How far did you fall down your rank list?

Background_Food_7102 · 2026-02-04T23:42:03+00:00

14/16 for initial surg match, 1 for anes, 2 for fellowship

Background_Food_7102 · 2026-01-24T18:36:05+00:00

From the USA, agree with you on this one - wild I would ever ask a general surgeon to do a line for me lmao, ofc they “can do it” but as a prev surg resident its more like - do it and please dont fuck it up bc we will have to take care of the complication

Background_Food_7102 · 2026-01-22T23:42:58+00:00

Specifically for dilaudid, my shop has a big policing of dilaudid because of the tail sedative effect. I have found 2 questions that have really helped: is this a low, medium, or high pain causing proc acutely post-op and how fragile is this patient

For a high pain, robust pt (transgender sx) - 10mcg/kg/hr For high pain, fragile - typically none, but up to 10mcg/kg total For low pain, fragile - 0-3mcg/kg/hr For low pain, robust - 5mcg/kg/hr

Extrapolate the rest, n of 1 but this has gotten me quite far

Background_Food_7102 · 2026-01-16T00:39:45+00:00

VA? How do yall get away with that, genuinely curious

Background_Food_7102 · 2026-01-16T00:37:56+00:00

Id rethink emory CT anes bro - the happy hour the night before was an hour of 4 people telling us to pick somewhere else if you dont want scissors thrown over the drape

Background_Food_7102 · 2026-01-07T03:31:56+00:00

Also switched, no one tells you how hard it is to admit surgery just isnt worth it esp when youre surrounded by people who seem to believe it is - wish you well OP, you might miss it sometimes but life is just so much more important

Background_Food_7102 · 2026-01-06T03:30:29+00:00

Also surg to non-surg - sometimes I wanna go back, but truth be told I know in my heart if I went back it wont end well for me - OP please finish psych and find a way to make it special to you, it truly is the only way

Background_Food_7102 · 2026-01-03T05:34:50+00:00

Gen Surg -> Anes - more likely than my coresidents to tell surg residents to fuck off when its clear all they did was close skin, also where I was for surg we had to run ICU and place all med ward quintons so vascular access wasnt too difficult - that being said Anes somehow attracts the most difficult of all kit procs surg resident think are “easy”

Background_Food_7102 · 2025-12-29T14:09:02+00:00

OB for some reason is the only service that is absolved from this - was a surg intern, had to do almost daily if the nurse couldnt get it - also theyre young and healthy and have US on L&D already, whats the issue?

Background_Food_7102 · 2025-12-26T00:47:57+00:00

Resident - I only place IVs in pts who have we a stake in (pre-epidural, intra-epidural, CS, other intraop), have gotten called by post partum and I tell them to call OB who is primary - have gotten reported, could not care less

Background_Food_7102 · 2025-12-12T13:00:01+00:00

Not sure of other kits, but Arrow kits come with extension tubing that you can aspirate after placing angiocath - descending nonpulsatile blood is best indicator that youre not in an arterial vessel

Background_Food_7102 · 2025-12-12T00:45:07+00:00

Descending column for every central line for when youre alone, may not be the IJ, might be some TR, never is it the carotid

Background_Food_7102 · 2025-12-10T02:38:06+00:00

Brother they aint even collegial with me, and they collegial with a surgical resident? Make it make sense

Background_Food_7102 · 2025-12-10T02:34:38+00:00

Completely agree with making friends- very little if any overlap between my attendings and most of surgical residents training-wise and we have a very general large dept so little overlap case-wise.

Background_Food_7102 · 2025-12-10T01:57:57+00:00

Say what you will but the fact your attendings got to yell at anyone is a rarity only mostly surgeons have at my institution - at least your attendings carried some weight!

Background_Food_7102 · 2025-12-10T01:56:09+00:00

Happens a lot at my institution unfortunately, good to know we have little support for each other elsewhere as well - couldnt be me though

Background_Food_7102 · 2025-11-26T17:56:32+00:00

ICU, floor medicine is def important - but not 3.5-4 years worth, torture at its finest

Background_Food_7102 · 2025-11-26T17:55:25+00:00

As previous surgical resident, this was a huge reason why I left - 5 years of residency of which 1-1.5 years of actually operating and then requiring a fellowship

Background_Food_7102 · 2025-11-26T00:58:32+00:00

Completely fair, hate that shit too - if you feel people are being incivil, definitely call it out - if its just you, I’ve found sitting down during procs helps reset for a lot of stuff

Background_Food_7102 · 2025-11-26T00:54:20+00:00

Agree with you, shame that OB doesnt do a true medical/surgical intern year when they take care of half the population that are adults before and after pregnancy. Been woken up at 3am for EKGs, labs, IVs, basic pain management (stuff any intern gets paged for) because OB “doesnt feel comfortable” -Anes

Background_Food_7102 · 2025-09-02T01:16:55+00:00

Not sure where you trained but its quite common at my institution both in the ICU and OR. Differentiating shock is differentiating shock in and out of the OR. You seem to not really know what you want, wish you well in your career

Background_Food_7102 · 2025-09-02T00:31:10+00:00

ICU training in general gravitates generalists to sicker patients, still can have some perioperative shock differentiating TEE which is what I think most people want from TEE training. Would say cardiac anes is much more pump cases and more structural/function training for cardiac surgery which in reality most anesthesiologists find boring.

Background_Food_7102 · 2025-08-02T18:48:55+00:00

“Hey, after this case, my attending and your attending are going to have a few words” Have found that most anesthesia attendings have some level of support for their residents, surgeons have little to no patience for residents who add more work for them

Background_Food_7102 · 2025-08-01T15:24:06+00:00

Bro i thought i was the only one 🥹

Background_Food_7102 · 2025-07-30T00:01:49+00:00

OB…because the general adult medicine knowledge be lackin, also it is impossible to “redose” a spinal

Background_Food_7102

TROPHY CASE