What’s up with the new kids?

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Ronin786 said:
Pretty sure it's <$500 a day. And you have to stay at their hotel for the whole week. I hear the food is nice, but it better be when you have to show up for 20-25 years straight.
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I did some written board work with the ABA pre-pandemic and it was more than that per day, but not by much. If you’re in academics and your sucker colleagues just have to pick up the slack while you take CME days to do service for the field, fine, but if you’re in private practice you’re likely taking a paycut or using vacation for the privilege.
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Guillemot said:
After having such a sh1tty experience in training, and also having such a low opinion of the ABA (money making machine that will certify basically any ret@rd if they pay the fee), TBH I don’t really feel that I have gotten anything to “give back.”
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You may not have noticed the first word of my post. Practicing docs opinions of the ABA and the ASA have evolved over the the last 30+ years. Justifiably, IMO.
 
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Dr. Rude said:
Historically, it has been a merit badge to be an examiner, an intellectually satisfying, educational activity, and an act of giving back to the profession. The badge is a little less shiny and the desire to give back to the profession among most of us has declined.
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Maybe that's because MOCA has made many of us feel that Board examiners are co-conspirators in the money train scam that sucks time and dollars from us with little in return. Join the Empire? No thanks.
 
centdoc said:
These “kids” better get their *hit together… every crNa coming out in the next few years will have a “doctorate.”
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And be “board certified” by some kind of pay to play board.
How someone can go this far and not get board certification is beyond me. Lazy? Afraid?
Though saying that I’m pissed they changed the recertification to 5 years Vs 10. I was ready for the one last hurrah and forget about it, but now it’s 5 years and I may want to work more than 5. Screwed again, just like with the lifetime certification.
 
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IlDestriero said:
And be “board certified” by some kind of pay to play board.
How someone can go this far and not get board certification is beyond me. Lazy? Afraid?
Though saying that I’m pissed they changed the recertification to 5 years Vs 10. I was ready for the one last hurrah and forget about it, but now it’s 5 years and I may want to work more than 5. Screwed again, just like with the lifetime certification.
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Pay to play!! Honestly I would love to know what their board entail.
I know someone from medical school who couldn't pass their boards. But I am not surprised because they were barely hanging on and had already repeated a year, repeated the Step 1 etc.
It seems these days that it's not a priority for jobs maybe? Most places I have ever looked for work they said one had to be boarded within three years which is ample time I thought even if you had one failure.
 
urge said:
I have seen so many recent grads with no boards because “they forgot to sign up for them”.

Never heard of that ever happening until the last year or two. And now it’s the excuse everyone has.

It’s like nobody cares about anything anymore.
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It’s cause they out there slinging ketamine. This kid quit anesthesia after 2 years out

 
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wamcp said:
It’s cause they out there slinging ketamine. This kid quit anesthesia after 2 years out

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Glutathione?? That’s what Africans and Asians use to bleach their skin!!!
Anyway he’s still practicing a little Anesthesia. A little bit of that and a lot of aesthetics. Well he’s in the right market I guess.
 
sloh said:
Anyone think it’s silly of them to jump into this and leave the OR completely? If it were me I’d start it as a side gig first to make sure it even has wings to take off
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Yes!! Very silly considering how getting back in requires case counts and other red tape. He will learn.
 
amyl said:
The people I knew that did full time Medispas had a drug or alcohol problems or total lack of ability and or confidence in the OR
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This is probably broadly true of most anesthesiologists who pursue an "exit strategy" from clinical OR/ICU work.

But the spa people seem to be in a special category ... not so much grossly incompetent ... more greasy charlatans. I've known a couple. Even before they tried their hand at scamming cash paying hippies and bored housewives, they were always looking for some angle. Schedule scrutinizers, day traders, case-dumpers. I'm sure you know the type.
 
pgg said:
This is probably broadly true of most anesthesiologists who pursue an "exit strategy" from clinical OR/ICU work.

But the spa people seem to be in a special category ... not so much grossly incompetent ... more greasy charlatans. I've known a couple. Even before they tried their hand at scamming cash paying hippies and bored housewives, they were always looking for some angle. Schedule scrutinizers, day traders, case-dumpers. I'm sure you know the type.
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Schedule scrutinizes? Case dumpers? Day traders? I am rehung to figure out how the last one fits w the first two.
However scrutinizing the schedule when you aren’t the one making it in a practice is not a bad thing considering how some partners are prone to steal lots of the good paying cases and shaft everyone else with the government pay. Unless you mean those stealing partners scrutinizing to take all the good paying cases. And the case dumpers are just a bunch of lazy people.
 
makemoney2024 said:
Schedule scrutinizes? Case dumpers? Day traders? I am rehung to figure out how the last one fits w the first two.
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Get rich quick scheme, that's all.

See also: gamblers who come home from Vegas and always either win, or "break even" ... 🙂
 
pgg said:
This is probably broadly true of most anesthesiologists who pursue an "exit strategy" from clinical OR/ICU work.

But the spa people seem to be in a special category ... not so much grossly incompetent ... more greasy charlatans. I've known a couple. Even before they tried their hand at scamming cash paying hippies and bored housewives, they were always looking for some angle. Schedule scrutinizers, day traders, case-dumpers. I'm sure you know the type.
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There is some truth to this. But I know 2 guys who were excellent clinical anesthesiologists who moved away from clinical practice. Both have very successful post anesthesia careers. One has a chain of 10 med spas in 4 states. The other founded a national laser tattoo removal/aesthetic chain and now is CMO at a well known (to us) pharma company. This guy is sometimes misidentified in the business press as a dermatologist but he’s actually an anesthesiologist. They were always hustling and had some outside projects going. Some people are happy and satisfied to be doctors while others were born to be businessmen and entrepreneurs.
 
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The current recertification options are way less onerous than before and to be honest if your employer or accountant is worth their money they'll have a means of reimbursing you for all the effort. MOCA is $250 a year which is almost literally one hour in the OR and I knock it on it easily in a week every quarter by doing 5 questions while "on the throne". ACE questions aren't that bad, every few questions I actually learn something, and for the most part you need the CME anyway to maintain credentialing at your hospital. The Part 4 is probably the biggest of the pains but in reality for one I took a weekend field trip to LA, knocked it out in a day or two and spent the rest of the weekend hanging in LA. If you don't want to travel, while the SimStat is a big bite out of the pocket, again, it's should be included in your employer's education reimbursement or your accountant can surely find a way to write it off.

We can complain all we want about the ABA, the ASA, or your state society de jour but the reality is if you want them to be able to work for you have to be somewhat active. It's very cliche yes, but you get out of it what you put in. When they're talking about these things at the next ASA meeting, asked them publicly, "What's the purpose of ACA certification if I can still practice cardiac and get paid?" Maybe they'll give a BS answer and people will stop getting certified, or, maybe certification will be pushed and those who are certified will reap some benefit. I know this all sounds idealist. I don't know. I do know it's a bad look if a rush of people stop getting board certified and it will limit you for employment because some places surely won't employ you or credential you if you're not board certified.
 
One of my friends who did internal medicine does half hospitalist and half uworld.

I think another anesthesiologist set up a bus driving around Las Vegas hotels giving iv fluids and zofran for hungover tourists. Don’t know him personally.
 
pgg said:
This is probably broadly true of most anesthesiologists who pursue an "exit strategy" from clinical OR/ICU work.

But the spa people seem to be in a special category ... not so much grossly incompetent ... more greasy charlatans. I've known a couple. Even before they tried their hand at scamming cash paying hippies and bored housewives, they were always looking for some angle. Schedule scrutinizers, day traders, case-dumpers. I'm sure you know the type.
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I’m always looking for an angle, you want me to take care of two patients simultaneously by myself? Well if you put one in that corner and the other in that corner, I can sit in between them both…
 
Iso4ane said:
I’m always looking for an angle, you want me to take care of two patients simultaneously by myself? Well if you put one in that corner and the other in that corner, I can sit in between them both…
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Iso we did that before in the .mil…
 
sloh said:
Anyone think it’s silly of them to jump into this and leave the OR completely? If it were me I’d start it as a side gig first to make sure it even has wings to take off
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I dont understand it from a financial perspective. My siblings friend 1 year into locums pulled close to 1m doing 1099 as a fresh newbie. Do that for 5-10 years and then put yourself on ketamine and you'll be happy.

All kidding aside happiness doesn't have anything to do with medicine. Get into some therapy or life coach funded by your main gig. The kid needed a break mentally probably 1 wk a month locums for 6-12 mo while he tried this side gig and therapy. I think new gen doesn't have patience and they just tend to make radical decisions one way or another. Good thing the market is so hot it won't matter in 12 mo if he's been out of the OR he'll be hired regardless.
 
finalpsychyear said:
I dont understand it from a financial perspective. My siblings friend 1 year into locums pulled close to 1m doing 1099 as a fresh newbie. Do that for 5-10 years and then put yourself on ketamine and you'll be happy.

All kidding aside happiness doesn't have anything to do with medicine. Get into some therapy or life coach funded by your main gig. The kid needed a break mentally probably 1 wk a month locums for 6-12 mo while he tried this side gig and therapy. I think new gen doesn't have patience and they just tend to make radical decisions one way or another. Good thing the market is so hot it won't matter in 12 mo if he's been out of the OR he'll be hired regardless.
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Jesus. Us newbies 10 years ago were so happy to get jobs making 400k. And not many locums were taking newbies back then. I know because I looked.
This year I will finally make $500k+. But I don’t like working that much.
 
pgg said:
This is probably broadly true of most anesthesiologists who pursue an "exit strategy" from clinical OR/ICU work.

But the spa people seem to be in a special category ... not so much grossly incompetent ... more greasy charlatans. I've known a couple. Even before they tried their hand at scamming cash paying hippies and bored housewives, they were always looking for some angle. Schedule scrutinizers, day traders, case-dumpers. I'm sure you know the type.
Click to expand...

Yeah, in medicine in general the “spa types” are a special breed.

When I was an IM resident, this one chick was med/peds but dropped the med part to go full peds. She was out in peds practice for a few years and totally hated it, so she started up a medispa somewhere in the middle of nowhere and bailed out of her peds job. My Instagram feed is now full of her medispa ads all the time.

Not sure how training as a pediatrician means you’re qualified to run a medispa for adults, but here we are.
 
dozitgetchahi said:
Yeah, in medicine in general the “spa types” are a special breed.

When I was an IM resident, this one chick was med/peds but dropped the med part to go full peds. She was out in peds practice for a few years and totally hated it, so she started up a medispa somewhere in the middle of nowhere and bailed out of her peds job. My Instagram feed is now full of her medispa ads all the time.

Not sure how training as a pediatrician means you’re qualified to run a medispa for adults, but here we are.
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Is she successful?
 
makemoney2024 said:
Jesus. Us newbies 10 years ago were so happy to get jobs making 400k. And not many locums were taking newbies back then. I know because I looked.
This year I will finally make $500k+. But I don’t like working that much.
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sloh said:
Is she successful?
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Not sure. She just started this medispa enterprise like 6-8 months ago after doing a bunch of Botox parties at her house etc. Recently quit her peds job to go at this full time. So either she has a lot saved up or she’s making something off the medispa business.
 
I'm being a bit of an old geezer here, but I see so many "IG Anesthesiologists" and I always wonder since they're so busy setting up movie studios in the OR to get that traction if they're actually any good at their job?
 
Twiggidy said:
I'm being a bit of an old geezer here, but I see so many "IG Anesthesiologists" and I always wonder since they're so busy setting up movie studios in the OR to get that traction if they're actually any good at their job?
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I’ll saving you the wondering. They’re trash clinically
 
Another exit strategy. Not sure how things worked out.

“She started her residency at Stanford in 2018 but left after less than a year for a 'sabbatical to focus on her philanthropic efforts and global health work', as per a friend.

Ever since, she's been seen at Schmidt's arm at public events over the past two years.“

www.dailymail.co.uk

Married billionaire Eric Schmidt's girlfriend says they'll have kids

Alexandra Duisberg, 32, the latest paramour of ex-Google CEO billionaire Eric Schmidt, 64, has reportedly frozen her eggs and asked the tech boss to fertilize them, but he declined.
www.dailymail.co.uk www.dailymail.co.uk
 
nimbus said:
Another exit strategy. Not sure how things worked out.

“She started her residency at Stanford in 2018 but left after less than a year for a 'sabbatical to focus on her philanthropic efforts and global health work', as per a friend.

Ever since, she's been seen at Schmidt's arm at public events over the past two years.“

www.dailymail.co.uk

Married billionaire Eric Schmidt's girlfriend says they'll have kids

Alexandra Duisberg, 32, the latest paramour of ex-Google CEO billionaire Eric Schmidt, 64, has reportedly frozen her eggs and asked the tech boss to fertilize them, but he declined.
www.dailymail.co.uk www.dailymail.co.uk
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Good for him
 
nimbus said:
Another exit strategy. Not sure how things worked out.

“She started her residency at Stanford in 2018 but left after less than a year for a 'sabbatical to focus on her philanthropic efforts and global health work', as per a friend.

Ever since, she's been seen at Schmidt's arm at public events over the past two years.“

www.dailymail.co.uk

Married billionaire Eric Schmidt's girlfriend says they'll have kids

Alexandra Duisberg, 32, the latest paramour of ex-Google CEO billionaire Eric Schmidt, 64, has reportedly frozen her eggs and asked the tech boss to fertilize them, but he declined.
www.dailymail.co.uk www.dailymail.co.uk
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Wonder how much the ring is worth.
 
GassYous said:
I looked it up and google says 6k
That's alot for a friendship ring, ain't none of my friends giving me 6k
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My engagement ring cost more than that and my BF only makes low six’s. How could she think it was an engagement ring from a billionaire??
Anyway sounds like they have an open marriage and everyone is happy except the doc. That doc there is trying to rock the boat and play his next baby mama. He’s gonna dump her if she keeps pushing. She needs to chill and drink slowly from the faucet.
 
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makemoney2024 said:
My engagement ring cost more than that and my BF only makes low six’s. How could she think it was an engagement ring from a billionaire??
Anyway sounds like they have an open marriage and everyone is happy except the doc. That doc there is trying to rock the boat and play his next baby mama. He’s gonna dump her if she keeps pushing. She needs to chill and drink the slowly from the faucet.
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Hooked but not landed.
Arrested but not convicted.
 
50 or so "I"'s per minute...are there that many people so interested in others self fascination? god, how insufferable...he's breaking my heart...
 
abolt18 said:
Not anesthesia, but relevant.

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Sorry, but I can’t buy that guys spiel. We all know that living healthy, stress free lifestyle with quality foods is key to avoiding a lot of medical issues. And that corporations in America profit off the lack of it.

But you’re telling me that if I opened a clinic where I told all the chronic pain folks that instead of surgery they need to move to Lima Linda and live a blue zone lifestyle that a single patient would listen?

Everybody wants to pretend medicine is some big money making machine preying on innocent patients when the truth is everybody knows the right answer but nobody wants to take the steps necessary to implement it.
 
Ronin786 said:
Sorry, but I can’t buy that guys spiel. We all know that living healthy, stress free lifestyle with quality foods is key to avoiding a lot of medical issues. And that corporations in America profit off the lack of it.

But you’re telling me that if I opened a clinic where I told all the chronic pain folks that instead of surgery they need to move to Lima Linda and live a blue zone lifestyle that a single patient would listen?

Everybody wants to pretend medicine is some big money making machine preying on innocent patients when the truth is everybody knows the right answer but nobody wants to take the steps necessary to implement it.
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It’s too long a video. What’s the Cliff notes
Version?
 
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