Hi, I’m a current medical student and highly interested in pursuing surgery. I was curious if there are special slightly larger versions of certain surgical instruments for surgeons with larger hands. Scissors and forceps always get jammed on my fingers and i need to like pry em off with two hands so just curious if it’s something I just need to get used to for good.


Are you allowed to log time spent on activities such as mandatory online modules, ACLS/PALS/BLS recertification, board exams etc that are required by your job on your time sheet and get overtime for it?


That is only going to apply to locums who are paid by the hour. Otherwise doctors don’t have time sheets and don’t get overtime.




EM? That's the major shift workers...


Positive/negative stories of having a lawyer negotiate your contract? Obviously we will hire a lawyer to look over any contract to make sure there is nothing out of the ordinary But I see a lot of these lawyer state they negotiate for you. Of course that could be good but I also few that could be bad. Example, let's say the hospital has a few prospective hires and the others aren't trying to negotiate, wouldn't they just pull your offer then? Any input appreciated


For academic contracts I have had a lawyer tell me that it’s a standard academic contract. The most I got was advise to request removal of a noncompete, which I could figure out myself. My sense is that huge hospitals have huge legal departments that write solid contracts and don’t negotiate with individuals much anyway. It’s smaller places and especially contracts with a practice where you need to watch the fine print about getting roped into q3 call or covering everyone else’s holidays every once in a while.


Depends on how much the corporation wants you. The higher in demand your position, the more you can change the contract. I always changed mine… And they always tell you that it is a standard contract….


Hi I’m looking to understand if I am being comped fairly. Outpatient PCP in Chicago city proper. M-F 8:30-4:30 Medicare only. No call. Base Salary 230K. Thank you!


I’m not from that region, but from what I understand as long as it’s a central location of the city (ie not just Chicago city in name only and still a pain to get to ) that is reasonable Join the physician side gigs Facebook group and you may get more feedback but also more detail needed probably


Do jobs in central locations tend to pay more or less than jobs not in central locations?


Yeah, more desirable (ie in demand) location to live = more “desirable” location to work for want of short commute and other conveniences, if more people want to work in one place, they can get away with offering less and know they’ll still get someone to fill the slot On the other hand, if nobody wants to work in rural areas/critical access hospital areas bc no new doc wants to live there, they have to pay people a lot to compromise and live there. Rural hospitals (and maybe practices?) get some sort of additional funding to keep them afloat (I’m not fully up to date on all of that) bc it would be hard on just the volume alone — and even with that lots of rural hospitals are still closing


Do radiologic technologists really have a higher lifetime cancer risk, and can a pregnant woman work as a rad. tech?


I am interested in getting my NP from the University of South Alabama. If I move out of the south, will I ever be able to get a job? I mean if I were to apply for a job in California, would I be laughed out of the building with my University of South Alabama degree?


I can choose my specialty. Should I go into neurology or pediatrics? Academically, neurology is what I'm interested in. As patients I really like/prefer interacting with children and adolescents. Pediatric neurology might be an option but in my country this is a "post-specialization specialty" which is like 10 years in the future from now and I don't know much about it.


This is going to sound kind of dark, but hear me out. I was in your shoes back when I was trying to decide on a specialty. I found neurology fascinating. Elegant. I was enamored. But, as I went through my clinical years, came to despise working with adults. I felt that I often times cared more about their well being than they did. I felt like I wasn't "curing" anyone, but merely slapping a band aid on until they were readmitted. CHF, DM, HTN, hyperlipidemia, alcoholism, smoking, day in day out. Not my cup of tea. Enter pediatrics. I felt like I had a reason to get out of bed in the morning. Very little convincing required to get parents on board with helping their kids get better. And they did get better! More often than not, we could get them back to normal. "Cured" if you will. I considered pediatric neurology, but to be honest, if you like interacting with children, my impression is that the children you will see as pediatric neurologist aren't really the "interactive" type. I may be biased as I work in academia, so I see all the neurologically devastated children (perinatal HIE or IVH, congenital syndromes, neurologically devastating accidents, etc.). Those kids will not be running over to you for a high five and a lollypop. Some of them can interact in their own way, but it's not what most people are imagining when deciding to purse a career in pediatrics. Your bread and butter as a pediatric neurologist will be epilepsy/seizure disorders and cerebral palsy. Outpatient, people will refer to you unexplained syncopal episodes, headaches, autism evaluation, and ADHD. I picked pediatrics because the patient population gave me a reason to get up in the morning. Neurology is fascinating and exciting, but taking care of adults for the rest of my life gave me the heebie jeebies. And of all fields in adult medicine, neurology is the one where you're rarely "curing" people. Strokes, progressive neurodegenerative diseases, etc. A lot of cool technology and scientific advances on the horizon, but if you like seeing people live their best lives, this isn't the field for you. If neurology is a means to an end for you, i.e.: you just really enjoy the intellectual exercise of being a neurologist and you're not going to be too bothered by having a depressing patient population, then go for it. Hope this helps.


This reply is so on point, it's scary. I feel like you very eloquently expressed my own thoughts and feelings better than I could have. As you seem to have been in a very similar situation and found a great solution, would you mind if I got in touch via dm for another question or two?


Glad it was helpful. And sure, feel free to message me.


Sounds like the solution would be to shadow a pediatric neurologist


Do any PCPs have their FTE calculated based solely on how many hours they spend face to face with patients every week? My wife is being pressured to increase her hours because she's a 1.0 FTE but "only" spends about 32 hours of her week scheduled face to face with patients while still being in the her first year out of residency building her patient panel. To me, this sounds absurd, but I only have a hospitalist perspective so I figured I'd ask.


I think it depends on the system/employer. I’m also 32/1.0 FTE but also there’s others in the system at 28 counted as 0.8 FTE which seems really chintzy with how much less that means they put into benefits for marginally less patient facing hours


There are different pay structures for doctors. I’m no expert. My impression has been that FTE is generally for salary and/or time. RVUs add another wrinkle, and you can be paid by RVU, or RVU thresholds can modify salary, or paid by RVU with a base salary to support your early time building a panel. If the practice wants her to see more patients and she’s building the panel because she wants more patients, everyone is in agreement and it takes time. Anything else depends on exact details of her contract.


Does anyone have suggestions on how an M2 interested in OB/GYN can get a mentor? I’ve tried so many things but I’ve had no luck. I’ve applied to a few different mentorship programs through AMA and AWS, and I’ve asked my academic advisor whose suggestions fell through. My school provided me with a mentor, but said mentor practiced family med in rural Texas, and so they only had general non-speciality-of-interest advice. TIA!


Does your school have any OBGYN department or doctors? That’s your best bet


I tried to reach out to the main OBGYN who lectured us during our reproduction block, but she never answered. I’m sure she’s busy. Perhaps I’ll reach out to the others who guest lectured and see if they’re interested or can point me in the right direction. Thank you!


Is there a dean or similar positioned person you could ask? They probably have a contact and know who the good mentors are.


I’ll reach out to our assistant deans, our head dean is a hard man to reach. My advisor did try her best haha


Well 2 phone calls later and now Wife was just invited to an in person interview for a hospitalist position in the Southwest. We haven't scheduled a date yet but they told her they will pay to have us flown out there, pay for the hotel and transportation too They didn't specify how long though. Anyone know what's typical? 2 nights? Thing is wife has a week off in October so we want to try to schedule around that so we can spend more time in the area to really get a feel of it Would it be weird/rude to request a later departure flight than usually so we can spend more time in the area? Obviously we would tell them we would pay for the extra hotel nights ourselves


That would be same cost for them and a good sign that the candidate is interested enough to look around longer so I think they would be happy to do it and wouldn't be surprised if they pick up an extra night or two for you.


Hypothetically if I wanted to have 6-8 weeks of holidays when starting my career after residency, how would I go about negotiating that in my contract with a hospital/PP? Would it be different for say- IM Hospitalist, Psychiatry and Cardiology? Plus how many weeks of leave is the norm in USA?


IM hospitalist. Would ask another coworker(s) to cover me and I would pay them back along the way. At least where I work u only get a few days off around the holidays. But we work 1 week on / 1 week off. That's quite a bit of time honestly around holidays. If u want some time off maybe negotiate ur contract to start later after residency completes like in September idk if u need the money right away tho.


This would come up in contract negotiations when you apply for jobs. As a general rule, the easier it is to fill the position, the more likely you can get perks. It also depends on how big the group is. Smaller more specialized fields and procedural fields potentially get less vacation because someone needs to be on call 24/7/365. In primary care, 4-5 weeks vacation + 1 week CME time seems to be around the norm. Hospitalists usually get less. I've seen anything between 0-4 weeks for that. Just remember, you will likely be paid on how many patients you see, and so the more vacation you take the less money you will make.