Daniel Donoho, MD Profile picture
Jan 21 8 tweets 2 min read
#MedTwitter #MedStudentTwitter it's rank list season!
Location, location, location matters.
What framework should MS4 use to understand training program location?
(MS2-3 might want to know this for next year before interviews start!)
Read on... 🏙️🏠
With 10-50 hours of functional & wakeful time each week, your geography plays a big role. Here's how to consider people, activities, specific program training sites, lived experience, and financial cost when evaluating a program's location... 🏙️🏠
First, think about the people, activities, & locations that matter most to you. Who are your loved ones? What types of people do you want to surround yourself with outside of work? Culture, background, family, & values all play a role in location choice. 💕🏙️
Next, think about the activities that are important enough to you that you want to do them during 20% of your spare time outside of residency (aka 2-10 hours/week). What do you want to carry with you throughout your life? Weather & climate also affect mood & activities. 🏄‍♀️🏃‍♂️
Consider specific program training sites. Being "in Los Angeles" is great, but if you really want to be in Santa Monica & the program is in Pasadena, that may not work for you. It's important to be specific about the location within a city. 🌆🗺️
Don't forget to ask current residents about their lived experience of the location. How do they experience it? What can they do? What can't they do? This can give you valuable insight into the location.🗣️🌃
Financial cost is also a big factor to consider. Some areas are more expensive than others. This can affect what you can do. Will you need a car? Will 75% of your salary go to rent? Will you need to commute an hour a day? Location choice affects it all. 💰🚗
Location choice can greatly affect your quality of life during residency. Make sure program location aligns with your values, activities, loved ones, and financial situation. Ask current residents to get details. Make the best choice for you! 🏠🌅🌇

Please RT and share 🏠💭💯

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More from @ddonoho

Jan 22
Much fuss over an artificial intelligence “passing” a medical licensing exam (USMLE step 1 practice q) but that isn’t even the most interesting part …

By grappling with AI “knowledge” challenges, we will all become better MD’s

Wanna know how? 🧵

medrxiv.org/content/10.110…
1. In probing the limits of internet trained LLM, (if we do it well) we define tests for MD, AI and MD+AI that are clinically relevant.

MD knowledge is MUCH more than multiple choice q… but never had to precisely define

Now we do - and we can improve human performance too! …
2. MD + AI is the future. So why be proud of training (cherry picking) models that are 1% better than human at an arbitrary task.

Start creating systems that are multiples / orders of magnitude better because they overcome human weaknesses and play up strengths.
Read 5 tweets

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