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Open PGY3/4 neurosurgery residency positions
#71
Start with a short term plan, and then expand into a long term plan. All of your loans can be entered into forbearance if necessary. Whatever kind of specialty you end up completing, these loans can be paid off in the long run.

For now, you need to figure out work and housing for the next year. Contact all unaccredited fellowships and seek out any research positions if able. You can also email every transitional year PGY1 program PD in your state where you are licensed to quickly slide into a position. The ResidentSwap website also sometimes posts vacancies that are immediately available. There are some opportunities available to work remotely if you have skills to offer a company.

This is a stressful and difficult situation, but do your best to remain calm and level-headed in the face of overwhelming adversity.
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#72
(06-24-2020, 03:01 PM)Guest Wrote: What does someone do with 100s thousands in debt after they left residency?  I applied to EM they won’t take me.  Other residencies won’t take in neurosurgery..  My chairman/PD said they wrote positive letters.  What do I do from here?  Life is about to not be good.

Can I do anything to show I improved? Which honestly is all political what happened, j was more than competent as other attendings have backed me up.  What does one do to make money?  What does one do to get back in neurosurgery?  I will not quit, even if it takes 20 years of reapplying.  Follow your passion.  

What happens if you can’t repay student or private loans?  Big depression is gonna start if can’t recover.

You realize there are other fields in medicine besides neurosurgery or EM...i am sure u did not apply widely in em. Life goes on and if u don’t realize that fast and spend time on an anonymous online forum asking for advice that has already been given ad nauseum, yes you will indeed take twenty years to reapply and “follow your passion.”

What happens if you can’t repay your loans? Here’s a news flash: the bank comes calling and asks for their money. Seriously, there are always unfilled spots in medicine that someone can scramble into. Yeah it’s a sucky situation but u have to get over yourself
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#73
Yeah but if a program is getting you out on professionalism/interpersonal communication then why would another speciality be better? It has nothing to do with the speciality. Hell those traits are needed in any job, thus if show can work well in another job then can succeed in neurosurgery. A good amount of attendings have my back, unfortunate am in bad terms with the PD.

How would you feel to work in a speciality you don’t enjoy? Don’t work hard, top of med school class to do something no passion for.
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#74
Hi, I'm in the same situation. I know it sucks, but here's the reality, you spent your residency telling people they had glioblastoma. They didn't want it. It sucks. They can't change it. Its inevitable, uncaring, and cold. This is the situation you're in. You can either languish in it or call it what it is and try to make the best and move on (regardless of if that means reapplying, transitioning to FM, or non-clinical). I'm not kidding at all, I would HIGHLY recommend talking to a counselor, etc, because they can help you process thoughts/feelings/whatever that maybe you don't want to share with your friends/family/whatever, AND they can help you understand why maybe a different career isn't going to be the end of the world.

I hope any of that is helpful, its not meant to be argumentative or negative, but just matter of fact.
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#75
I have talked to a counselor but they are not helping the root cause of the situation. If you took out my PD recommendation, and just saw other attendings letters and my previous record and place would take me. Plus my last months of rotation I actually excelled in with no bad behavior.
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#76
(06-24-2020, 07:30 PM)Guest Wrote: I have talked to a counselor but they are not helping the root cause of the situation.  If you took out my PD recommendation, and just saw other attendings letters and my previous record and place would take me. Plus my last months of rotation I actually excelled in with no bad behavior.

I think I know what exactly is the "root cause" in your situation..
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#77
I'm also kind of confused because no more than two hours ago you told us that you couldn't understand why no one would take you when the chair and PD had written you good letters, but here you're saying you know it's subpar.

While the above poster probably said it a little harsher than I would have, I think they're right. If you truly were doing better they would've stayed your execution, so to speak. I think that what this sounds like is that your other attendings haven't done you any favors - they're making you think everything was peachy when it sounds like you know that truthfully it wasn't. A word of advice, I've seen attendings straight up tell flailing residents that they're doing great and then not go to bat for them when it came time, mostly because they don't want to deal with being the 'bad guy' and they won't fight the program director because , frankly, the PD has to do all the paperwork associated with having residents.

I think for my counselor suggestion to work you have to approach it with an open mind that there was a reason you were 'singled out' amongst 6-20 other residents. If not, no one can really help you learn from and move past this, and the above poster is right... your 'root cause' will remain.
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#78
You are projecting your denial of a difficult circumstance on an internet forum. You have been doing this for months now. In the face of dozens of mature, reasoned, and nuanced responses.

Life is not fair. Get over it. And frankly, you seem like a very immature person with huge communication issues, and someone that is extremely averse to any kind of accountability, insight, or self-awareness.
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#79
Try going into consulting for a firm like BCG or working for medtronic or stryker. Your neurosurgical knowledge could get you six figures working 30-40 hrs a week making powerpoints.
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#80
so the weird thing here is that basically every department will have at least one bat shi00 insane resident (and/or even attending) who has no place behaving the way they do...and those people get away with their weirdness... why do some people - like this poster- get punished? what makes this person more problematic than the resident who literally gets into fist fights with a more senior resident or the attending who turns a table over in the OR? i've heard of more people getting fired for these weird loosey goosey reasons than for real ones like being physically violent or hitting on med students
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