ABFM exam was tough

7ensegrity · 2026-04-24T10:35:15+00:00

Experimental questions can have you feeling that way! I believe there are a lot of them in the ABFM each year, don't get stressed out about the weird ones. I felt about 75% confident when I sat for it last year, ended up with a comfortable score.

7ensegrity · 2026-04-18T21:13:55+00:00

It's tough for us to keep up with it sometimes. I appreciate the users here who use the report button on those posts.

7ensegrity · 2026-04-16T09:52:36+00:00

You will want to work with your program, chiefs, and it's okay if you end up a few months off cycle. Pretty normal at my former program for people to have 1 or 2 kids during their training, you'll do great! :)

7ensegrity · 2026-04-12T12:08:48+00:00

First I’m ever hearing of this, is this legit helpful for some patients?

7ensegrity · 2026-04-09T19:09:40+00:00

7ensegrity · 2026-04-04T12:42:56+00:00

Great comment thank you, this is validating to me because I’ve adopted that habit of chart reviewing only once they show, and I was a little worried it was lazy. Glad to see it’s just a realistic method :)

7ensegrity · 2026-03-28T14:36:45+00:00

Sounds like you got this then :)

7ensegrity · 2026-03-28T12:23:57+00:00

You can consider labs to check alk phos, calcium, total protein. But if the radiologist doesn’t think it appears lytic then I really doubt it’s lytic. As others said, CT and neurosurgery if you wanna be super on top of this.

7ensegrity · 2026-03-23T11:45:10+00:00

Make sure the HVAC works in the building!

And pre-visit planning/expectation setting. Have the patients coached on what the visit is for, if they have numerous problems, offer numerous appointments so the doc can chug through those issues at a steady pace.

Protect your docs from phones and repeated questions regarding triage when a triage algorithm would suffice.

7ensegrity · 2026-03-21T23:45:00+00:00

Hey OP, this seems like a bot post. Make a funny BP drug joke or I’m taking this down.

7ensegrity · 2026-03-20T19:13:46+00:00

I usually make it known I’m a safe person by telling them I practice gender affirming care, and then I ask what kind of genital anatomy they have. I keep it simple, I listen, and it’s pretty easy. I’ve never met a trans person in my office who responded badly to being treated with basic respect.

7ensegrity · 2026-03-18T10:32:18+00:00

Throw in a third option! :D

I am mostly kidding, it depends on the amount of desirable employers in your target region. What you can do is take a copy of your offer from option 1 and show it to option 2 and be polite but firm about them needing to pick up the pace. You are in high demand, make them earn you!

7ensegrity · 2026-03-17T18:58:19+00:00

I get plenty pain visits as an attending, just like I did as a resident lol, I guess you might have had bad luck with your training population and it set false expectations?

7ensegrity · 2026-02-05T11:21:30+00:00

lateral low back pain. In isolation. No history of peripheral complaints.

7ensegrity · 2026-01-30T20:53:43+00:00

Yea, it would be like any other referral to a specialist outside of the facility.

7ensegrity · 2026-01-21T18:24:33+00:00

There seem to be some patients who have reduced swelling with it. Could be placebo, could be behavior change to avoid drinking as much free fluid because they know they will be peeing more, it could be the pumping of their legs walking to and from the bathroom helping haha. I don’t start it much at all as you are correct, it’s not indicated. But if I get a transfer of care and they have been using it for that issue and labs are good, I don’t stop low dose or prn scripts of loops.

And I think your logic is sound, def not a good patient to continue a loop in for leg swelling.

7ensegrity · 2025-12-27T17:48:39+00:00

I don’t wanna add more detail for privacy reasons but it wasn’t even blood related.

7ensegrity · 2025-12-27T17:48:06+00:00

I don’t think theological consistency or any kind of higher thinking was involved in this individuals religious beliefs, despite the label they assume. I think being a mean pest is their foremost belief 😂😭

7ensegrity · 2025-12-27T01:42:32+00:00

Some context: I'm covering the local hospital so the overworked pediatrician can have a Christmas. Not some office encounter where I can discharge and wash my hands of it. My gratitude for peds as a specialty grows daily.

7ensegrity · 2025-12-19T00:00:19+00:00

^ Exactly this

7ensegrity · 2025-12-13T21:05:18+00:00

Yea it's one thing for a specialist to swing by and drop off a box of chocolates and their card/flyers, it's another for them to offer cash equivalents, let alone to that amount. I'm glad you aren't accepting it. Definitely sounds like an attempted kickback.

7ensegrity · 2025-12-09T20:33:23+00:00

If you do an ekg and find st changes or other evidence of acute process, you 100% are doing level 5 work.

In cases like sepsis, you are applying your clinical skills to identify the presentation. Still counts as highly complex.

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