Why AMGs don't like neurology?

[Doowai]

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And while I agree that AMG vs IMG threads can have potential to be inflammatory, a "Latino vs. white" analogy made by the above poster is hardly relevant.

My post was a response to post number two above in which Faebinder wrote : "It makes sense, if you saw 5 people from your ethnicity, and another group of 5 people from a different ethnicity, whom would you most likely be comfortable joining?"


As a reply to such its entirely relevant, which you fail to notice in your narrow-minded-because-of-overly-sensitive-feelings reading-with-no-real-comprehension.

Its relevant because it is a case example of someone who is very comfortable with people of another ethnicity. 80% of the people I work and associate with daily are Hispanic. I could have it otherwise, but choose that environment.

In fact, contrary to what you say about MY post (in your rabble rousing slanderous diatribe), post # 2 by Faebinder is in fact the racist sort of crap that does not create your imaginary NEW underclasses - but maintains the true underclass that has been thriving since the Chinese were hung over the sides of cliffs with dynamite to blast paths for railroads, and since the Navajo were relocated to Bosque Redondo by Kit Carson, and since the Japanese-AMERICANS were imprisoned without a writ of Habeus Corpus or due process of law during WWII (when the Bill of Rights specifically states that no American citizen can be imprisoned without such legal process). {For those of you who are educated about these and other acts of discrimination in the USA, please pardon the fact that these are not listed in chronologic order - I know that Bosque Redondo occured before the construction of a coast to coast railway}

My post, was supposed to stir emotions and point out that not everybody automatically is narrow minded enough to simply react to another humans ethnicity in choosing things from as commonplace as "hanging out" to something as significant as choosing a career. The fact is, unlike the segregationist attitude of Faebinder, many people appreciate and seek out other cultures and other ethnicities.

It really is a disservice to everyone, and insulting to anyones intelligence, to suggest that Hillary Clinton is what causes underclasses in the United States

I am assuming you are white, and as such your sense of privilege is threatened by mentioning white homeless beggars (and please come here and drive around the area for yourself and see) in contrast to Hispanics who are ready to do ANY sort of job in lieu of begging. The sort of offense you take over this one ever so minor slight, is only a tiny fraction of what many ethnicities endure and have endured for hundreds of years in a predominantly white corporate society.

 

[Doowai]

How come you didn't say, "I've never seen BLACK guys standing around ready to do hard work like that"? Hmmm.
Oh yeah... it's fine to stereotype the white guy, huh. .

Okay, here you are suggesting that I am black and that my post is an attack on white people.

If anyone came in here and made blanket statements like that denigrating any other race, they'd have been banned in a heartbeat. I'm sick of it, I don't think it gets to get swept under the rug just because it the poster didn't happen to target gays, blacks, women, muslims or hispanics and I'm calling him on it. There's a pervasive double standard which is prevalent in our society, and frankly it's absolute BS, .

Here you are saying there is a double standard that somehow unfairly penalizes the white man.

First I am genetically white - my grandmother was fresh off a boat from England, and my other ancestors are almost entirely English, with a bit of French and German.

Second, its healthy for anyone white to be exposed to a bit of the double standard - it gives a small taste of what prejudice is really like. And I emphasize small taste.

Your assumption that I am black, and attacking the white man is further example of your hysterical reactionary narrow minded insight.

I am sorry this issue is a very passionate one for me, and one in which white people need drop the turf wars of gaurding their privileged status so that others can finally enjoy a bit of the American dream which is denied them - and if earned by them, is only tolerated begrudgingly.

 

[RockfordWF]

Out here there is an ENT group that often does emergency Crikes on pedes.

I guess the question is---on such an emergent situation---are there ENT docs on call in house?

Most of the places I've worked at, the ENT consultant is sitting at home and wouldn't be available for such an emergency procedure.

 

[Blade28]

Weird. They do it in every hospital I've worked at. I don't see why it would be anesthesia, since they normally aren't around at night.

That's weird.

Here, at all of the hospitals in my program, the "code/intubation" team is the anesthesia PA/CRNA and resident/attending.

 

[f_w]

(I guess we have gotten pretty far away from neurology and its merits)

 

[RockfordWF]

That's weird.

Here, at all of the hospitals in my program, the "code/intubation" team is the anesthesia PA/CRNA and resident/attending.

I am assuming you have in house anesthesia 24/7. This isn't true at any of the hospital I have worked at. Obviously if you aren't in house, you can't be on a code team.

 

[OB1🤙]

I am assuming you have in house anesthesia 24/7. This isn't true at any of the hospital I have worked at. Obviously if anesthesia isn't in house, you can't be in a real hospital.

Fixed your post.

 

[oudoc08]

Okay, here you are suggesting that I am black and that my post is an attack on white people.



Here you are saying there is a double standard that somehow unfairly penalizes the white man.

First I am genetically white - my grandmother was fresh off a boat from England, and my other ancestors are almost entirely English, with a bit of French and German.

Second, its healthy for anyone white to be exposed to a bit of the double standard - it gives a small taste of what prejudice is really like. And I emphasize small taste.

Your assumption that I am black, and attacking the white man is further example of your hysterical reactionary narrow minded insight.

I am sorry this issue is a very passionate one for me, and one in which white people need drop the turf wars of gaurding their privileged status so that others can finally enjoy a bit of the American dream which is denied them - and if earned by them, is only tolerated begrudgingly.

So, you just spent an hour of your time and multiple replies to my post to essentially tell me that reverse racism is okay, that the white man needs to "get over it", and that you think a smattering of prejudice here and there is justified. Essentially, you didn't deny my allegations, but simply pointed out why you thought they were justified, thereby proving my point.

 

[RockfordWF]

Fixed your post.

I don't know any hospital in my area (which doesn't have an anesthesia residency) that has an anesthesiologist just sitting around when there are no surgeries or women in labor.

It may be the norm in your part of the country, but not mine.

 

[AlternateSome1]

Second, its healthy for anyone white to be exposed to a bit of the double standard - it gives a small taste of what prejudice is really like. And I emphasize small taste.

Should you beat a sleeping child to prevent them from being crying?

First, the idea of selective prejudice disgusts me. It is hypocritical to state that it is unacceptable for a group to be treated unfairly, but perfectly correct for them to treat others unfairly. Second, your broad generalization that white people need to get a taste for reality demonstrates stereotyping and prejudice, or simply arrogance and narcissism, in that it implies all succumb to naivety that you lack. Finally, there are many racist white people in the world. This fact does not exclude members of other races or cultures from having prejudicial views, and it does not mean all white people are racist. If you go around trying to shove the idea of equality through reverse discrimination down the throats of people, you can count on a great deal of bristling and a lot of turned heads.

 

[danielmd06]

I am an R-2 in Neurology and I can try and help answer the original poster's question (to my own opinion).

(1) I think that there is merit in the argument that medical students are followers of the "herd mentality." If a residency is popular among your peers (for whatever reason), then it is easier for it to remain so for successive classes of medical students. The opposite is also true.

(2) Poor teaching and poor experiences on Neurology rotations contribute to lack of consideration for this specialty as a career. Maybe residents are too unqualified to explain subject matter or answer the questions of inquisitive medical students. This would leave the overall impression that lower quality residents are pursuing this specialty - which is an obvious negative.

(3) Then there is just pure lack of interest in subject matter - which all of us have to one degree or another. I always found urgent/critical care, gross anatomy, neuroanatomy, neuroscience, and neuroimaging (which combines the previous three) to be the most interesting subjects in medical school. That doesn't mean everyone else did.

(4) In terms of financial compensation and weekly workload, I think that Neurology sits squarely in the middle of the pack of medical specialties - which is simply unacceptable for some applicants.

Generally speaking, Neurology is on the rise in terms of job opportunities and projected market growth. Salary ranges widely depending on personal applicant preferences for hours and paycheck. Average numbers for non-fellowship trained general Neurologists tend to center around 180-190,000 (starting) for large urban cities. Average salaries for fellowship-trained Neurologists tend to center around 205-215,000 (starting) in large urban cities. Hours tend to center around 55/week for Neurology.

Of course these numbers change depending on where you look. I can tell you about the $600,000 starting job offer that requires covering half of a state's Neurological needs and serving q2 call for a minimum of three years, or another job that would offer 80-90,000 for a much more benign schedule.

Fellowship opportunities in Neurology are broad and are often very lifestyle-oriented. The most popular fellowships include EEG, EMG, and Sleep. Fellowships can also be completed in Neuroimaging, Stroke/Vascular Neurology (popular), Neurociritcal Care (popular), Interventional Neurology, Neuro-Oncology, Neuro-immunology, Headache, and more. There are plenty of well-qualified folks on these boards that can offer you more information, too.

 

[awdc]

You obviously haven't worked in many hospitals. As an anesthesiologist, I have been called to bail out ER docs for numerous intubations. I have never seen an anesthesiologist call an ER doc to bail them out of a difficult intubation. Watching most of them even try to intubate a patient is pretty damn funny. I have NEVER seen an ER doc at a code on the floor, but I have seen them botch inductions in the ER due to incomplete knowledge of drugs and doses which they use infrequently. I have personally been stuck far too many times by an ER doc with a 22 gauge IV for a vein that could easily accomodate an 18 gauge. The idea that ER docs are the resuscitation experts is truly laughable. They are rarely more than glorified triage nurses. The true experts are critical care physicians, trauma surgeons, and anesthesiologists.

No freakin' way. My $0.02 tells me these aren't EM trained/boarded physicians.

Code teams very much depends on the institution. There are indeed programs where the ED resident is in charge of the code team and airway.

 

[buckley]

(1) I think that there is merit in the argument that medical students are followers of the "herd mentality." If a residency is popular among your peers (for whatever reason), then it is easier for it to remain so for successive classes of medical students. The opposite is also true.

(2) Poor teaching and poor experiences on Neurology rotations contribute to lack of consideration for this specialty as a career. Maybe residents are too unqualified to explain subject matter or answer the questions of inquisitive medical students. This would leave the overall impression that lower quality residents are pursuing this specialty - which is an obvious negative.

(3) Then there is just pure lack of interest in subject matter - which all of us have to one degree or another. I always found urgent/critical care, gross anatomy, neuroanatomy, neuroscience, and neuroimaging (which combines the previous three) to be the most interesting subjects in medical school. That doesn't mean everyone else did.

(4) In terms of financial compensation and weekly workload, I think that Neurology sits squarely in the middle of the pack of medical specialties - which is simply unacceptable for some applicants.

i agree...