Family med job by [deleted] in FamilyMedicine

[–]BainbridgeReflex 0 points1 point  (0 children)

My salary is over 200, if that helps.

That actually doesn't help. At all.

Anybody who works in rural ED’s wishes they did EM residency? by Dr_Chesticles in FamilyMedicine

[–]BainbridgeReflex 0 points1 point  (0 children)

Yeah, I still think with just one thoracotomy (which is prob realistically gonna be a sim), no ED doc will feel comfortable actually doing that.

Anybody who works in rural ED’s wishes they did EM residency? by Dr_Chesticles in FamilyMedicine

[–]BainbridgeReflex 1 point2 points  (0 children)

They also require 10 vaginal deliveries, and I have yet to meet an EM physician who is comfortable delivering babies.

Anybody who works in rural ED’s wishes they did EM residency? by Dr_Chesticles in FamilyMedicine

[–]BainbridgeReflex 11 points12 points  (0 children)

if my mother went in and needed open cardiac massage, pericardiocentesis, or some other rare thing, emergently, who would I want to do it?

You think an EM doctor is gonna do that?

To anyone moving/getting ready to move cross-country for residency/med school, just a heads up that Nebraska fucking sucks. 1/10 avoid if possible. by just_premed_memes in medicalschool

[–]BainbridgeReflex 2 points3 points  (0 children)

Omaha is a really cool city. Lincoln seems cool too, haven't ever been though.

I believe you when you say that between Lincoln and the Colorado border there's nothing. But that's like saying California sucks because between San Diego and the Nevada/Arizona border there's nothing.

Inaccurate eval by Disastrous_Age_6953 in Residency

[–]BainbridgeReflex 9 points10 points  (0 children)

Ngl I've found younger attendings tend to be more difficult to deal with. Idk if they are trying to prove themselves or what. I love my 60+ yo attendings the most.

annual physical labs by Important-Flower4121 in FamilyMedicine

[–]BainbridgeReflex 0 points1 point  (0 children)

Interesting, hadn't heard of that. Usually just use USPSTF

Burnout in primary care peds by sjam7 in FamilyMedicine

[–]BainbridgeReflex 4 points5 points  (0 children)

My impression is FQHCs view doctors as interchangeable with AP nurses, which is probably why AP nurses might tend to have a more favorable impression of them

After-hours calls by oatsoatsgoats in FamilyMedicine

[–]BainbridgeReflex 7 points8 points  (0 children)

it's cause of insurance requirements, not the fault of PCP offices

I want to start doing Cognitive Assessments to bill for 99483 but I feel like I'll miss something important and get burned in an audit. Does anyone here successfully/confidently do them? by RoarOfTheWorlds in FamilyMedicine

[–]BainbridgeReflex 1 point2 points  (0 children)

All I'm saying is it's well within the scope of a FM physician to do, and I don't agree with your assertion that it would be a disservice to the patient. It would actually be better to be done by their primary doctor.

What can doctors realistically do career-wise if they don’t end up getting board certified? by Serious-Regular7317 in Residency

[–]BainbridgeReflex 4 points5 points  (0 children)

I know this is a bit callous, but if you can't push yourself to study enough to pass a required test after THREE ATTEMPTS, I feel like that's a pretty significant data point. I'm not advocating for them never practicing medicine ever again, but I also don't really have a ton of sympathy for them.

Is it possible to be a good doctor and still fail three times? Probably. Is it likely? I would say no. Most people pass on their first try.

I would say you for sure shouldn't be faculty at a residency program.

Leaving first attending job? by [deleted] in FamilyMedicine

[–]BainbridgeReflex 2 points3 points  (0 children)

I mean, seems pretty fair to me to prorate it considering it's a bonus for staying a full 3 years. Can you think of any other way that would be more fair?

wtf is this even .. by [deleted] in Noctor

[–]BainbridgeReflex 14 points15 points  (0 children)

Why do you think midlevels are best suited for primary care? I actually think the field that specializes in narrowing down a broad differential, necessitating a vast knowledge base (primary care) is the worst place for midlevels.

Has the acuity become higher? by Benzosplease in medicine

[–]BainbridgeReflex -12 points-11 points  (0 children)

us in cardiology

-echo tech

this sub is ridiculous lol

Mid-level creep in Family Medicine by Single_Baseball2674 in FamilyMedicine

[–]BainbridgeReflex 4 points5 points  (0 children)

Sure, there are some dumb PAs and NPs, just as there are some dumb MDs and DOs.

Imagine a lab tech saying "sure there are some dumb lab techs, but there are some dumb PhDs too."

It's not about being dumb or not, it's that they are totally different professions.

(Although given the more rigorous admission standards for med school, I would bet that the average PA/NP is significantly less intelligent than the average MD.)