M1student

Hi Dr. ZDogg!

Currently an M1 (who should be studying right now), and I constantly wonder what I should do for residency. My mind wanders to pediatric critical care, but fear encountering the same roadblocks you had in a hospital inpatient setting.

I'm trying to figure out how to pay down my huge med school debts in this field while coming up with a creative solution to the issues you see, while serving populations in the era of a PCP deficit.

My idea looks something like working part time in Critical Care, and possibly taking some of these patients into my fold of a primary care clinic on the side, which would be staffed with midlevels for most of the day. My questions are:

1) Would I need to maintain board certifications in pediatrics AND critical care? Or is that a given for anyone going past primary care into a fellowship

2) Does that seem like a sustainable business model, and in your healthcare system, Turntable, would a physician like me be helpful?

3) What do you want to know, or would like research to illuminate, in order to more effectively run Turntable?

4) Any student loan advice, or how to get rid of it ASAP?

5) How did you acquire equipment for studies? Leased?

Thank you so much for doing this, and your time!

Thank you so much! I've been trying to learn more about finance, reading the White Coat Investor, though I think finance is more dense than medicine. Any other book recommendations to be more finance savvy?

Totally agree with the behavioral changes issue. Being interested in peds, I'm hoping to curb any 'bad habits' in them and teach their parents to help them grow up happy and healthy and not ingesting a bunch of garbage that'll lead to chronic conditions down the road (DM comes to mind). Our curriculum encourages motivational interviewing, which makes sense; as I personally see many people who don't necessarily have some mix of the willpower or knowledge to avoid lifestyles that exacerbate their condition. I like the model you have for including chefs and dietitians.

What have you personally seen work best to promote behavioral changes?