer.

 

[Dantrolene FC]

I'm TEE-boarded, but I personally don't like structural cases. They take too long and I start getting bored. I want to be doing open CV cases. However, I am good at structural, as evidenced by the fact that one of the interventional cardiologists specifically asks for anesthesia to perform the TEEs in his Amulet and Mitraclip procedures instead of the new "advanced cardiovascular imaging" cardiologist they recently hired.

Keep in mind this imaging doc is the same guy who asked the nurse to fetch his lead for him and for the "thing you hang the probe on" (ie. the christmas tree). Nurse had no idea what he was talking about. I just sat there and laughed. He also rolled into the room late one time and asked why I hadn't placed the TEE probe prior to the biplane moving in place. I told him that's not a service I offer.

Don’t you get units for placing the TEE probe? On my residency, we always placed the TEE probe for the cardiologist on peds CV. I never knew if it was a billing thing or a we didn’t trust the cardiologist thing. We always wrote a procedure note that we placed the probe. So I figured we billed for it.

 

[Biochemist21]

Don’t you get units for placing the TEE probe? On my residency, we always placed the TEE probe for the cardiologist on peds CV. I never knew if it was a billing thing or a we didn’t trust the cardiologist thing. We always wrote a procedure note that we placed the probe. So I figured we billed for it.

Hospital employed so units don't matter to me. Placing the probe for a random cardiologist is only liability IMO. Regarding your experience, if you don't trust the cardiologist to place the probe then that's even more reason to never touch it. To be clear, I don't mind placing it for one of my ACTA-trained colleagues because I am completely confident in their technical competence. I just refuse to do it for someone I barely know. Besides, pt is already intubated under GA so it shouldn't be hard for them.

 

[We'llBeDoneIn15Minutes]

No truer words have ever been spoken.

I can top that,
"Everyone dies"