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Posted on 12/30/19 at 10:51 pm to Cosmo
Exactly. And then you don’t lose your skills.
Question....how can you keep your medical license current in her situation?
Question....how can you keep your medical license current in her situation?
Posted on 12/30/19 at 10:53 pm to Cosmo
I've known people who, for a time, did locum tenens jobs in onc and rad. Not sure how that would work surgical specialties, given that the doc does the procedures and a mid-level provider (PA or NP) does the follow-ups.
Posted on 12/30/19 at 10:55 pm to Cosmo
If she's smart enough to be a neurosurgeon I sure hope that she one day returns to med practice.
Posted on 12/30/19 at 10:57 pm to lsunurse
quote:
Question....how can you keep your medical license current in her situation?
Pay your $400 a year to the state of louisiana. Thats about it.
Now keeping her board certification will be more difficult.
This post was edited on 12/30/19 at 10:59 pm
Posted on 12/30/19 at 11:04 pm to Cosmo
quote:
Now keeping her board certification will be more difficult.
This.
The person I know got away from radiology for a few years to do other medical procedures, and now has significant re-training to do to become boarded again. Like, alot more than you/people would think. One wouldn't think that so much could be lost, considering what it took to get there in the first place.
Posted on 12/30/19 at 11:22 pm to lsunurse
Nurse, you are so aggravating! 
Posted on 12/30/19 at 11:23 pm to moneyg
I am sure I am going to ruffle some feathers here but in my experience nurses that work in direct patient care and women surgeons,I imagine,don’t make the best mothers.I’m really not trying to be ugly,the reality is these areas are intellectually,emotionally and physically exhausting.How much do they have left to give their children when they get home?Not what the children deserve or need.
I was a step-father and I readily admit I wasn’t what I should have been or wanted to be as a parent.But after 14 hour days in ICU (including travel time) I didn’t have the energy to help with baths, homework,etc.
The women I worked with that had children were constantly stressed trying to balance the responsibilities of their families and their jobs.
There is a huge difference in the life I lived and the lives children now experience.My mother didn’t work nor did any of my friends or kids in my neighborhood.We were all poor but we were happier,I believe.Life was stable,discipline was consistent,we had chores to do-all the things that make children grow up to be well adjusted adults.
We ate home cooked meals and weren’t shuffled between various caregivers with different sets of expectations and disciplinary patterns.
In my case ,the caretakers were grandparents where there were no rules and when they got home there were rules.It was a chaotic and unhealthy situation and it did none of us any good.Sure we had a lot more “stuff” but looking back it wasn’t worth it.
It sounds to me the female neurosurgeon that quit had a epiphany and decided her family was her priority.Sounds like a wise woman,in my opinion.
I was a step-father and I readily admit I wasn’t what I should have been or wanted to be as a parent.But after 14 hour days in ICU (including travel time) I didn’t have the energy to help with baths, homework,etc.
The women I worked with that had children were constantly stressed trying to balance the responsibilities of their families and their jobs.
There is a huge difference in the life I lived and the lives children now experience.My mother didn’t work nor did any of my friends or kids in my neighborhood.We were all poor but we were happier,I believe.Life was stable,discipline was consistent,we had chores to do-all the things that make children grow up to be well adjusted adults.
We ate home cooked meals and weren’t shuffled between various caregivers with different sets of expectations and disciplinary patterns.
In my case ,the caretakers were grandparents where there were no rules and when they got home there were rules.It was a chaotic and unhealthy situation and it did none of us any good.Sure we had a lot more “stuff” but looking back it wasn’t worth it.
It sounds to me the female neurosurgeon that quit had a epiphany and decided her family was her priority.Sounds like a wise woman,in my opinion.
Posted on 12/30/19 at 11:23 pm to HempHead
quote:
There's a pretty high % of female MD holders who leave the field after a few years
I’ll just add two personal cases.
1. Girl a year behind me in med school, never finished residency. She was not stupid.
2. A woman who was a general surgeon quit practicing and was not 40 years old.
I guess I would quit IF I could, but I’ll quit when I can. Medicine has some issues the profession is failing to address. The computer dominates my day. Administrators add another mandatory course for me to pretend to work through. Hospital administrators and insurance executives make real money. They’ve turned Doctors into laborers - high cost laborers, but laborers nonetheless.
It is not as collegial as it once was. The focus is mostly on RVUs which means the cherry pickers get the numbers up and difficult patients are not sought after by hospital systems.
I did not encourage either of my children to go into medicine.
I enjoy part of what I do, but electronic medical record, never ending new administrative requirements, and diminishing status of physicians are real issues facing the medical profession.
Posted on 12/30/19 at 11:28 pm to makersmark1
One girl in Scruffy’s med school class matched and then never did residency because she wanted to stay at home.
Another one decided part way through residency to drop out.
Most people in the medical field know at least one person.
They can do whatever they want, but Scruffy doesn’t understand it.
You go through years of this crap for no gain?
Another one decided part way through residency to drop out.
Most people in the medical field know at least one person.
They can do whatever they want, but Scruffy doesn’t understand it.
You go through years of this crap for no gain?
Posted on 12/30/19 at 11:38 pm to Scruffy
I see nursing expanding to more and more advanced degrees.
It seems that path is getting longer as well.
They also seem to take the admin roles early.
I’m not sure how to get doctors to doctoring, nurses to do nursing, and electronic medical records to leave me alone.
The costs of computers in healthcare is enormous. I don’t think it has had the positive impact we were promised overall. Stuff gets copied forward. Things are hard to find in some of the EMRs. It’s clunky on a good day and incorrigible on a bad day.
It seems that path is getting longer as well.
They also seem to take the admin roles early.
I’m not sure how to get doctors to doctoring, nurses to do nursing, and electronic medical records to leave me alone.
The costs of computers in healthcare is enormous. I don’t think it has had the positive impact we were promised overall. Stuff gets copied forward. Things are hard to find in some of the EMRs. It’s clunky on a good day and incorrigible on a bad day.
Posted on 12/30/19 at 11:42 pm to makersmark1
quote:
Stuff gets copied forward
This is annoying AF
Same shitty note gets copy pasted with maybe 1 line changed
All in the name of paper pusher coders
Posted on 12/31/19 at 1:38 am to Cosmo
quote:
Well sure. But could easily have full time nannies or go part time or something
Would you want a “part time” surgeon digging around your brain or spinal column?
Posted on 12/31/19 at 5:33 am to GeauxGutsy
quote:Which would explain even better why she could waste so much time and money and change her mind on a whim.
I bet her dad is a retired neurosurgeon and she has zero debt.
Posted on 12/31/19 at 5:52 am to Cosmo
quote:
All in the name of paper pusher coders
When I started at one job as a doctor, 3 coders and 2 administrators showed up at my door after a couple of weeks. They said, “doctor, you have not put a date of service and an ICD10 code on your notes.”
I said, “I always do my note on the date of service. ICD10 came out last week and I do not know the new codes.”
They just stood there and restated their first statement. So I said, “I’ll google ICD10, find a code and put it in and add a line that says date of service.” They said “ok”.
5 adults with pay and benefits probably of more than $300,000 to wrangle me into googling codes and dating a note with the date at the top.
Weeks go by and they call and say “we need you to change the code on x cases”
I said, “surely someone with training in coding can correct that.”
They have finally left me alone. It’s withering. Day after day, another perfunctory activity is added to my grind. I’m not sure how to break the cycle.
Posted on 12/31/19 at 9:02 am to Oilfieldbiology
quote:
That is 3 months you are getting paid and not working for the company. That’s a lot of productivity lost. You want to see companies stop hiring birthing age women? This is one way
Who on earth gets three months, full paid maternity leave?
Most maternity leaves are actually FMLA which is unpaid. Companies that do provide "paid" maternity leave do it through short term disability, and it is at partial pay. Any "pay" beyond that for the remaining weeks is provided by the employee through personal savings, use of PTO, or supplemental insurance. Some employers do continue to pay their portion of health insurance while out but not all. That is certainly something I could see being cut back if longer maternity leaves become a thing and it seems reasonable. Granted companies do pay premiums for STD so it isn't free but it is a benefit available to all eligible employees, including men.
Do companies lose out on productivity and have some additional costs? Sure but same could be said for any employee who has to leave for an extended time (medical or family emergency, sabbaticals, in-patient rehab, etc). The other side of the coin? A lot of people can't even make it the current 12-weeks standard leave without full pay. That is why a lot of women return to work six/ten weeks after having a baby, that is when standard STD partial pay stops. So again I wonder if it wouldn't be as big a change from what is going on now with the exception more women who opted out may realize a few months down the line they really want to go back to their old job. Happens more than you think.
quote:
This is completely different than what you initially proposed in your first 2 responses and is very reasonable.
Could see my initial thoughts were not fully communicated, I'm used to having this discussion with other women and HR professionals who understand unspoken nuances of maternity leave. I simply wonder if more women would return if there was an unpaid FMLA-like leave with an extended job protection time frame and not forced with making a decision when they still have a newborn completely dependent on them, still physically healing, and possibly completely sleep deprived and yet still on that new mom high.
Posted on 12/31/19 at 9:03 am to Benne Wafer
quote:
Who on earth gets three months, full paid maternity leave?
Several woke companies do this.
Posted on 12/31/19 at 9:06 am to StringedInstruments
quote:
$200k+/year
lol it's going to be well north of that.
Posted on 12/31/19 at 9:12 am to Cosmo
My husband’s company gives new dads I think 2 months of paid paternity leave.
My work gives everyone extended illness hours on top of PTO and sick to bank for FMLA stuff. I have over 500 hours accrued in mine. (I think that is more fair cause then anyone can use it...not just for maternity leave)
However, I don’t think a business has to keep a job position open longer than 3 months. At the end of the day....they have to do what is best for their business and the majority of their employees.
My work gives everyone extended illness hours on top of PTO and sick to bank for FMLA stuff. I have over 500 hours accrued in mine. (I think that is more fair cause then anyone can use it...not just for maternity leave)
However, I don’t think a business has to keep a job position open longer than 3 months. At the end of the day....they have to do what is best for their business and the majority of their employees.
This post was edited on 12/31/19 at 9:14 am
Posted on 12/31/19 at 9:15 am to lsunurse
This has been a fun thread. I think my favorite comment was the baw who said neurosurgery was no more difficult than laying pipe in the oilfield.
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