The Future of Radiology with Dr. Ted Hobart

But this is going to be an odd. This is going to sound really odd. Buy yourself a good mattress. The best decision I ever made was bought. I bought a really high end mattress.

Hi, everybody, and welcome to the podcast. My name is Stephanie. I'm joined here by my colleague Dr. Sarah Davis, who is also my mother. We are so excited for today's guest. A good friend of yours, right?

Yes. Another KUMC graduate.

Yeah. Radiologist Dr. Ted Hobart. He studied with my mom here at KU, then graduated, went on to be a radiologist, and then started his own radiology company.

Yeah. Radiology practice.

And, yeah, it's been doing that ever since. So we haven't talked to him yet. We're looking forward to it and excited for you guys to hear about it too.

Can't wait.

All right, please welcome Dr. Ted Hobart.

Hey, have you ever met my daughter Stephanie?

Yeah, I don't think we met. Hi.

Did we meet in Lawrence when you were interviewing?

Oh, yes, yes, I was listening.

Yeah, yeah, yeah. We went to lunch and I think it was the Pizza stone or something like that or camera was called. But yeah, somewhere downtown. Yeah, yeah, yeah. So good to see you again.

Yeah, good to see you. Yeah, that was a fun trip. I loved KU when I came and visited. Yeah. So we're just doing this podcast series, talking to doctors in different specialties.

Mostly talking to my friends. Yeah, yeah.

Wherever you want to start.

Well, I guess maybe just give us a. A brief history of how, you know, why you decided to go to medical school and then kind of why you chose radiology.

Okay, gotcha. So medical school, basically. So I grew up in a small town, central Kansas, Hutchinson. I was an asthmatic, or I am an asthmatic. And so many trips to the pediatrician and many trips to the emergency room because it was in the days prior to these wonderful inhalers that we get to take now that make life so much easier for us. But so, yeah, so really like my pediatrician, great guy, really well respected in the community. Just. Just really liked him. And so I slept that in the back of my mind and always. I always gravitated towards, you know, STEM stuff, as we all do, and so that just seemed like a good fit. I didn't see myself in the corporate life, you know, sort of thing. So I did try engineering, electrical engineering at KU first year, and boy, that was. That was a. That was eye opening. So I heard later it was a weed out class, which made me feel a little bit better because I barely escaped that class with that Eleanor. Maybe it was a. I Think it might have been a C, a B minus. I was like, first year, they got my life or something. I can't remember. Maybe I had a B milestone or whatever. I was like, oh, gosh. Yeah. So very difficult. By the end, I still thought they were talking Chinese. I could not understand going on. And I feel. I feel like I'm a reasonably intelligent person, you know. So med school wasn't necessarily a plan B, but I thought I would try electrical engineering and did not like that. And so went back and just started into my, you know, prerequisites and everything and did that. So that went well. Still graduating four years. I had some credits coming in, so that was fine. And then got straight into KU med school and went straight there and really didn't. You know, I kind of thought maybe pediatrics would be something I'd do. We went to ku. It's probably different now, but we did two full years of book work and then our last two years were clinicals. So you really didn't get any sort of experience, clinical experience till your third year or something. So. Which was hard because you had to make your decision, you know, to go what residents you're going to go to pretty rapidly. So you only got to experience a few of the specialties, not. Not all of them. So Kansas was really big on. And the whole nation was really big on recruiting primary care. There was a. There was a large primary care.

Hey, they sucked me in.

Yeah, yeah, yeah. So, I mean, yeah, so. And they had the bridge program and all that stuff, which is great. It's wonderful. Right? But if you didn't want to do that or want to at least eliminate other ones by experience, you had to go. I had to go in and actually have multiple meetings with the registrar and say, hey, I want to take this. Elect the selective. I want to take no ENT and Optho. And I wanted to take. Because by the time you take like, you know, two or three months of surgery, two or three months of internal medicine, two or three months of this. That family practice and that also, that's a year. And you're like, whoa, I've tried all these other specialties. So I had to. So that would be one thing I would tell you. You know, if that's. I don't know what your schedule setup is like, but try and try and make sure you have time to do all of the sub specialties or any of the specialties at all interjecting there.

I mean, because those are all electives. I mean, you don't have to do radiology. And you know, you have to like, make an effort to say, oh, I want to see what radiology is like, so.

Yeah, yeah. And I came with a preloaded schedule that was way heavy on, you know, all the, all the base, all the general internal medicine and practice. And, and I was like, well, I want to take, you know, I want to try urology, ophtho and all that stuff and radiology. So I did. And I had to really kind of fight tooth and nail to get it done. And luckily I did because I ended up really liking radiology. And I liked all. I kind of liked everything, to be honest with you. I like, you know, you kind of get into, you know, so many things where you really like the residents. And like the urology guys were a blast. They were super fun, really like that. But I was like, oh, maybe not quite the match. I'm kind of, I like, I like technology. I'm also like path pathology and physiology were two of my kind of favorite subjects. And I just like seeing the breadth of, of disease. The really fun part of radiology for me is kind of being discovering what's wrong. And you know, it's the discovery portion of the, of the diagnosis. And it's kind of like where's Waldo of medicine. You know, you're trying to, you're trying to figure out by looking at all these scans what's going on with this patient. So your, your clients are obviously your patients first, but really your larger client or as large a client as you are the other physicians referring physicians who you're talking to. So, so you really, you have a lot more professional exposure, I would say, you know, than patient exposure basis. How do you sit in a dark room all day long, you know that, and just read scans? It's like, well, I mean, I kind of do now my current teleradiology position. That's true. But when I was in Hutchinson for 16 years, my private practice, hospital based practice, 200 beds. I mean, we had physicians coming all the time, texts. I mean, it was like I couldn't get, I could barely get a study dictated by the time somebody else walked in the room. It was like, you know, so. Which was fun. And I missed that.

Yeah, just like backing up a little bit. So you decide that you want to go into radiology, you apply to radiology residency. Like, where does that take you? And then like, then you went back to Hutchinson, like kind of like walk us down.

Yeah, yeah. So residency, actually. So I stayed at ku, which was a great residency program. I had a Confirmation from the, from the residency program director that was. Saved me a lot of traveling and a lot of angst in the whole process. So that was nice. And at that point it was four years, now it's five. They had a year of general medicine. Anyways after that, graduated in 2000 and from residency and stayed in Kansas City. And my wife Wendy, your friend as well, was an OB resident as well. So we stayed in the Kansas City area. She'd already started working. And so I signed on with the Kansas City group, worked there for two and a half, three years, got the opportunity to start my own practice in Hutchinson, so I moved. We went to Hutchinson, interviewed and got, got the job offer. And so now I'm like, okay, now what? Now this is the kind of stuff they don't teach in medical school. Now I got to start my own practice. You know, we got to move. Wendy just retired when, at that point, when he decided she was going to take time off. We didn't know at that point it was me permanent retirement, but so we had all these life stressors going on, job change, moving. Yeah, we had two kids, went to Hutchinson, had to set up the practice. Didn't really know what I was doing, but I got a hold of a good lawyer and that sort of thing. And it really wasn't as difficult as I thought it was at that point. But it's just so new to you. You're like, oh my goodness, what's going on? You know?

Yeah.

So yeah, I had to set up the llc. Then you've got to find a billing service, you've got to find malpractice insurance carrier, you' got to find health insurance for you and your family call coverage. Because I was solo at that point, I was basically running a 200 bed hospital department by myself. At that time we were still in the dinosaur days of actual film. So we were hanging films. Yeah, we had two Rollo scopes, which were these giant machines that had tumblers on each end and you hung the films and they rolled up into it. You could have like 50 banks of films, four films across. And so that's how we read them. And, and I had a guy that would work ahead of me and hang him. I'd go read that Rolloscope and he'd go tear them down. I'd go to the next rollout and read that roll scope and go back and forth and back and forth.

Wow.

It was really busy. And on top of that I was doing the interventional work and it was a, it was about a two man practice back then. So it was. We were doing 60, 000 exams a year and a high average for reading for one, for one radiologist was like 27, 000. So it was like, it was so busy for the first three years and then I finally recruited somebody to help me but then I had to recruit during that whole time too. So it was like busy. It was a busy time, but it was great. It was very, very satisfying. I loved it's a great hospital, great medical community. But just after 16 years of doing it, Wendy and I, we had that during that time we, we'd had a place in Crestview, Colorado and loved the mountains. But we had sold it because it was just the girls weren't using it. They were getting older in high school and everything. And it was, it needed some updates. So we decided to go back to it. Well, we started missing the mountains and so we came out to Jackson and decided that we were going to not do a second home but make a permanent move. So came home, made an announcement to my partners and six months later we were in. Well, nine months later we were in Jackson.

So that's where you are now. And you do just your. Because I've seen your little office there and you're just, you're just by yourself in this room.

Yeah. Cranking out films. So what I do now, teleradiology. So I turned the practice over. The partner who started a teleradiology practice, I'm a, a independent contractor for statrad and they're based out of San Diego. But they, they read for 600 hospitals in oh, I think almost every state. But they have me licensed in 15 states and probably 150 plus hospitals. And it's amazing. Like some of our, we even cover the little hospital here in town in Jackson, St. John's and but so our bigger clients are like UCLA Medical Center. So I'm on the phone with the trauma team at least once a night with those guys. And so we're basically recovering the ERs at night reading all the scans that come through the er. So traumas, belly pain, you know, falls, car wrecks, you know, knife and gun club stuff, strokes, all of that comes to us and then we talk to the ER docs if necessary if there's an urgent finding. It's really, it's really, it's like these guys been doing it for 30 years. Stat rad. And so it's very well set up and very well organized.

Well, are you able to kind of forge any sort of relationships with those doctors the trauma teams and those. Or is it just kind of a revolving door of different people?

Revolving Dory. I just. There's so many. With 125, you know, hospitals and multiple, you know, ER docs and trauma docs at each hospital. It's just impossible. Yeah. So. But to be honest with you, the part that surprised me about this was how nice everybody is when they call. When I call them and talk to them, because we call them. Any emergent finding, we call. But they've been just. They're just super gracious on the phone. And. Which is amazing because there's a huge shortage of radiologists. And so there's the. Consequently, there's a huge backlog at night, so we'll log in and we'll be way behind. Stuff gets put to the top if you say, if a stroke or something like that. So that gets read in 10 minutes because it's mandatory for a stroke team.

Well, I was just thinking, like, so you just. You log in and you just start going. And you just start films and go, go, go.

And.

But. But you don't have that same personal relationship that you had, like, at the hospital when you knew all the doctors, they would come in and talk to you about a case.

And my train of thought was, yeah, that they're so nice, despite the fact that they just wait to. Waited two hours maybe for that belly pain that actually turned out to be. Or whatever, you know, and it's like, oh, God, you know, I keep thinking I'm gonna get the phone call, be like, you know, where you been? Right. You know, why you calling this late? They're like, okay, great, thank you. Blah, blah. And I think. I think they're just as busy as we are, and it's just like, you know, it's just.

Yeah, yeah.

I just want to talk about. I just kind of put a pin in, like, two things that you said. The two big parts of your career. I feel like. Like going back to Hutchinson and, like, starting your own practice and doing that. And then this more recent move with. Than joining this kind of independent contractor, especially just going back to what you. When you started your own practice, like, did you have anybody that you were looking up to that kind of, like, encouraged you to do something different like that? And then same thing with, like, this more recent shift in your career, like, how did you. How were you able to kind of, like, find these things to do? I guess.

Oh, boy. Well, so the Hutchinson thing kind of fell in my lap. It was. So Wendy decided to take a break from medicine. And all of a sudden I got a call from a resident mate of mine who'd been doing locums in Hutchinson, said hey, they're looking for a radiologist in your old hometown. And he was younger than I was, he was still in residency. I just graduated and I said oh really? So I called back to people I knew in town and they were on the board of the hospital and they were like, oh yeah, they like, we didn't kind of because one of them was my brother in law and he's like, I didn't want to call you and put the pressure on you to come to your hometown, which I never thought I would do, to be honest with you. But it's a, it's a lovely town and, and, but it's when you were a kid and you're graduating, you're, you're gonna go out and see the world. And I've never come my hometown kind of thing. But that, no, it was great. It was different perspective when you have two toddlers and you want to raise them in a small town and, and you know you've got, it's just a good place to raise kids. So I guess to answer your question, I didn't have anybody that really encouraged me. The, the what did was A Wendy retiring and taking the kids to a smaller town to raise them. And B, reimbursement was a big issue. Little did I know when I graduated from residency, Kansas City had been just completely devastated over the last decade or decade and a half prior to me graduating by managed care. And they had gone to all of these practices and whittled them down price wise. And so people in like St. Lawrence, Kansas, which is 45 minutes away or Topeka, were making almost 50 to 60% more salary for reading the exact same things. And in other specialties as well. This was especially all across the board, not just radiology, that being said. So the, there was a huge incentive, especially with Wendy retiring. So I was like, okay, well this will be great, good timing. But it was just, it was just I was time. It'd been 16 years in Hutchinson and I plus I grew up there, so accumulative whatever, 35 plus years or whatever that was. And so we, we just thought, well, you know, why don't we go, we love the mountains. Why don't we go move somewhere where we can enjoy it while we're still physically able to. There's no reason to wait till you're 65 or 70 and maybe something happens you.

Yeah.

And were you kind of given this Opportunity. How did you like seek this out?

When we decided to look at this as a permanent move, I started looking at, you know, I knew teleradiology would be the easiest A, if B, if we weren't happy here. It's mobile. I can take this anywhere and reach as long as I have a, a state like in the state that I am reading, I can read anywhere. I just had friends in the industry basically and talked to them and kind of got narrowed down to two or three companies and called them, see what their availability was, what their hours need, the shifts because basically shift work. So I'm working, I do a 4am to 10am on the weekdays and 4am to 11am the weekends. So yeah, I didn't want to do an overnight shift, I didn't want to do an evening shift. Early morning's fine. I get up early pretty easily anyways. It's, it's 3 o' clock in the morning is pretty early, but it's pretty early.

Yeah, I was just like what does your day to day life look like? Then if you're right, 4am to 10am.

They'Ll get up at 3 and everybody says why do you get up so early? And I'm like well I gotta wake up, you know, I can't. Yeah. When I. And it's like there's the list waiting for me to start reading out of your Bang, bang, bang, bang. And I can't, I can't sit there and be waking up and, and trying to get my coffee going, all that stuff. So I've got to roll in, ready to go. So I get up, shower come in and it's just basically a big workstation with three monitors. Everything's real time. Like they can same quality. There's no loss in image quality.

You're just like reading, read and read.

And then you, you finish at 10.

Then what do you do?

Oh yeah, yeah, yeah. So finish. You go back to sleep days. Yesterday I did take a nap. That was the first one I'd taken in about a week. So just depends on the day. And if I get to bed early at night, like if I get to bed early enough, like at 7:30 or 8, I'm pretty good. But like last night, I don't know one of these things, I woke up at 2 o' clock in the morning and I just couldn't go back to sleep. So I'm like, oh man. So kind of tired today. But you know, it's kind of like some days the naps work out, some days they don't you just try and catch up at some point. But, but usually we have full days like, like I'll go ski, you know, afterwards, or I'll go, we'll go do stuff outside and you know, you know, go enjoy the day. But private practice in Hutchinson was much different. And Hutchinson, it was a hospital based practice. So we had, we're in the middle of the department, show up at 7, start working ST happen overnight and then we'd have say, a procedure, we could have anything from a barium enema to you know, a biopsy, a drain placement for somebody. Say they came in with appendicitis last night but had a big abscess, ruptured appendicitis. We, we put the drains in. So fairly vigorous interventional practice there, which is a fun part of radiology, which I do miss as well. But I did do quite a bit over 16 years and it was great. We, I was really good friends with all the surgeons and all the docs. It was really fun. They'd come in and pre, do a pre and post. They'd come and we'd go over it and say, here's what it is, I think it is, and say, oh yeah, you were right, look at this here, my interactive pictures. And they'd show me that, you know, they'd have them printed up and everything and where they'd say, we saw this too, let's go back and look this, see if we can see this or something interesting, you know, kind of thing.

And so were you working like from early in the morning until late in the evening?

Yeah, yeah, when I was solo, it was seven to seven a lot or seven to six or whatever even.

Well, during that time, were you feeling like, oh, you know, I'm missing out on stuff that's going on with my kids? I mean, because you would have still had work on the weekends as well. And I mean that sounds like that would have been pretty challenging.

It was, it was very challenging weekends. You know, I was on call, I tried to get locums like two weekends a month.

And so I, we asked everybody this like, do you like what you do? Do you feel like you made the right decision on specialty?

Oh, yeah, yeah, for sure. Yeah, I do enjoy it. I really, I mean I, I like reading films. It's fun. It's, it's, like I said, it's the, it's the, it's the discovery portion of it that I really enjoy and trying to figure out what's going on and, and I do like interacting. Like if, if I call These docs or if I have a question, sometimes I'll call the ER docs and say, could this be something that's going on this patient? Like, oh, yeah, because all I get usually is belly pain or, you know, acute mental. And I'm like, okay, I don't know, this guy has, you know, history of, you know, lung cancer or what's going on. But I'm, you know, I'm seeing different things. So I call them and they're like, oh, yeah, they have this, this and this, and this is this. And I'm like, okay, well, this makes sense because there's a lot of things I'm seeing here that are kind of questionable or borderline. But, you know, this all goes together with that.

So I want to ask, what do you think is the future of radiology for people who are current med students? You know, thinking about radiology, do you think, of course I have to ask about AI because everybody asks about AI.

But yep, yep. So. So radiology, there is. There is job security and radiology. So there is there. Like I said, there's a shortage of radiologists right now. There's. That's not going to be made up anytime soon. I don't think they've increased residency spots that I know of any in the recent past. So I think it's in the imaging just continue. The volume just continues to escalate up and up and up. And that really happened during COVID Like I said back to a point earlier, during COVID we were pretty caught up with all of our studies. We know we'd never be more than. Our turnaround time was like 20, 30 minutes. But when Covid hit, for some reason, imaging just exploded and volume, and it has never stopped. And we are just like, oh, my goodness. So it's, It's. I don't know why, but there's so much more imaging being utilized right now. And so, yeah, job security for anybody wanting to go into it. Great specialty. And, you know, you can pick your practice, anything from what I'm doing now to what I did previously. And there's all kinds of outpatient imaging options, all kinds of stuff. Very friendly for, you know, family friendly, unless you get into a really busy practice. But you can pick and choose. And prior to that and yeah, great specialty AI. So it's interesting, I just read an article last week about AI. They keep talking about it's coming, it's coming. And you know, of course, chat. GTP has exploded and it's just all said now. It's. And I'm talking. I've got a guy that's a. And worked in a technology field here in Jackson. He's a good friend of mine and he was just telling me how it's just, it's just hand over fist advancing like by month, but monthly, you know, or weekly. He said, you know, he's a programmer. He said, I don't even have to write a program now. I just tell it what to write and it sits me out code. And I'm like, wow. But we're not there yet. In radiology they are. They did have an article out last week there. They had AI reading chest X rays and they did pulmonary nodule detection. Okay, that one facet of a chest X ray. Right. And AI actually did beat the human interpreters by like a couple of percent and a few that it was over. You know, they tested like there's probably 10 or 12 AI companies out there and they probably tested, they wanted to test all of them, but some of them refused, which I thought was interesting. And they went ahead and put well, that refused in there. That, you know. But the six or seven that they tested did very well and two or three did extremely well. But they're, they're not. That's only one facet of a chest X ray and that's only one of maybe a hundred different types of. Not 100, but you know, types of studies. I read, you know, 50 different types of studies I read. You know, we read anything from, you know, neonatal head ultrasounds to MRI of the knee to a nuclear medicine cardiac study to, I mean all kind, you know, it's just, you know, obviously the CAT scans, X rays, all that sort of thing. But it's going to take AI a while to get there. That being said, we would welcome it being having a shortage of, of radiologists, especially the company. Like we have quarterly calls with our, with the company in San Diego stat red and they kind of give us an update and they're like, we are trying to find AI to help us because we were trying to make ourselves as efficient as possible. And I think it will probably blend in with our practice in the future. Will be. It will give us a preliminary read and say, hey, you know, here's what I think, kind of like as a resident would, if you were doing radiology residency, we would, we would pre read all the studies and the staff would come in and we would read together and then we dictate them after they left. So I think that's essentially what it's going to do. It's Going to give you a pre read and say, what do you think? And then you got to say, yes, yes, yes, no, that sort of thing. It'll be, I think it'll be great when we have it. We're going to need it for sure.

Yeah.

So I think imaging is going to be more in demand and we're going to. There's going to be fewer of us in relationship to the, you know, relative to the amount of imaging being done.

Yeah, yeah, yeah.

Hopefully it catches up in the amount of time that one. The imaging is like more and more imaging things are happening, but also just like people's perception of it. I feel like a lot of med students graduating, they're like, oh, well, I don't know, AI might take over my job, so I don't want to do this. Less and less people are going into radiology, but it needs to catch up. And the same, at the same rate.

You know, it could, you know, you can, it can take your history, physical, do a lot or your history, and maybe you can input some physical findings. You have somebody else do that, a, you know, a nurse or whatever, and take some physical exam and blah, blah, and take some vitals and do all that sort of thing. You could have the patient go down the lab before you even hit the er, you know, or whatever, if they're able to. And, and they could, you know, I could say, okay, it could go through the first, you know, it could, it could start as, as basically a preliminary triage for an er. You could come in and here, here are my symptoms. Okay, go to lab, get the astronaut, go to, go to seat, go to ct, AB pelvis, blah, blah, I've got left lower quadrant pain, that sort of thing. And then it could take over a lot of the jobs, I guess, in medicine's my point. And I've heard it's already starting to look at. They're training it to read pathology slides, actually.

I saw that. Yeah. Yeah. Well, did anybody try to talk you out of doing radiology? Because you're a pretty social person, you know, like, you know, you're very likable, you like people and that. And, you know, there's sort of an image of a radiologist as somebody who just kind of wants to be by himself in a dark room.

Right.

And I don't think you fit that, that prototype. I don't know that that's even really true. But, you know, for, for. But I did, I mean, did you have any, like, kind of worries, like, okay, I really like people. Is this the right Specialty for me.

Right. Yeah, I. I did have a little bit reservation about that one thing. For some reason, I didn't really enjoy, like, clinics very well. I don't know why. I just didn't really enjoy clinics. I enjoyed more the professional interaction as opposed to the. I enjoyed going back and talking to the staff about the patient, and that's what I liked.

And rather than talking to the patient.

Which is fine, I enjoy that too. It's fine. But not as much. I had. I did have a great relationship with a lot of my staff members, going through rotations and things like that. And I'd run into them, they say, what are you going into? And I go, radiology. And I'd get the eye roll. What?

Why?

Yeah, Dr. Hobart likes doctors, not patients.

Starting my practice, I was. I like to talk to the docs about their patients. So I had to open door policy. And sometimes it was too open, I couldn't get work done. But that was the fun part about it and encourage everybody, like, wow, this is great. You know, we don't have this before you know it. Hutch, because they had some other radiologists there before that were older, didn't want to talk to anybody. So. Yeah, it's not the mold. Right. Not the, the prototypical, I guess, but. And then it helped with the patients too. I mean, you know, when I was doing a procedure and I'm walking in and saying, okay, Mr. Smith, I've got to stick this six inch needle in here, your left lung, and biopsy this tumor, and there's a possibility that you could, you could die and, you know, blah, blah. But I've been doing this long time. You know, you just follow these instructions and that sort of thing. But being able to go in and talk to patients about things like that very quickly, have established a relationship within five minutes on a very risky procedure.

Yeah, yeah. So you got to have. Yeah. So having those social skills, it's helpful even in radiology.

Yeah.

Because I even had sometimes the, like the, the oncology patient would come down to me and say, you know, we're. I'd say we're going to biopsy your liver. You have a mass in your liver. What? I've got a mass in my liver. And I like. Did oncologist tell you who actually not to name names, that the oncologist was not reversible. So he was the opposite. The clinician was not reversible. I was the guy that talked to him and tell him what was cool.

My goodness, it was like, Dr. Hobart's.

Coming in everything down for a biopsy and he'd leave the room, you know, boom. And they had no, they were like, no idea. Yeah. So I'd have to say, yes, you have mass in your liver and I'm going to put this big needle in there. And there's risks and there's.

Well, I guess. Do you have any advice for students just starting medical school like me and just, you know.

Yes, it is a journey. You're gonna enjoy it. You'll have fun and do have fun. Remember to relax, have fun, take care of yourself, exercise, do all that sort of stuff, you know, and again, go out with your friends and make, you're gonna make great friends. It's kind of like, you know, when you're being with a group of people under duress, you know, you may, you end up being lifelong friends like Sarah and Wendy and all the ladies are so. But this is gonna be an od. Sound really odd. Buy yourself a good mattress. The best decision I ever made was bought. I bought a really high end mattress. And sleep is such a premium in med school. It's like, and residency and you'll have it forever. You know, it's like, don't try to do the futon thing, the lumpy, bumpy deal where you wake up and you feel terrible in the morning. But a lot of people do that when they're, they're trying, trying to go on the cheap. And I can do this and a couch and a futon and it's like, oh, no, buy a good mattress and.

Okay, I like that advice.

Very specific.

Act to taking the, taking the electives and things. Make sure you get exposure to what you want prior to having to commit to a residency. The other thing I would say too would be to look at, don't, don't put all of your eggs into the giant programs for whatever residency decide to go into. When we were, we were taking call by ourselves. So I mean, the learning curve just goes up in these smaller programs. When you, you get a lot of tasks placed on a lot of responsibility when you don't have a bunch of layers above you. So keep that in mind when you're looking at, you know, fellowship or residencies. Look at the number of fellows that they have in, you know, in their department and ask her, Ask, ask, ask the current residents here how much, you know, experience you get to.

So, yeah, that's actually, that's some really solid good advice. Thank you. Yeah, thank you so much for doing this. And have fun at the Super Bowl. Try to get a picture with T. With.

Yeah, I don't think anybody else is going to try to do that.

Yeah. Be the only one.

All right, well, enjoy. Thank you so much. Yeah, this was awesome.

Hope to get together with you guys soon.

Yeah, yeah, sure.

That'd be great. And good luck, Stephanie, for with everything. If you have any other questions about anything, even throughout your training or whatever, about radiology or just anything, just holler, Okay?

I will. Thank you. I appreciate it. And you guys know where to find us. Generations MD on Tik Tok. Follow Park Cities, personal physicians on Instagram, and we will talk to you next week. Bye, guys.