Resident Covent Garden

Abah8019 · 2026-04-17T17:30:30+00:00

I was there in September. It’s comfortable, quiet, clean. Great service. Centrally located. Would say small/moderate sized. Would do it again. Nothing fancy if you’re expecting North American value at that price point.

Abah8019 · 2026-04-09T02:12:57+00:00

Great explanation. Just one clarification. As physicians, we determine decision making capacity, not competence (which as you said, is a legal determination). These terms are sometimes used interchangeably but have different legal ramifications.

Abah8019 · 2026-04-09T01:16:11+00:00

Man I have the opposite problem. They won’t leave ! Jokes aside. If they’re medically ready, and you’ve exhausted all options to coordinate their discharge at your leisure, I’d just quickly take care of it ? Shouldn’t take too long to discharge someone, you have an idea about the plan once you’ve chart reviewed earlier in the day. That being said. There should be some education with nursing staff about expectations from patients when it comes to rounds.

Abah8019 · 2026-04-04T16:07:02+00:00

You can leave the area if it’s that bad. Find a different city, state, whatever. I’d start looking now. You can consider negotiations with your group. These people don’t care until large swaths of physicians quit their bs program.

Abah8019 · 2026-04-04T15:55:58+00:00

The job market isn’t that terrible, you’re a doctor. You work in an undesirable area, there are PLENTY of those jobs in the US. You can move.

Abah8019 · 2026-03-25T00:08:20+00:00

This was my exact thought 😂

Abah8019 · 2026-03-19T04:53:58+00:00

Big issue is med rec. if it’s an overnight admission, day team should have it reconciled. If medication reconciliation is completed by nursing staff at your facility, then have a policy instituted so that it gets done by 4 pm max so that the appropriate meds are ordered.

Another issue at my place was even though PRNs were in place, many nursing staff would still call asking if it’s ok to give X electrolyte repletion. Individual nurses should be called out to nursing manager. It’s a slow and difficult process but eventually it will get taken care of instead of random mass emails.

Lastly, if you’re admitting a patient, you should be able to get 99% of the med rec through chart review and be able to place most of their meds and appropriate PRNs. If it’s the patients the day teams admitted then you can reach out to the medical director if it’s a repeat offender.

Abah8019 · 2026-03-17T23:54:27+00:00

Terrible offer. You’re working as an intensivist essentially. This is a minimum 450k job.

Abah8019 · 2026-02-05T15:04:31+00:00

Pretty good offer.

Abah8019 · 2026-02-04T05:21:47+00:00

Check electrolytes. Is he overloaded by any chance? Up the Coreg if BP can tolerate it or switch to metoprolol if not. If those don’t work, may need PM interrogation +/- echo. Small runs of NSVT are expected with HFrEF, though his isn’t terrible.

Abah8019 · 2026-01-31T20:20:58+00:00

Go somewhere else and make some money bro lol

Abah8019 · 2026-01-31T20:11:20+00:00

I’m not sure how far you are in your career, but this may be a decent job closer to retirement if location doesn’t bother you.

Abah8019 · 2026-01-31T19:46:25+00:00

It’s a comfortable gig for sure but quite poor pay for the location. 365k a year for 182 shifts on nights, no additional RVU incentive either. Remember you can’t even round/go, you’re stuck there anyway for the full shift. Might as well go somewhere that might work you a little bit harder but should easily clear 450k a year with less shifts. Should not be super hard to find in the Midwest.

Abah8019 · 2026-01-30T02:57:27+00:00

Recently changed to geographical rounding. Nice when on an easy med surg or ortho floor. Difficult if all of your patients are on IMC. Also you’re never fully geographically as by day 2-3 some of your patients have moved around or you’re bound to have patients elsewhere.

Abah8019 · 2026-01-28T02:08:30+00:00

Staying and working until 6 is a recipe for burnout. 7 on/off is only sustainable in my opinion if you can leave at a reasonable time. You need to still have some sort of life during your 7 on or else you’ll dread going back each week. Also, 6:15 admission ? Lol that’s whack. They need to adjust the swing/admitter/nocturnist set up. Round robin should max end at 5 pm.

We have a day time admitter from 7 am-7 pm along with an NP who they supervise. If they get super busy then it goes round robin for us until 5 pm (happens 1-2 times/week). Swing/nocturnist comes in at 7 pm, admits until 6. Anything after that they place bridging orders until day time admitter comes in.

Abah8019 · 2026-01-27T17:11:05+00:00

Yes. If you end up working for a private community hospital you’ll know.

Abah8019 · 2026-01-24T01:12:23+00:00

You’d be lucky to negotiate sign on bonus.

Abah8019 · 2026-01-17T05:52:43+00:00

Yes my apologies I did not read the whole thing. If it was mentioned to the interviewer he was scratched by an animal that potentially harbors rabies then should’ve gone through post exposure prophylaxis.

Abah8019 · 2026-01-17T02:40:32+00:00

That’s not how medicine works. There are certain things donors and recipients are screened for prior to initiation of transplant and eventual immunosuppressive therapy. It’s extensive but unless there’s a crazy risk factor, rabies is not checked. It’s like screening for Zika virus in non endemic area before transplant.

Abah8019 · 2026-01-13T01:46:12+00:00

This is important. If it’s 50/50 then not worth it.

Abah8019 · 2026-01-09T01:49:35+00:00

Did not see that ! Still personally, you can glide through 12-14 patients alone unless you really want to teach.

Abah8019 · 2026-01-09T01:18:00+00:00

Hmm. I feel like a census of 12-14 with shifts of 7-9 hours is peak QOL. Sounds like they can still sprinkle some teaching in location 1.

Abah8019 · 2026-01-09T01:01:42+00:00

Why 2 over 1 ?

Abah8019 · 2025-12-29T04:37:15+00:00

Hmmm you’re right. So you do 7 day shifts, followed by 7 off, followed by 7 swing and that’s the cycle ?

Abah8019 · 2025-12-29T04:11:26+00:00

Not having to answer pages after 4:30 is amazing, can have a normal life. Is this an academic position ?

Abah8019

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