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Bryan Carmody
@jbcarmody
The Sheriff of Sodium | Pediatric nephrologist | Associate professor | APD | Husband | Dad | Virginian | Advocate for medical students and common sense
Hampton Roads, VA
Joined July 2013
Posts
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    A thread for a few of my more popular or important threads and Tweets.
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    I don’t usually brag about our residency program, but today I’m gonna make an exception. Like other children’s hospitals, we’re managing a surge in respiratory illness. But unlike most hospitals, we’re gonna pay the residents who work extra overnight/weekend shifts $100/hour.
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    Anyone else out there think we’ll be wearing masks for the rest of our careers?
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    Most physicians who took USMLE Step 1 over 5 years ago have no clue what’s actually on the exam. Don’t believe me? For those of you who’ve forgotten what Step 1 really tests, hop on board for a little refresher. (thread)
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    Last week, Tennessee passed legislation to allow international medical graduates to obtain licensure and practice independently *without* completing a U.S. residency program. This is BIG news. So you know what that means. Time to break it down, Winners & Losers™️ style. (🧵)
    Screenshot of Tennessee HB 1312, explaining how international medical graduates who have been licensed in another country for at least 3 out of the last 5 years are eligible for licensure in the state, without completing a U.S. residency program.
    Screenshot of the second half of Tennessee HB 1312, explaining how international medical graduates must practice for an employer with an ACGME-accredited residency program for at least 2 years to obtain an unrestricted license.
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    Last year saw a record number of applicants for the opthalmology match. Let the AAMC talk about the ‘Fauci effect’ in medical school applications - I’m gonna talk about the @DGlaucomflecken effect for ophthalmology residency programs.
    Graphic showing the number of ophthalmology positions offered in the SF Match and the number of applicants from 2015 to 2022. Applicants declined from 2015 to 2017 before increasing. Dr. Glaucomflecken joined Twitter in May 2016.
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    It’s one thing for an insurer to DENY a claim. But why do so many insurers expend such effort to DELAY payment, even for justified claims they know they have to pay? If you didn’t know already, let me teach you about “float.” (thread)
    I’m trying to think of another industry with record profits that just doesn’t pay its bills. Anthem, UnitedHealthcare, other major insurers are running billions behind in payments to hospitals, doctors usatoday.com/story/news/hea… via @USATODAY
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    The average resident physician earns around $60,000/year. But what is their financial impact on the hospitals that employ them? What are resident physicians worth?
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    Good Lord. Suggestions include attending a tuition-free medical school, “improving financial literacy,” and applying to fewer medical schools. Why not include “Don’t be poor” while you’re at it?
    While the cost of attending medical school is high, it is not insurmountable. Here are 7 ways that can help you reduce medical school debt: ow.ly/1PU150BSnXE
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    I am stunned. USMLE Step 1 will scored pass/fail - potentially as soon as January 2022. usmle.org/incus/
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    In 1998, a small residency program in Colorado lost its accreditation. It wasn’t the kind of thing that you’d expect to change the course of academic medicine. And yet, it *almost* did. Earlier, I explained how the Match started. Now, I’ll tell you how it nearly collapsed. 🧵
    The Rocky Mountain Osteopathic Hospital, home of the family medicine residency program that closed in 1998.
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    Every now and again, I peruse the state board of medicine’s disciplinary notices. And every now and again, I see one that truly makes my jaw drop.
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    WSJ covered resident unions today. Article dropped 3h ago; 400+ comments already. My fave is “There was no issue with work-life balance until women became MDs!” But don’t worry, Stockholm syndrome, the bootstraps brigade, and socialized medicine fearmongering are there, too.
    Comment hypothesizing that women are to blame for this phenomenon, as there was no problem with “work life balance” until women entered medicine.
    Warning from a physician who said that he felt abused in residency for $12,500 a year but now feels that it was his best learning experience.
    Comments, noting that these cry babies didn’t get into veterinary school; gonna be a rude awakening when they start dealing with the insurance industry; and that the hours don’t get better after training.
    Retired cardiologist noting that his best learning was at 3am.
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    930 Number of unfilled positions in family medicine and internal medicine in the 2022 Match - 847 Number of fourth year MD students who failed to match in orthopedics, dermatology, otolaryngology, neurosurgery, and plastic surgery