Monthly Archive: April 2012

Spotlight Interview: Why Did You Choose Family Medicine? (Ohio Resident)

 
 

A Family Medicine Resident’s Perspective: From an interview with a family medicine resident from Columbus, Ohio.

Part of an interview series entitled, "Specialty Spotlights", which asks medical students' most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

    • What attracted you to Family Medicine?

I grew up wanting to be a doctor because of the influence of my own family doctor in my life.  I love the emphasis that Family Medicine places on developing long term relationships with patients.  This provides a daily reminder that behind every disease is a person with hopes, dreams, and fears.  I also have a passion for nutrition and fitness and I have found that developing great rapport with my patients is an essential step before they will trust me enough to make dramatic and important lifestyle changes.  I really enjoy the breadth of knowledge that my field requires.  It excites me to realize that, of necessity, I will be learning for the rest of my life.

 

  • Describe a Family Physician's typical work day?

This depends on what type of work you choose to do.  Family Physicians can choose to work in an outpatient setting only, as a hospitalist, in an ER, or in an urgent care center just to name a few possibilities.  A typical Family Physician who works in an outpatient setting will work from 8:00 or 8:30 am until 5:00 or 5:30 pm, M-F.

 

  • What type of lifestyle can a Family Physician expect?  

Again, this largely depends on how you choose to practice.  Call responsibilities range from no call at all to one weekend in 8 to call every other day.  If you're interested in providing OB care or in working in a very rural area your call responsibilities are likely going to increase.

 

  • What is the potential salary of a Family Physician?

There's a lot of regional variation, but across the country most FPs make somewhere between $130k and $350k with the average being somewhere around $200k for most FPs in their peak years.  That being said, I know one FP that makes $50k per year and one that makes $500k per year.  Again, there's a wide amount of variation.  Also, many locations will offer loan repayment to family physicians that practice in their communities.

 

  • What is the job market like for Family Medicine Doctors?

In a word, excellent.  Family physicians are needed everywhere and residents are recruited heavily starting in their first year of residency.

 

  • What are the potential downsides of Family Medicine that students should be aware of?

There are some negative misconceptions about Family Medicine that come out strongly in most academic institutions (e.g., you can't go into FM if you rock the USMLE because it would be a waste of your talent, FM offers very little opportunity for research, etc.).  Also, your compensation can depend in large part on how business-savvy you are and how efficiently you organize your office.  This is becoming less of an issue as more FPs are employed by hospitals or HMOs, but is still a consideration for most small groups.

 

  • What else would you tell medical students who are considering Family Medicine?

Family Medicine is a wonderful field.  As a Family Physician you will have the opportunity to impact the lives of your patients in ways that almost no other physician can.  You will see your patients at some of the best and worst moments of their lives, and they will come to greatly trust and value your advice.  Daily patient encounters as a Family Physician can be incredibly rewarding.  Family Physicians have almost limitless career opportunities both in terms of where they want to practice and in terms of how they set up their practice.  This amount of freedom is amazing.

 

 

Editor's Note: For more help choosing a specialty in medicine, I highly recommend one or both of these two great books. I found both very useful.

 

 

Spotlight Interview: Matching in Radiology

From Hartford Hospital

 
 
A Radiology Resident’s Perspective:

From an interview with an radiology resident from New York City, NY

Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

  • How competitive is the radiology match?

Last year (2011) it wasn’t even specified as “competitive” by the NRMP. However, in general, radiology is a popular choice. I considered myself a consistent but average medical student, and had no trouble getting plenty of interviews. Be realistic with your choices, and don’t think about of the cost of your application. If you are feeling insecure, cast a wide net and spend some time asking yourself what really matters in a program.

 

  • What are residencies looking for in a radiology applicant?
Well first of all, board scores. It is the first screen they put all candidates through. But you were already going to do your best, weren’t you? Once you have the interview, just try to be amiable and show good communication skills. Don’t be too forward, arrogant, or serious. This is all opinion but I don’t think your potential as a radiologist can be divined by an interview. They are just looking for someone they wouldn’t mind sharing space with for 4 years! Try to relax and enjoy it.

 

  • What do you wish you knew before application/interview season?  

If you know you are going to rank a place at the bottom of 10 or more programs, consider cancelling your interview.

 

  • What should students look for in a radiology residency?

I will only mention what is most important: Find the residents, talk to all of them, and ask yourself if you would enjoy seeing them every day. Sure, the upper levels will be gone by the time you get there, but the environment you see will not be much different.

 

  • What other advice do you have for students applying to radiology residency?

You have made the right choice. You will match. Anyone who says anything different (e.g. co-interviewees) knows nothing about it and is probably just trying to get inside your head for petty reasons. Don’t let them succeed… spend your time talking with positive, supportive friends and family. Use advisors. If yours is unhelpful or cannot answer your questions, find an ‘unofficial advisor’ who can cheer you on. They need not be radiologists. They should not be hard to find, the good ones are usually very involved with students.

 

Editor's Note: Applying for residency or preparing for your interviews? I highly recommend First Aid for the Match, The Successful Match: 200 Rules to Succeed in the Residency Match, and The Residency Interview: How To Make the Best Possible Impression .


 

Spotlight Interview: Matching in Ophthalmology (Hopkins Resident)

 
An Ophthalmology Resident’s Perspective:

From an interview with an ophthalmology resident at Johns Hopkins University

Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

  • How competitive is the ophthalmology match?

Ophthalmology is pretty competitive. It is not as bad as plastic surgery, but it is one of the most difficult matches right now.

 

  • What are residencies looking for in a ophthalmology applicant?
The top programs are all academic institutions, so a good research foundation definitely helps. The field is small and well informed, they like to see early and/or definite commitment to the field.

 

  • What do you wish you knew before application/interview season?  

I did not know about the postings on studentdoctor network. If you go online to the studentdoctor network website during interview season you will see that there is a place where people post interview dates and times as soon as they get them.  There is usually also a calendar with all the interview dates listed.  If you can not find a calendar, make your own.  Often you will get interview invites and if you respond in more than a couple hours there are no more interview spots left. Check email every 3 minutes, you just have to do it. Respond to interview invitations within minutes of receiving email.

EDITOR’S NOTE:  I cannot agree more with this advice.  Click here to go to the main SDN ophthalmology page. Click here to see the link to the ophthalmology interview thread from 2011.

 

  • What should students look for in a ophthalmology residency?

You will have to decide for yourself what options you prefer, but here are some of the most important questions when evaluating a program because they represent major differences and distinctions: location, small vs. large program (i.e. 3 residents per year vs. 8 per year), front loaded work and call vs. evenly distributed, home vs. in-house call, research faculty/area/time devotion/expectations, strength and notoriety of the faculty, training style (autonomy vs. faculty guidance), facility and equipment (new slit lamps? teaching scopes? etc), is there a VA, is the VA hours away or in another state, is the VA clinic resident run.  In my opinion, a strong resident run VA clinic is a must.

 

  • What other advice do you have for students applying to ophthalmology residency?

It’s early match so somehow you need to try out the rotation and decide early.  Once make a decision, you need to starting getting your application packet together early. Remember, they want to know that you are committed, this is hard to do because your application is due near the beginning of your 4th year.

 

Editor's Note: Applying for residency or preparing for your interviews? I highly recommend First Aid for the Match, The Successful Match: 200 Rules to Succeed in the Residency Match, and The Residency Interview: How To Make the Best Possible Impression .


 

Spotlight Interview: Why Did You Choose Ophthalmology? (Hopkins Resident)

 

An Ophthalmology Resident’s Perspective: From an interview with an ophthalmology resident at Johns Hopkins University

Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

  • What attracted you to ophthalmology?

Ophthalmology is a high tech field. We use lights, lasers, and lenses. I like the microsurgery and there is a great balance of clinics and surgery. The surgeries that we perform are most often quite short.

 

  • Describe a ophthalmologist’s typical work day?

On clinic days we usually work from 8am until 5-6pm.  Surgery days usually start a bit early, around 7:30am, but they can be completed by 4:00pm.  Most ophthalmologists have 1 to 2 days in the OR each week with the rest of the time spent in the clinic.

 

  • What type of lifestyle can a ophthalmologist expect?  

Ophtho is the BEST lifestyle for surgical field. Simply compare it to ENT, plastics, ortho, urology, etc. Depending on practice setting, likely there will be call (to cover trauma, open globes, acute angle, etc) but it is manageable.

 

  • What is the potential salary of a ophthalmologist?

In metropolitan areas (if you can even find a job), you can expect to earn much less that in the suburbs or rural ares. You might expect mid to high 100s starting in general ophthalmology in an urban and desirable location.  If you are willing to move to the middle of nowhere, you can expect much more than that, upwards 300-400K.

 

  • What is the job market like for ophthalmology?

The market is saturated in most metropolitan areas. As I stated above, there is a need for the rural and some suburban areas.

 

  • What are the potential downsides of ophthalmology that students should be aware of?

Ophthalmology is very focused on one body part, and can even be focused on one layer of tissue (cornea!).  The other thing you have to be aware of is that the optometrists are constantly trying to take over everything that we do.

 

  • What else would you tell medical students who are considering Ophthalmology?

If you are interested, schedule a rotation early.  Also, you get to sit for surgeries!

 

Editor's Note: For more help choosing a specialty in medicine, I highly recommend one or both of these two great books. I found both very useful.

 

Is the Patient’s Device Safe for MRI?

MRIsatety.com is a great resource for medical students, residents, and all medical personnel.  We all know that when a patient has a pacemaker from 2004 that they can not get a thoracic MRI. However, what if the patient had a recent shoulder replacement? What if the patient has a port for chemotherapy? What if the patient had recent spinal surgery? No matter what the circumstance, you can search this website for the patient’s device and find out if it is safe for an MRI.

The main website is…
http://www.mrisafety.com

Or, the searchable list of implantable devices can be found directly at…
http://www.mrisafety.com/list_search.asp

The list of all searchable products includes:

  • Pumps
  • Aneurysm clips
  • Bone and Nerve stimulators
  • Cardiac Pacemakers and AICDs (defibrillators)
  • Breast and other soft tissue implants
  • Coils, Filters, Stents, Grafts
  • Dental Implants and Devices
  • Catheters
  • Clips
  • Foreign Bodies
  • Ocular Implants, lens
  • Sutures
  • Etc.

 

Spotlight Interview: Matching in Ophthalmology (OSU Resident)

An Ophthalmology Resident’s Perspective:

From an interview with an ophthalmology resident at The Ohio State University

Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

  • How competitive is the ophthalmology match?

Extremely competitive.  For foreign medical graduates (FMG) and second time applicants, chances of match are very slim. The overall match rate for ophthalmology is about 75%.

 

  • What are residencies looking for in a ophthalmology applicant?
They are looking for genuine interest in the field of ophthalmology demonstrated by rotation evaluations, Ophthalmology research, volunteering etc, and a highly competitive applicant. Outstanding applicants with high board scores and numerous class honors do not necessarily have to have as much ophthalmology related extracurricular involvement or research. However, if you are not a stellar applicant, early and evident interest is very important.

 

  • What do you wish you knew before application/interview season?  

I wish I knew which programs I was realistically competitive for. Other than the top 15-20 programs it is difficult to know where a program ranks and how good they are or aren’t without interviewing there.  Ask people who recently applied or find a faculty member who is willing to discuss these types of things.

 

  • What should students look for in a ophthalmology residency?

One of the most important things for me was finding attendings who enjoy teaching and enjoy resident interaction. A program that will help put you in a position to match in your desired fellowship is also very important. Learning about a residency’s job and fellowship placement is very important. Clinical and surgical experience, above all, are something that you must weigh. Surgical numbers should be above the national averages and especially above the minimum required amount.

 

  • What other advice do you have for students applying to ophthalmology residency?

Academic ophthalmology is a small world. A great letter from a prominent ophthalmologist is invaluable.

 

Editor's Note: Applying for residency or preparing for your interviews? I highly recommend First Aid for the Match, The Successful Match: 200 Rules to Succeed in the Residency Match, and The Residency Interview: How To Make the Best Possible Impression .


 

Spotlight Interview: Why Did You Choose Ophthalmology? (OSU Resident)

An Ophthalmology Resident’s Perspective: From an interview with an ophthalmology resident at The Ohio State University

Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

  • What attracted you to Ophthalmology?

The first four things that come to my mind are: 1-The range of care, everything from medical management to surgical intervention. 2-The lifestyle. 3-Patient continuity. 4-Most ophthalmologists thoroughly enjoy going to work every day. 

 

  • Describe a Ophthalmologist’s typical work day?

Office time or clinic time takes up some of the week (usually 3-4 days) and surgery takes up the rest of the week.  You can work an 8-5 day but some choose to see more patients and have longer hours.

 

  • What type of lifestyle can a Ophthalmologist expect?  

The workload is very manageable. Unlike other surgical sub-specialties, the schedule can be flexible and there is opportunity to have a good amount of time off.  Many weekends will be free but there is call and it can be very busy.

 

  • What is the potential salary of a Ophthalmologist?

Starting salary approx $170,000.  At about five years out the salary climbs to somewhere in the mid $200,000 range. A few fellowships can lead to more income (retina especially) but there are fellowships that lead to less income (pediatrics).

 

  • What is the job market like for Ophthalmology?

The market for ophthalmologists in urban areas is quite saturated. There are a few opportunities in desirable suburban areas, but many of these are full as well. Rural areas have openings and usually a higher base pay.

 

  • What are the potential downsides of Ophthalmology that students should be aware of?

Finding a job in a desirable location is not an easy task. You can say this about most specialties in medicine. Also, there is a high cost of practice operation. The overhead for an ophthalmologist is much higher than most specialties. We have lots of toys to play with, but they all cost money.

 

  • What else would you tell medical students who are considering Ophthalmology?

The early match often requires an early commitment to ophthalmology and it is to the applicant’s benefit to submit their application as early as possible because some programs extend interviews on what appears to be a rolling basis. Good luck!

 

 

Editor's Note: For more help choosing a specialty in medicine, I highly recommend one or both of these two great books. I found both very useful.

 

Spotlight Interview: Matching in Neurology

A Neurology Attending’s Perspective:

From an interview with a neurology attending at the University of Michigan, Ann Arbor.

Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty.  See what doctors from every specialty had to say about why they chose their specialty and how to match in their residency.

 

  • How competitive is the neurology match?

Fairly competitive for the top programs, but there are enough good programs that most good students should match well.  Average programs and lower tend to fill with foreign medical graduates, so overall the competition is probably below average.

 

  • What are residencies looking for in a neurology applicant?
Despite the reputation for being a less-competitive match, Neuro residents literally have patients lives put in their hands fairly frequently, and often when nobody else in the hospital has a clue what to do.  Thus, it is imperative that the residents be extremely responsible and capable of learning how to handle things like acute stroke, status epilepticus, and other neurological crises.  Oftentimes other physicians will completely miss the diagnosis and it is YOUR job to save the person’s life.  A potential resident must be able to handle that.

 

  • What do you wish you knew before application/interview season?  

Even though it is less-competitive overall, it IS competitive for the top programs, so don’t be cocky.  And remember—ALL residencies just want someone who really, really REALLY wants to learn and take care of patients.

 

  • What should students look for in a neurology residency?

There MUST be an ICU experience of some sort, where you take care of neurological emergencies.  There must be a mix of strong outpatient clinics,neurological consults, and inpatient neurology.  I cannot imagine how you can become a neurologist in a place that only does consults, and not have your own patients.

 

  • What other advice do you have for students applying to neurology residency?

To be completely honest, a lot of people make fun of neurology…right up until the point that they need you.  And you know what?  Everybody always eventually needs you.  Then they call you and are scared to death and you walk in like a hotshot and have all the answers.  Patient’s seizing?  Big deal.  Acute stroke?  tPA and let’s go.  Mental status changes in a 85 y/o demented man with sepsis?  Uh… sure, I’ll do that consult ( in like 3 MINUTES!!)   Unexplained progressive weakness?  Oh yeah, this is the fun part.

Neuro’s awesome.

 

Editor's Note: Applying for residency or preparing for your interviews? I highly recommend First Aid for the Match, The Successful Match: 200 Rules to Succeed in the Residency Match, and The Residency Interview: How To Make the Best Possible Impression .


 

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