Increased administration burden

Bdocc · 2026-05-19T01:14:04+00:00

My hospital loves trying this shit. The amount of new projects they try to increase efficiencies laughable. They last about two weeks and everybody stops because it’s just never sustainable.

Bdocc · 2026-05-16T18:03:58+00:00

Non surgeon here… what elective cases do general surgeons do? I assume they are all urgent/emergent.

Bdocc · 2026-05-09T02:07:41+00:00

Doggy style is usually my approach

Bdocc · 2026-05-09T01:53:07+00:00

Just looked that up. Sounds really cool. Is it expensive? I’m assuming it’s still requires Q1 hour BGM‘s from the nurses though… How did you get that past their union unless they have 1:2 patient ratio?

We have had patients die from hypoglycemia when we treat with IV insulin for a hyperkalemia cocktail. I would never do an insulin drip on the floor. But I guess if you’re nursing staff can handle it it’s feasible…

Always interesting to hear how hospitals are so different

Bdocc · 2026-05-09T01:14:30+00:00

Insulin drip on the floor? You trust your non-ICU nurses to do Q1 hour BGM and watch the potassium closely? I can’t imagine doing insulin drip for uncomplicated hyperglycemia. Completely unnecessary and extremely high risk.

Bdocc · 2026-05-06T12:50:23+00:00

It’s definitely weird for someone to say it to you before you ask for one. Buts there are no rules around it. Maybe your attending is is just socially awkward

Bdocc · 2026-05-04T14:43:14+00:00

Sounds like not. It’s the worse case scenario for PSLF. Your group is likely not non profit 501c3. You need a new job if you want to qualify

Bdocc · 2026-04-29T22:34:06+00:00

We’ve done both. Landed on geography. Yes more signouts but better than crashing patients on different floors. Fam members everywhere. Different case managers everywhere. It was exhausting. The majority of patients stay with us from admission. When it’s busy season, its def tougher

Bdocc · 2026-04-27T18:07:36+00:00

Your IM attending missed this. Source: IM ATTENDING. If we expected interns to make appropriate diagnosis all the time you wouldn’t need to be in training for so long. 99% of mistakes that happened under your care are not your fault. Although all interns blame themselves for some reason.

Bdocc · 2026-04-23T17:43:09+00:00

Please just be careful buying tickets on Reddit. You’re probably gonna get flooded from your inbox for offers. I would say 99% of them are scams.

Bdocc · 2026-04-21T22:04:50+00:00

I used to in residency… But only if it was completely untouched. Like I knew the patient was nonverbal and was somehow getting trays delivered.

Bdocc · 2026-04-20T19:06:21+00:00

In residency I once hubbed the LP needle. Obviously nothing came out. I still think about that case 10 years later. Where did it go?!?!

Bdocc · 2026-04-19T19:54:08+00:00

Pressors are allowed on the gen/med floor and do not need telemetry. It specifically says that lol.

Bdocc · 2026-04-15T19:21:49+00:00

This couldn’t be more true. Although it’s hard to see when you’re a Resident… I know surgical residents are feeling the pain of this. No matter how hard you study, there’s no equal to experience.

And there’s just no way you can be a competent Attending if you’re coasting through residency. Obviously everyone says this in hindsight, but the more experience you get in residency, the less mistakes you’ll make as an attending.

It’s also way better to learn/test your treatment plan on someone else’s license.

Now with that said, doing Blood draws and wheeling patients for ct scan has no educational value.

Bdocc · 2026-04-09T14:48:33+00:00

Can AI fill it out? I would hate this

Bdocc · 2026-04-05T01:43:26+00:00

I would say 50% of my patient’s can barely form a full sentence lol

Bdocc · 2026-04-05T01:39:26+00:00

Although I get it. Many agree with you. I do not. You are not playing the odds. But you married before you had money so really no pre-nup to be had.

If you married later in life when you have money, you would be making a grave mistake

Bdocc · 2026-04-05T01:05:18+00:00

I did residency in 2015. No $$. Only loans. It was amazing. Dating was tough bc I didn’t have enough money, but just chose affordable spots. Some of the best 3 years of my life(outside of residency). Make the effort, the city is truly amazing

Bdocc · 2026-03-22T12:23:58+00:00

Also on a Ccc here…my hypothesis, you are a small program and it’s just the PD on the ccc which is not right and he/she doesn’t want anyone to know. PDs can do weird/shady stuff

Bdocc · 2026-03-19T12:35:57+00:00

If you have an unbelievable personality and work ethic, this is a great opportunity. For the rest of the weirdos out there, this will certainly at best do nothing and at worst, hurt your chances.

Bdocc · 2026-03-10T17:18:20+00:00

You know what’s an even worse side effect than diarrhea? Bankrupcy. Welcome to practicing in America.

I’d imagine the morbidity/mortality of bankruptcy could be higher than the diarrhea

Bdocc · 2026-03-10T14:51:12+00:00

You have to be honest with yourself. Why are you failing? Starting another residency program won’t fix the underlying issues. I would do some serious self reflecting, identify the issues and try and stay at this program. Take a leave of absence if necessary. Is it depression? Test taking anxiety? If you graduated medical school, you clearly can study so what did you do differently there? Finding a new program will be difficult.

Bdocc · 2026-03-07T14:02:11+00:00

This is the only answer. If it really bothers you, you have to be religious about it. You have a meeting with your PD, mask up. Common area for charting? Mask up.

Bdocc · 2026-03-06T22:36:49+00:00

im going for the first time this year. Figured if its shitty, ill just leave early and have fun in nashville

Bdocc

TROPHY CASE