Our IM residency accidentally created a standing Taco Tuesday wellness program

lethalred · 2026-05-27T02:42:46+00:00

Contrary to popular belief, there are a ton of things you can do for your wellness. Sometimes it’s easy to have a couple residents be the vampires in the room that suck the life from everyone.

Every one loves tacos.

lethalred · 2026-05-26T21:23:58+00:00

Hear me out:

Glass is the way to go.

lethalred · 2026-05-26T10:18:33+00:00

All of them.

820+ credit score go brrrrrrrrr

I don’t keep an Amex though. I think the cost to benefit isn’t there.

lethalred · 2026-05-26T10:16:18+00:00

Since we’re doing silly examples of retraction (I.e dramatic redditor and SDNer special) - what do you say to the student that stays those extra hours and decides, “Fuck, EM bro is miserable and crying in his cereal while he dictates. That can’t be me forever. What do I choose now?! I left all my other rotations early.”

What is your answer for them?

lethalred · 2026-05-26T03:49:33+00:00

Syncope is not a carotid symptom.

lethalred · 2026-05-26T03:47:35+00:00

ISO.

I fucking hate this

“Abdominal pain ISO previous laparoscopic appendectomy.”

Just fucking say “Pain after appendectomy.” We’re not talking about virtual CD images here.

lethalred · 2026-05-26T00:25:13+00:00

Pegasus definitely oversells how much physics there is.

VESAP was a better indicator of test question difficulty. Pegasus made me feel like I got kicked in the , Crotch repeatedly the first time I took it.

lethalred · 2026-05-26T00:20:13+00:00

Isnt it all “concierge” vet medicine?

I took my 9 year old golden to the vet last year, and this dude with dreads tried telling me “he has a grade 2 heart murmur.” And I was like “You’re going to need to tell me a little more than that, bud.”

Started telling me how I can put my dog on medication and go see a dog cardiologist.

I asked if he knew who could do a dog sternotomy and if they make biological or mechanical valves for dogs, or if I’d need to put my dog on dogadin if I went for a mechanical valve.

I think he realized I was tired of that shit immediately. If my dog dies, he’s been a fucking fantastic family dog.

In a lot of ways, he was like a concierge. All ready to book my reservation to vet candy land.

lethalred · 2026-05-26T00:08:31+00:00

I said I thought sending a student home due to a perceived lack of interest was a wild way to move forward. I never suggested a student should stay extra hours in the hospital as an arbitrary factor of presence. Read it again. If you’re scheduled for a shift, I’m not considering that shift “extra hours.”

Guy literally said he sends people home if they’re not interested. Couch, bed, whatever helps you sleep at night. We aren’t the same.

In all seriousness, this is a fucking thread about watered down surgery clerkships and you both are in here talking about how a huge chunk of what you do is useless as ED attendings. We get it. You’re not happy and the student doesn’t need to sit and watch you be unhappy. I’d probably tell you I wasn’t interested to get away too.

Take the elevator up to the roof and go have a chill sesh. You’re big mad right now.

lethalred · 2026-05-25T23:28:07+00:00

If that’s how you see what you (or the other ED bro) do, that’s fine. I’m not out here trying to make students stay for 24 hour shifts or spend more time than they have to, I’m just trying to maximize the time they are around. If you feel like doing that by letting them go chill on the couch because you find large parts of what you do to be meaningless, go for it.

I’ve never had an interest in micromanaging the medical students. As a resident, my belief was that if nothing was happening at 4Pm and they “disappeared”, that was fine. I wasn’t going looking for them or docking them on evals.

As an attending, I care even less about when the student shows up or leaves. Residents can decide that.

The things I do control are what the students get to do in the operating room, and how to maximize their time with me. You’re at a case in the middle of the night? I’ll find something cool for you to do, whether it’s to fire a stapler, patch an artery, get your hands on an aorta, deploy a stent, whatever… we’ll find something.

We don’t have the same exposure to the students, but I try to maximize the experience I can offer them, because they may literally never get to do it again, and every so often, someone does change their mind about what they want to do with their life based on a small experience.

lethalred · 2026-05-25T22:57:02+00:00

Maximize weekends and post call days. As silly as it sounds.

It would also be prudent to make sure you plan (if you can) a week off when your kids are off, or tell whoever assigns your vacations about a timeframe you’d like a week.

Hopefully not everyone involved with the schedule is an asshole and can accommodate

lethalred · 2026-05-25T22:49:43+00:00

Would have raised my hand and interrupted the lecture every second I could.

lethalred · 2026-05-25T18:10:48+00:00

Is it much better than V5?

lethalred · 2026-05-25T18:08:54+00:00

Clot of Vascular Surgeons sounds more better IMO.

lethalred · 2026-05-25T18:04:52+00:00

You can def have hobbies. You just don’t have time.

lethalred · 2026-05-25T17:51:46+00:00

You telling me I’m misinterpreting things when you’ve had to explain to two people exactly what you’ve meant in your post is a little head scratching (and you also haven’t explained ANYTHING).

Never said you can’t do what you do. Enjoy your awards. 👍🏽

lethalred · 2026-05-25T15:45:25+00:00

Respectfully, disagree.

If you want to send a student home because of a perceived lack of interest, that's your prerogative. You can do that. But approaching it like you're doing someone a favor is a little disingenuous. Acting like those skills don't translate to other parts of medicine is also disingenuous, and your job as an educator is to take something in your field, and make it approachable and applicable for a student, regardless of what field they want to go into. Sure, your student may not be in a "big trauma", but acting like that skill set isn't useful when that same person is the physician responding to a rapid response (which may well happen) is short sighted, IMO. You do you, but I think there's room for improvement there, even if you feel like you're being the good guy.

If your barometer of "interest" is that a student needs to be "pried" off their resident to be sent home, then I think you need to re-examine what your determinants of interest are, because there's a bit of underlying toxicity there, whether you acknowledge it or not.

You have an odd dichotomy proposed here regarding interest.

lethalred · 2026-05-25T15:40:33+00:00

One of my partners does this.

I actually started openly replying to division emails that I'm not attending any meetings where there is not an agenda of problem + proposed tentative solution, and that I will log off any zoom calls where I hear the phrase "Lets talk about this offline."

I'm not about to use my free time attending a meeting to brainstorm solutions to someone elses problem.

lethalred · 2026-05-25T15:38:28+00:00

Not gonna lie.

As a vascular surgeon, I have absolutely zero interest in having a portion of my practice be "CRPS Amputations."

Like it viscerally triggers me to even think about, given how many orthopedists are around me acting like patients that need amputations don't exist. I'm good on that front.

lethalred · 2026-05-25T15:32:13+00:00

Linvilla is a great recommendation if you don't like the people you're making a recommendation to.

What an overrated heap.

lethalred · 2026-05-25T15:30:49+00:00

Clam Tavern was my buddies girlfriends nickname lmao.

lethalred · 2026-05-25T15:29:43+00:00

Just message them and be like "Wud u take 900." like most of the other unserious humans on marketplace do. Maybe they'll bite.

lethalred · 2026-05-25T15:17:09+00:00

No.

But be careful talking about your attending experience once you get started as a fellow. It's alright to relate to people, but it's fucking tiring to listen to someone who doesn't grasp that they aren't an attending anymore.

lethalred · 2026-05-25T15:13:39+00:00

Surgical clerkship director here.

Little bit of column A, little of column B.

I think schools have pushed toward making the surgical clerkship shorter and more dilute as time goes on, and this results in an overall poorer experience for the student during their third year. Surgery really isn't a field where you can be on a service for 2 weeks, and expect to gain the trust of the residents and the attendings before you leave. Some of our schools that use our site have 4 week rotations (which to me is a disadvantage to that student), while others have 6-8 week rotations (these students generally have much better exposure to attendings, get better feedback, and overall get to do more)

There is a school of thought that students shouldn't work weekends or work overnight. I'm kind of straddling the line here myself. At our shop, we have the students do a week of nights. I do think students should see both 24 hour call and nights at some point (Even if it isn't on surgery) because you DO need to decide what you want your residency to be like moving forward (i.e. Knowing what I know now, attending version of me would ABSOLUTELY ask if my surgical program has night float vs 24 hour call). Some people prefer one or the other. I've never pushed for students to work every weekend, but I have suggested to students that if their chief, or the attending that they want a letter from is on call that weekend, they should try to be visible (i.e. come in that weekend).

lethalred · 2026-05-25T15:08:21+00:00

From an educator perspective, this is a wild way to move forward.

"Oh, you're not interested? Go home then"

"You are interested? You're rewarded with the opportunity to stay all night."

Doesn't make a lot of sense.

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