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Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 8:12 pm
by Owlman
Big Orange Junky wrote:
Owlman wrote:Those numbers don't work out unless there are extremely good leave times granted. As a retired OB/GYN with women in his residency, he may have been smart, but he ain't too bright in the timing of his research.

On a related note: what areas do the top students in medical school attend (the hardest residencies to get)?

It changes so much that I don't know now. In 2006 (the year I graduated) the hardest one was Radiation Oncology, some rediculously low number of programs in the entire US. Then that year Dermatology, Radiology and Surgery were all way up there as far as your core fields and there was an article touting Derm and Surgery as being the two most selective that year (most applications per spot available, why derm and surgery were close is beyond me but it was that year. I think surgery has went back down now but the reasoning was that was when the work hour restrictions were supposed to go into complete effect capping at 80 hours per week and that's why the spike in surgery applications).

I don't remember the exact year the incident happened but it seems like it was 2004. I was still in med school and Howard was an intern so I think 04 would have been right but I could be off by one year either direction. OB went through a period of really pushing women OB/GYN's for several years, as you probably well know. The program at my school was almost entirely female faculty, and every single resident except Howard was female at that time. He was an intern and he had to give his Grand Rounds. There was also at that time a national trend of family oriented women joining together and each one basically taking 9 months off. So it was a 4 woman private practice but only one of them was available/working at any one time. The numbers worked out such that it was 4/1 the number of women OB/GYNs to have the same coverage/deliveries/patients as one man during the period he did his research and according to his presentation that was the trend that seemed to be catching on. Again not sure if it is still that way or not nor am I sure exactly how widespread that practice got but he had several peer reviewed studies backing him up. IMO if they could find like minded partners and could afford the income hit then more power to them. Nothing wrong with them having their cake and eating it too as long as they don't expect the income of working full time while actually working part time. They were the ones that did the work to get there if that's how they want to practice it's none of anybodys business. The funny part was he was the only male resident in the program and he had the balls to present that to a knowingly male hostile, flaming liberal faculty. (Most of that faculty found other jobs the next year due in part to that hostility so I never had to deal with it on my OB rotation and it was great when I went through, not so for ones that went through before me). He became an instant legend even though he was one of those that lots people didn't like because he always aced everything lots of people took him as arrogant and cocky because he was such a brain. He was really a nice guy. I think most that didn't like him were just jealous because of his board scores and they couldn't compete with him. However, when he pulled that off he pretty much got props from everybody. His numbers were correct and he had good literature to back him up. It was as Biden said "a big fricken deal" in those parts and the fact that his research/literature was so solid they couldn't mount a counter argument and everybody knew how much it had to have eaten the faculty up for him to do that in that forum made it even better.

Matter of fact it is still talked about in that program today, probably because he is one of that programs star attendings now. That makes the story even better in my book.
As you say, they only would work 3 months out of the year. That is hardly research, since the normal time they take off is about 6 weeks. For a group to take off 9 months a year, would be an extremely rare situation. If someone tried to present research on that rare situation, he would get reamed on the stage (as he should).

As for the top 1%, Dermatology, specialty surgery in particular Ophthalmology and Ortho (general surgery is not usually what the top students choose) and therapeutic radiology (not general radiology).

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 8:14 pm
by Owlman
Big Orange Junky wrote:
hedge wrote:You are a suspicious individual as far as I'm concerned...
And I expect if you saw me cutting going through different yards in your neighborhood at night you might want to see what I was up to as well......nothing wrong with that.

Actually, he was on a straight line to his father's place.

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 8:56 pm
by AugustWest
Owlman wrote:
Big Orange Junky wrote:
hedge wrote:You are a suspicious individual as far as I'm concerned...
And I expect if you saw me cutting going through different yards in your neighborhood at night you might want to see what I was up to as well......nothing wrong with that.

Actually, he was on a straight line to his father's place.

Running through my backyard is one thing. Walking down the sidewalk is another.

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 9:43 pm
by 10ac
Don"t worry, DSL, Sharpton says it's not over. Look what he did for Tawana Brawley.

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 9:50 pm
by hedge
I would shoot you on sight under any circumstances. And I would be right...

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 9:57 pm
by Dr. Strangelove
hedge wrote:I would shoot you on sight under any circumstances. And I would be right...
No jury would convict you.

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 10:44 pm
by Professor Tiger
10ac wrote:Don"t worry, DSL, Sharpton says it's not over. Look what he did for Tawana Brawley.
Not to mention Freddy's Fashion Mart.

Re: Puterbac News Network and Political Discussion Thread

Posted: Sun Jul 14, 2013 11:37 pm
by Jungle Rat
Owlman wrote:
Big Orange Junky wrote:
hedge wrote:You are a suspicious individual as far as I'm concerned...
And I expect if you saw me cutting going through different yards in your neighborhood at night you might want to see what I was up to as well......nothing wrong with that.

Actually, he was on a straight line to his father's place.
Wouldn't that mean he was taking short cuts?

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 12:05 am
by innocentbystander
hedge wrote:I would shoot you on sight under any circumstances. And I would be right...
you got a gun? what kind hedge?

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 12:10 am
by Big Orange Junky
Owlman wrote:
Big Orange Junky wrote:
Owlman wrote: On a related note: what areas do the top students in medical school attend (the hardest residencies to get)?

It changes so much that I don't know now. In 2006 (the year I graduated) the hardest one was Radiation Oncology, some rediculously low number of programs in the entire US. Then that year Dermatology, Radiology and Surgery were all way up there as far as your core fields and there was an article touting Derm and Surgery as being the two most selective that year (most applications per spot available, why derm and surgery were close is beyond me but it was that year. I think surgery has went back down now but the reasoning was that was when the work hour restrictions were supposed to go into complete effect capping at 80 hours per week and that's why the spike in surgery applications).

As you say, they only would work 3 months out of the year. That is hardly research, since the normal time they take off is about 6 weeks. For a group to take off 9 months a year, would be an extremely rare situation. If someone tried to present research on that rare situation, he would get reamed on the stage (as he should).

As for the top 1%, Dermatology, specialty surgery in particular Ophthalmology and Ortho (general surgery is not usually what the top students choose) and therapeutic radiology (not general radiology).

You asked and I told you it changed year to year so I told you what was going on the year I graduated and you said "hardest residencies to get", which is year in and year out radiation oncology due to the sheer lack of programs and board scores required, but one of my classmates got a spot. I then gave you the "core" ones and in 06 the general surgery was right up there with derm due to the number of applicants vs the number of slots available and a spike in general surgery applications. Notice I didn't say it was a usual occurance and that I think now it has went back down, but it had a large number of unmatched applicants that year. There was an article about it on the match website and they were suprised that more went unmatched in general surgery than Ortho and even Radiology (I think Radiology but not sure heck that was a long time ago) that year. When you get into the fragmented areas, such as radiation oncology, optho etc it becomes apples and oranges (not as many unmatched but how much of that was self selection because they had no chance) and I have no clue how they shook out even the year I graduated among them other than RadOnc being the easy answer and that's why I said "core". As for the core usually year in and year out Derm and Radiology were at the top three years I was paying attention to it. I left your quote above, you didn't say which residency had the highest average board score, you said "hardest to get" and that is different than which ones require the highest board scores. For someone that wants to dissect and try and tear down every little jot and tittle you didn't pay much attention to the question you were asking when you were trying to imply that Howard couldn't have been that smart because he went into OB instead of Derm LOL.

You notice OB wasn't on the list anywhere but Howard picked OB, he had the grades to do whatever he wanted and OB was what he wanted. He had solid stuff, the attendings didn't have any ammo and it was a good presentation by all accounts. Again it was the "hot topic" at that time and he had other articles talking about the "new trend" and the future projections of need in OB etc etc. As you may have surmised I wasn't present, I was still in med school and he was an intern but there were plenty of stories about that and believe me if they could have torn him down they would have but they either went completely against their nature and left the intern alone because they decided to all of a sudden get nice, or he have a pretty dang solid presentation.

Heck another of my classmates, who was the Radonc guys study partner (Radonc guy had the highest board scores in the history of the program) had scores close to him, probably 95th percentile and he picked family practice. There are outliers that go against the grain but have the brains to do what they want, Howard was one and he went with OB.

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 12:30 am
by Owlman
Big Orange Junky wrote:
Owlman wrote: On a related note: what areas do the top students in medical school attend (the hardest residencies to get)?

It changes so much that I don't know now. In 2006 (the year I graduated) the hardest one was Radiation Oncology, some rediculously low number of programs in the entire US. Then that year Dermatology, Radiology and Surgery were all way up there as far as your core fields and there was an article touting Derm and Surgery as being the two most selective that year (most applications per spot available, why derm and surgery were close is beyond me but it was that year. I think surgery has went back down now but the reasoning was that was when the work hour restrictions were supposed to go into complete effect capping at 80 hours per week and that's why the spike in surgery applications).

As you say, they only would work 3 months out of the year. That is hardly research, since the normal time they take off is about 6 weeks. For a group to take off 9 months a year, would be an extremely rare situation. If someone tried to present research on that rare situation, he would get reamed on the stage (as he should).

As for the top 1%, Dermatology, specialty surgery in particular Ophthalmology and Ortho (general surgery is not usually what the top students choose) and therapeutic radiology (not general radiology).
[/quote]


You asked and I told you it changed year to year so I told you what was going on the year I graduated and you said "hardest residencies to get", which is year in and year out radiation oncology due to the sheer lack of programs and board scores required, but one of my classmates got a spot. [/quote]

Hmmmmmm. You do realize I was essentially agreeing with you on your answer right??

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 12:32 am
by Owlman
Owlman wrote:
Big Orange Junky wrote:
Owlman wrote: On a related note: what areas do the top students in medical school attend (the hardest residencies to get)?

It changes so much that I don't know now. In 2006 (the year I graduated) the hardest one was Radiation Oncology, some rediculously low number of programs in the entire US. Then that year Dermatology, Radiology and Surgery were all way up there as far as your core fields and there was an article touting Derm and Surgery as being the two most selective that year (most applications per spot available, why derm and surgery were close is beyond me but it was that year. I think surgery has went back down now but the reasoning was that was when the work hour restrictions were supposed to go into complete effect capping at 80 hours per week and that's why the spike in surgery applications).

As you say, they only would work 3 months out of the year. That is hardly research, since the normal time they take off is about 6 weeks. For a group to take off 9 months a year, would be an extremely rare situation. If someone tried to present research on that rare situation, he would get reamed on the stage (as he should).

As for the top 1%, Dermatology, specialty surgery in particular Ophthalmology and Ortho (general surgery is not usually what the top students choose) and therapeutic radiology (not general radiology).

You asked and I told you it changed year to year so I told you what was going on the year I graduated and you said "hardest residencies to get", which is year in and year out radiation oncology due to the sheer lack of programs and board scores required, but one of my classmates got a spot. [/quote]

Hmmmmmm. You do realize I was essentially agreeing with you on your answer right??

And no, I wasn't trying to imply anything about your friend and his choice of residencies. I was saying out-right! His research about a 4 woman practice where each takes 9 months off a year was bullshit!

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 12:49 am
by Big Orange Junky
Hmmmmmm. You do realize I was essentially agreeing with you on your answer right??

And no, I wasn't trying to imply anything about your friend and his choice of residencies. I was saying out-right! His research about a 4 woman practice where each takes 9 months off a year was bullshit![/quote]

Ok I did think that you were implying because he went into OB instead of Derm or something that he wasn't that competitive so sorry about that.

As for his research, everything he presented had to be very solid within the context he presented it or he would have been ripped to shreds, which by all accounts they did not do. Remember these same people "found other employment" that next year due to them being so malignant.

I wasn't there but he had the data to back it up in the context he presented it. He is that kind of person so that it would have been buttoned down and air tight. He knew he was walking into a lions den but he evidently had the goods or they would have torn him apart. The fact that they didn't is all I need to know to know he had good data.

Again I wasn't there but the whole gist of his presentation was designed to piss off the feminatzies in the program and it did. The fact that he got away with it as the only male in the program and an intern at that gave him legend status. The 4 woman practice probably was presented as an extreme case but you can bet he had one to show if he mentioned it. It was the trend he was discussing. The short version ended up being "when howard was an intern he gave a grand rounds on how it took 4 women OB's to do the work of one male OB and got away with it". You would just have to know Howard and know the state of the program at the time and if you did you would likely get a kick out of it too. (heck you may know Howard for all I know).

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 2:41 am
by Owlman
he should have been ripped. There is no scientific relevance to that particular research. And to make it gender based made no sense. I know many 40 year old women that the same would have been true; Or how about lesbians? He should have been laughed off the stage. First question: What the fuck is his scientific theory? That a full-time worker is more valuable than an hardly ever worker? Second, this is such a rarity, why is it being looked at all? 3rd Question: Who's the fucking idiot that approved this fucked up research for presentation??? ANYWHERE? If this was a medical research project, who was the attending physician that approved this?

As for this practice? 3 months straight of call? How are you making enough to pay OB malpractice insurance for 4 people. Was this a GYN practice with no Obstetrics, less money, less malpractice, easier call, easier to control? Maybe 3 months of GYN call, 6 months of abortion clinic, 3 months of vacation. Most of the money would come from the abortion clinics with lower malpractice.

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 8:55 am
by Toemeesleather
[youtube]2sL2f0PoqME[/youtube]

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 10:32 am
by Johnette's Daddy
Toemeesleather wrote:[youtube]2sL2f0PoqME[/youtube]
I guess we all need to don D&G sunglasses and smoke cohibas to show our relevance. Clearly, he has an axe to grind with Councilman Uncle Tom . . .

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 10:34 am
by Toemeesleather
Ok......just try to get beyond his colorful vernacular and answer his question....why is there no reaction/demonstration to black men murdered by other black men? And don't say all black/black crimes are successfully prosecuted/solved.

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 11:54 am
by bluetick
"Asiana Captains Sum Ting Wong, Wi Tu Lo, Ho Lee Fuk, and Bang Ding Ow.."

lol seriously Burgandy...you read the whole thing on live tv and were never the wiser?

Now I'm thinking big-haired women news anchors shouldn't be allowed to vote or serve on a jury.

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 12:06 pm
by bluetick
the woman on the cell phone who wouldn't pull up three more feet so I could get out of Bojangles...no vote, no jury, and that phone up her derriere

oh, and whatshername on America's Got Talent

Re: Puterbac News Network and Political Discussion Thread

Posted: Mon Jul 15, 2013 1:29 pm
by BigRedMan
I just watched that captain name video. LMAO. That is awesome.