UTSW put on blast

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DrK97

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Lets discuss
Personally not surprised. a close friend attends this institution and while the students are not malignant towards one another, the administration is apparently toxic as all heck
(ie. Frequent baseless threats to ones career by deans just because they don’t like you and there is no system in place to limit their decision making power or hold them accountable)

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I could see 40% of my class happily doing this. That’s the scary part of this whole thing.
Can't really blame the students when the PDs are the ones having these expectations because the poor guys are flooded with so so many apps (and need something to compare applicants)... even though of course a simple solution exists
 
Lol what BS is this. Volunteer for organizations with limited resources and not for a hospital system with a multi-billion dollar operating budget and a CEO who makes over a million dollars. This is predatory corporate greed. If they can afford to pay for travel nurses, they can afford to pay medical students for their services.

Medical students: if you do not value your time and efforts, no one else will.
 
Lol what BS is this. Volunteer for organizations with limited resources and not for a hospital system with a multi-billion dollar operating budget and a CEO who makes over a million dollars. This is predatory corporate greed. If they can afford to pay for travel nurses, they can afford to pay medical students for their services.

Medical students: if you do not value your time and efforts, no one else will.
200+ MS1s and MS2s have already proudly signed up. Now we wait to see them rave on Twitter (and perhaps on SDN) how amazing and inspiring this experience is.
 
Even though they're not forcing anyone to do this... and they're making clear that medical school comes first, it's shameless to solicit this kind of service as pretty-well off hospital system. They have tons of $$$ and they're just trying to see how much of it they can keep. I would not recommend any medical student take this opportunity UNLESS there's REALLY something in it for you...which there might be...

1.) If you're an M1/2 on a light block and are literally doing nothing and want to see what ONE (not more, just one) nursing shift looks like, it may be a good learning experience. I'm not a fan of interdisciplinary XYZ but one shift in nursing just to see what they do etc. I think is valuable.
2.) If they're offering you opportunities for Peripheral IVs or ABGs during the shift where you can go around learning them, I would take that. Knowing how to do this without calling anyone on the floor makes residency a lot more worthwhile.
 
Gotta say, I would have jumped at this as a Med student, especially in the pre clinical years. Whatever the hospital’s motivation, getting some time with patients always helped remind me why I came to medical school. It definitely wasn’t to cram biochem alone in a study carrel. I think I would also have liked to be there knowing I was actually helping out. I will say that hanging out with some nurses was where I learned a lot of basic bedside procedures.

I’m a bit more forgiving of the hospital because I don’t see this as a cost saving measure. This isn’t in lieu of travel nurses. The sad reality today is that travel nurses are hard to get at any price point. My hospital has a massive endowment in an amazing location and have so far only been able to get about half the travel nurses we need. Dallas isn’t exactly a plush location so I’m sure UTSW is struggling to get people even at high rates.

I could see an argument for offering some remuneration, maybe even at CNA rates. The flip side of that is creating potential conflict with academic requirements; last thing anyone needs is students forgoing instruction in order to earn extra money. Keeping it voluntary helps ensure students are focused on their coursework.

Yeah, I’d still jump on it. I did jump on a number of similar opportunities and I think it definitely helped me out somewhat in my clinical years and even into residency. Do a shift or two, learn some procedures, and add a stripe to your CV. So the hospital saves a couple hundred bucks - big deal.
 
Man what is going on with UTSW? Could've sworn i read about earlier controversies pertaining to that school/programs
Do you care to share specific stories, rather than just post unsubstantiated rumors? 🙂 I've heard some of the same things, but I don't think blanket statements like this do anyone any good.

I'm of two minds here. On the one hand, yes, they should be able to get and retain nurses, though that's a problem nationwide right now. That said, this *is* a good opportunity for students to gain clinical experience and exposure. You don't think an M1/M2 who does this won't come onto the wards in M3 with a leg up in terms of clinical fund of knowledge, professional interactions with patients, performance of minor procedures, etc? Depending on which unit you work on, you could even get facetime with relevant mentors in your field of interest.

We can debate whether or not it makes sense to pay students, though they aren't paid for any other clinical work in school or volunteering with various interest groups. In any event, it isn't obvious to me that this is strictly predatory.
 
Gotta say, I would have jumped at this as a Med student, especially in the pre clinical years. Whatever the hospital’s motivation, getting some time with patients always helped remind me why I came to medical school. It definitely wasn’t to cram biochem alone in a study carrel. I think I would also have liked to be there knowing I was actually helping out. I will say that hanging out with some nurses was where I learned a lot of basic bedside procedures.

I’m a bit more forgiving of the hospital because I don’t see this as a cost saving measure. This isn’t in lieu of travel nurses. The sad reality today is that travel nurses are hard to get at any price point. My hospital has a massive endowment in an amazing location and have so far only been able to get about half the travel nurses we need. Dallas isn’t exactly a plush location so I’m sure UTSW is struggling to get people even at high rates.

I could see an argument for offering some remuneration, maybe even at CNA rates. The flip side of that is creating potential conflict with academic requirements; last thing anyone needs is students forgoing instruction in order to earn extra money. Keeping it voluntary helps ensure students are focused on their coursework.

Yeah, I’d still jump on it. I did jump on a number of similar opportunities and I think it definitely helped me out somewhat in my clinical years and even into residency. Do a shift or two, learn some procedures, and add a stripe to your CV. So the hospital saves a couple hundred bucks - big deal.
Experience is great, but if other people are getting paid for the same work, you should too. Otherwise you’re being taken advantage of.
The difference would be if there are more lax standards for volunteers vs paid employees (which there should be), the freedom to do as much or as little as you want, etc. But if they are being treated exactly as nurses would be otherwise, they need to be paid.
 
Gotta say, I would have jumped at this as a Med student, especially in the pre clinical years. Whatever the hospital’s motivation, getting some time with patients always helped remind me why I came to medical school. It definitely wasn’t to cram biochem alone in a study carrel. I think I would also have liked to be there knowing I was actually helping out. I will say that hanging out with some nurses was where I learned a lot of basic bedside procedures.

I’m a bit more forgiving of the hospital because I don’t see this as a cost saving measure. This isn’t in lieu of travel nurses. The sad reality today is that travel nurses are hard to get at any price point. My hospital has a massive endowment in an amazing location and have so far only been able to get about half the travel nurses we need. Dallas isn’t exactly a plush location so I’m sure UTSW is struggling to get people even at high rates.

I could see an argument for offering some remuneration, maybe even at CNA rates. The flip side of that is creating potential conflict with academic requirements; last thing anyone needs is students forgoing instruction in order to earn extra money. Keeping it voluntary helps ensure students are focused on their coursework.

Yeah, I’d still jump on it. I did jump on a number of similar opportunities and I think it definitely helped me out somewhat in my clinical years and even into residency. Do a shift or two, learn some procedures, and add a stripe to your CV. So the hospital saves a couple hundred bucks - big deal.
You realize there are better ways to obtain clinical experience than getting exploited by the hospital system right? If this is literally the only clinical experience available at UTSW, there's a problem
 
You realize there are better ways to obtain clinical experience than getting exploited by the hospital system right? If this is literally the only clinical experience available at UTSW, there's a problem
How many logical fallacies are you going to try to fit in one thread?
 
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How many logical fallacies are you going to try to fit in one thread?
I'm saying there are better ways to get clinical experience than willingly being used for free by a hospital system that can clearly pay for nurses but won't.

Supposedly the nurses had left because of malignant admin issues according to that linked Reddit thread
 
Lol what BS is this. Volunteer for organizations with limited resources and not for a hospital system with a multi-billion dollar operating budget and a CEO who makes over a million dollars. This is predatory corporate greed. If they can afford to pay for travel nurses, they can afford to pay medical students for their services.

Medical students: if you do not value your time and efforts, no one else will.
I gotta say I greatly preferred the general medical school approach a year ago when they:
1. protected MS2 and MS2 from contact with patients and allowed them to focus on studying.
2. protected new MS3 students from rotating to ICUs, ERs, and other areas with a high likelihood of exposure.
I don't think a new student just acclimating to medical school can succeed in their studies if also trying to do this volunteer task.
Med schools usually discourage or even forbid their students from having jobs during med school for this reason.
I really hope the school is not heavily pressuring their students to do this.
 
You realize there are better ways to obtain clinical experience than getting exploited by the hospital system right? If this is literally the only clinical experience available at UTSW, there's a problem
I’d buy the exploitation argument if this were in any way compulsory, but it’s not. Students for years have asked for earlier and more involved clinical experiences. They complain when they feel like they’re just shadowing and not part of the team delivering real care. Now a school comes along offering a chance to do something real and people are getting their panties in a wad because they aren’t being paid for it. Given the need I have no doubt the idea of paying students was raised, but probably slapped down because of policies against students having any job while in school and the inherent conflict of interest.

Everyone keeps saying they should pay nurses more if they need the help, like every hospital administrator hasn’t already thought of that?! Does anyone think a bunch of students on the internet have solved the problem they’re all struggling with?!

There’s more than a million nurse deficit nationwide and the acute increase in demand and travel pay is only making it worse. I’d bet any amount of money that UTSW has already put out orders for travelers to fill gaps but it’s not like there’s an army of willing and available nurses just standing by. They’re offering $10k a week and still only filling a fraction of what they want.

Yes, there’s a crisis and this gives students who want it a chance to help out where there’s truly a dire need. Sounds like a number of students are taking advantage of the opportunity while the rest are whining about the lack of pay while they slog through yet another Anki deck.
 
Experience is great, but if other people are getting paid for the same work, you should too. Otherwise you’re being taken advantage of.
The difference would be if there are more lax standards for volunteers vs paid employees (which there should be), the freedom to do as much or as little as you want, etc. But if they are being treated exactly as nurses would be otherwise, they need to be paid.
If a student were already a licensed RN I think you’d have an excellent point here. As it is, students aren’t yet licensed professionals in most cases and would not only require supervision and training by someone accountable for their work, but there would also be big liability issues.

I don’t see a viable way to engage students in a paid professional capacity given all the red tape in healthcare.
 
I’d buy the exploitation argument if this were in any way compulsory, but it’s not. Students for years have asked for earlier and more involved clinical experiences. They complain when they feel like they’re just shadowing and not part of the team delivering real care. Now a school comes along offering a chance to do something real and people are getting their panties in a wad because they aren’t being paid for it. Given the need I have no doubt the idea of paying students was raised, but probably slapped down because of policies against students having any job while in school and the inherent conflict of interest.

Everyone keeps saying they should pay nurses more if they need the help, like every hospital administrator hasn’t already thought of that?! Does anyone think a bunch of students on the internet have solved the problem they’re all struggling with?!

There’s more than a million nurse deficit nationwide and the acute increase in demand and travel pay is only making it worse. I’d bet any amount of money that UTSW has already put out orders for travelers to fill gaps but it’s not like there’s an army of willing and available nurses just standing by. They’re offering $10k a week and still only filling a fraction of what they want.

Yes, there’s a crisis and this gives students who want it a chance to help out where there’s truly a dire need. Sounds like a number of students are taking advantage of the opportunity while the rest are whining about the lack of pay while they slog through yet another Anki deck.
The nurses apparently had left because of the conditions resulting from malignant admins according to that Reddit thread and not because of a nursing shortage, which is where the exploitative arguments are coming from (in addition to not paying students). The admins clearly thought about paying more but maybe they chose not to?

There's also the issue of if everyone is doing this, an expectation builds up that those who didn't take this opportunity are compelled to do it
 
And what happens when there is a bad outcome using unlicensed volunteers in place of licensed nurses?

Seems like a rare case where a surprise visit from The Joint Commission would actually be a good thing.
 
The nurses apparently had left because of the conditions resulting from malignant admins according to that Reddit thread and not because of a nursing shortage, which is where the exploitative arguments are coming from (in addition to not paying students). The admins clearly thought about paying more but maybe they chose not to?
The nursing shortage is part of why they can’t fill their spots with nurses.
There's also the issue of if everyone is doing this, an expectation builds up that those who didn't take this opportunity are compelled to do it
This is ridiculous. No one is going to look at a med student’s eras and wonder why they didn’t volunteer to work as a nurse for free as they toss their app in the trash.
 
The nursing shortage isn't just a product of Covid. The nursing profession, like medicine and dentistry, has become a cartel. These three professions have done their best to make training as exclusive, expensive, long and aggravating as possible.

In 1960 there were 1,300 hospital based RN diploma programs in the USA. These programs were cheap for the students and extremely effective. Brand new graduates of the diploma programs, because of intense on the job training, could actually take care of sick people. In the 1970s the people at the top of university based BSN programs went on a rampage to induce hospitals to close the diploma programs. Today there are fewer than 50 RN diploma programs in the USA. That's why there's a nursing shortage.
 
If I'm looking at their applications in 2-3 years and see this activity I'm not recommending them for interview. It shows they have zero common sense and are easy to take advantage of and we have enough people like that in medicine.
Seems a little harsh. There are reasons for doing it that don’t involve being taken advantage of or lacking common sense.
 
The nursing shortage is part of why they can’t fill their spots with nurses.

This is ridiculous. No one is going to look at a med student’s eras and wonder why they didn’t volunteer to work as a nurse for free as they toss their app in the trash.
Not directly eras but peer and probably faculty pressure can be real
 
They're not unsubstantiated rumors


If anything, the fact that midlevels are upset about lack of experience is satisfying. In the private practice and frankly hybrid academic/private places, this isn’t even an argument. Midlevels just have taken over. Frankly, the less midlevel teaching, the better. They should be the last in line and good on anyone in medicine standing up against them.
 
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I think this has been hinted at but any ulterior motives can be quickly unmasked based on the flexibility of the opportunity. Are they letting students sign up for one shift for ****s/giggles or if you choose to do it, are they asking for a week’s rigid commitment with full nursing duties including emptying bedpans, etc. If it’s the latter, they’re looking for bodies. If it’s the former, maybe they’re trying to get medical students some clinical opportunities.
 
If a student were already a licensed RN I think you’d have an excellent point here. As it is, students aren’t yet licensed professionals in most cases and would not only require supervision and training by someone accountable for their work, but there would also be big liability issues.

I don’t see a viable way to engage students in a paid professional capacity given all the red tape in healthcare.
I'm not even saying what they're doing is at the level of a licensed RN to warrant payment. Emptying bedpans and assisting in ADLs does not require extensive training. Like the post above me mentioned, if it's truly a volunteer experience, the hours and duties expected shouldn't be rigorously enforced, since anything done will be a net benefit for the hospital. That would be fine. But treating the med students as effectively CNAs and expecting the same amount of work from them for no payment is not. Med students are in a uniquely vulnerable position when it comes to their home program's hospital due to the threat of dismissal or "red flags" on their residency applications, and using them as unpaid labor is exploiting this position.
 
Med students are in a uniquely vulnerable position when it comes to their home program's hospital due to the threat of dismissal or "red flags" on their residency applications, and using them as unpaid labor is exploiting this position.
Right. It would be. Except that’s not what’s happening here. It literally says in the email that your first priority is med school, so don’t volunteer if it’s going to hurt your studying or performance. And then it goes on to say that further instructions on how to sign up for shifts will be provided, which heavily implies that you just volunteer for as many or as few shifts as you want.
 
Right. It would be. Except that’s not what’s happening here. It literally says in the email that your first priority is med school, so don’t volunteer if it’s going to hurt your studying or performance. And then it goes on to say that further instructions on how to sign up for shifts will be provided, which heavily implies that you just volunteer for as many or as few shifts as you want.
Right, but the actual expectations of the job itself are fairly vague in the email and I’m willing to bet likely encompasses any and all nursing duties not being currently covered. Once these students sign up for these shifts they’re not going to have the same leverage that an employee or a volunteer who could work somewhere else could and are going to be subject to the whims of whoever’s in charge. That’s what puts them in a vulnerable situation, and in an unpaid position to boot. And I know this is not currently the situation, but it would not surprise me if this evolved into a “volun-told” scenario here or somewhere else with students essentially being conscripted to unpaid nursing duties with dubious educational value.
 
Right, but the actual expectations of the job itself are fairly vague in the email and I’m willing to bet likely encompasses any and all nursing duties not being currently covered. Once these students sign up for these shifts they’re not going to have the same leverage that an employee or a volunteer who could work somewhere else could and are going to be subject to the whims of whoever’s in charge. That’s what puts them in a vulnerable situation, and in an unpaid position to boot. And I know this is not currently the situation, but it would not surprise me if this evolved into a “volun-told” scenario here or somewhere else with students essentially being conscripted to unpaid nursing duties with dubious educational value.
So basically you’ve already decided this is sinister despite having zero evidence that it is.
 
I'm not even saying what they're doing is at the level of a licensed RN to warrant payment. Emptying bedpans and assisting in ADLs does not require extensive training. Like the post above me mentioned, if it's truly a volunteer experience, the hours and duties expected shouldn't be rigorously enforced, since anything done will be a net benefit for the hospital. That would be fine. But treating the med students as effectively CNAs and expecting the same amount of work from them for no payment is not. Med students are in a uniquely vulnerable position when it comes to their home program's hospital due to the threat of dismissal or "red flags" on their residency applications, and using them as unpaid labor is exploiting this position.
This is true, though even CNAs have to have some kind of certification and then are hired by the hospital and added to their institutional insurance policy. So even though the basic assisting an overworked RN is pretty easy, most of the students will start without any experience on that unit or in that role.

In practice, my guess is that the students will not really fall into a CNA role. Since they will be there as volunteers/learners, they will probably get pulled into procedures or assigned to more interesting patients/units. Similar opportunities are where I learned a number of basic bedside skills such as IV placement, drawing labs, ABGs, NG placement, etc. I'm definitely not a wallflower so anytime I was in the hospital I was asking to do things. I learned that no nurse gives a flip about doing yet another IV or lab draw (or an RT doing yet another gas) and will gladly let the student try, especially if it's an ICU with a sedated patient.

Like all things, some students will have crap experiences. Others will have fine experiences but not know any better and complain anyhow. Others will have a good experience and realize it and be better for it.

There's no threat of dismissal here, no red flags, no coercion. Believe it or not, preclinical students are so far down the totem pole that nobody gives a rip about what they do or don't do. If anything, this adds paperwork for the admin and still doesn't solve the staff shortage, but they probably feel like they're giving students a unique opportunity to be part of caring for suffering people in a historical time.
 
What do you mean by diploma program? There are over 2,600 nursing degree programs in the US and almost 1,000 BSN programs.
A diploma program was generally a three year program where all didactics and clinicals were directed by a hospital rather than a university or community college. Graduates of these programs were eligible to take the exam that led to licensure. Here's a link:
 
The issue I have with this is that they are expecting their students to volunteer for a hospital system worth a crap ton of money.

If students want to get volunteer experience in the clinical setting, that is exactly what the medical school free clinics are for. Many medical schools have refugee fairs, sickle cell awareness programs, a free clinic, and others that utilize their medical student's time in areas they are desperately needed to fill a volunteer void. These patients at this hospital system are of some means to seek medical care and the hospital systems will be billing them appropriately. Students are usually assisting those who do not have the means for healthcare.
 
My questions here are:

Will medical students be provided adequate PPE for whatever they are doing?
Will medical students who get covid be covered at the same level as one of these nurses would be from insurance, disability, life insurance, etc?
From what the email says, it appears they will be given ppe. I also am betting they won’t be seeing covid patients, but that’s just a hunch.
 
From what the email says, it appears they will be given ppe. I also am betting they won’t be seeing covid patients, but that’s just a hunch.

It’s really hard not to see covid patients sometimes. our biggest staff exposure episodes have been in patients at the hospital who were here for things other than covid.

plus your coworkers are also highly likely to infect you. in fact at my hospital you were much more likely to be infected by a colleague than a patient, since we had adequate PPE but people would blow of precautions at nurses stations and in the break room etc.
 
The nurses apparently had left because of the conditions resulting from malignant admins according to that Reddit thread and not because of a nursing shortage, which is where the exploitative arguments are coming from (in addition to not paying students). The admins clearly thought about paying more but maybe they chose not to?

There's also the issue of if everyone is doing this, an expectation builds up that those who didn't take this opportunity are compelled to do it
One of the issues in an institution that big is that often the problematic or malignant admins are far removed from the ones who make big decisions about other things. I’m sure the medical school admin are separate in many ways from hospital admins and even further removed from the unit level nursing managers that seem to be on the receiving end of most of the grievances.

I’m sure UTSW has a bunch of suits sitting around trying to find staff to plug the ever increasing holes on their services. If they don’t have enough they just tell the nursing managers to make do snd then you get bad ratios and unhappy nurses. Then the Med school admin - entirely separate - comes along and asks if some student volunteers would be feasible and helpful.

In reality it creates a lot of work for all involved and doesn’t really save any money at all. The sad fact is that medical students simply aren’t skilled enough yet to be really helpful. They certainly don’t have the training and experience to do actual nursing yet. At best they help an existing nurse through a tough shift, maybe two. And they get some experience and a stripe on the CV.
 
Few thoughts on this:

1) There appears to be a potential massive liability risk here. If med students are actually checking vitals or doing other actionable reporting/nursing duties in lieu of a nurse/nurse aide (for what's the point of having them do this if everything is going to be double-checked?) and injury results, I would imagine the students could be named in a suit for which they have no hospital insurance coverage. Similarly, actual direct patient care (as opposed to standing an awkward distance from the patient and asking templated questions) puts the students at much higher risk for injury or exposure, and I doubt students have the kind of disability insurance actual medical professionals have.
2) I probably would've done this as a med student all the same. If students are actually getting practice at placing IVs and dropping NG tubes, this could be useful in residency and beyond.

I actually volunteered as a patient transporter multiple times in residency during weather emergencies. It's easy, you get to know random people in the hospital, and it's a lot more fun than sitting around getting annoyed that your scans aren't getting done because there aren't enough transporters. It's amazing how much hospitals rely on the relatively small crew of people whose only job is to push beds around.
 
1.) If you're an M1/2 on a light block and are literally doing nothing and want to see what ONE (not more, just one) nursing shift looks like, it may be a good learning experience.
How about rotating with housekeeping to see what ONE housekeeping shift looks like. It may be a good learning experience to clean the toilets.
 
Few thoughts on this:

2) I probably would've done this as a med student all the same. If students are actually getting practice at placing IVs and dropping NG tubes, this could be useful in residency and beyond.
You should be getting tons of practice on this anyway. if not, its a huge red flag!
 
This is true, though even CNAs have to have some kind of certification and then are hired by the hospital and added to their institutional insurance policy. So even though the basic assisting an overworked RN is pretty easy, most of the students will start without any experience on that unit or in that role.

In practice, my guess is that the students will not really fall into a CNA role. Since they will be there as volunteers/learners, they will probably get pulled into procedures or assigned to more interesting patients/units. Similar opportunities are where I learned a number of basic bedside skills such as IV placement, drawing labs, ABGs, NG placement, etc. I'm definitely not a wallflower so anytime I was in the hospital I was asking to do things. I learned that no nurse gives a flip about doing yet another IV or lab draw (or an RT doing yet another gas) and will gladly let the student try, especially if it's an ICU with a sedated patient.

Like all things, some students will have crap experiences. Others will have fine experiences but not know any better and complain anyhow. Others will have a good experience and realize it and be better for it.

There's no threat of dismissal here, no red flags, no coercion. Believe it or not, preclinical students are so far down the totem pole that nobody gives a rip about what they do or don't do. If anything, this adds paperwork for the admin and still doesn't solve the staff shortage, but they probably feel like they're giving students a unique opportunity to be part of caring for suffering people in a historical time.

You are exactly the type of guy that employers love. The one who is willing to work harder for less compensation than the guy down the street.
 
My school did a similar "call for help" regarding bodies to give vaccinations. Lot's of students signed up to pad their CV with an "I helped out during covid" checkbox. They spent like an hr training and then turned them loose. Meanwhile, some of those same people ended up pushing step back or subsequently posting on FB about having mental breakdowns.
 
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Well SDN is completely divided on this topic unlike the universal Reddit condemnation of the move
Which is why I don’t really care to post too much on Reddit and engage in that community. Reddit has always been more of an echo chamber of the consensus. Highly pro-medical student. Highly anti-midlevel to a fault IMO. Here everyone’s views are represented equally unless someone says something against ToS.

Now that said...I’m sure about 50%+ of people here post on Reddit and it’s a great resource. I would even say Reddit is better for current events and I have seen more amazing resources emerge on Reddit than SDN (outside on SN2 MCAT guide)... but it’s harder to have a great discussion there in my opinion. Tons of great people on there though and I made an account to just engage with a few. Also they can be less judgmental and more constructive than the SDN crowd when it comes to advice for struggling students.

Tl;Dr: Reddit’s where I go to hear about things. SDN is where I come to discuss.
 
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