How do your boards work? Does everyone pass without studying? Our boards are fairly rigorous so weak residents are weeded out. Board failures would be a red flag for PDs so that’s the motivation to graduate competent people only.
Sounds like this person lacked confidence with their name on the line and then overcompensated to (in their mind) look stronger when the pressure was off.
I'm sure having real sign-out experience in residency was a big deal. I don't know when that was changed, but I'd be curious to know if, say, a 2000 or 2010 new attending operating under similar residency conditions as now was really more qualified than a 2022 new attending.
Sounds like this person lacked confidence with their name on the line and then overcompensated to (in their mind) look stronger when the pressure was off.
I'm sure having real sign-out experience in residency was a big deal. I don't know when that was changed, but I'd be curious to know if, say, a 2000 or 2010 new attending operating under similar residency conditions as now was really more qualified than a 2022 new attending.
How do your boards work? Does everyone pass without studying? Our boards are fairly rigorous so weak residents are weeded out. Board failures would be a red flag for PDs so that’s the motivation to graduate competent people only.
Great post ^I dunno about this. In radiology, there is a ramp up in efficiency for 3-6 months when entering private practice, but if you go from fellowship to academics, it's pretty seamless. At the end of my fellowship, my attendings told me to just start finalizing unless I had questions. I know a lot of surgical specialists go straight from fellowship to attending pretty easily. I think it's pretty weird that pathologists would require 2-5 post-fellowship years to become "real" attendings.
Great post ^
Nice to get a non path perspective
There are some top tier path programs who train pathologists in RESIDENCY pretty much as you describe - once you’re an upper level it’s your case, no attendings on night call, etc..but path trainees in middling training programs don’t start becoming independent until fellowship year(s).
Which programs are the ones that most effectively train residents for independence?