I work at a large health care organization. I start with this to give to some incite (see what I did there) into the lives you have ahead of you and why you should NOT volunteer. American healthcare, for the most part, is predicated upon financial gain/profit and taking advantage of the hard work people like you will do. While you will be well be paid for your efforts after residency, you will almost certainly not be the beneficiary of most of that gain/profit. Many of the people that will run your offices, dictate your schedule and decide on your pay/bonuses are administrators who, as cynical as this sounds, have a primary goal of squeezing more hours, patients, notes, billing and procedures out of you.
This system works because along with your care for the well being of people, they know you’ve invested many years and dollars into your education. At every point you fear the walls of this financial and educational ditch will fall in on you so you’re always eager to be seen as doing a great job and excelling. Despite the pandemic, many healthcare organizations have had significant, and at times record profits (https://amp.theguardian.com/us-news/2021/aug/06/us-healthcare-insurance-covid-19-coronavirus), all the while asking more and more of their staff. Nurses are quitting in droves and taking on traveling nurse positions to make more because guess what, they’re being taken advantage of as well. Many colleagues of mine are feeling burned out all while administrators plug in numbers into their excel spreadsheets to maximize what they get out of you. Rather than asking you to volunteer, they should hire more staff and pay better in order to retain them. Your primary job in med school is to learn the science of human health sufficiently to care for people and navigate this nebulous system. You have plenty of time ahead of you to be exploited. Don’t let them start now!!
Aware it is competitive.. any advice on what I could be doing now to improve my chances? Any help hugely appreciated!
And yes I'm still in the zoom call, just thought this was too brain-dead to not immediately post.
Hi everyone. I was just offered a position as an MA at a private dermatology office that does medical derm, surgical derm, Moh’s, pediatric derm and skin cancer treamtment. It’s a new beautiful facility and before accepting the position I wanted to run it by those on Reddit to ensure that it would be a good choice for medical school clinical experience since I’m truly interested in the field.
Hey y'all, I am currently an MS3 interested in derm and am looking for advice on whether I would need a research year or not and if I need to worry about matching. I have good stats on paper but little to no derm experience (hoping to get atleast a couple case reports by the fall) as I just recently became interested following a rotation. The main thing I am worried about is programs not seeing me as seriously committed to dermatology, as most of my other experiences to this date are in a completely different specialty.
Step 1: 266
Research Experience (all in another specialty): 4 published case reports, all as 1st author. 1 other meta-analysis in progress that should be published in the next few months. 4 other abstracts submitted to national conference (awaiting acceptance). 1 presentation accepted at a different national conference.
Clinical Rotations: My school doesn't have honors for rotations but scored 88% or above on all shelves have received consistently good evaluations (for MSPE).
Pre-Clinical Grades: Top 5%
School: Outside top 50 but reputable school
Mentors: Two attendings in my home derm department have already told me they would write an outstanding letter.
Hobbies: I have a couple very unique hobbies that I have succeeded in that I think will help me to stand out.
I really don't want to do a research year if I don't have to. I would appreciate any input any derm people could provide. Planning on doing 2 aways and applying to most programs in the country. Also would appreciate any suggestions on what I need to do over the next year or so to put myself in the best position during interview szn. I have zero connections to derm at this point outside of my home program as this is a very recent decision I have made.
Hello everyone! Anyone who switched from IM to dermatology? How easy was it? What made you switch? Thanks
Can any of the Dermatology specialists, provide a simple guide on how to prescribe the above and in which conditions?
I know there’s plenty of options but im not always sure whats the difference and the frequency and duration, and i feel i unnecessarily have to seek advice from Dermatology wasting their time.
Anyone willing to provide us a nice guide to help save you time 👍🏼
I recently saw a post where someone referred to an NP as a dermatologist, and I thought this would be a great opportunity to educate my fellow skin enthusiasts on the difference. I’m a physician myself specializing in internal/general medicine.
Dermatology is the most competitive specialty to get into. First one must complete:
Now let’s compare this to a PA or NP:
While I appreciate the care provided by NPs and PAs, it is important that you as the consumer knows who you’re seeing and the qualifications of the person you’re entrusting your skin to. If you’re paying, you deserve to know who/what you’re paying for.
So next time you see a “dermatologist”, please ask if they’re truly a dermatologist with an MD or DO degree, or an NP or PA who works in dermatology but by definition is not a dermatologist.
I wish you all clear, glowing skin ✨
For those of you in derm, how frequently do you actually see things that are considered gross (e.g. deep ulcerations, pus, smelly, gnarly genital lesions or anal lesions, etc.) in your day to day practice? Is it a once a week type thing or an everyday thing?
My guess would be that the majority of your clinic experience (“bread and butter”derm) is not as gross as many people think.
I’ve wanted to go on Accutane for almost 6 years now and I figure I might as well go to CH since I’m living in Ithaca. Do they offer this medication or any dermatology at all?
I’m probably looking for two different places. Someone that can help me with skin issues and someone that can help me with Botox and stuff. Preferably someone that specializes in faces!
If you don’t like bread crust, you were taught not to. No baby popped out the womb ready to hate the slightly browner edge of a slice of bread. Pickiness is a learned trait, and if you don’t eat the crust your children will grow up even weaker than you already are. Pickiness breeds discontentment, lowers your adaptability by forcing reliance on fewer foods, and will ultimately be the demise of western society. By not eating that crust, you’re missing out on key nutrients and failing your great great grandmother who survived two world wars and the Great Depression to give you access to that Wonder Bread with its delightfully soft crust. You dishonor her memory.
This isn’t medieval Europe where the crust was like iron, this is the 21st century, and modern bread crust would be like manna from heaven to a serf. So eat the fucking crust. Think of the fucking Pilgrims, they would have killed to have a bread crust instead of sour acorns and mealy mush. Next time you turn your nose up at a sandwich that has the crust still attached, I hope that a pigeon shits in your drink.
C’mon. Eat the crust. It’s that simple.
Hi! I’m graduating soon and really want to work in derm. I know the field is difficult to get into, especially as a new grad with no experience. I’d been researching fellowships and it seems like there’s hardly any nowadays. So I’m totally fine with working a year or 2 in another area to gain experience and then transfer. A lot of people suggest plastic surgery or family medicine. What about oncology? During my derm rotation we dealt with skin cancer more than anything else and did tons of biopsies.
The reason I ask is because I really want to do a fellowship to gain my confidence, learn, and up my residency. There’s a great hospital near me offering an oncology fellowship. Do you think it would be good to apply? Or do you feel like they won’t really have that much correlation?
The smartest, brightest, hottest and the most hard working of our colleagues are wasted on this speciality.
Why is this specialty even prestigious. The fuck.
I just moved to Eindhoven and I am looking to buy health insurance.
I have pretty bad acne (require isotretinoin) and would like to see a derm here, but from what I've seen so far (CZ, Menzis) they have pretty bad coverage, or at least as far as I understand it's not the best for acne treatments.
What health insurance provider is the best in terms of dermatology coverage? Cus apart from that I'm healthy.
I would greatly appreciate your help and if you have same issue I would love to hear your story.
Thank you in advance !
Met vriendelijke groet :)
Just looking for a good clinic (preferably close to downtown) that isn't super expensive where I could treat redness and scars from my face.
Every time i leave there i feel like shit. Me and my kids see 2 different doctors there, and one is rude, and the other thinks "its probably just XYZ" is a sufficient answer fot literally every spot i show her. I feel like she wants to get rid of me as quickly as possible every time i go.
Hey — I am curious if any of you have had routine dermatology appointments, like for a skin cancer screen, and had discussions with the doctor about the smp. How did the discussion go? I have a dermo appointment on Tuesday.
TMI warning: involves girl problems.
Noticed a weird little bump underneath one of my boobs this evening. Roughly the size of a gnarly bug bite. Slightly inflamed/swollen, red, and leaking puss/fluid of some sort. I'm not too worried about it, but just wondering, do I need to see a doctor about this? If so, do I call my OBGYN or make an appointment with a dermatologist?
Thanks in advance for any feedback.
Both are "lifestyle specialties" with similar salaries (425k derm vs 375k anesthesiology). Yet, the average step score and research required for Anesthesiology is around the median of med student graduates (235) while the average step score for derm is the highest of any specialty (250). I understand there's fears of mid-level creep, but surely it's not significant enough to warrant this massive gap? Are there any other reasons?
ik this might not be the best place to post this, but r/medicalschool removed this post for some reason. Can't figure out why, cause it seems like a reasonable question to ask.
my acne's been getting worse and my parent's think the reason is because every time i go out i have to wear a face mask so they've been getting on my ass about getting it looked at. does the ashe center have a dermatologist or do i have to go look for one on my own?
Hi! I am a 21 year old student and will be on Medicaid soon. I live in the state of Virginia and I am a bit confused about the policies. Is it possible to get dermatology visits, lab work, and prescriptions covered under Medicaid?