Recent content by Arcan57

Agreed. I don't think he views writing the same way that Sanderson or King does. He's spent the last decade (from a writing standpoint) tinkering around the edges of his world. I believe he did make an honest attempt at book 3 and somewhere along the line realized he couldn't do what he set...

I remember loving both books initially. Re-read them a couple of years ago and first still stands out. The 2nd one is solid but is tainted by the lack of a third book. I remember just being on fire at all the possibilities for the world and thinking how expansive the story was. On re-read...

You’ve clearly never seen the newly minted nephrologist that’s waiting for their dialysis practice to take off. Hungriest hospitalists you’ve ever seen.

For most docs? Large 3rd parties - Medicare, Medicaid, private insurance.

Buy a group then you can set your own hours. Don't know why everyone doesn't do this.

The funny thing about CMG FMDs is that the next spot on the ladder (Regional Medical Director) is objectively so much worse than being an FMD. In fact, all the jobs on that ladder are terrible up until the divisional VP level which is frequently not given to someone that climbed up but someone...

As Would you work every Friday overnight or every Saturday day shift in addition to a 40hr/week of admin and another random day/evening shift every other week? How much would they have to pay you to work that job? Is your chair getting more than that?

I'm not sure that's true so much as doing admin and doing EM are shockingly hard to integrate in a way that's successful on both fronts. Mostly this comes down to a mix of the admin side being under-resourced and the expectations of other EM docs that you a) work a full range of shifts and b)...

So you've had a few bad cases. What made them go badly? In EM, things go sideways for all kinds of reasons. Some of the reasons are going to be specific to the ED doc but a lot aren't. Looking back, would you doing something different have significantly improved the outcome? If not, take...

Reminds me of how hospital policies are made. You can go around spending months getting every department involved, pushing it through Pharmacy&Therapeutics committe, having it signed by med exec, post written versions of the policy everywhere and then spend dozens of hours training staff on the...

Both private equity and the current non-profit hospital "systems" run off the same B-school model of continuous unending growth being the main and only point of existing. The only difference is that non-profits get a head start due to lighter tax burden and private equity can still make money...

Set the expectation before you walk out of the room the first time. Give them an hour or two to chew on the fact that you’re looking for the bad stuff that would MAKE them HAVE TO be admitted or have emergent SURGERY. Explain that there’s ton of stuff that can make their life miserable that we...

It’s interesting that it kinda died right around the time there was an explosion of residencies of dubious quality.

I can't help but feel for that poster on their first day of attendinghood. If TEE, trauma, and ortho are what you're using to select a residency... man it's going to be a rough transition when you find out what it's really like out here.

It’s not expecting anything else, just always worth pointing out how abnormal is the desire to pass on a world that’s worse for your successors than it was for you.