Bryan Carmody
@jbcarmody.bsky.social
The Sheriff of Sodium | Pediatric nephrologist | EVMS associate professor | APD | Husband | Dad | Virginian | Advocate for medical trainees and common sense
OpenEvidence has revenue of $50 million.
But investors value it at $6.1 BILLION.
So… a couple of questions for the “AI won’t replace doctors!” crowd:
What do you think OE’s long-term monetization pathway looks like?
And what do investors expect to happen that could justify this valuation?
But investors value it at $6.1 BILLION.
So… a couple of questions for the “AI won’t replace doctors!” crowd:
What do you think OE’s long-term monetization pathway looks like?
And what do investors expect to happen that could justify this valuation?
October 30, 2025 at 12:13 AM
OpenEvidence has revenue of $50 million.
But investors value it at $6.1 BILLION.
So… a couple of questions for the “AI won’t replace doctors!” crowd:
What do you think OE’s long-term monetization pathway looks like?
And what do investors expect to happen that could justify this valuation?
But investors value it at $6.1 BILLION.
So… a couple of questions for the “AI won’t replace doctors!” crowd:
What do you think OE’s long-term monetization pathway looks like?
And what do investors expect to happen that could justify this valuation?
Meanwhile, the mean USMLE Step 2 score continues to rise by around 1 point/year.
For the 2024-2025 academic year, it hit 250.
(But don’t worry - the minimum passing score was increased in July from 214 to 218.)
For the 2024-2025 academic year, it hit 250.
(But don’t worry - the minimum passing score was increased in July from 214 to 218.)
October 14, 2025 at 3:17 PM
Meanwhile, the mean USMLE Step 2 score continues to rise by around 1 point/year.
For the 2024-2025 academic year, it hit 250.
(But don’t worry - the minimum passing score was increased in July from 214 to 218.)
For the 2024-2025 academic year, it hit 250.
(But don’t worry - the minimum passing score was increased in July from 214 to 218.)
Another year, another increase in USMLE Step 2 CK performance.
Notice how the distribution shifts rightward every year.
Notice how the distribution shifts rightward every year.
October 14, 2025 at 3:17 PM
Another year, another increase in USMLE Step 2 CK performance.
Notice how the distribution shifts rightward every year.
Notice how the distribution shifts rightward every year.
Preference signaling in the 2026 Match
September 3, 2025 at 11:15 PM
Preference signaling in the 2026 Match
Let the residency application Bot Wars commence.
May the odds be ever in your favor.
www.thalamusgme.com/blogs/thalam...
May the odds be ever in your favor.
www.thalamusgme.com/blogs/thalam...
July 30, 2025 at 4:58 PM
Let the residency application Bot Wars commence.
May the odds be ever in your favor.
www.thalamusgme.com/blogs/thalam...
May the odds be ever in your favor.
www.thalamusgme.com/blogs/thalam...
Starting in July, the minimum passing score for the USMLE Step 2 CK exam will increase from 214–>218.
(Recent first-time pass rates for US students have been ~98%, so this is not a surprising move.)
(Recent first-time pass rates for US students have been ~98%, so this is not a surprising move.)
June 17, 2025 at 2:51 PM
Starting in July, the minimum passing score for the USMLE Step 2 CK exam will increase from 214–>218.
(Recent first-time pass rates for US students have been ~98%, so this is not a surprising move.)
(Recent first-time pass rates for US students have been ~98%, so this is not a surprising move.)
Given to me by a patient
May 22, 2025 at 2:35 PM
Given to me by a patient
Ever had a conversation like this?
May 11, 2025 at 2:31 PM
Ever had a conversation like this?
In a news release filed under the category tag “Leadership”, the ACGME announced it will no longer enforce program and institutional standards related to diversity, equity, and inclusion.
www.acgme.org/newsroom/202...
www.acgme.org/newsroom/202...
May 11, 2025 at 2:08 PM
In a news release filed under the category tag “Leadership”, the ACGME announced it will no longer enforce program and institutional standards related to diversity, equity, and inclusion.
www.acgme.org/newsroom/202...
www.acgme.org/newsroom/202...
New executive order targets the organizations that accredit medical schools and residency programs.
Will this be the end of the LCME and ACGME?
www.whitehouse.gov/presidential...
Will this be the end of the LCME and ACGME?
www.whitehouse.gov/presidential...
April 23, 2025 at 11:37 PM
New executive order targets the organizations that accredit medical schools and residency programs.
Will this be the end of the LCME and ACGME?
www.whitehouse.gov/presidential...
Will this be the end of the LCME and ACGME?
www.whitehouse.gov/presidential...
This is the best potential explanation I’ve seen (via DM).
March 10, 2025 at 2:40 PM
This is the best potential explanation I’ve seen (via DM).
Why an applicant would use a pseudonym to send a complaining email, 9 days before rank lists were due, to a residency program at which they’d done an away rotation and a research project (and at which they were ranked highly) is beyond me.
But anyhow, now they’re on PubMed.
But anyhow, now they’re on PubMed.
March 9, 2025 at 9:54 PM
Why an applicant would use a pseudonym to send a complaining email, 9 days before rank lists were due, to a residency program at which they’d done an away rotation and a research project (and at which they were ranked highly) is beyond me.
But anyhow, now they’re on PubMed.
But anyhow, now they’re on PubMed.
The University of Silicon Andhra doesn’t seem to have a Wikipedia page (?), but its website boasts of a total enrollment of 230 students in 2022, with academic programs in Carnatic Music, Bharatanatyam, Kuchipudi, Sanskrit, and Telugu.
February 12, 2025 at 11:18 PM
The University of Silicon Andhra doesn’t seem to have a Wikipedia page (?), but its website boasts of a total enrollment of 230 students in 2022, with academic programs in Carnatic Music, Bharatanatyam, Kuchipudi, Sanskrit, and Telugu.
We may be getting a new medical school in California…
The University of Silicon Andhra School of Medicine
The University of Silicon Andhra School of Medicine
February 12, 2025 at 11:18 PM
We may be getting a new medical school in California…
The University of Silicon Andhra School of Medicine
The University of Silicon Andhra School of Medicine
Resident physician salaries rise only at the rate of inflation - completely untethered to any other market force.
The median PGY-1 salary for current residents is $65,100… which is ~$48,000 in 2012 dollars in case you wanted to plot it on the graphic below.
The median PGY-1 salary for current residents is $65,100… which is ~$48,000 in 2012 dollars in case you wanted to plot it on the graphic below.
February 11, 2025 at 7:17 PM
Resident physician salaries rise only at the rate of inflation - completely untethered to any other market force.
The median PGY-1 salary for current residents is $65,100… which is ~$48,000 in 2012 dollars in case you wanted to plot it on the graphic below.
The median PGY-1 salary for current residents is $65,100… which is ~$48,000 in 2012 dollars in case you wanted to plot it on the graphic below.
New data on the primacy of signaling in the residency application process.
Note the massive drop-off in interview rate for signaled/non-signaled applications, especially in ‘big signaling’ specialties.
Deciding where to signal is *the* new high stakes meta-game in residency selection.
Note the massive drop-off in interview rate for signaled/non-signaled applications, especially in ‘big signaling’ specialties.
Deciding where to signal is *the* new high stakes meta-game in residency selection.
February 3, 2025 at 3:23 AM
New data on the primacy of signaling in the residency application process.
Note the massive drop-off in interview rate for signaled/non-signaled applications, especially in ‘big signaling’ specialties.
Deciding where to signal is *the* new high stakes meta-game in residency selection.
Note the massive drop-off in interview rate for signaled/non-signaled applications, especially in ‘big signaling’ specialties.
Deciding where to signal is *the* new high stakes meta-game in residency selection.
BREAKING NEWS:
A federal judge has *dismissed* the class action lawsuit filed by two Nepali physicians alleging that the NBME unlawfully discriminated against them when invaliding their USMLE scores in last year’s cheating scandal.
A federal judge has *dismissed* the class action lawsuit filed by two Nepali physicians alleging that the NBME unlawfully discriminated against them when invaliding their USMLE scores in last year’s cheating scandal.
January 29, 2025 at 1:56 AM
BREAKING NEWS:
A federal judge has *dismissed* the class action lawsuit filed by two Nepali physicians alleging that the NBME unlawfully discriminated against them when invaliding their USMLE scores in last year’s cheating scandal.
A federal judge has *dismissed* the class action lawsuit filed by two Nepali physicians alleging that the NBME unlawfully discriminated against them when invaliding their USMLE scores in last year’s cheating scandal.
January 25, 2025 at 1:44 PM
The total number of medical school applicants declined again last year, reaching the lowest number since 2017.
(Meanwhile, the number of matriculants hit an all time high.)
(Meanwhile, the number of matriculants hit an all time high.)
January 10, 2025 at 1:44 AM
The total number of medical school applicants declined again last year, reaching the lowest number since 2017.
(Meanwhile, the number of matriculants hit an all time high.)
(Meanwhile, the number of matriculants hit an all time high.)
Yes and no.
The NRMP Charting Outcomes reports show match rates by number of contiguous ranks submitted (which is a reasonable surrogate for interview number, since most applicants rank all programs at which they interviewed.
e.g., here, for international medical graduates in general surgery:
The NRMP Charting Outcomes reports show match rates by number of contiguous ranks submitted (which is a reasonable surrogate for interview number, since most applicants rank all programs at which they interviewed.
e.g., here, for international medical graduates in general surgery:
January 9, 2025 at 6:06 PM
Yes and no.
The NRMP Charting Outcomes reports show match rates by number of contiguous ranks submitted (which is a reasonable surrogate for interview number, since most applicants rank all programs at which they interviewed.
e.g., here, for international medical graduates in general surgery:
The NRMP Charting Outcomes reports show match rates by number of contiguous ranks submitted (which is a reasonable surrogate for interview number, since most applicants rank all programs at which they interviewed.
e.g., here, for international medical graduates in general surgery:
Ask and ye shall receive
December 11, 2024 at 10:44 PM
Ask and ye shall receive
Announcement from the NBME today:
There will be no increase to the USMLE Step 1 minimum passing score.
(at least, not yet)
There will be no increase to the USMLE Step 1 minimum passing score.
(at least, not yet)
December 11, 2024 at 10:36 PM
Announcement from the NBME today:
There will be no increase to the USMLE Step 1 minimum passing score.
(at least, not yet)
There will be no increase to the USMLE Step 1 minimum passing score.
(at least, not yet)
No - the graphic above is positions. But some programs offer more than one position
December 7, 2024 at 3:07 PM
No - the graphic above is positions. But some programs offer more than one position
Percentage of available positions that filled in yesterday’s fellowship match.
December 5, 2024 at 2:10 PM
Percentage of available positions that filled in yesterday’s fellowship match.
The top 20 most common passwords
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November 30, 2024 at 1:21 PM
The top 20 most common passwords
🤦♂️
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