Shilpa Ghatnekar
@ShilpaGhatnekar
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Dermatology Resident with a life outside medicine | on a mission to improve resident QOL | opinions = my own
Boston, MA
Joined April 2022
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A residency program director posting
#Match2024
applicant test and exam scores on X and calling them worthless was not on my 2023 bingo card. Applicants, you deserve better.
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Dermatology being more burnt out than Neurosurgery is really throwing me for a loop
1 in 3 academic physicians report they are considering leaving their institution within 2 years. Burnout and lack of professional fulfillment were associated with intention to leave; a comprehensive approach will be needed to reduce physician turnover.
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@PBillingMD
@EndWokeness
It’s always “they’re the most qualified” when the group is homogenous, but “they’re diversity hires and not qualified” when they’re heterogeneous.
ALL of these interns are more than qualified and this mindset has no place in medicine. 🙄
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@AndrewGutwein
While it may be unprofessional, advertising that you didn’t match the residents you truly wanted is also unprofessional. I truly hope your incoming class doesn’t see this…
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Me with all my hyponatremia knowledge now that I’m officially a dermatology resident
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That’s a wrap on medical school! How many dual degree and/or research year students out there in the
#MedTwitter
world are ready to FINALLY graduate?! Looking at you specifically,
#dermtwitter
😉
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Hello
#MedTwitter
I’m Shilpa and about one month ago I found out I was going to be a dermatologist (by way of a transitional year). So excited to join this community of amazing clinicians! Also hi, Twitter. Excited to be here!
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@DrSomedayMaybe
Physicians are not public servants. We are people who spend decades of our lives to do a highly skilled job and deserve to be compensated appropriately. After all, the purpose of a job is to make an income
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@blondemedSJW
Context matters. If they’re in pain, frustrated, scared, etc. then it’s understandable. But all the patients who cursed me out during just one year of residency for asking them to wear a mask when it was required is unacceptable.
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Saying “I’m just cross covering” is a caveat that tells people know you need a little extra time to figure something out. I’m not going to apologize for not knowing Mrs. Smith’s home lasix dose in 2018 when I’m covering her and ~30 other people overnight
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I’ve been waiting for this day to revisit this speech from Season 1 Episode 1 of
@GreysABC
— “A month ago, you were in med school being taught by doctors. Today... you are the doctors.” Let’s do this, fellow interns. 💪🏽
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@CassieWernke
Unlimited no questions asked sick coverage. No one feels guilty taking care of their own health.
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Today I voted in the Mass General Brigham union election. Proud of my fellow trainees who got us this far. Let’s take this across the finish line
#UnionStrong
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This weekend I got my
#MD
from
@TuftsMedSchool
, my
#MBA
from
@BrandeisU
, and a few awards for
#research
, civic honors, and
#consulting
work. It’s been a wild five years and I’m so excited for
#residency
. But first, vacation!
#graduation2022
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@mahad_minhas
Free parking & meals, candy hour every day, routine cultural celebrations & wellness events (with food), encouragement (and coverage) to attend conferences, no work hour violations, highest salary in the city, and probably more I’m forgetting.
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MS4s of
#medtwitter
: as you’re putting together your list, don’t forget to look at the salary, call schedule, vacation, parking fees, food stipend, etc. These “perks” speak volumes about how much programs care about your well-being.
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Worst
#dermatology
recommendation: stop taking hot showers.
A scalding hot shower is quite literally one of the highlights of my day.
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Good luck to everyone participating in the
#Match2023
tomorrow! Remember, all your emotions are valid — joy, disappointment, ambivalence…
Can’t wait to see which incoming interns replace me and which future dermies will be joining me!
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Someone please explain to me like I’m 5 years old how resident unionization “limits access to educational resources and the flexibility residents need to chart their own paths”
I worry about the impact collective bargaining could have on how
@MassGenBrigham
trains doctors for the future and the lasting impact it could have on their careers, writes chief medical officer William Curry.
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@olsonplanner
Shower, stare into my empty fridge, scream into the void, and then fall sleep 😂
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@samjcohn
Only learned the nuances when I started intern year. Hospice = palliative care to a lot of patients, which I think negatively impacts ownership over their health. It’s time palliative care gets a rebrand
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Making medical students come in on the weekend just for rounds provides no additional educational value, takes away from their study time, and negatively impacts their wellness. They deserve golden weekends every weekend.
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@MySystolic
Because they want to. Applicants have worked for nearly a decade to get to this point. This is the time for them to selfish. Plus, the interview is often what helps with ranking.
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@jasonryanmd
I agree that interviewees shouldn’t complain, but I think identifying areas for improvement within the curriculum/experience and expressing those when asked shows that you are/can be an active participant in change management
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@ShakiraaHarding
Publicly criticizing medical students is not a vibe. You couldn’t have forgotten what it was like considering you’re a brand new pgy1. They have other obligations and when the work is done, we should encourage them to leave.
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@Miazolam
Some people find out on a month to month basis, which I find WILD. Nothing changes that much year to year. Just swap out the resident names in the schedule and improve resident wellness
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What an absolute win to commemorate the end of my time at MGB.
Next up: supporting my new co-residents/fellows at BMC during contract negotiations 👀
MGB VOTES YES! 1,215-412
After years of organizing and a week-long election, housestaff at Massachusetts General Brigham have voted for representation in the form of a union.
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@Gabby_Brauner27
Honestly every field should do coordinated interview invites with at least a 24 hour delay between interview invite and interview scheduling. There is no need for this nonsense. I missed out on some intern interviews because of this.
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@AshleyGWinter
Dermatology is great for catching these people. Many academic centers have gyn/derm clinics. It’s a great opportunity to discuss this when they come for skin checks.
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@jbcarmody
Regardless of the school, it’s always disappointing seeing so many one year preliminary and transitional-only matches. While they did technically match, most of them are just going to have to apply again next year.
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@Dr_Oubre
I operate under the AUD (always use dates) philosophy. Some people hate it as it makes things “less storylike” but I’m a doctor, not an author.
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As much as I absolutely LOVED my intern year program, all residencies should be integrated. The financial and mental cost of extra applications, moving, onboarding, etc. is not negligible
🙋♂️ What’s your unpopular opinion in medicine that will get you in this position?
#MedTwitter
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@OnlyInBOS
The “STAY AWAKE! STAY ALIVE” signs on the mass pike are so triggering. I’m trying! This wasn’t my decision
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@olsonplanner
It also pushes many people into academia who genuinely don’t want to be there, which leads to countless downstream effects
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@jbcarmody
Based on a cursory search, it seems like the average resident salary is about $60k. Talk about a disappointing delta ☹️
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These
#Match2023
posts are bringing back so many memories. The wait until Friday was something else. Congrats, everyone!
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Residents and Attendings: give MS4s on your service the day off on Friday if their schools haven’t already done so. There is absolutely no reason that they should be there.
#Match2023
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The first day of my surgery block starts tomorrow and they said rounds begin before 6am! This ~10hr/night sleeper is NOT ready. How do y'all survive these early mornings?
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Six weeks until the promised land that is dermatology 💁🏽♀️
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Pearls from my first half of intern year:
1 learned so much medicine
2 joined the Women in Medicine org
3 used my MBA during QI elective
4 elected to wellness committee
5 selected as hospital GME resident representative
6 none of my pants fit anymore
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My credit card application got denied today because they said my salary as a future resident physician was too low and my future rent in Boston was too high. The jokes just write themselves.
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I fully support the
#Montefiore
residents. They deserve safe working conditions in which they can work at the top of their license to provide care for their unique patient population
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@sparklybottom
I scroll on the small screen while watching the big screen while pretending to do work on the medium screen and then go to bed
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@sanjanacurtis
I truly don’t understand why people are mad. It is not her job to detail the experience of every single South Asian woman. Her characters speak to many of us.
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The decision of whether or not to have an abortion should be made in the privacy of a physician’s office. If you don’t believe in
#abortion
don’t get one. It’s that simple. We are not incubators.
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@BroyleTim
Targeting students who are celebrating their INCREDIBLE achievements is not a good look. This is the toxicity in medicine that medical students and trainees speak about.
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@joshmcgoo
Curious to hear why. Aside from resources, I have been struggling to see the pros. Currently team private practice.
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SO WE TAKE ON HUNDREDS OF THOUSANDS OF DOLLARS OF DEBT AND STUDY FOR AT LEAST 8 YEARS AFTER HIGH SCHOOL TO MAKE MINIMUM WAGE AND HAVE A TWO DAY WEEKEND ONCE EVERY THREE MONTHS
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@aghawk99
This should not be a requirement for students. This should be supplied by the school in every sim center exam room. There is no need for students to buy their own
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Another great one with my team led by Dr. Vinod E. Nambudiri
@bwhdermatology
Clinical features and eosinophilia in pityriasis rubra pilaris: A multicenter cohort
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@ERASinfo
I’m curious how applicants are supposed to format their hobbies to fit the prompts. Organization, position, location, etc. are not applicable for spin class, traveling, etc. I’m not sure how this makes sense.
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@TheNRMP
In theory, this sounds great to increase match rates, have a thoughtful second round, and give students more time to figure out their move. However, I feel this only stigmatizes those who don’t match the first round even more.
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#dermtwitter
it’s time to buy my very first dermatoscope! Suffering from a bit of analysis paralysis. Send me your recommendations! 🔍
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Michigan’s Family Medicine Residency Program is about to see a surge in applications this
#Match2024
cycle thanks to
#TheBachelorette
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To the MS4s putting together their rank lists: nearly all institutions will teach you what you need to know.
Rank in order of where you’ll be happy (location, proximity to family/friends, compensation package, wellness).
You’ve got this!
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To all the newly matched medical students: add blackout curtains to your shopping list
-an intern who just slept for ✨16 hours✨
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What an incredible first AAD as a resident. The reunions, lectures, SoCal weather, samples, and parties were nothing short of spectacular. See y’all next year in Orlando!
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If the government can forgive $450,074 of OceanGate’s $447,000 PPP loan, they can cover my medical school tuition
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@smlungpathguy
Physicians are altruistic regardless of specialty. Putting altruism aside, it’s just like any other job. No one would question why people in other fields want higher paying positions, better QoL, ability to pay back loans, etc.
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@jbcarmody
I wonder if these changes are also a ploy to push for more unnecessary fellowships (i.e. peds hospitalist fellowship)
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Happy Thank a Resident [and/or Fellow] Day!
If you’re a trainee: know that your work is invaluable and your voice deserves to be heard
If you’re an attending: ask your trainees what their pain points are and advocate on their behalf
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@jtrebach
Chagas sounds like gas which powers things, and so does electricity, but the electricity didn’t work in Texas because Ted Cruz went to Mexico = Chagas disease is common in Mexico and is caused by Trypanosoma cruzi 💁🏽♀️🦠
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How does everyone in the hospital know that I’m from dermatology? Is it the head to toe Figs? Is it my refreshed appearance? Is it my Longchamp biopsy bag?
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@joshmcgoo
One of my dermatology residency interview questions last year was “if you were a cytokine, which cytokine would you be?” Like BFFR ☠️
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Today my attending complimented me on giving a 45-minute morning report after night shift without notes. The fact that I responded with “no notes, just vibes” is something that will haunt me forever
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Motion to stop referring to patients by their room numbers. I literally have no idea who 415B is.
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Heartbreaking update to the story out of
#Duxbury
. If you or someone you know is struggling postpartum, know that help is out there. 1-833-943-5746.
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Hot take: if you’re a residency program that has automatic screening filters and you do not advertise that on your website, you are part of the problem. Applicants deserve better.
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Trying to find a new dermatologist has been so difficult. The soonest in-network appointment is in 6 months. Come on, I'm almost one of you! Let me in! And in 12 months I'll have to switch again when I start my advanced program. Sigh.
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Friendly PSA for
#medtwitter
as we approach the holiday season: medical students don’t need to practice working holidays because they might have to work them as physicians 🙃
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Unpopular opinion: medical schools that do not organize all clinical rotations for students (aside from away rotations) should not exist.
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Let’s hope day 2 of step 3 is better than day 1. I had to ask the proctor if they loaded step 1 for me on accident during day 1 ☠️☠️
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Important lesson from the
#pandemic
: it’s vital to know how to quickly modify clinic operations. Check out this article I wrote about the
@TuftsMedicalCtr
#dermatology
department to see how simulation modeling can help
#outpatient
clinics
#MedTwitter
Using simulation modeling to minimize patient-to-patient contact time while optimizing clinical operations during a pandemic
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Hey insurance companies, acne doesn’t just magically disappear in your early twenties.
Cover the dang tretinoin.
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Not sending
#residency
applicants any communication regarding their application (interview invite/waitlist/rejection) is unprofessional and disrespectful
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Now that I’ve officially passed
#Step3
I can finally say that it should get axed. A $915 exam with a 97% pass rate is nothing more than a revenue generator.
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I love my low status job 💁🏽♀️
#dermatology
5. Status within medicine has some association with patient risk. Brain surgery = high risk = high status. Dermatology = low risk = low status.
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First day of my ED rotation tomorrow. Should I bike? Do I bring a carabiner? How many CTs should I order?
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Michael Cera-Ve
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Rewatching Grey's Anatomy and cracking up. Season 1 Episode 1: the cardiac surgeon performing an open appendectomy
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@jzaraterod
Thank you notes are redundant, especially after interviews. Why should I thank you via mail when I already thanked you in person/on zoom?
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Such an exciting one to work on! Congrats to the entire team!
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It was an honor to be inducted into the
@TischCollege
Honos Civicus Society today as a member of the
@TuftsMedSchool
graduating class. Also let’s all give a shout out to my nail tech for these beautiful
#Tufts
blue nails
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Switching to surgery nights tomorrow and word in the OR is that the surgeons bought a
@onepeloton
for the team.
Taking recs for instructors/classes! p.s. If it’s not beat-based, I don’t want it 🙃
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Walking into dermatology clinic attempting to hide this weekend’s massive tan
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Any initiative that decreases applicant costs is one worth exploring.
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Excited and proud of my colleagues for leading our unionization effort. Trainees deserve to have a voice, a better quality of life, and an increased salary that reflects the value provided. The time is now!
It's official! MGB Housestaff United has filed for an election with the National Labor Relations Board!
We are voting YES!
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people without medical degrees should not have the authority to make medical decisions
Tonight's District Court decision on
#mifepristone
"is inflammatory, brazenly substitutes the court’s judgment for that of trained professionals, and distorts the reality" of ACOG members and patients. Our full statement:
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