What is your point of disagreement with the SDN hive mind?

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Law2Doc said:
Points of disagreement are irrelevant. Resistance is futile. You too will be assimilated into the SDN collective.
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F@ck, you beat me to it!

I think SDN should allow more entrepreneurialship. But I am pretty sure saying things like this will get me poked in uncomfortable places with the ban- stick.
 
Make Or Break said:
If you go Carib, you can kiss becoming a doctor goodbye. It's not like there is a 0% chance of success. I think the risks should be emphasized, but I don't like how SDN has this absolute hive mentality on no one ever finding success if they go Carib.
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I think people are just being honest-- odds offshore are bad and getting worse. No it's not like there's a zero chance of success. But let's put it this way -- there are few games in Vegas where if you play conservatively your odds are ever worse than going offshore for med school. That makes it a bad idea. It would be a huge disservice for people on SDN to let kids be separated from hundreds of thousands of dollars without piping up.
 
J Senpai said:
What is a drop of rain, compared to the storm? What is a thought, compared to a mind? Our unity is full of wonder, which your tiny individualism cannot even conceive.
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Long ago, a storm was heading for the city of Quin'lat. Everyone took protection within the walls except one man who remained outside. I went to him and asked what he was doing. "I am not afraid," the man said. "I will not hide my face behind stone and mortar. I will stand before the wind and make it respect me." The next day, the storm came, and the man was killed. Do not stand before the wind.

Kahless the Unforgetable
 
mmmcdowe said:
Long ago, a storm was heading for the city of Quin'lat. Everyone took protection within the walls except one man who remained outside. I went to him and asked what he was doing. "I am not afraid," the man said. "I will not hide my face behind stone and mortar. I will stand before the wind and make it respect me." The next day, the storm came, and the man was killed. Do not stand before the wind.

Kahless the Unforgetable
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May his Bat'leth be forever sharp and Sto-vo-kor welcome him.
 
I'm starting to notice how generally negative and unhelpful this hive mind can be, but I think there are a few good posters who try to help if you can filter through the trash.
 
cryhavoc said:
I'm starting to notice how generally negative and unhelpful this hive mind can be, but I think there are a few good posters who try to help if you can filter through the trash.
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r/premed hates us for this lol
 
  1. It doesn't matter where you go for undergrad or what you major in -
  2. It doesn't matter what US MD school you go to.
To #1 - It may not matter after you've been admitted to medical school, and you can get into US MD school from virtually any US college. But for those in high school, the odds of getting into medical school are not in your favor, and if you don't, your major, degree and alma mater do matter.

To #2 - While it's true that all accredited US MD schools teach the same material, some simply have substantially better resources than others: physical facilities, research opportunities, teachers, reputations for turning out fine clinicians, and renowned faculty members to help graduates secure top residencies in their desired specialties. True, the best graduates from almost any US MD school can 'get there from here', but again, the odds.
 
I disagree with the groupthink notion that thinks people are too mean and negative here. Vast majority of posts and posters are genuinely trying to be helpful. People get too upset when they get told something they don't want to hear, even if it is objectively accurate or good advice.
 
gyngyn said:
I'm practicing. I'm good with it.
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Aren't you also an academic physician? Just curious- I find almost every physician I know that supports it is in academic medicine, while the most loud detractors are those in private practice.

Personally I actually don't think it's that bad, but there are a lot of things about it I don't like. Worst law ever? No. Bad law? Yes. The access issues, limitations on physician-owned hospitals, and EMR requirements are just too much for me to actually believe it's a good law overall. It seems as if it was designed from the ground up to result in vertical integration of physicians into large hospital-owned practices or multi specialty groups, and to kill private practice and small groups.
 
Mad Jack said:
Aren't you also an academic physician? Just curious- I find almost every physician I know that supports it is in academic medicine, while the most loud detractors are those in private practice.

Personally I actually don't think it's that bad, but there are a lot of things about it I don't like. Worst law ever? No. Bad law? Yes. The access issues, limitations on physician-owned hospitals, and EMR requirements are just too much for me to actually believe it's a good law overall. It seems as if it was designed from the ground up to result in vertical integration of physicians into large hospital-owned practices or multi specialty groups, and to kill private practice and small groups.
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I have been in both private and public practice.
Private patients will find a way to get the care they need.
I can live with the deficiencies of the law if those who would not have access to the most basic care will now have a shot at it.
EMR had better improve, though!
 
Spinach Dip said:
The idea that, when 1 adcom member speaks, they are speaking for every single adcom member in all of the ~150 med schools in the country.
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The idea that, when one DO adcom member speaks, they are speaking for every single MD adcom member in all of the ~150 MD med schools in the country.
 
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The idea that SDN should be avoided because it leads to neurosis in premeds. SDN doesn't make you neurotic- you were neurotic to begin with. If you can look at things objectively, rather than like some overly sensitive child, SDN can provide you with a wealth of information about medical school and the practice of medicine, from the premed to the attending level.
 
Mad Jack said:
The idea that SDN should be avoided because it leads to neurosis in premeds. SDN doesn't make you neurotic- you were neurotic to begin with. If you can look at things objectively, rather than like some overly sensitive child, SDN can provide you with a wealth of information about medical school and the practice of medicine, from the premed to the attending level.
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ain't my fault that they not a special flower like me
 
Mad Jack said:
I want you to tell me the same thing once you're practicing.
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I work with plenty of doctors that support Obamacare, and some who are against it. I also live in a very politically moderate area. I am accepting of criticism, but I get very annoyed when people float the notion that nearly all practicing physicians are unanimously against Obamacare. Not everyone shares the same mindset or the mindset of those you most commonly interact with.

edit: Sorry if that last sentence sounded aggressive. I was making a general statement about people's perception of viewpoints that they do not share.
 
Mad Jack said:
Aren't you also an academic physician? Just curious- I find almost every physician I know that supports it is in academic medicine, while the most loud detractors are those in private practice.

Personally I actually don't think it's that bad, but there are a lot of things about it I don't like. Worst law ever? No. Bad law? Yes. The access issues, limitations on physician-owned hospitals, and EMR requirements are just too much for me to actually believe it's a good law overall. It seems as if it was designed from the ground up to result in vertical integration of physicians into large hospital-owned practices or multi specialty groups, and to kill private practice and small groups.
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Yeah, I don't think many docs who are in private practice are in favor of Obamacare. It is an incredibly messy law, and nobody was nearly completely satisfied with the result, but when dealing with an industry as complex and fanatically large as healthcare in the U.S. there is no way reform is going to be a straightforward process.

Also, didn't you make a thread entitled, "Obamacare is a complete failure"?
 
WingedOx said:
Honestly this is a bit of an oversimplification of what the argument should be.


AAAAAAAAND there goes the thread.
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Well there was a very active thread on hear a couple week ago titled "Obamacare is a Complete Failure" so I am not so sure that I am oversimplifying the "hive mind" of SDN.
 
ERK123 said:
Well there was a very active thread on hear a couple week ago titled "Obamacare is a Complete Failure" so I am not so sure that I am oversimplifying the "hive mind" of SDN.
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That was my thread. And it wasn't because of the political motivations behind the ACA- it was because of what it has done to access for the people who actually need it. Read the thread, it's got some pretty good arguments for why the law is bad no matter white side of the fence you're on.
 
Mad Jack said:
That was my thread. And it wasn't because of the political motivations behind the ACA- it was because of what it has done to access for the people who actually need it. Read the thread, it's got some pretty good arguments for why the law is bad no matter white side of the fence you're on.
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I read the thread when it was active. I personally did not find it convincing, but to each his own.
 
DokterMom said:
  1. It doesn't matter where you go for undergrad or what you major in -
  2. It doesn't matter what US MD school you go to.
To #1 - It may not matter after you've been admitted to medical school, and you can get into US MD school from virtually any US college. But for those in high school, the odds of getting into medical school are not in your favor, and if you don't, your major, degree and alma mater do matter.

To #2 - While it's true that all accredited US MD schools teach the same material, some simply have substantially better resources than others: physical facilities, research opportunities, teachers, reputations for turning out fine clinicians, and renowned faculty members to help graduates secure top residencies in their desired specialties. True, the best graduates from almost any US MD school can 'get there from here', but again, the odds.
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1. I think this first post is a bit of a strawman. It absolutely matters, but not always in the way that people think. Certain schools are simply better at advising etc than others, but it often doesn't correlate to the perceived prestige of the school. You see a lot of lower ranked LACs, etc, that have a thick pipeline of students to med school every year despite the fact that your average SDN poster hasn't heard of said school unless they're seriously up on D3 basketball... These are also the schools you see a lot of second gen physicians coming out of. You can't just decide based on USNews rank.

2. Similar things... especially with the LCME approving schools that are basically a set of lecture halls and affiliated hospitals (hyperbole...). A lot of the older but not top 25 universities have lots of big research budgets, projects, and big names. If all else equal, go with the bigger name, but if one is significantly cheaper for IS/OOS, scholarship,etc, you wont go wrong with the Cinci or Wayne States of the world. People at SDN tend to underestimate what resources actually exist at such places. . I had to cringe when I had a "which school" thread with a student with a strong interest in my specialty who was getting told to go to a rather big name school with a really really crappy department in what I do over a "lower prestige" school that has one of the best residencies and collection of faculty in the region... a school that we recruit hard for their graduates. People change specialties of course, but you get the idea.
 
ERK123 said:
Well there was a very active thread on hear a couple week ago titled "Obamacare is a Complete Failure" so I am not so sure that I am oversimplifying the "hive mind" of SDN.
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yeah, my bad. I was responding to a different poster and didn't notice I failed to delete the top line.
 
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ERK123 said:
I read the thread when it was active. I personally did not find it convincing, but to each his own.
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http://nypost.com/2014/03/19/nations-elite-cancer-hospitals-off-limits-under-obamacare/
http://www.washingtonpost.com/natio...c84e20-4bb4-11e3-ac54-aa84301ced81_story.html
http://www.usnews.com/news/articles/2014/10/29/obamacare-hasnt-propelled-mental-health-treatment
http://money.cnn.com/2014/03/19/news/economy/obamacare-doctors/

I can literally do this for days. Many people in the area around my medical school are suffering the ill effects of the law- they are only covered by community hospitals and have extremely narrow provider networks, basically putting them in a situation where they may as well not have coverage at all, except they're paying decent sums of money for that lack of coverage. Most of the exchange plans don't cover the only pediatric hospital in the state, leaving patients with extremely sick children that have cancer or rare diagnoses with no option but to go to community hospitals that are ill-equipped to handle their treatment. A lot of doctors can't even get on insurance panels- the insurance companies are refusing to take new physicians, because adding physicians means more access and thus more claims- so they're forced to practice without accepting many patients' insurance, which hurts patients and their bottom line.

It's a bad law that did nothing but enrich the AHA, pharmaceutical companies, EMR developers, and the insurance companies at the expense of patients and physicians. I'm okay with reform, but not this reform.
 
.
 
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Mad Jack said:
http://nypost.com/2014/03/19/nations-elite-cancer-hospitals-off-limits-under-obamacare/
http://www.washingtonpost.com/natio...c84e20-4bb4-11e3-ac54-aa84301ced81_story.html
http://www.usnews.com/news/articles/2014/10/29/obamacare-hasnt-propelled-mental-health-treatment
http://money.cnn.com/2014/03/19/news/economy/obamacare-doctors/

I can literally do this for days. Many people in the area around my medical school are suffering the ill effects of the law- they are only covered by community hospitals and have extremely narrow provider networks, basically putting them in a situation where they may as well not have coverage at all, except they're paying decent sums of money for that lack of coverage. Most of the exchange plans don't cover the only pediatric hospital in the state, leaving patients with extremely sick children that have cancer or rare diagnoses with no option but to go to community hospitals that are ill-equipped to handle their treatment. A lot of doctors can't even get on insurance panels- the insurance companies are refusing to take new physicians, because adding physicians means more access and thus more claims- so they're forced to practice without accepting many patients' insurance, which hurts patients and their bottom line.

It's a bad law that did nothing but enrich the AHA, pharmaceutical companies, EMR developers, and the insurance companies at the expense of patients and physicians. I'm okay with reform, but not this reform.
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I guess we just aren't seeing the negatives as much in CA.
Covered California has had all the usual hiccups but frankly, it seems to be unrolling about as well as any overhaul.
 
This thread gonn be good

blueharbor said:
The idea that, when one DO adcom member speaks, they are speaking for every single MD adcom member in all of the ~150 MD med schools in the country.
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Hmm now who could that be? Related disagreement with the Hivemind... It's absolute nonsense that anyone can achieve academic success anywhere with hard work, or that a grade earned at Kutztown is comparable to the same at MIT. It may feel better to say no big difference, a university is a university and studying = good grades, but when you're battling it out for a limited number of competitive marks, it makes a world of difference whether your peers are of the national average vs the top percent.

Another: The MCAT! It's ridiculous that a few hour long test of simple calculation, the ability to read with comprehension, and rote memorization is given as much weight as several years of much more rigorous coursework! It shouldn't be championed as the Equalizer, the great assessment of academic ability and GPA validity, like it constantly is.
 
Mad Jack said:
I want you to tell me the same thing once you're practicing.
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I'm certainly not practicing yet, but getting closer and closer. I think that the ACA isn't perfect and certainly is going to have problems, but it is better than 99% of the **** the people propose out there and overall is a step forward. We have a broken system that is going the wrong way. Without change, things will only get worse.

Spinach Dip said:
The idea that, when 1 adcom member speaks, they are speaking for every single adcom member in all of the ~150 med schools in the country.
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When it comes to basic admissions, it isn't rocket science. Most everyone on the adcom side agree on the basics which encompasses 95%+ of the stuff out there. Nuances are a very very minor part of all of this.
 
People being afraid to stick up for what they believe in, particularly when it's something that isn't necessarily "politically correct" or when it's the minority opinion. Grow some balls - this is the internet.
 
Womb Raider said:
People being afraid to stick up for what they believe in, particularly when it's something that isn't necessarily "politically correct" or when it's the minority opinion. Grow some balls - this is the internet.
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Irony that he's advocating being hard on the internet, medium of greatest anonymity..
 
The consensus here seems to be that scribing is futile for >1 year. Get in, get your LOR, learn a little bit about physician lifestyle, get out. You're just a tool for the doctor.

How awfully wrong this is.
 
Hospitalized said:
The consensus here seems to be that scribing is futile for >1 year. Get in, get your LOR, learn a little bit about physician lifestyle, get out. You're just a tool for the doctor.

How awfully wrong this is.
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I don't know about futile, but I could see where these people are coming from... The benefits (in regard to getting accepted to med school) probably diminish significantly after a year. (I.e. 2 years of being a scribe barely looks better than 1, and you could've spent the 2nd year doing something else that looks better). But I have no idea, purely speculation.
 
I disagree with the frequent piling on pre-meds for asking about physician compensation. I find it absurd that many of my peers think of medicine as something more than a job, and that deciding to become a physician partly due to the compensation means they won't be good physicians.
 
Zebra Hunter said:
I disagree with the frequent piling on pre-meds for asking about physician compensation. I find it absurd that many of my peers think of medicine as something more than a job, and that deciding to become a physician partly due to the compensation means they won't be good physicians.
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I have come to the realization that the way medicine operates is more like a business and is not an entitlement for the betterment of society.
 
That you can do bench/basic science research just as easily with an MD alone. Possible? Yes. As easy? Ask a fellow who is trying.
 
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