Recent content by tr

  1. tr

    The Shortening of Post-Graduate Training

    Dropping updated numbers here. Median age at first R01 for MDs and MD/PhDs in 2023 was 45. https://nexus.od.nih.gov/all/2024/05/06/age-of-principal-investigators-at-the-time-of-first-r01-remains-level-with-recent-years-in-fy-2023/
  2. tr

    Good canned response to research position request?

    These are spam. These people are sending hundreds of emails, and as you note the barriers to employing foreign nationals are much too high to make it worth the trouble. If you feel obligated to respond, it's fine to just say something like, "Sorry, we aren't able to take on foreign nationals...
  3. tr

    The Shortening of Post-Graduate Training

    I'm not sure that I find this as alarming as all that. All our life milestones are moving out to older ages. People are living longer, and having longer productive careers as well. Why not accept these timelines as according with our longer lifespans and healthspans? I think the problem is...
  4. tr

    A question about Psych RXP laws? Collaboration agreements?

    Also teaching faculty here. Have taught med students, residents, and psychology PhDs. (My PhD is in basic neuroscience.) No contest that a psychology doctorate blows psych residency out of the water for psychotherapy training. But for someone with a specific interest, it's totally possible to...
  5. tr

    A question about Psych RXP laws? Collaboration agreements?

    It's both. The background in physiology and pathology is prerequisite for understanding the psychopharmacology. If you were already a licensed psychologist who wanted to be able to provide low risk medications to your existing patients without having to route them back through the medical...
  6. tr

    A question about Psych RXP laws? Collaboration agreements?

    Sorry just smh at this coming from someone who hasn't been through it. This sounds pretty smart actually. SSRIs are relatively low risk and useful for lots of things. This is a much more intelligent way to go about providing broader access to care while maintaining safety, vs dumping an...
  7. tr

    Commenting on patient's appearance

    In such a case I would just say "appropriately dressed and groomed, with facial scarring." Seriously, is there an argument for putting "unattractive appearance due to facial scarring" in a mental status exam??? It adds no information except to make the note writer look like a jerk.
  8. tr

    Commenting on patient's appearance

    I'd probably go with "well built" for that one
  9. tr

    Commenting on patient's appearance

    I don't know, I think this would be weird to put in someone's medical chart. At the very least, extreme attractiveness is pretty subjective. There's general agreement on which people are 'attractive' but 'crazy good looking' seems to be highly dependent on the observer. So I think this type of...
  10. tr

    Commenting on patient's appearance

    My default for the 'Appearance' entry in the MSE is "appropriately dressed and groomed". If there is a notable departure that is clinically relevant, I will remark it. E.g. sometimes I will say "attentively," "professionally," "casually," "very casually," or in the extreme case, "disheveled"...
  11. tr

    Favorite and Least Favorite Parts of Your Job?

    What's crazy to me is that the most harmful recreational substances - tobacco, alcohol, and marijuana - are all legal, whereas the low-risk and potentially therapeutic psychedelics are still on the naughty list. What's up with that.
  12. tr

    Favorite and Least Favorite Parts of Your Job?

    Wait really? The cannabis -schizophrenia connection was well recognized by the early 2000s. I'm looking at a review right now and it looks like the first two big longitudinal studies were in 1987 and 1990, with a whole bunch more coming out between 2002 and 2006. This is not something that's...
  13. tr

    Favorite and Least Favorite Parts of Your Job?

    Academic medicine 55% research/45% clinic (outpatient subspecialty) Favorite: data analysis, esp when something cool and new comes out of it. Getting notice of funding is up there as well Least favorite: it's a tie between getting grant applications rejected and fighting the bureaucracy in...
  14. tr

    MD/PhD Prospects? Low scores, but a lot of experience.

    Just here to say that I'm all about posting in my underwear. As an aside, OP I have to agree that your UG GPA and MCAT are going filter you out of most MD/PhD admissions pools before you ever get a chance to tell the rest of your story to a human being. I think the advice you've received to...
  15. tr

    How psych applicants evaluate residency programs

    Location is nowhere on that list? Really??
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