/sci/ - Science & Math

>>15310962
>Med workers could plausibly be relegated to watching over the AI

I think you and I share similar concerns over the rapid expansion of artificial intelligence. I completely agree.

By the time AI subsumes medicine, I can see many other industries that will have already fallen before it (mostly for feasibility, practicality, and the legal risk you mention). Such a dramatic usurping of industries by AI would be catastrophic, no?

>>15310857
It's hard to explain how unlikely it is that a robot could perform surgery without showing you surgery. There are just so many variables to consider. I suppose it *is* possible in the same sense that an AI with similar (or greater) learning capabilities compared to a human could do it... It's just a lot more involved when compared to other processes in the medical field.

>>15306559
I think boomer doctors would try to sell out the profession to AI if they could earn more money by volume. However, younger docs *should* gatekeep the profession.

The most "AI proof" jobs are jobs that require technical skills like surgical subspecialties.

>>15307111
Fungi rarely cause disease in immunocompetent individuals.

>>15303642
Just filter me. I'm trying to offer consistent info for younger or soon-to-be medfags

>>15306472
Eh, you should be fine. I think I did a hot pass through UWorld a week before. Your rotations should be preparation enough.

>>15307864
Where was this at? Primary care office? If so, it doesn't matter. It might be a bit weird if they were in an ortho office or sport med lol. The world of medical education and using patients to "practice" skills is a necessary part of medical education. There's essentially no harm to letting the student perform a non-invasive exam and these skills are going to be important as you move forward in your career. The same ethical dilemma happens when a patient needs an airway- do I take the procedure, knowing that I'm the most likely person to succeed? No. I need to let my learners try first.

>>15309196
PICU here. It's primarily considered serious if you, due to your underlying medical status, needed ventilatory support. If you can imagine, taking a patient off of a ventilator too early is dangerous because re-intubating is always harder than intubating a native airway. Glad you recovered well. ICU delerium is a very well known and difficult to treat phenomenon; the real treatment is getting the patient out of the fucking hospital.

>>15309394
Re-take, be prepared to explain why. Dominate step 2. Consider extra research. Be realistic with your options and make yourself the best candidate you can.

>>15302804
I'm an idiot. I thought you were literally talking about your chin growth (like you wanted a manlier chin). Beard growth is mostly driven by androgens and lucky genetics.

>>15302784
I suspect engineers have higher than usual acceptance rates. You just need to complete the prerequisites. One of my colleagues was a former engineer.

>>15302300
You kidding? Let him pass. I'm fully on board when patients want to let go.

>>15302352
Yikes

>>15302611
Of course. Outpatient is mostly maintenance. Inpatient is where you get initial diagnosis and management which is very interesting. Also, one psych I know did a lot of group and individual therapy.

Most psychs i've met are happy with it.

>>15286868
I'm a board certified pediatrician. I think you should at least self select out of medicine. If you end up not doing so, I encourage you to consider suicide.

>>15302649
It's complex, but GH and ILGF-I are the big ones. Still, you can only battle genetics so much.

>>15301781
I'm already a mentor to a few medial students and a few residents. About to interview for an associate program director role for the residency too, which I hope goes well. Goal is to make residency not a fucking hellish experience in any way I can.

I do wish you the best in your journey, Anon. If I can help on here, I will.

>>15301237
In general, yes. But Osler would say that a doctor who treats himself has a fool for a patient.

Peds ICU/Pulm here. Willing to answer questions. Got called to the NICU today to do a difficult intubation on a kid with unknown genetic syndrome born at 27 weeks with microstomia and retrognathia. Kid's mouth was maybe the diameter of my pinky and couldn't fit the 00 Miller. I ended up tubing him by loading the ETT on to a 2.2 bronchoscope. Tight fit but worked out. Who knows if the kid is neuro-gorked.

Also, had another interesting case in clinic of a kid with rare neuromuscular disorder who is one of five kids in the world with the disease. Got off the phone with a doc in Singapore, Duke, and Germany to discuss respiratory management which is pretty cool.

My research mentor (and, life mentor) from fellowship also invited me to join him on the Dept's dime to attend a super fucking exclusive conference in an incredibly niche field (something like 50 attendees). I'm very geeked. It's so niche that if I were to share the subject matter you could probably look me/him up in the brochure. It's also super nice because everyone sort of knows eachother in the field and we end up spending a nice week in europe as part of the experience. Looking forward to it.

>>11015991
? Because anesthesiologists are giving the pre-procedural antibiotics.

>>11015428
Yes. Not worth it. Not because it was a bad lay, but if you don't marry said fucking nurse (or even if you do) your business is ALL over your workplace. Don't shit where you eat. Thankfully I did it as a resident, so I'm outta there.

>>11019014
So it's not too late, but can I recommend against it? I'm an actual fucking doctor and the life is *not* as glamorous as you think it is. Can you imagine yourself being happy doing anything other than medicine? Do that thing.

>>11019019
The pay is heavily skewed by academic settings/pay which are traditionally subsidized by other sources of revenue. Neurologists do fine.

>>11019829
Do your exam. Don't apologize. Let your colleagues get upset. Care less about what they say.

>>11019921
>btw when they cry is when pulmonary auscultation is at it's greatest

Lol. No.

>>11022295
There is no "the" doctor. Everyone will ask for help. Every specialty needs a friend. The point is finding those things you like to do the most while being able to cope with the parts of the specialty that you dislike.

>>11005997
>Anesthesia for research

The fuck?

>>11012548
The WHO estimates (IIRC) >80% include partial or total clitorectomy. The fuck are you talking about.

>>11011523
Because data shows that only one dose of prophylactic Abx reduces SSI compared to multiple doses or post-operative dosing.

Actual pediatrician here.

Opposed to circumcision. I don't circumcise and tell my parents that up front. I also recommend against it. I don't present it as a "you might consider this option versus the next", I flat out discourage it.

Here's what to do to stop circumcision:

1. Get the government to stop paying for it.

2. Have more non-Jewish and non-evangelical members of the AAP reinforce a policy against it. Right now there is so much "muh religious heritage" that circumcision is still defended.

These two things will make the biggest change. Obviously, if there was a cultural incentive, that would be better. But I'm under no illusions that mothers will stop asking to cut their children.

Now, all of that being said, there *are* circumstances where circumcision is a valuable intervention (certain urogenital anomalies, grade III or greater hydronephrosis, etc). It is *not* valuable as a routine (do it to every baby boy) procedure.

How physicians (aka glorified applied body engineers) write it.

>>9570836
>>9570853

We take it hard because it is hard. It does get easier with time and rationalization certainly helps.

But, occasionally, people who shouldn't die will die.

Hell I just got home from a shift where a 3 month old died. We think he had some kind of spontaneous pulmonary hemorrhage. The code was perfect in terms of timings, interventions, et cetera. But realistically the kid came into my resus. bay dead on arrival.

It sucks. I'm gonna go lift to get some stress relief with a buddy. We debriefed after the code. I'm gonna touch base with my therapist.

The biggest recommendations I have are:

1) Healthy coping mechanisms. Relax, read, give yourself permission to break away, watch a show or movie you like, exercise, eat healthy for a week at least after the event.

2) Talk to someone. A friend, a family member, a counselor. Someone. It matters.

>>9569688
Yup dental fags are welcome.

>>9569715
That's good stuff. You planning on subspecializing?

>>9569720
Radiologists and radonc use a fair amount of math.

>>9569011
Listen I'm not gonna suggest that mathematics isn't incredibly useful in medicine.

Fuck, nearly every adjustment I make to keep people breathing on a ventilator is verified and validated mathematically.

But fMRI and Watson are pretty bad examples. lol.

So is that rather sloppily dissected heart.

>>9569014
That research sounds really good. Try to get a couple pubs out of it.

>>9569084
Yes, but >>9564996

>>9566660
https://www.aamc.org/download/321508/data/factstablea23.pdf

I don't know the new MCAT scoring system. I don't participate in admissions anymore.

>>9565120
>They say it's understaffed and underpaid.

I'm sure it's institution dependent. The ED I work at is very well staffed.

I know some EM docs that make 400+, which is pretty bank considering shiftwork.

>80 hours still feels like a lot of time, and I think 60 hours would be much more reasonable, but at least there's a cap on 24 continuous hours. Do you guys think this is an overreaction?

I hate to say it, but 80 hours is not that bad. Honestly for learning purposes you gotta be in the hospital.

MOST residencies and MOST rotations don't reach 80 hours.

You bring up a great point though.

>>9565080
So, having worked in an ED and considering it strongly before switching to CritCare, I would say that the burnout has more to do with how the specialty is organized.

EM is one of the newest specialties. By the time it was formalized, the people who grandfathered into it were people like internists, surgeons, and family docs who had no desire to do the shiftwork lifestyle.

Burnout is way down and satisfaction quite high for new graduates and docs with <10 years of experience who know what they are training to do.

>>9565086
Yeah, most outpatient specialties offer the ability to work <30h

>>9565088
Specialty competitiveness waxes an wanes. Not certain.

>>9565058
Ortho is pretty competitive as well.

Most non-surgical interventional fields with decent lifestyles are going to be things like GI.

PMR and EM have really good lives and do lots of procedures.

Anesthesia is becoming *less* competitive interestingly and has a fair number of coolp rocedures.

>>9565063
Some specialties have terrible lifestyles, regardless of setting. Vascular surgeons, CT surgeons, Neurosurgeons, and Trauma Surgeons all work terrible hours.

>>9565050
Okay both Interventional Cards and OB/Gyn have arguably worse lifestyles than general surgery (maybe the former being slightly better)

Those are not good examples of chill interventional specialties.

>>9565039
Interventional Radiology.

Some surgery specialties have really nice lives. ENT, Uro, Optho being the prime examples.

But there are lots of gen surgeons working at smaller centers who have great hours.

>>9565010
I don't see myself as superior to you, anon. Math is incredibly rigorous and demanding. I value your work and fully recognize that we all stand on the shoulders of giants.

Medicine owes itself to biology/physiology/etc. Which, in turn owes itself to chemistry, physics, and fundamentally mathematics.