Post: #26

(08-04-2017 07:39 AM)thedarkknight Wrote:  

(08-04-2017 07:29 AM)Sonoma Wrote:  When was the last time you got laid? Who are your best friends? What do you enjoy doing when you're not at work? When do you expect your work situation to be better?

It sounds like you hate your life, not just your work.

I got laid four weeks ago with an ex gf. I will never see her again as I've moved city. I lost my best friends after I left medical school as they became jealous following my graduation. These guys were from the "hood" and I grew up along them but became bitter. I don't see the situation changing at work TBH. You rise up the ranks but you have different types of stress. My new friends are medics but they don't get laid and are fanatics about medicine and status seeking. They are either asexual or betas with extremely entitled and bossy medic girlfriends.

Can you elaborate on this? Was it the crab mentality? Did they try to sabotage you or shame you for what you do?

Post: #27

(08-04-2017 09:36 AM)El Chinito loco Wrote:  

(08-04-2017 09:32 AM)speeddemon Wrote:  

(08-04-2017 09:18 AM)El Chinito loco Wrote:  

(08-04-2017 09:15 AM)speeddemon Wrote:  

(08-04-2017 08:56 AM)El Chinito loco Wrote:  If I had these credentials and in the position you were in I would fucking sprint and not walk to find out how to immigrate to the U.S.

I'm not being sarcastic at all but it's just true. A black U.K. doctor you should theoretically recieve an incredible status bump compared to where you are now.

Immigrating to the US will be a 1-2 year process - you will have to take 3 exams (should cost around 2-3k in exam fees alone), score decently well on them and then apply to residency programs. If you get a residency spot, you are technically in training to become a doctor and you will make around 50k per year while you are in the residency program.

Medicine is better for doctors in the US, but a lot of US doctors dislike the field for a variety of reasons.

2-3k is also not much when considering the overall career advancement. You're throwing up a lot of mental roadblocks.

Why are you so protective of this?

Look at the match rate - the residency program foundation advertises a ~50% match rate for international medical (IMG) graduates who apply to US residency programs. They are saying that 1 in every 2 IMGs who apply will get a residency spot and eventually become a doctor in the US.

But this stat is super misleading to IMGs. Why? Because the foundation excludes all the IMGs who applied to US residency programs but did not get any interviews from the statistic. If you include all the IMGs who apply (including those who got interviews and who didn't get any interviews), the match rate drops to 35%.

If you are in the UK, you can make money as a doctor right now. In the US, you will be spending money on tests and any exam that you don't do well on will make it more likely that you will not be in 65% that will not get a residency spot.

Is it possible to immigrate? Yes.

But it is much harder than you think.

Why are you trying to dissuade him from going to the U.S.?

That's what I want to know.

You're really adamant on that fact and went hostile when I pointed out certain ethnic groups who are prominent in the U.S. medical field.

It's interesting to say the least.

You are making it seem like he can pack his bags and work as a doctor in the US. I am telling him that he can come to the US, but that it will require a ton of work to beat out his competition and get a residency spot.

I know that certain ethnic groups are prominent in the medical field. But, I also know that doctors from these groups aren't uniformly scamming Medicare like you initially claimed.

Post: #28

(08-04-2017 09:55 AM)speeddemon Wrote:  

(08-04-2017 09:36 AM)El Chinito loco Wrote:  

(08-04-2017 09:32 AM)speeddemon Wrote:  

(08-04-2017 09:18 AM)El Chinito loco Wrote:  

(08-04-2017 09:15 AM)speeddemon Wrote:  Immigrating to the US will be a 1-2 year process - you will have to take 3 exams (should cost around 2-3k in exam fees alone), score decently well on them and then apply to residency programs. If you get a residency spot, you are technically in training to become a doctor and you will make around 50k per year while you are in the residency program.

Medicine is better for doctors in the US, but a lot of US doctors dislike the field for a variety of reasons.

2-3k is also not much when considering the overall career advancement. You're throwing up a lot of mental roadblocks.

Why are you so protective of this?

Look at the match rate - the residency program foundation advertises a ~50% match rate for international medical (IMG) graduates who apply to US residency programs. They are saying that 1 in every 2 IMGs who apply will get a residency spot and eventually become a doctor in the US.

But this stat is super misleading to IMGs. Why? Because the foundation excludes all the IMGs who applied to US residency programs but did not get any interviews from the statistic. If you include all the IMGs who apply (including those who got interviews and who didn't get any interviews), the match rate drops to 35%.

If you are in the UK, you can make money as a doctor right now. In the US, you will be spending money on tests and any exam that you don't do well on will make it more likely that you will not be in 65% that will not get a residency spot.

Is it possible to immigrate? Yes.

But it is much harder than you think.

Why are you trying to dissuade him from going to the U.S.?

That's what I want to know.

You're really adamant on that fact and went hostile when I pointed out certain ethnic groups who are prominent in the U.S. medical field.

It's interesting to say the least.

You are making it seem like he can pack his bags and work as a doctor in the US. I am telling him that he can come to the US, but that it will require a ton of work to beat out his competition and get a residency spot.

I know that certain ethnic groups are prominent in the medical field. But, I also know that doctors from these groups aren't uniformly scamming Medicare like you initially claimed.

Yes going to a different country requires effort but why are you so adamantly and actively blocking it and from such an emotional point of view?

Post: #29

(08-04-2017 09:55 AM)speeddemon Wrote:  

(08-04-2017 09:36 AM)El Chinito loco Wrote:  

(08-04-2017 09:32 AM)speeddemon Wrote:  

(08-04-2017 09:18 AM)El Chinito loco Wrote:  

(08-04-2017 09:15 AM)speeddemon Wrote:  Immigrating to the US will be a 1-2 year process - you will have to take 3 exams (should cost around 2-3k in exam fees alone), score decently well on them and then apply to residency programs. If you get a residency spot, you are technically in training to become a doctor and you will make around 50k per year while you are in the residency program.

Medicine is better for doctors in the US, but a lot of US doctors dislike the field for a variety of reasons.

2-3k is also not much when considering the overall career advancement. You're throwing up a lot of mental roadblocks.

Why are you so protective of this?

Look at the match rate - the residency program foundation advertises a ~50% match rate for international medical (IMG) graduates who apply to US residency programs. They are saying that 1 in every 2 IMGs who apply will get a residency spot and eventually become a doctor in the US.

But this stat is super misleading to IMGs. Why? Because the foundation excludes all the IMGs who applied to US residency programs but did not get any interviews from the statistic. If you include all the IMGs who apply (including those who got interviews and who didn't get any interviews), the match rate drops to 35%.

If you are in the UK, you can make money as a doctor right now. In the US, you will be spending money on tests and any exam that you don't do well on will make it more likely that you will not be in 65% that will not get a residency spot.

Is it possible to immigrate? Yes.

But it is much harder than you think.

Why are you trying to dissuade him from going to the U.S.?

That's what I want to know.

You're really adamant on that fact and went hostile when I pointed out certain ethnic groups who are prominent in the U.S. medical field.

It's interesting to say the least.

You are making it seem like he can pack his bags and work as a doctor in the US. I am telling him that he can come to the US, but that it will require a ton of work to beat out his competition and get a residency spot.

I know that certain ethnic groups are prominent in the medical field. But, I also know that doctors from these groups aren't uniformly scamming Medicare like you initially claimed.

Yes going to a different country requires effort but why are you so adamantly and actively blocking it and from such an emotional point of view?


Why so defensive overall about the groups with regards to medicare?

Post: #30

This might be a bit of a stretch but you mentioned you're working a lot (in healthcare) and the topic of your skin color passed. How much do you get outside and catch some sun? The symptoms you describe aren't far from seasonal/winter depression (which can happen any season and last more than a season).

When's the last time you've been on a vacation?

Post: #31

(08-04-2017 08:39 AM)H1N1 Wrote:  ^ Where in the UK are you?

Delete

Post: #32

(08-04-2017 10:05 AM)El Chinito loco Wrote:  

(08-04-2017 09:55 AM)speeddemon Wrote:  

(08-04-2017 09:36 AM)El Chinito loco Wrote:  

(08-04-2017 09:32 AM)speeddemon Wrote:  

(08-04-2017 09:18 AM)El Chinito loco Wrote:  2-3k is also not much when considering the overall career advancement. You're throwing up a lot of mental roadblocks.

Why are you so protective of this?

Look at the match rate - the residency program foundation advertises a ~50% match rate for international medical (IMG) graduates who apply to US residency programs. They are saying that 1 in every 2 IMGs who apply will get a residency spot and eventually become a doctor in the US.

But this stat is super misleading to IMGs. Why? Because the foundation excludes all the IMGs who applied to US residency programs but did not get any interviews from the statistic. If you include all the IMGs who apply (including those who got interviews and who didn't get any interviews), the match rate drops to 35%.

If you are in the UK, you can make money as a doctor right now. In the US, you will be spending money on tests and any exam that you don't do well on will make it more likely that you will not be in 65% that will not get a residency spot.

Is it possible to immigrate? Yes.

But it is much harder than you think.

Why are you trying to dissuade him from going to the U.S.?

That's what I want to know.

You're really adamant on that fact and went hostile when I pointed out certain ethnic groups who are prominent in the U.S. medical field.

It's interesting to say the least.

You are making it seem like he can pack his bags and work as a doctor in the US. I am telling him that he can come to the US, but that it will require a ton of work to beat out his competition and get a residency spot.

I know that certain ethnic groups are prominent in the medical field. But, I also know that doctors from these groups aren't uniformly scamming Medicare like you initially claimed.

Yes going to a different country requires effort but why are you so adamantly and actively blocking it and from such an emotional point of view?


Why so defensive overall about the groups with regards to medicare?

Giving him a realistic picture of what he will face is not blocking him. If he wants to go to the US badly enough, he can make it there as a doctor.

Why are you so upset that someone decided to call out your garbage racial/religious theories?

Edit: I work in consulting now, but I previously went to a legit med school in the US & have also talked to International Medical Graduates from various countries.

Post: #33

You two are aware it is possible to edit quotes right?

Post: #34

(08-04-2017 07:39 AM)thedarkknight Wrote:  . These guys were from the "hood" and I grew up along them but became bitter. I don't see the situation changing at work TBH.

I got some advice for you doc.

Go back to the hood, and open up a ghetto doctors office. Help the less fortunate. Put your skills to work for the good of mankind.

Or buy peoples blood. Open up one of those places.

Either way, put your hood skills in sync with your medical skills.

And don't take this the wrong way, but don't complain so much. You are gonna be OK. If I'm bleeding out my ass I want a doctor with a happy face on. If you are so crabby the patients are gonna see it.

Aloha!

Post: #35

If you are bleeding out of your ass Kona, you want a doctor that is sure you don't have colon cancer after running all the tests.

But I get your point.

Post: #36

(08-04-2017 10:24 PM)eradicator Wrote:  If you are bleeding out of your ass Kona, you want a doctor that is sure you don't have colon cancer after running all the tests.

But I get your point.

I meant it in a "bleeding very much" type of way. No literally ass bleeding.

But I also see your point.

Aloha!

Post: #37

3 of my friends are MDs.

One did an MBA later and became a pharma manager - successful and happy in this despite him being top of his class and having stellar records in hospitals.

The other one is a woman and psychiatrist - got babies and took breaks, but will come back on the job - likes her specialization.

The other guy is fine being a doctor on a conventional hospital career path - he fucks every nurse, female doctor in sight - married or unmarried. Off the job - he is busy fucking other women.

You have to find a direction which suits you - also getting laid helps. You are just 26, so no worry.

Post: #38

(08-04-2017 07:18 AM)thedarkknight Wrote:  SPOILER ALERT: This post may contain whining

I'm 26 and qualified from medical school two years ago. I then spent two years doing my compulsory junior doctor training in the NHS. I decided not to apply for speciality training this year, so I have one year " off the treadmill." I planned on doing a locum job in cardiology but that fell through two days ago. Now I am doing as and when 13 hr acute medicine shifts for two days/ nights a week.

By the end of the second year, I had become visibly miserable at work. I wasn't lazy and made no major mistakes but nurses would ask me why don't I smile. I did extra shifts because I adopted the mentality of earn money and don't fuck up, which at 26 and two years into a lifelong career is worrying. On the last day of the rotation, a senior spoke to me one on one asking me that many seniors thought I was depressed and that it was obvious I hated me job. I was very quiet but my body language screamed that I would rather do anything than my job. He advised me not to rush in deciding what I want to do. I want to do internal medicine but have had four months of psychiatry followed by four months of general surgery, I haven't dont any internal med since the start of December.

My plan as of right now is,

1)Do occasional acute medicine shifts to brush up skills and earn money
2) Sign up to language courses at my old university
3)Try to get more teaching / papers published from the hospital I worked at over the last two years
4) Taking the first stage of the medicine post grad exam in September
5) have fun and learn game

Have I fucked up and am I in a right mess?

It's just strange that two years ago I was such a go getter . I got four papers published in journals and was hitting it hard. Now....I would count down the hours left at work... daily.

I was thinking where I'd want to go win this medicine business. I don't need tons money and am a low key guy with no desire to climb up the ladder. I was raised from a very humble background and I kinda kept the same kind of mentality despite getting these qualifications. I just want to enjoy and be good at my job. That's it.

TDK

I'm not entirely sure what the big problem is TBH.

1)Are you feeling burnt out? Maybe a break would do you good?
Are you moving between hospitals all the same? Is this affecting your life balance.

2)Are you feeling flat re career? There's plenty of options for you as a doctor, even tho its competitive.
Lots of options outside of the "normal" too.

3)OK learn game, take up hobbies etc. But there's also a vibrant communtiy surrounding hospitals.
Maybe you don't overly like the one you are at. But won't you be at another hospital/rotation pretty soon.

If your colleagues are betas, thats great. It means you don't have much competition for all those slutty nurse bitches! : D

Finally, you shouldn't worry about breaking contact with old friends. I found some of my "old friends" to be a bit shitty/resentful as time post school and college went on. The bad ones, I eventually broke off contact with. My only regret was not doing so sooner.

Post: #39

The last time I felt like that, it was because there was literally nothing to my life outside of medicine.

Do you do anything outside of medicine? The fact that you published papers while training/studying suggests that you live, breath, sleep medicine. That sort of imbalance will drive a deep drill of meaninglessness into the very depths of your heart.

What's worrying is that you've decided to sign up for a language course. As if more studying will fill up the hole in your life that has been caused by so much studying.

Post: #40

I'm Poosy deficient.

Post: #41

(08-04-2017 09:07 AM)speeddemon Wrote:  

(08-04-2017 09:03 AM)El Chinito loco Wrote:  

(08-04-2017 09:00 AM)speeddemon Wrote:  

(08-04-2017 08:28 AM)El Chinito loco Wrote:  The U.S. medical field is inundated with people from the subcontinent and Jews. Which means healthcare is really for the rich and everyone else gets shit care from these "doctors" who are just there to game medicare.

Provide some evidence or GTFO.

Did this trigger you? oh my apologies. I retract everything, m'lord.

No - you are just full of shit - there are people from all backgrounds who game Medicare, and there is nothing to suggest that subcontinental/Jewish doctors do it more or less than anyone else.

El Chinito Loco is absolutely right, at least as far as foreign physicians are concerned. There is plentiful, ironclad data backing this up.

https://www.researchgate.net/publication...nsequences

Quote:Findings ‐ Physicians convicted of criminal Medicare and/or Medicaid fraud tend to be male (87 percent), older (average age of 58), and international medical graduates (59 percent).

Foreign trained physicians are responsible for 60% of medicare and medicaid fraud despite constituting only 26% of practicing physicians. That is a pretty stunning discrepancy, and since the largest chunk of foreign doctors in the USA hail from the subcontinent the conclusions we can draw about their propensity for bad medicine and outright fraud are pretty inescapable.

Post: #42

thedarknight,

A) Exercise as much as possible, with a preference towards lifting (but don't ignore cardio and isometric exercise/yoga/Pilates either). The endorphins and sense of accomplishment will put you in a better mental state.

B) Come up with a long term plan. Whatever field you want to do, go all in. I echo El Chinito and suggest you consider coming to America. We have a dearth of doctors, and my anecdotal experience is that they are disproportionately Jewish and from the subcontinent. An experienced, qualified black doctor would be highly in demand, and a black doctor with a British accent would have pussy thrown at him.

C) Get on Meetup.com and meet people with similar interests and strengthen your socialization skills. Meetup is also an OK place to meet chicks, depending on the group.

D) Remember that you're a young, healthy, doctor. Meaning you're already ahead of 90% of the men of your generation. You're in a good place in life. Be grateful, and while you strive to further improve yourself, appreciate all you have.

Good luck.

Post: #43

(08-05-2017 11:34 AM)Higgs Bosun Wrote:  El Chinito Loco is absolutely right, at least as far as foreign physicians are concerned. There is plentiful, ironclad data backing this up.

https://www.researchgate.net/publication...nsequences

Quote:Findings ‐ Physicians convicted of criminal Medicare and/or Medicaid fraud tend to be male (87 percent), older (average age of 58), and international medical graduates (59 percent).

Foreign trained physicians are responsible for 60% of medicare and medicaid fraud despite constituting only 26% of practicing physicians. That is a pretty stunning discrepancy, and since the largest chunk of foreign doctors in the USA hail from the subcontinent the conclusions we can draw about their propensity for bad medicine and outright fraud are pretty inescapable.

1. Your research study has barely been cited over the past ten years (most good research ends up getting cited).

2. International medical graduates (IMGs) in your research study refers to anyone who graduated from a school that isn't located in the US. This includes any US citizen who went to an international medical school & any foreign citizen who went to international medical school (your study makes no distinction between these two groups).

3. According to the link you provided stating 26% of US doctors are international medical graduates (http://jaoa.org/article.aspx?articleid=2213422) :

"The top 5 countries of citizenship of these international medical graduates were the United States (30.8%), India (14.2%), Canada (8.6%), Pakistan (5.5%), and Nigeria (2.2%)."

Subcontinental doctors (India + Pakistan) = 14.2 + 5.5 = 19.7% of all international medical graduates in 2013 (the % fluctuates a bit every year). Not sure why you are blaming them for most of the Medicare fraud, since you have provided nothing to back up that claim.

Post: #44

(08-05-2017 01:05 PM)Sumanguru Wrote:  I echo El Chinito and suggest you consider coming to America. We have a dearth of doctors

This is unfortunately by design. The number of seats in US medical schools is capped, and every foreign doctor has to redo their training if they want to practice in the US. There are only a certain number of training positions (aka residencies) available each year.

Post: #45

At the heart of the OP, stop focusing medicine as you sole focus in life. Branch out and enjoy yourself. YOu will burning out as time goes if your focus on medicine as sole existence in life.

I would advise not heading to the US to practice medicine. There is lot of trade offs and costs for examinations and certifications to be in medicine. Let me states some of the hurdles you have to go through. First you have to take all 3 steps of the USMLE to be legible in the US. Second, you have to redo your training do to differences in US practice of medicine. Third, you have to go through 3-5 year residency depending on the program of your choice. Fourth, as foreign citizen, you are limited to programs that take J1 visa to be allow to stray in the country. This going to take good 2 years just to get prepare to apply for programs.

As UK train doctor, you have ability to go to Commonwealth countries that are in need of well train doctors. You avoid having to go through all the bullshit being a US doctor as stated above. You can head down the Caribbean med schools and become a tutor or teacher down there as British doctors are one of the few to do physical exam well compare to US. You have options available.

Post: #46

(08-05-2017 11:18 AM)thedarkknight Wrote:  I'm Poosy deficient.

A very serious problem. One problem among doctors is that we get so engrossed in our work, that we struggle to talk about anything but work.

So we struggle to game and relate to women who are not in medical fields.

So many doctors end up marrying other doctors or nurses or other healthcare workers, which is a nightmare because then you never get away from talking shop; it's like extra homework you have to when you should not be thinking about work. The divorce rate in these match ups is apparently high, because outside of work, the couple never really makes a deeper connection.

Also, Maslow's hierarchy is real. Basic human psychology means that you will not feel job satisfaction unless your 'lower' urges are met first.

I was in that same boat once, a 27 year old virgin who just didn't care about work much anymore. I quit full-time work and worked very hard to try and get laid. It was difficult for me, because I had very poor social intelligence (I still struggle to understand people) and approaching girls was hard work, especially in the beginning. But once I started having regular sex, medicine became a lot more fun, and I could return to my medical career with enthusiasm. Once your base needs are fulfilled, your mind and body will give you permission to enjoy other things.

I think part of the reason that you are resistant to further training in medicine right now is because you know that you will end up studying in most of your free time, and you will work ridiculously long hours, and there will be no time/energy left left to chase chicks. Deep down inside, you know you need to satisfy your basic urges before continuing with career development.

Anyway, I might be projecting my own personality onto you, so I might be wrong with what I said above, but that is what I suspect is really bugging you.

Post: #47

(08-04-2017 07:51 AM)Leonard D Neubache Wrote:  Pussy isn't everything, but it sure ain't nothing.

The RVF is a good surrogate brotherhood if you're feeling alone. There are some top notch players here that will have you banging sloots in no time. I assume you're earning decent money so you're already ahead of the beta pack.

In the meanwhile you might want to look sideways for some sort of brotherhood you can start beyond the digital realm. Sometimes it's better to look beyond your own profession for guys to hang out with, but aim for dudes within your own earning bracket. Just go to the sorts of places guys with your income go to. Not that I can give you much advice on that in specific terms (golfing? yacht club?). I find the best brotherhoods are ones where you have a range of different fields represented because your time away from work doesn't inevitably end up being a talkfest about work. Besides, your whacky stories about idiot patients will be far more interesting to guys outside of the medical field. If you can make friends with some of the women (same age as you) that are roughly in your line of work then they probably have brothers educated to a similar level. That could be an 'in'.

In time you can either make investments and retire early or tailor your work to something you take more enjoyment from but honestly, a job is a job and sometimes it's simpler just to find gratitude that you've got $ rolling in.

I love this forum, seriously. I owe this forum so much.

Post: #48

Update?

Post: #49

(08-05-2017 03:11 AM)Zelcorpion Wrote:  3 of my friends are MDs.

One did an MBA later and became a pharma manager - successful and happy in this despite him being top of his class and having stellar records in hospitals.

The other one is a woman and psychiatrist - got babies and took breaks, but will come back on the job - likes her specialization.

The other guy is fine being a doctor on a conventional hospital career path - he fucks every nurse, female doctor in sight - married or unmarried. Off the job - he is busy fucking other women.

You have to find a direction which suits you - also getting laid helps. You are just 26, so no worry.

This makes perfect sense.. Enjoy current status, Focus on yourself.. Improve other aspects of your life (fitness, hobbies, lifestyle, social life, self worth, game, women etc) given that you have a stable job & income.. Then once you've got a better handle over yourself and are clearer pick a path of where you want to take your career.. not because that path is going to FIX other aspects of your life.. but ENHANCE them.. as going anywhere now with hopes of it BEING BETTER wont work out.. Just burn a lot more time... before you come back to fixing yourself.

Post: #50

Update.

It's three weeks from the start of my " year off".

I've done the occasional weekend 13 hour shift to earn cash and keep my skills sharp. I start language courses in October and I have a 6 week Haematology job starting on Wednesday.

I've had a few dates but haven't had sex. I'm also lifting regularly. I've also moved back out of my mum's house, as my family have a crab in the bucket mentality and tried to shame me into staying.

Thanks for all advice. I will ensure that Medicine doesn't define who I am or become the only source of my self-esteem.

TDK