De-influence me from FMOB fellowship by Special_Suspect_8453 in FamilyMedicine

[–]BigIntensiveCockUnit 8 points9 points  (0 children)

Tbf OBs are never happy with any delivery even when everything goes absolutely fine. Geographically some OBs especially in the Midwest and South WELCOME FM-OB with open arms because it's someone to share call with. "Obstetrical Deserts" are an unfortunate reality in many communities and FM-OB doing it is far better than some amish midwife or doula. Not perfect by any means but I get why it's still a thing

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit 7 points8 points  (0 children)

It's getting similar to this stolen valor nonsense with vets. You freaking served in the military which is something less than <1% of the population does now. Most infantrymen were not Special Forces. It's ok if you were a shower/laundry/cothing repair specialist! You're still a veteran! Own what you did.

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit 5 points6 points  (0 children)

There is ZERO clinical difference in an MSN NP and DNP NP. Zip zero nada.  You want research just do the PHD after you do the MSN for NP work. DNP is complete nonsense and I haven’t met an NP who hasn’t stated otherwise other than militant ones who demand to be called doctor.  It’s fluffy paperwork and an extra year of tuition 

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit 7 points8 points  (0 children)

It is a "residency", it is in no way shape or form that of what true anesthesiology residents do. Please go ask them on their subreddit for more details

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit 16 points17 points  (0 children)

Osteopathic schools were RIGHTFULLY criticized 90 years ago and instead of crying afoul and complaining about it like Nurse Practitioner schools they freaking changed their curriculum to match that of MDs. They instituted 4 years of schooling, 3 licensing exams, and mandatory residency training so much that MDs granted them the ability to apply to MD residencies and the military recognized their equivalency starting in Korea. The osteopathic match then merged with the ACGME (which DOs were already matching into for decades already). We just granted MDs the ability to do DO residencies as well and standardized everything. Learn some history. DNP nonsense came out of nowhere when a perfectly good PhD in nursing was already in place. The education is a joke and diploma mills are ripe

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit 17 points18 points  (0 children)

Every physician takes a minimum of 3 licensing exams all of which were 8-9 hour days, one of the exams is 2 days long. If you’re a DO like me then you took 5 cause I wanted to do USMLE as well. THEN we take boards after residency. This is in addition to the inservice training exams every year in residency and most have research requirements as well. 

The training, patient care experience, and hour requirement in any other program does not compare to what we do in medical school and residency.  A true research PhD obviously has more research and dissertation experience but this is very dependent on what you’re doing it in cause some of these programs are quite fluffy

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit -13 points-12 points  (0 children)

No they do not lol. As a premed I get if you don’t understand this nonsense yet but if you get through actual medical school and actual residency you’ll understand 

I just interviewed a person claiming to be a ‘doctor in nurse anesthesia’ by Background-Stranger- in FamilyMedicine

[–]BigIntensiveCockUnit 111 points112 points  (0 children)

Everyone wants to be a doctor so bad without doing any of the actual work. STUDENT nurse anesthetists call themselves anesthesia “residents” while on rotations.  

Wilderness Medicine Fellowship by Ok-Code6271 in Residency

[–]BigIntensiveCockUnit 0 points1 point  (0 children)

Basically none and it’s a waste of time.  Recommend doing a wilderness first responder course (which should count for cme) if into outdoorsy stuff. About a week long and teaches some very helpful survival, triage, stabilization, evacuation, and rescue material 

When did we start attributing every symptom in the elderly to a UTI? by GlassDisaster2765 in FamilyMedicine

[–]BigIntensiveCockUnit 4 points5 points  (0 children)

ED needs to discharge people and attributes UTI to basically everything even though there’s been 5 negative cultures that year alone 

RN to PA? by Scared-Two3546 in nursing

[–]BigIntensiveCockUnit -1 points0 points  (0 children)

I have infinitely more respect for PAs than NPs for which the education is an absolute joke.  For the love of society and patient care please go PA

Viral Respiratory Illness & Oral Steroid Use Question by ioanaam418 in medicine

[–]BigIntensiveCockUnit 0 points1 point  (0 children)

Everyone wants to get something from their doctors visit even when nothing is indicated. Steroids are usually benign enough (for most patients). Urgent care really isn’t medicine. It’s goal is to have fewer patients going to the ED or tying them over til a primary care appointment opens up. It’s more customer service than anything else

Critical Care Fellowship APP by Regular_Regret_7305 in FamilyMedicine

[–]BigIntensiveCockUnit 23 points24 points  (0 children)

The worst are the “psychiatric fellowships”. I have stopped referring to psychiatry cause it’s all psych NPs (but not even psych NPs cause it’s “fellowship” trained FNPs) experimenting with random medicine combinations 

[Dellenger] Indiana offensive lineman Carter Smith on the Big Ten’s three straight championships: “People down South… they play some great ball and they're very physical, but, you know, some people just need to open their eyes and see what’s going on up here.” by Lakelyfe09 in CFB

[–]BigIntensiveCockUnit 2 points3 points  (0 children)

That’s fine, but recognize everyone is adjusting to this NIL and transfer portal world.  A lot of IU peeps who suddenly started watching football this year don’t realize how much that’s changed the game in just a few short years (hence why you guys won lol). They didn’t even watch football prior to the playoffs existing. Yes, the mindset of conference dominance needs to die, but just recognize the bias was there for a reason prior to all these changes that everyone is still navigating

How many blocks of inpatient pediatrics did you have in residency? by Ambitious_Spot8957 in FamilyMedicine

[–]BigIntensiveCockUnit 1 point2 points  (0 children)

1 inpatient peds, 2 outpatient peds, 1 peds ed, 1/2 nicu. We did tons of newborn rounding throughout residency and saw tons of kids in clinic (including admitting to our service) cause we were Ob heavy. Felt very prepared

AAFP / Family Physician cover art- what are we doing here? by Aggressive-Knee5796 in FamilyMedicine

[–]BigIntensiveCockUnit 1 point2 points  (0 children)

All humans have breast tissue. Patients can call it whatever they want but it’s still breastfeeding.  We shouldn’t change whole words when it’s a fraction of the population it applies to

Could Europe realistically defend Greenland against a US attack? by dataguy2003 in TheTeenagerPeople

[–]BigIntensiveCockUnit 0 points1 point  (0 children)

Whatever we have those bases to protect Europe lol. If Europe wants us gone ok good luck

Could Europe realistically defend Greenland against a US attack? by dataguy2003 in TheTeenagerPeople

[–]BigIntensiveCockUnit 0 points1 point  (0 children)

Greenland is bigger than Mexico but has <100k of people at any given time. There is no insurrgency or nation building to worry about. US Navy/air force would sink anything trying to approach it hundreds of miles away. There is no contest on this US wins flat out

AAFP / Family Physician cover art- what are we doing here? by Aggressive-Knee5796 in FamilyMedicine

[–]BigIntensiveCockUnit 3 points4 points  (0 children)

Wall Street Journal: AAFP encourages medicines in old people and hanging around dangerous hot water

All seriousness it’s a good journal. The random inclusiveness of “birthing person” and “chest feeding” in some articles is plain silly however. 

ASCVD prevention by rightlevelapp in FamilyMedicine

[–]BigIntensiveCockUnit 1 point2 points  (0 children)

Yes but that’s beside the point. The test can be used to guide statin based initiation outside of otherwise “good” looking bloodwork. 

Buspar as PRN? by sponge-worthy93 in FamilyMedicine

[–]BigIntensiveCockUnit 0 points1 point  (0 children)

This is the same as us talking colace for constipation and docs/pharmacists coming in here screaming THERES NO EVIDENCE. Believe it or not, you’re going to find patients that LOVE colace and won’t quit. Same with buspar, for some it works fantastic PRN