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Recent Accident to My Son

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    Wonderful news! Thanks for the photo!

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      Originally posted by triumph View Post
      Wonderful news! Thanks for the photo!
      I second this. Congratulations to Brian on a truly extraordinary achievement!

      I know you are a proud dad, Roger. Rightfully so.
      Wheelchair users -- even high-level quads... WANNA BOWL?

      I'm a C1-2 with a legit 255 high bowling game.

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        Ann and I are back in Phoenix and Brian is in Baltimore working on his paper. He has to have the paper done next week so that it can be submitted publication. Last week Brian found out from the medical school that he needs 2-1/2 more credits to complete all of the requirements for the medical degree. Brian is talking with the counselor to find the most cost effective means of satisfying the requirement. He's hoping to avoid paying the $28,000 tuition for a full semester at the medical school. I hope that there are options.

        Brian is thinking about what he'll do after graduation next May and he has concerns. Finding a job and getting everything he needs setup in a new city worries him. Last week during an annual checkup with her oncologist mentioned that Brian was going to graduate in May and was looking for a job. Her doctor seemed very interested and said that he was going to talk to people and he wanted to meet Brian. So that looks like a beginning at least. I've also sent Brian the post from Triumph last July where the website www.usajobs.gov was mentioned. This website has a listing of US Government jobs that are available. I think that this would be an excellent place for Brian to start his job search. If anyone has any other resources please let me know. I'm sure more options will become available the more we search and talk to people.

        Roger
        Last edited by Roger; 11 Jan 2016, 2:22 PM.

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          Yes, having to relocate for a job has challenges. If the job is a perfect fit, it would be worth the efforts. Very best wishes for 2016!

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            Sent you a PM.

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              Brian passed the Clinical Knowledge portion of the STEP 2 exam. He's still waiting to get the results of the Clinical Skills portion of the STEP 2 exam, but he's not worried about passing the Clinical Skills portion. The STEP 2 Exam is the test that he took in October-November. He took the Clinical Knowledge portion of the STEP 2 Exam in Baltimore and then a couple of weeks later we went to Philadelphia for two days where Brian took the Clinical Skills portion of the STEP 2 Exam. In the Clinical Skills portion he examined patients and wrote up his diagnosis.

              Brian is meeting with his adviser this week to figure out what his next step will be. The Medical School graduation is May 16, 2016. A couple of weeks ago Brian found out that he needs two more credits. Hopefully the paper that he's submitting can be used to satisfy the two credits.

              I'm going to Baltimore on Feb 5 and stay until Feb 10. Ann is having cataract surgery on Feb 9.

              Roger

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                Brian received a letter that he passed the STEP 2 Clinical Skills test that he took last November in Philadelphia. Earlier this week Brian met with his adviser. I don't know all of the details of the conversation but his adviser told him that she would support whatever Brian decides that he wants to do. Brian had expected that she would push him hard not to do a residency. I fly to Baltimore this afternoon so this weekend I'll have a chance to talk with Brian.

                If Brian decided that he wants to do residency it's too late to apply this year so he would have to wait until next November to apply. His adviser told him if he decides that he wants to apply for residency next year then he should postpone his graduation until 2017. She said that it's better to apply for residency while he's still in medical school.

                Roger

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                  Tough decision for sure.

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                    What a truly wonderful thread Roger, it should really be a book, and a manual for healthy recovery and family support, thank you so much for sharing. Puts my heart in my throat to read all 100 pages, my Mom supported me through undergrad and grad at UNC Chapel Hill (Rehabilitation Psychology), licensed LPC therapist, have worked community mental health for the past 10 years, specializing in CBT with Dual Diagnosis disorders, primarily schizophrenia & bipolar disorders.

                    Bravo sir, Bravo, and all my best to Brian and his service to the community

                    Lee

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                      Every time Brian is scheduled for rehab at the Kennedy Krieger something happens to interrupt the rehab. Today Baltimore had four inches of snow so all rehab was suspended at Kennedy Krieger. Hopefully he'll be able to go to rehab tomorrow. Sometime soon Brian is going to meet with the Doctor in charge of residency at Hopkins to discuss his options. He's been looking at Preventive Medicine Residency Programs. This would take advantage of the MD and MPH degrees. The only problem is he would have complete a 12 month clinical residency. Brian is not sure if he physically able to work 55+ hours a week for 12 months without a break.

                      I was in Baltimore last week for Ann's cataract surgery. The surgery and the follow up visit the next day went fine. Things started to go bad later in the week when Ann fell and hurt her neck. The day after I went back to Phoenix her neck hurt so badly she was incapacitated. Brian was able to get her an appointment at the hospital to have her neck was examined. She'll be ok after a couple of painful weeks. In addition to the neck pain Ann's stomach started hurting so Brian was able to get her an appointment for a lower GI exam March 2. If all of that isn't enough next week she has cataract surgery on her other eye. I'm going back to Baltimore March 1 for a week. Hopefully during that time Ann will be able to complete her multiple recoveries.

                      Roger

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                        Sorry to hear about Ann! Hope she recovers soon.

                        I was just thinking about your son and wondering if he's considered 'playing the disability' card. That is, it's my understanding that "reasonable accommodation" must be provided under the Americans with Disabilities Act (ADA) to disabled students, workers, customers. It seems like 55 and more hours per week could be negotiable? I do realize that a medical school may be the last place to consider a law such as ADA, but when I think about it, why wouldn't they accommodate a disabled student's needs since he's already completed the majority of his studies and practice. It seems this rule for residency hours is a sound one for doctors who may be required to be available 24/7. It seems like Preventative Medicine and Public Health work would be a different ball game. That said, I believe Brian's character and dedication are such that, if called in the middle of the night in any occupation he would respond with help.
                        After all he has accomplished it would be nice, if he wishes it, to complete the residency.

                        I keep thinking of a Supreme Court case over twenty years ago - a deaf student denied admission to a nursing school. The problem seems like the authority figures could not see a nurse in any other capacity than listening and speaking to a bedridden patient. We know that nurses work in untold occupations. I believe she lost her case.

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                          Brian met with his advisor last week and they decided that it would be best for Brian to go ahead and graduate May 16. He's going to look for a job and also apply for a internship position. I'm still confused by the terms intern versus residency. What I understand now is that after the student receives the MD degree the first year he's called an intern and is exposed to several different area's then he selects what area he's most interested in and starts a residency in that specialty.

                          I think that Preventive Medicine is the perfect type of medicine for Brian. He would see patients and also do health policy research. A residency in Preventive Medicine is offered at Hopkins but one of the prerequisites is that the applicant must complete a 12 month clinical internship. Brian's advisor at first thought it would be better to postpone graduation so he would still be a medical student when he was applying for residency or internship but she later changed her mind.

                          Brian is now searching for a internship as well as a job. If he finds a position he would start the internship in June 2017, so that's why he is also looking for a job.

                          SCI Nurse maybe you can clarify this internship versus residency. Does a typical residency programs include a 12 month internship and then two or more years of specialization?


                          Roger

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                            Maybe I can help.

                            All training years after graduation from medical school are the Post Graduate Years. Depending on the specialty chosen, the total number of PGY years can be anywhere from 3 for a field like Occupational Medicine to 7 for a field like Neurosurgery.

                            The PGY 1 year of Residency training had been traditionally called the Internship. They tried to do away with the term in the 70's but were unsuccessful.

                            In a Categorical residency program, all the years of residency training- from PGY 1 to whenever- are offered at the same place. The newly graduated doctor only has to move once.

                            Many specialty residencies though require a first year of general medical or surgical training before the specialty training begins. That first PGY year ( PGY 1) is also known as the Internship. For medical school graduates, this will requires 2 matches- one for the Internship ( PGY-1 ) and one for the Residency ( PGY-2 and on ). The PGY 1/Internship year and the Residency years are not always obtainable in the same city so the new doctor has to move twice.

                            Internships/PGY 1 year can be further categorized as "Preliminary" or "Transitional" types.

                            Preliminary Internships ( PGY 1 year ) are usually a year of either Internal Medicine or Surgery. For example, someone who wanted to be a Cardiologist would do a PGY 1 year in Internal Medicine. Someone who wanted to be an Orthopedist would do a PGY 1 year in Surgery.

                            Transitional Internships ( PGY 1 year ) might combine Internal Medicine, Surgical and Elective months depending on the particular program.











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                            Last edited by 2drwhofans; 13 Mar 2016, 11:47 PM.

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                              Thanks 2drwhofans for the explanation.

                              Maybe you have the answer to another question. I understand that Medicare provides the funding for residencies but that there are fewer residencies positions funded each year than there are medical school graduates. Why would that be the case?

                              Roger

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                                These articles explain it better than I can.

                                Several main reasons though: Funding from Medicare and the VA is not enough to accommodate the increasing numbers of U.S. Allopathic (M.D.) seniors entering the match as well as an increasing number of U.S. Osteopathic (D.O.) seniors each year. Add to this an increasing number of Non-US Citizen International Medical School Graduates and US Citizen International Medical Graduates who enter the same match. It's really not as bad as it looks though. Internal Medicine, Family Medicine and Pediatrics had more positions available last year than in prior years. The high dollar, procedure oriented fields like Dermatology, Opthalmology, Plastic Surgery, etc. have less positions and more people applying for them so the unmatched rate is higher. Everyone eventually finds their way somewhere.

                                I looked at the JHU Preventive Medicine Residency website. It looks like he only has to apply for a PGY-1 ( Internship ) year through the match. The Preventive Medicine Residency application for PGY 2 and PGY 3 seems to be accessed directly through the JHU website. That's a lot less traveling to interviews.


                                http://www.modernhealthcare.com/arti...NEWS/150319897

                                http://theincidentaleconomist.com/wo...sidency-slots/

                                http://www.nrmp.org/press-release-20...4756-programs/

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