I've rotated w/ IR at my institution and agree with everything you said here. This isn't Mario Kart. That plus its EXTREME competitiveness (way more competitive than derm, integrated plastics, ortho, ent, ophtho, etc) makes it very attractive to medical students, as we are naturally attracted to the "best." This is especially true in the modern global world, where you’re competing with the entirety of civilization, and comparing yourself against the fake social media version of everybody. Clinic, procedures, follow-up: a true clinical proceduralist specialty. But you need to first ask yourself if you want to do DR. Referral base: nobody refers to you. Try to figure out why this person is being competitive and what their needs and goals are. But, anecdotally, I was told that this private practice group was one of few and one of the busiest in the NATION. Comment deleted by user 3 years ago More than 1 child. For selected candidates, we offer a combined general nephrology/transplant nephrology fellowship pathway or adult/pediatric nephrology fellowship training … I will be waiting for you all on 2knowmyself youtube channel so that we can continue our journey. I am dealing with urine problem for one year. For applicants seeking specialization in combined nephrology critical care there are two pathways , either joiining a combined fellowship program and there are only 7-8 programs that combined and they are really competitive, or just do general nephrology fellowship and then do either 1 or 2 year critical care fellowship after. They aren’t as ego-driven. Compared to the 10-15 endocrinologists who were all fighting over protocols in the area, he could pick and choose whatever he wanted to work on. In that way, being too competitive is literally bad for your mental health. Monday at 10:32 PM; shrooby; Advice, Queries & Musings. Here are a few I can think of. With enough patients its highly profitable. I go there once every two months or so, to go feed the ducks, pigeons and squirrels. It's not my sugars doc, bad kidneys just runs in the family. I no longer have enough time to dedicate to video games for extended periods of time, so expecting to be much better than the avg, is just not practical. Press J to jump to the feed. 9. It’s extremely important to calculate the glomerular filtration rate (GFR), says Katherine Tuttle, MD, clinical professor of medicine in the University of Washington’s division of nephrology. Reddit is a network of communities based on people's interests. When I was a kid in the 90s, competitive dance wasn’t really a big thing. Competitive is supposed to be about skill, of course they're going to remove random elements. I did 2 blood tests to check kidneys, 5 dip stick urine tests at GP, 3 urine culture tests were sent to lab , 2 renal ultrasounds. I came to the conclusion at a pretty young age that I don’t have a single competitive bone in my body. Application numbers to the specialty have fallen: only 75% of UK training posts were filled after the first round of offers in 2017, mirroring recruitment issues in nephrology that have troubled the USA over the last 10 years [1–5]. View historical uptime. No. It is HARD to encroach on a space that has been traditionally not yours. Reddit - Nephrology San Francisco, California, United States About Blog Reddit is a community of millions of users engaging in the creation of content and the sharing of conversation across tens of thousands of topics. Embolizations, thrombectomies, LPs, abscess drains, PEG tubes, central lines, etc. For threads of a personal nature relating to gameplay or other competitive … That's secondary though. The stress that naturally is a side-effect of trying always to outwit your competitors. It was really cool to watch and experience. Why? Nephrotic syndrome causes swelling (edema), particularly in your feet and ankles, and increases the risk of other health problems.Treatment for nephrotic syndrome includes t… Yes, there were competitions, but not on the same scale as today. On AAMC I am unable to find anything noting the hours worked for IR. That’s why people who don’t have as much of a heart to compete have advantages in life and the opportunity to be more successful. In CS:GO we get CD (competitive cooldown) for two reasons: 1. Remember, IR guys have traditionally been the dumpsters for procedures that nobody wants, so when they want a bigger part of a more lucrative pie, that becomes a problem. 3 month ago I noticed foam/bubbles in the toilets. Stress One of the side-effects of being an overly competitive person is the stress it brings along with it. So, regardless of how competitive colleagues choose to act or how frustrating it can be at times, make the decision to always be fair, accountable, and team-oriented in the work that you do. In the time it took you to do that case, you would have been able to read X or Y amount of films and make the group more money compared to that liver case. abscess drainages). Arbiter of Smash Discussion. You own patients. Less Competitive This Year? Never even knew those existed. As it stands though, IMO, it's a field that leaves a lot to be desired and students should be wary of going for it just due to the wow factor and general competitiveness. Not sure if this will make a difference financially (wondering if private practice endovascular will hire a bunch of neuro/IR and a few neurosurg or just more neurosurg), but even personally I imagine that’s something you have to be okay with. Now, it’s more than just something fun; it’s a lifestyle — and one that requires a lot of sacrifices for the children who choose to … Clinic time is either a joke or non-existent as your patients are usually essentially dead or dying. Most rads groups will not want to pitch in and pay a dedicated night guy, so you are still taking a ton of call. It doesn't really seem like a game that people would take too seriously, but there are people who go to great lengths to try and be better than other people. View historical uptime. (But that does not disqualify you from being a program director!) Under the proposed DPDA, care providers (the nephrology community) are not incentivized or empowered to optimize the road to transplant for their patients and there is a covert financial disincentive to provide transplant as a treatment. It's a cool career with a lot of potential but a bit of an uphill battle when it comes to clinical work. What you end up doing depends not only on your department but also on your hospital's surgical departments, and your relationship with them. Critical care used to LOVE central lines when they paid. Not considering IR, but thank you for this interesting read. Moreoever, because of all of the great applicants who fall down to DR, DR has been getting ridiculously competitive as well, being another hurdle in the process. Radiation risks is not insignificant. Stress One of the side-effects of being an overly competitive person is the stress it brings along with it. You see, IR has become the hospital dumpster of procedures. Growing pains: IR as a "surgical" subspecialty is a field in its infancy trying to find its way in the clinical world, NOT MATCHING: This is so important. Sort: Relevance Popular Date . That’s why it’s $30 and not $3-5. Good morning I am 44 years old.Male.6'3 - 92kgs-No renal issues in the family. If you can’t imagine yourself doing DR, don’t pursue IR. 3,248. clinical research coordinator interview questions shared by candidates. Literally have nowhere to be right now. In most practice models, you are not a clinician despite what SIR says. I enjoy co-op/single player games just fine too, so that's how I choose to fill my free time at the moment. The vast majority of what you’ll do is PICC lines, Biopsies, and other not mentally stimulating procedures. Unlike the other two, Competitive … You have to be happy with the bread and butter, non-sexy IR and get a sense of how IR relates to other specialties. Professionals from all career stages share why they chose nephrology and how they make a difference in medicine and science. It can also be a very emotionally taxing field since a lot of the patients are older and treatment can be kind of limited in some of their more common cases. 9. I'm currently applying IR. Personally, I actively avoid competitive multiplayer games. It’s an awesome field with a lot of draws to it but just be sure you know what you’re getting yourself into. It's not a super easy field to match into either. Though not required, certifications will make you a more competitive applicant." Press J to jump to the feed. Just be aware of the lifestyle. The success of this 5‐year demonstration project would primarily be assessed by improvements in dialysis care processes and related cost savings. Unfortunately, the reality of IR is that it is much different than SIR paints it, at least in my experience and through the experiences of IR physicians I worked with. You will also be a newcomer to the field and who does what procedures depends largely on institutional preference. Understanding Nephrology This is a branch of medical science that deals with the study of the normal functions of the kidneys as well as the possible diseases. Here is an old Reddit thread where the same idea is discussed. We needed a nephrologist co-PI for several of the type 2 diabetes research studies I was running and there was literally 1 guy in the whole metropolitan area who we could use. That and the fact that IR guys generally try to stay away from prescribing a lot of medications as they don't feel as comfortable given the fact that they haven't done actual medicine in quite some time. My journey leading up to nephrology was typical: 4 years each of college and medical school, followed by 3 years as an internal medicine resident and a year as a chief resident. Also, gen surg LOVES to turf SO MUCH to IR it's ridiculous and frankly pretty sad. /s. I hadn't, but apparently, it's a fellowship of neuro that is intervention based and that a lot of hospitals would prefer to have on staff over an IR guy to perform thrombectomies in the brain. Keep reading for eight big reasons why those types of individuals are more motivated than most of the people around them. And to just give another example, a friend of mine just wrapped up a urology residency after finishing IR because he was that unhappy with the field. Might make a lot of money but you sure as shit ain’t gonna have time to spend it. Interventional cards is already king. This was just my super long 2 cents. Lifestyle: terrible unless you work private practice. This coming from a DR applicant. They love you. Hi everyone...I’m an M3 interested in understanding the downsides to IR. This is why I think people dislike neuro: Its hard and intimidating. That's why neurology is the only medical subspecialty that requires its own residency training program after internship. Interventional nephrology is now growing in popularity. Ridiculously so. As an IR guy in the group, you will usually be doing 80/20 or 70/30 DR/IR work. Partially Degraded Service Uptime over the past 90 days. I have only experienced this from the neurosurg side (but I assume the overlap is similar with other surgical fields) — IR seems to be a weird field where you can’t really manage your complications. IR is an amazing field and I'm applying into it, but if I had to highlight some downsides: Competitive job market for high-end work (academics), Long hours, lots of call even as an attending. I apologize for the word vomit. Find communities you're interested in, and become part of an online community! Despite that information, there was an unambiguous optimism owing to the improvement in job opportunities for new graduates Threads 26 Messages 1K. Now they pay around $35 a pop and is definitely not worth the risk in our litigious culture so they turf it to IR. One good thing was that the IR docs were very serious about their weekends, and did not seem to have to come in very often. The Nephrology Fellowship Program at UCSF prepares fellows for careers in academic nephrology, clinical nephrology, and medical education. Because hospitals refuse to hire more IR guys. Continue this thread level 2. You take away their pain, extend their life with targeted chemo, let them walk again, etc. Short youtube video where it is explained that IR has been overhyped for no particular reason. Oh wow IR has ALWAYS been so cool. But it's not all good: If competitive people weren't around, we wouldn’t have even one-hundredth of the issues the world has today. Too much turf war. Matching integrated IR is insane. Press question mark to learn the rest of the keyboard shortcuts. THIS is what I imagined IR to be. It seems idealistic, but by choosing not to engage in petty competition, your aggressive counterpart will start to stick out like a sore thumb—and they just might back off. Meaning you'll have to experience several years of reading films and not doing many interventional procedures. However they all came back negative. During my radiology rotation at a mid-tier academic place, those hours made sense- it was essentially 6 am to 7 or 7:30 pm M-F (last procedure scheduled for 5:30 pm). Hospital-based: likely where you will see the most action. Disclaimer:- If this is a medical emergency, please dial 911 or go to your nearest emergency room. But here is a rude awakening: IR is not a surgical subspecialty in the slightest. Plus, brain thrombectomies are extremely high-risk and not very lucrative, so IR guys like to stay away. Our graduates have also pursued additional fellowship training in kidney transplantation. If you're interested in it, there are not nearly enough people specialized into nephrology who want to be physician investigators. The salary they eventually decide on will then depend on the candidate’s expectations and/or experience level. The OP makes an extremely comprehensive argument. For existing customers, Don't wory Don't worry about anything if you are an existing customer. Like I said, I think IR is a great field in theory. The journey is not over and 2knowmyself is not dead but i am just changing the format from one thing to another. however, if you rotate through IR and find you love it, go for it. Investigator Statement. Surgical hours, but almost without the satisfaction (patient doesn’t really know who you are, although this is changing with the recent moves). But hey, when you do procedures, you're doing the coolest stuff, right? It is difficult to find cases. Get involved why is nephrology not competitive reddit surgical subspecialty in the middle of the people around them choose to fill free. In private practice: this is where the magic happens years ago more than but! 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