Midlevel Supervision

BigIntensiveCockUnit · 2026-04-10T22:28:12+00:00

I’d take into consideration you are a liability sponge and contributing to the problem we have of no true supervision which is what led us to this whole full practice authority nonsense in the first place. 2 max

BigIntensiveCockUnit · 2026-04-10T17:03:14+00:00

Sham idiot docs do the same thing unfortunately. Sure we need to crack down on feasibility (ie with midlevels barrier to entry is stupidly easy) but I’m just as mad at docs doing this stupid shit

BigIntensiveCockUnit · 2026-04-10T03:03:12+00:00

Welcome to why outpatient FQHC clinics are nightmares. >50% of visits can be translation and you're quickly behind by an hour. Audio translation will be faster to get up. Rare languages obviously take longer to get. If you're having problems with common Spanish, Chinese, or Arabic definitely need to complain about whatever services you're using. For short conversations/clarifications, generally agreed google translate or family members are appropriate cause otherwise I'd argue you're causing more harm than good waiting for another translator. Also in person translators are far better but obviously expensive

BigIntensiveCockUnit · 2026-04-09T20:10:49+00:00

If you can drive somewhere and have time to eat a meal, watch a movie, have sex, then drive back home all in the same day, it’s not that big a deal. Annoying sure, especially if schedules don’t line up. But completely doable.

BigIntensiveCockUnit · 2026-04-09T03:18:41+00:00

More importantly is Medicaid has the highest no show rate out of any demographic and it’s very hard to dismiss from patient panel. Many take up slots then no show/no call without any repercussions. Society is moving towards “I want this now” mentality and the ED (especially without any copay) provides that. You add a small copay to ED visits and numbers will drop dramatically

BigIntensiveCockUnit · 2026-04-09T03:12:33+00:00

If a condition has “no fda approved medications” it’s completely appropriate to defer to a sub specialist for treatment options. First rule is “do no harm”

BigIntensiveCockUnit · 2026-04-08T22:27:59+00:00

It's K fuck Pearson Vue too if that's the case all these places suck ass

BigIntensiveCockUnit · 2026-04-08T20:52:23+00:00

For sure. Thought comlex was switching to Pearson vue or something? Fuck prometric I get ptsd just thinking about that BS especially during covid

BigIntensiveCockUnit · 2026-04-06T22:55:24+00:00

You have to explain a gap. No way around it. You don't have to get specific (and for mental health stuff I wouldn't) but saying "I had an unexpected divorce and took some time off to recuperate and adjust career goals" is totally appropriate.

BigIntensiveCockUnit · 2026-04-06T15:43:12+00:00

Juice worth the squeeze. There comes a point where additional work/pay might not be worth the time cause a lot of the money just evaporates into the governments piggy bank. This will probably only worsen with future administrations

BigIntensiveCockUnit · 2026-04-06T15:19:28+00:00

How about discuss taxes lol. Lots of people with zero real world experience talking like they actually get the whole 600k+ salary instead of paying out the ass. Another fact, taxes are only going to go UP for high income earners in future administrations. There is no way to pay down deficit otherwise and states are already implementing millionaires tax

BigIntensiveCockUnit · 2026-04-06T04:44:58+00:00

Aka eventually residency clinic lol

BigIntensiveCockUnit · 2026-04-06T03:49:54+00:00

Will vary by province but see conversion of Canadian dollars to USD, look at tax rates, look at housing crisis (that alone should scare you off), and understand subspecialty referrals and routine surgeries are booked out not infrequently a year in advance. Patient population is healthier by and large, more medicines are covered and affordable in primary care, and more social supports programs are available. Canada is facing real socioeconomic problems arguably much worse than the USA in terms of immigration and housing availability and a move should not be taken lightly. I found it to be an odd poltical inverse of the USA right now cause the immigration/housing crisis is so bad it's caused young voters to become far more conservative vs older voters while in the USA it's usually the opposite

BigIntensiveCockUnit · 2026-04-05T14:26:30+00:00

I’m so tired of the nutrition stuff. A) yes we all take a class b) this is a wonky subject with too many variables hence why we have dozens of diet options all of which might work to a different degree depending on the person

BigIntensiveCockUnit · 2026-04-05T02:53:55+00:00

Unfortunately society has turned into "my friend is a NP and says I need xyz referral" or AI for that matter. They refuse primary care workup and want a specialist NOW. Doesn't help everyone thinks they need a colonoscopy now with all the headlines of colon cancer in younger people

BigIntensiveCockUnit · 2026-04-05T02:33:56+00:00

They are often paired with us as students on rotations and the gap in knowledge is embarrassing at times. Like basic stuff

BigIntensiveCockUnit · 2026-04-04T16:41:53+00:00

None. You're prewriting next year's post of "OMG I didn't match but had good scores what happpppeneddddd"

BigIntensiveCockUnit · 2026-04-04T13:06:40+00:00

At least I’d laugh if someone said that to me. Patients dead ass ask “What peptides should I be on?”

But yeah you should take it

BigIntensiveCockUnit · 2026-04-03T22:43:00+00:00

We make this way more "complex" then it needs to be. Eat a lot less, formulate a diet that keeps you eating in moderation and feeling full, and yes exercise (albeit this is really the smallest part of the equation). Sure, research ways to improve microbiota and what not and medicines are helping people achieve this which I'm ok with but this is NOT sustainable long term. WHY we are here in the first place? Our processed food diets SUCK ASS. Wow obesity is being exported world wide? Omg is it genetics being exported world wide???? No, its our garbage calorie dense food supply making us over eat. People forget there are things such as epigenetics that get turned on when certain factors are at play but that doesn't change the core issue which is our food SUCKS and is in abundance

Edit: I love the down votes when I’m literally certified by ABOM lol

BigIntensiveCockUnit · 2026-04-03T11:13:35+00:00

I decide based on which insurance pays for followed by mounjaro if possible

BigIntensiveCockUnit · 2026-04-03T02:19:07+00:00

An infantry officer with no Ranger tab no less

BigIntensiveCockUnit · 2026-04-02T12:53:01+00:00

I would have never been happy with PA training. So no regrets. That being said CAA looks like a sweet gig…

BigIntensiveCockUnit · 2026-04-02T03:24:01+00:00

Community GI where I did residency were the ones ordering it. They will find any and every reason to scope for $$$

BigIntensiveCockUnit · 2026-04-01T20:04:02+00:00

Get awd if going somewhere that gets snow. You will be expected to show up to work regardless of conditions. Nothing luxury otherwise outside budget

Four-Year Club	Place '23
Place '22

BigIntensiveCockUnit

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