Is nephrology taking a backseat ?

I have heard and noticed that nephrology has huge dip compared to last years neet ss. Why is it so ? Why doesn’t anyone want nephrology - its core medicine and has parts and parcel of procedures as well . What am I missing out here ?

Is it the toxicity ? Is it the money? How much money is enough money ? Is there a limit ?

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u/Emergency_Smile_911 — 9 days ago
▲ 101 r/SuperSpeciality+1 crossposts

Trapped in super speciality

I'm a DrNB Nephrology resident in hyd and I'm seriously thinking about quitting, but I've already completed one year and still have two more years left. I honestly don't know if I'm overreacting anymore or if this is as bad as it feels.

Academically, our program is almost nonexistent.

We don't have regular teaching sessions. The only academic activity is one journal club each month, and I'm usually the one presenting it. Before that even happens, I have to personally go around asking every consultant if they're available and then arrange a room for the session.

That's it. No regular classes. No structured teaching.

I requested permission from my HOD to attend weekly case presentation classes at a well-known hospital nearby. Residents from many institutes have been attending these sessions since their first year because they're considered excellent for learning.

He refused.

Instead, he said I should continue presenting one journal club every month. He also said the medicine senior residents might present one topic each "if possible," and that my senior resident, who has been on leave preparing for exams and hasn't conducted a single academic session in the past year, would be asked to present one case a month.

Clinically, things aren't any better.

In the last six months, I've barely been allowed to perform renal biopsies. Every time I ask, a new rule appears.

First it was, "not on VIP patients."

Now it's, "Residents shouldn't do biopsies on Telugu-speaking patients."

About 85% of our patients are Telugu-speaking, so effectively I'm excluded from doing most biopsies.

Consultant just come - do their procedures and leave . You don’t get intimated and then you hear things such as - we don’t even call your for procedures because we are trying to reduce your work , which is already non existent .

The workload is also draining. I get around 8 to 9 duties every month, including 2 to 3 Sundays. Whenever I say I'm overwhelmed, I'm told that I barely have any work and that my workload is minimal.

At the same time, I'm constantly subjected to comments like:

• "You don't study." • "You're useless." • "Even post-MBBS doctors work better than you." • "Senior residents are much better than you." • "We should stop this DrNB program." • "You lack common sense."

It's exhausting to hear this repeatedly.

Three residents have already left this program because of similar issues, but nothing has changed.

The department also refuses to recruit additional residents despite repeatedly saying we're overburdened.

What hurts even more is the lack of academic opportunities. My HOD gives research projects to people outside the department instead of his own residents. I've asked multiple times to be involved but I'm always refused.

I feel trapped.

If I quit now, I lose a year of training and face the consequences that come with leaving the program. If I stay, I'm worried I'll complete residency without adequate procedural experience, teaching, or mentorship.

I'm mentally exhausted and don't know what the right decision is anymore.

I know many people will say I should have joined a deemed or private institute instead of DrNB. But that's not a realistic option for everyone.

Not everyone can afford the fees. At 29, I didn't feel it was right to ask my parents to finance my postgraduate training, and taking on a large loan before I'd even started my career didn't feel like a financially responsible decision either.

And if you're from the general category, getting a government seat on your first attempt is far from easy unless you're truly exceptional. Maybe some of you were able to do it, but I couldn't.

For many of us, DrNB isn't our first choice. It's simply the option that's financially within reach, and we make that choice hoping we'll still receive the training we signed up for.

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u/Emergency_Smile_911 — 29 days ago

Gold allowance on airports ?

Hi guys. I wanted to bring a few of my gold sets from my in-laws' place back to my own place. My husband is currently traveling back, so I asked him to carry them on the plane.However, my in-laws are being extremely hesitant. They are making excuses like "limit kam hai" (the allowance limit is too low), that it's not safe, etc. They flat-out refused to send it with him and said that whenever I travel next, I should just carry it myself.I find this whole situation extremely weird, uncomfortable, and controlling. There is unnecessary back-and-forth over this, and the worst part is that this is the jewelry my own parents gifted me for my wedding , not even the pieces they gave.

Please let me know if anyone has idea regarding this .

*for context -this is for travel within India *

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u/Emergency_Smile_911 — 2 months ago