Check out Amboss and how they can help YOU excel during your clinical rotations! :) Get 10% 12 months of Amboss until November 7th, 2022: go.amboss.com/ndmd

@digby_dooright

Жыл бұрын

Lol, for some reason you look 12 years old in this video. 😋😂

@Itsurklegrue

Жыл бұрын

What about a med-peds residency and a 1 Year EM fellowship? You get the adult and peds training, then you can work in PEM. This route is 5 years and gets you 3 board certs, as opposed to a peds or em residency and then another 2-3 year fellowship which gets you only 2 board certs

Hello. I am an anesthesiologist attending. Your personality fits to anesthesiology: calm, caring, collected, enjoy intermittent excitement in saving lives and doing procedures. Pediatric anesthesiology is being OCD and being the guardian angel of kids. You will Definately calm kids and parents during stressful time. I hope you will enjoy anesthesiology like I have. Never a boring day.

@NDMD

Жыл бұрын

thats good to hear :) thank you

I'm a senior citizen and not a medical person at all, but sometimes I'm a patient, and I appreciate a program like Amboss that helps med students and doctors come to right decisions. Great that you're promoting it. I'm praying for you that the Lord God will help you to reach the right decision, because after all He knows what He created you for.🙏

You're amazing. Your videos excites me to work hard to be in the position you're rn. And I promise I'll get that.

I’m a first year pre-med student & hopefully a future pediatrician of some kind! I have a long way to go but I just wanted to say I appreciate what you’re doing with this channel. The 73 questions series does an amazing job of showcasing the diversity in experience and personally among physicians. Even more than that, seeing your own perspective and opinions as someone in med school is really inspiring! Thank you!

Hey . I have been seeing your videos and this finally made me subscribe . You are doing a great job!

Good luck in your decision! I know after you do your rotations you will know what ur heart draws you to the most. I am a nurse in acute care working my way to CRNA and I can tell you it took me a long while to decide my choices, but the clinicals and shadows I have done really were what helped me choose my path.

@NDMD

Жыл бұрын

currently on my anesthesia rotation right now so hopefully the clinical experience will help guide the decision just like you said :)

@wale4862

Жыл бұрын

Hi Rochelle why CRNA school and not Med school ?

I'm currently in vet school and I can't even decide which species I want to specialise in! Good luck for making the right decision❤️

Hey! I’m actually from overseas and was in kind of in the same dilemma few weeks back as you are in right now. I was not able to decide which branch i wanted to pursue and somehow it spawn to me that maybe I’m suited for paediatrics considering my nature and clinical interests so far. I still have my peds rotations up next month which I hope will help me further strengthen my decision. Just happy to know people like me exist everywhere 😊!

I can't imagine having to make that decision, but you are so lucky in so many ways. Pray you will make the right decision and find the best way in which God wants you to serve your patients. I'm sure you'll find the specialty that fits right for you and your future. I'm currently struggling to even START studying for my MCAT and to prepare for applications next cycle, but your videos make me realize that I have to jump in and get used to it. Keep up the great videos and work. :)

@lois4544

Жыл бұрын

PRAY FOR ME BROTHA and I'll make sure to keep students like you in my prayers too :)

great video and have never heard of the cube rule before haha. good luck with your program decision! I would say I see you as an anesthesiologist/surgeon but I think you'll come to find the right choice for you soon

I’m a nurse and I’ve been following your channel for a while now, enjoying all your experiences and perspectives. I know you’ll end up where you want! I’m curious to know more about your disagreements with surgery culture because I too have my opinions on it. I have a lot of respect for medical students and residents, you guys put in a lot of time and resources to get where you are and as a nurse that can be a somewhat controversial opinion to have.. anyway, I’ll be cheering you on from the sidelines. I know your channel is med student focused but seeing some content on nurses would be awesome given that the professions are so inter-related as well as dependent. Not to mention, the culture between the two could use a revamp. I’m close in age to you i would assume, so we’re the new guard and it’s up to us to help set new equitable standards. Keep rocking man!! Also, definitely *not* a casserole. It can be made into a casserole form, but traditional recipe I would not classify as one. I’ll die on that hill. ⚔️

@Ms.Opinionated

Жыл бұрын

Hi, I watched a lot of RN channels on YT. I am appalled at how nurses are treated. Ya'll are the backbone to the medical field. ❤️❤️❤️❤️❤️

Good luck bro.I'm sure you will make a good decision. :)

I'm not in medicine so take this with a grain of salt, but listening to you describe your thoughts about those three specialties, you sound like some part of you prefers pediatric emergency medicine. You described not loving surgery culture, and surgery and anesthesia sound like they will both be part of (or at least, surrounded by) that culture. And you said you love taking care of children (and talking to parents) during acute situations. I think you'd be great at any of them and I'll look forward to seeing what you pick :)

Soooo feeling the heat like you...in my country, we are right now going through the counselling which is like " the match" of yours... literally where the speciality chooses you... Best of luck for your decision!!

@NDMD

Жыл бұрын

best of luck with your decision as well :)

@shebinshibu3413

Жыл бұрын

Thank you...Hoping to be radiologist...let's see😄

@shebinshibu3413

Жыл бұрын

By the way, the perfect speciality does not exist in my opinion..there will always be cons...you choose what is you think is the better one and make it perfect for you...just in my opinion...All the best...waiting for more wholesome videos💗 and hopefully a 73 questions with a radiologist in future😄....

My main idea was to do interventional radiology. But I did a rotation in pediatrics and pediatric surgery. I loved it so much, it put all my career plans in question. Courage Andy

@NDMD

Жыл бұрын

haha if only med school experiences were straight forward

@rianholayter

Жыл бұрын

IR is awesome though… And there is pediatric IR, just saying

I went to medical school 100% sure I would do radiology. I had a complete change of heart and ended up in psychiatry. It was a true calling that made perfect sense in the end. I also have a corneal disease, and my vision worsened somewhat, and I could end up needing a corneal transplant at some point. Because of that, I tried to have an open mind and consider other fields since I could have ended up with practical limitations in radiology because of the corneal problem and eye discomfort. I cried over that decision since I spent so long dedicated to radiology, doing research with MRI, telling everyone I was 100% radiology from the start, etc. I may have been really great in radiology, as well, from a skill/performance perspective but probably not as fulfilled personally. Good times. Medical school will always be such a great memory. Residency, too, but medical school especially since I still felt like a "kid" with an undetermined future starting with fears of not even passing the first anatomy exam. Absolutely can't imagine doing anything else now. Premed, med school, residency...it's such a trip.

It's a bit strange that you have to pre-declare! In Australia, after graduating, we do 2 years of junior doctor years before beginning specialty training. So even tho it's smart to have an idea of what you want to do, our decision making process is postponed and delayed for us, which I'm not complaining about. All the best Andy, it's a long grind and it's ok to take a rest sometimes to come back even better! 🔥

@NDMD

Жыл бұрын

haha in some ways i wish it was like that in the US but that's out of my control 🤷‍♂️

Pediatric oncology is something that’s super interesting to me. I’ve heard it can be one of the saddest but also most rewarding fields. Loving the video so far Andy!

@Basedmursenary

Жыл бұрын

I’m sure it’s filled with crazy emotions. I dealt with some on my nursing rotation in peds and my short duration was certainly life changing. Just didn’t think I had the stamina to endure the lows of the field.

@NDMD

Жыл бұрын

yeah i had a rough time with seeing some of the sad stuff on IM as far as longitudinal care. something i'm factoring in when i figure out if i want to see acute vs chronic conditions more

@erinnorwood6124

Жыл бұрын

@@NDMD seems like the er would combine both

PGY-1 EM resident here. I can offer some insight into the PEM route. As an EM physician you can see patients of all ages, no fellowship required. This means that you can pick up lots of shifts working in PEDs EDs if you’re credentialed at a hospital that has a PEDs ED. This is how things are where I work. PEM fellowships are usually done by PEDs grads who want to do EM. Very few EM grads decide to do a PEM fellowship bc they don’t really gain much from it, and the cold hard truth is that they make more money seeing adults. From what I hear the EM physicians that do complete PEM fellowships often go on to have academic jobs in large childrens hospitals and things like that. Hope this helps. Good luck.

Current anesthesia resident, just matched into peds anesthesia last week.. I think you'd love it!

@NDMD

Жыл бұрын

hahaha congratulations Max! would love to hear your experience and your decision process in a video soon :)

Pediatric EM is the way to go for you I think. Great lifestyle, moderate salary. I'd say go EM and then go for PEM. I am IM, I applied to both IM and EM. I am mostly content in IM. One thing you need to accept is that you probably would find happiness and contentment in more than one specialty. Once you accept that reality, it becomes easier to let go with the idea of "this is the perfect specialty for me" mindset which I also fell into. I am glad I chose IM just because I have a lot of options available to me, both in terms of specialty in practice variation. Good Luck

If it makes you feel better I’m a resident in a surgical subspecialty and here’s my input. It’s going to be hard to choose a specialty. I don’t think anyone really knows. People who say they can’t imagine themselves outside of the OR as a medical student are just trying to convince themselves because there’s no way to know that until you’re actually doing the surgery, I personally hated watching. At the end of the day you’re going to love your life and you can shape it into what you want. People will always convince you that their field is the best one. You can work more than a surgeon in pediatrics or anesthesia easily. You can’t know if you love the OR or not until it’s in your hands. Similarly it’s tough to know if you like working with parents until you’re calling the shots and having the burden of parents being stressed and relying on you. I love my subspecialty and to be honest I work less hours than my friends in IM/peds. But that is also program dependent. So really everyone’s medical school experience is different and what you see may not be what residency is like and what attending life is like in general. So all in all I know I probably confused you more, but you’re going to have to trust your gut and just choose. There are only a limited number of outliers when it comes to “bad fields”. You can’t go wrong with the options you have in mind.

I have a mutual friend that just started a combined EM/Peds residency program at LSU New Orleans and she loves it! If you end up going the emergency medicine route you should definitely look into it since you would get the best of both worlds!

@NDMD

Жыл бұрын

I looked into that program! I believe only one of 5 in the country like it, but it trains you in both pediatrics and EM simultaneously but not specifically peds EM which I think is the end goal for me😅I think it allows you to practice both separately but would still need to do fellowship for specifically peds EM

@Itsurklegrue

Жыл бұрын

You can practice in many places without a PEM fellowship! Not sure on a academic center, but many community places will. Our local peds ED (a community shop) allows docs to practice without a PEM fellowship. However, they have to be em and peds trained

The diaper change part was very wholesome thanks for sharing haha🥹

Based on what you said, I think you would like pediatric anesthesiology! If you are not in complete love with the OR and surgery lifestyle, anesthesia is a great option that gives you a bit of everything.

@NDMD

Жыл бұрын

i know it's pretty great😅

I think one of the best questions you can ask yourself when it comes to making decisions like this is “What will I regret the most NOT doing?” Will you regret not being able to be the surgeon in the OR? The ER physician helping children? The pediatric anesthesiologist? It’s normal to have interests in many fields and I think asking yourself this question will bring a lot of clarity. You’ll be able to distinguish what you’ll be happy doing and what you’ll be the happiest doing. Hope this helps!

Choose the one that you would regret not going after when your 65 brother. Don't let "life style" specialty concept or Surg stereotypes get in your head. Bottom line is when you do the one that is going to challenge and motivate you everyday won't feel like its work and you'll find your people within that group. Any of those specialties you can hang your hat on and be extremely proud of! ( I've been watching your vids the last couple years while I've been in surg tech school and its been awesome to watch your journey, i'm graduating in may and now planning on taking a couple classes i'm missing for med school and applying next year myself. Congrats on where you're at brother!)

Andy, I’m currently in school also deciding my specialty but I’ve worked in the OR with surgeons for a while. Everyone says the same thing, if you could see yourself doing literally anything other than surgery, do that. It’s the kinda thing you gotta be 1000% sure about.

@NDMD

Жыл бұрын

wise words

@erinnorwood6124

Жыл бұрын

Wow

You might have decided your specialty already so this comment might not matter that much but I wanted to share anyway. Earlier in the year my 1 year old daughter was admitted to the local pediatric hospital for a really high calcium level. It took a long time and a lot of different specialists to figure out a potential cause. As a result we worked with the pediatric er doctor, oncologist, endocrinologist, general med surg attending doctors. The anesthesia team, the x ray team, the echocardiogram team, the MRI team. The doctor that we connected with the most was one of the general med surg doctors because she felt like our life line in a really scary situation. She coordinated all the different care my daughter needed and even came and found us in a different section of the hospital once where my daughter was supposed to be getting tests done to see if everything was ok because things were taking a lot longer than they were supposed to. So if you want to work with patients and parents to help figure out complicated health problems being a doctor in the general med surg section of a pediatric hospital would be a potential alternative to being a pediatric ER doctor.

You got this Andy.

You sounds like you will be an amazing Family Medicine Physician, you get a little bit of everything. The main thing that interest me is Family Med or PMNR with a fellow in Sports. Mainly because I love fitness, but we all have our niche.

What about a med-peds residency and a 1 Year EM fellowship? You get the adult and peds training, then you can work in PEM. This route is 5 years and gets you 3 board certs, as opposed to a peds or em residency and then another 2-3 year fellowship which gets you only 2 board certs

It’s pretty interesting that you mentioned that you may do an adult residency and then a peds fellowship. It does make sense because Peds fellowships for some reason are always long. Good luck with your decision,!

@NDMD

Жыл бұрын

thankfully ill still graduate in mid to early 20s so a long training period doesn't bother me that much :)

Hi ANDY Thanks for video.

Chicken pot pie is a pie! you have a bottom pie crust, you put the chicken/veggie sauce filling and you put a top pie crust and cook it like you would a pie.

Andy, been following your channel for a while. Had this idea just pop up, hear me out: Have you ever seen the movie “When Harry Met Sally?” There is one scene at the end where harry is walking by himself, alone. He recently had a fallout with Sally, his dear friend and romantic interest. It is New Year’s Eve, and they are at a disagreement. As Harry walks along in the cold, dark, street by himself, he reflects on his choices. When the epiphany comes about his certain love for Sally, he runs with every myosin filament he has. When you have a day off, journey on foot as far as you can for the entire day. No Uber, no phone distractions. Just you, your mind, and your dreams. See if you come running back home with your absolute certainty. Best of luck!

I’m in a parallel position right now. In my last year of pharmacy school and have to apply to residency in a month. I would love to do peds onc in the end but an adult onc second year residency with a peds rotation might also for that requirement. Two completely different paths if I choose to go into adult hospital vs childrens and end opportunities may look completely different as well

Same boat, I got 6 kids and it's a hard decision. Best of luck brother.

@NDMD

Жыл бұрын

that has to be tough, couldn't imagine deciding with a whole family right now. best of luck to you too!

“As evidenced by”…I’m in Nursing school and i might vomit at the sound of that statement 😂🤣😂🤣😂. Andy, you got this. Try to think about what you could do for the rest of your life. Something exciting, something that evolves, something that grows….most importantly what you can do for others❤. Love & Light Friend 😘

Personally, as an adult with chronic illnesses that originate in childhood - I would love to see more Internal Medicine/Pediatrics doctors. (I think it's commonly referred to as Med-Peds.) I feel that the knowledge base is much wider, and the provider would have an idea how to treat kids once they become adults, thus bridging the gap between pediatric and adult care. (This is a big issue, finding adult providers who understand cerebral palsy, for example) That might be a specialty to consider (however, you will do great in whatever specialty you choose - I'm already jealous of the kids who will be your patients.) Maybe consider doing a 73 questions video with someone in Med-Peds. Or a video explaining the difference between Med-Peds and Family Medicine.

@Zeldybear

10 ай бұрын

He recently did a video with Dr. Tommy who is a med-peds doctor! Just thought I would let you know since I stumbled across your comment

So I have absolutely no medical experience but I do have experience in working with people , vulnerable people in a system that can be very unethical at times and that I do not agree with . After years this has finally got to me and I’ll never go back as my values simply do not align and I want more for myself and my career . All i want to say is that it does get to you ….

How much do you study everyday? Do you have any breaks or days off? Do you have time to go to gym and be with friends?

Do you feel safe enoigh when you’re leaving ir entering work at dark hours and you have to walk down town and stuff? I worry about that for when I start medical school and idk if I’ll be allowed to have pepper spray and be able bring it into the hospital and stuff yk?

If pediatric surgery is of interest to you, but there is certain cultural aspects of it that you are concerned about, maybe reconsider that you can potentially locate a work environment that is more aware of these issues and addresses them. That way you can do what you love, and work in a positive work environment as well-or at least strive to lol.

@NDMD

Жыл бұрын

every work place will have its pros and cons, i guess the bigger decision is if you truly love what you're there to do

I think you also need to weigh in what kind of life balance you want long term and play out scenarios with all specialities

Using your cube rule of food, a pot pie is round and is not on the chart. Therefore, a round pot pie is inedible. If the pot pie is cooked in a square pan, then it would be a casserole--or in the terms we use around here--a hot dish. :)

Johns Hopkins has a residency that is combined emergency medicine and anaesthesiology

Random non-medical comment based on the end content: I didn't know you got any type of nutrition education in medical school, and the cube rule is completely new to me. In fact, I went back for nutrition courses as part of my post-bacc as a non-trad pre-med because I got the impression that nutrition is not a priority in modern medicine.

@ke3516

Жыл бұрын

Also, chicken pot pie, as hinted in the name, is definitely NOT a casserole unless you choose a lazy crust that is more like a crumble AND you layer the fillings. Using any form of a fully combined and rolled crust meets the criteria for a pie as well as using a pre-mixed filling that is ready to pour in.

@kaitlynkilpatrick36

Жыл бұрын

In my school nutrition used to be taught as a mini course under integrative medicine but it got taken away for various reasons so now it's lumped into what we can see the curtains are with metabolism in biochem. But now in rotations we have a program called health meets food that we can do in person or online via zoom classes and teaches us about clinical nutrition and catering to certain populations. It came out of Tulane and specifically is for doctors and is a cool program. I wish other med schools had it because it's so important.

What cultural aspects are you concerned about regarding surgery? Just curious if it’s related to workplace environment or lifestyle or any other factor

Hey, what shoes do you wear most for clinic days?

andy the GAS man!

@NDMD

Жыл бұрын

pretty tempting

You should interview Khanh Ton OD.

choose peds then explore the specialties within it!!!

Truly the most difficult decision of medical school! I’m trying to decide between psychiatry and surgery… the two ends of the spectrum i know

@thesneakygamer4343

Жыл бұрын

I know plenty of people who chose between these two! One surgery resident at our school even changed to psychiatry.

@marLamaDeo

Жыл бұрын

@@thesneakygamer4343 I know one who changed the other way haha

@NDMD

Жыл бұрын

whoa that's quite the spread of specialties 😂 you ever consider plastics? as Dr. Brown has said, they are psychiatrists with a knife when they get consultations for aesthetic body procedures (breast implants, BBL, etc) since 90% of them are body image oriented and do not require surgery. At least the good ones will promote non surgical correction before offering procedures

Just think of it this way: *it's impossible for you to make the wrong decision.* The worst case scenario is you realize "Meh, maybe the other thing would have been slightly better." Once you are in and working it won't matter if you are a pediatric toenailclipper, you will be working where your HEART has called you, and you will be amazing and the best possible doctor you can be ANYWHERE.

Hi, Andy. I'm just being curious, are you Vietnamese?

ENT Resident here so I’m biased. Ever consider Pediatric Otolaryngology-Head & Neck Surgery? Itch for emergencies? We do airway emergencies and emergent neck masses/abscesses/infections Anesthesia? We do airway as a huge portion of our training and work closely with anesthesia daily Peds? Well you basically do all things ENT for kids Adults? You can stay in a general practice and just practice complex Peds Surgery? Well it’s a surgical residency and you can be as busy as 4 OR days in academic settings or as non-busy as no OR. Also, ENTs don’t typically fit the classic malignant surgical stereotype. Idk something to consider. Many blessings to you bro

@NDMD

Жыл бұрын

hm, you make some really great points

I'm torn too dude. lol This decision is hard.

Please cut down on plastic buddy! Anyways, always thrilled to watch your videos!

Choose what will make you want to go to the hospital every single day of your life

Chicken pot pie is more of a casserole enclosed in baked dough lol

Glad we get to keep you around in some ways in Pediatric ___? Working with kids and families is so fulfilling, and you've definitely got the skills and attitude for it.

@NDMD

Жыл бұрын

haha thank you so much Bharat! hope your residency is going well!

I’m surprised you didn’t mention pediatrics PERIOD

@NDMD

Жыл бұрын

i know i dont want to do outpatient as a main part of my career so that's why i dont want to pursue gen peds :) just personal preference of pace

Just make sure that you have "Rachel Southard" passion for whatever you choose.

@NDMD

Жыл бұрын

hahaha she possess a rare passion that I can only aspire to have

@9:40 you state that you have some disagreements with the culture of surgery. This can be a precarious statement to make on this social media platform which can hinder or even halt progress in your future goals. I suggest you bleep this audio segment out of at all possible for your own benefit. If a hospital hears that from you, there may be a hurdle they may not want to risk with you. Good vid.

I think its super unfair y’all have to choose a lifetime career with so little exposure or time to reflect. One of the reasons I chose the PA route is that I don’t have to choose. Docs should be able to do the same at the level of their license- residency could be a deepening once you find “the one”

@NDMD

Жыл бұрын

i definitely understand the appeal of that route, it's never easy to choose and stick with just one

Dilemma of every Dr

Follow you gut it wouldn’t steer you wrong.

Emgerceny medicine for pediatric

Become a neonatologist! (my dream job! )

Have you ever considered Med Peds?

Go for emergency medicine....more interaction with people, which it sounds like you want .....plus I've watched KZread videos where er docs still do minor surgery. ( I'm just a nursing student though so feel free to ignore me. Just seems surgery and anesthesia might have less interaction than er)

No, it’s in the “pie” category.

A cheeseburger is 100% a salad-and y’all can fight me on that! 🍔=🥗

No, it's a PIE!

So I guess "Pediatric trauma surgery" it is💀. I know it sounds like a first yr student wanna be Pediatric Cardiothoracic Neurooncologist Neurosurgeon but looking at your whole situation you"ll deal with kids who have acuity and require surgeries. The only caveat is its gonna b general surgery for 5 yrs , pediatric surgery for 2, and Trauma surgery for 1 yr in a total of 8 yr after med school without taking any gap yrs 🙂🙃🤧

Do anesthesiology, it’s not much deeper than that haha

Med-Peds

@NDMD

Жыл бұрын

haha not too keen on the med part of it tho

Pediatrics is good direction but I'm going to become a surgeon ( I'm 15) Essentially you really inspire me🤗😇 (smt that you say I don't understand because I'm learning english but I try😅

Maybe pa school would have been better for U because u can be all the specialities

pediatric trauma surgery? 🤔

sergery brothaa

@NDMD

Жыл бұрын

it's tempting for sure

Come to the dark side. Choose anesthesia

VSauce has a legendary video on this! (Is cereal a soup?)

Pediatric urology is pretty bomb. Daughter is applying to med school and I suggested this specialty bc my son was born hypospaidus[sp] and there was only 1 ped urologist in a super metro area. He treated my son and friends kids for various issues. It’s ped’s and surgery and office hours. Just a thought. You’re doing great and I love watching your journey. Fact…my daughter sub to your channel and if she reads this comment I will get MAJOR eye rolls😂🤷‍♀️🫣

@NDMD

Жыл бұрын

haha thank you both for following! and yes i have a few friends wanting to do peds urology, the urology department here is awesome