Why I am skipping residency

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We've had a few docs do this. Right out of intern year they went and worked at urgent care in rural areas of our state at 3 shifts/week starting at 200k a year. Not a bad deal. They are extremely limited in their mobility, but if they are happy with that job, then you really can't fault them for shaving 2 years of residency off of their lives.
 
We've had a few docs do this. Right out of intern year they went and worked at urgent care in rural areas of our state at 3 shifts/week starting at 200k a year. Not a bad deal. They are extremely limited in their mobility, but if they are happy with that job, then you really can't fault them for shaving 2 years of residency off of their lives.

can you shed some more light on this? where are they working? what are they doing?
 
9/10 troll score.

great post! 😀
 
I'll feed the troll...

1st sentence: You will learn this isn't true in your first week of residency.

2nd sentence: Would you know how to evaluate for subtle neurovascular injury to the hand? Maybe this is a skill learned in residency???

Would you just send away every "difficult case" because you didn't have the knowledge gained through experience? If this is your actual plan, your motives and morals are questionable, at best.

I like the OP's thought on being creative and somewhat outside the box.

But I also thought that his example of a "hand sliced open" was much more intricate and litiginous then he is barginning for. It just seems that treating this particular type of injury automatically opens the malpractice door..

Ive seen hand injuries go directly to a hand surgeon..And even he is hoping nothing goes wrong in his out patient office..:xf:
 
This troll post is good in that it makes us ALL think outside the box and attack his stupid comment at all angles.
 
I want to encourage his goals.









It is kind of like telling your drunken idiot friend that there is no way he can make that 20 foot jump from the roof into the pool, so he is forced to challenge that statement. You know what is going to happen, so you just grab the popcorn, draw straws on who is driving to the ER and get ready for the crunch of his legs shattering as he smashes into the concrete from the 2nd floor.
 
Well the original argument was NP would have more clinical training. I just didn't say it explicitly in the last paragraph, but I meant nurse practitioners. My last sentence was that a basic nurse would know more than most 4th year med students/beginning interns (really didn't express it well) - which I still think is true.

Anyway the original topic was someone said that an intern would have better clinical training than an NP. I don't think thats true.

I don't know where you did your internship, but in internship alone I logged close to 4000 hours not even taking into account med school. Most DNPs require 1000 hours (often less) and they don't standardize where those hours are done.

As a starting intern, you pick up the stuff that nurses know very, very quickly as I'm sure you realized. By the end of internship, you can run circles around most NPs/PAs.

That post was about NURSE PRACTIONERS. I edited it to make it more clear because people keep saying the same thing. Someone said the intern with no residency would have more clinical experience than your average NP. I disagree.

Please explain how an intern would not have more clinical experience than your average NP?

I find this statement confusing.

In the general residency forum, there are always a number of posters who post that they have been fired after one year of residency, or completed a prelim without a categorical to move on to. And the question is always - well, what now?

A lot of those posts are from FMGs. Most states require FMGs do more years of residency than US trained docs.

A lot of NPs know more than some graduating residents...... maybe not surgical specialities but primary care ones.

Wow, you're saying that a lot of NPs know more than attendings? Seriously?
Ok Mary Mundinger, you can drop the fake name.
 
Ok, I get it, what I said was not right, so can the insults please stop?

Why do you still represent yourself as "Freshman MD" despite being asked to stop referring to yourself as a MD. You aren't even half way through high school yet.

I believe that by continuing to use MD in your title you are violating TOS:

Claiming to be someone or something that you’re not is inappropriate and unethical. Those guests found to be misrepresenting themselves will be banned as trolls.
 
Go to Venice beach in Los Angeles and start writing medical marijuana prescriptions.

As long as you'll lose all integrity, you might as well go for broke.
 
Residents are exploited. They are worked HARD and paid a fraction of what the hospital receives to let them practice there.

Ridiculous.

After I graduate med-school I'm going to do an intern year and immediately start my own doc-in-a-box-type practice.
I'm going to get a small business loan to rent a small office in an area with few doctors and start seeing patients.

I will take cash only. I will not have to hire people to deal with collections or fight with insurance companies.
That is a tragic waste of time/money.

I will not hire a receptionist. That's a waste of money. I will use an online scheduling service.

Boo-yah.

Here trolly trolly...


Not to burst your bubble dude but a physician who doesn't complete or even attempt a residency program and jumps into the field is really looked down on within the profession. The amount of training and know-how you gain in a residency program is priceless- it's your first time really treating patients - ever. Better to do it under those that can help and refine your skills. What your talking about doing is the equivalent to reading a book about how to ride a horse and then immediately go into Kentucky horse racing.

To not do a residency seems very unethical and puts your patients at HUGE risk. From the many, many residents and physicians I've talked with they all agree that in residency is where you really learn the application of medicine. sure you get two years of clinical's but even then your exposure and knowledge of how to apply what you know is extremely limited. Residency teaches you application.

If someone sues you and it (and it will be) brought up in court that you never did a residency you will have an extremely difficult time defending your case...I'm pretty sure you'll have a hard time getting malpractice insurance anyways much less a lawyer stupid enough to try and defend you.

Not trying to be a jerk or anything and slam your plan - I realize I came across harsh but doing what your advocating is a really, really bad idea. Just looking out for ya amigo.
 
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Go to Venice beach in Los Angeles and start writing medical marijuana prescriptions.

As long as you'll lose all integrity, you might as well go for broke.

This is actually a f**ing brilliant idea...altho i dono how much you stand to gain from penniless hippie stoners
 
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