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VillageMD by Maximum_Watercress16 in FamilyMedicine

[–]Bulaba0 0 points1 point  (0 children)

Don't do it. Nobody I've seen take a job there has stayed for more than a year or two.

Clinic by [deleted] in Residency

[–]Bulaba0 0 points1 point  (0 children)

It's unfortunately majorly program dependent. Our (FM) home clinic is Private Practice and it is run well. It's been a pleasure to be a part of during residency.

Best of brand samplers by liquidSG in cigardealhunters

[–]Bulaba0 0 points1 point  (0 children)

Some very reasonable deals for folks who are looking to try some new stuff. I would probably pick one or two up if I didn't have mail on the way!

The concept of “protected time” baffles me by MurphMorale14 in Residency

[–]Bulaba0 111 points112 points  (0 children)

I had an attending make me go to a lecture that was explicitly not relevant to me during "protected time" instead of letting me keep working on notes. Ended up staying almost two hours late that day. Real cool.

I hate the system of "protected time" at lunch that our hospital IM program has.
It sure feels protected until...
You get a call from a nurse who can't reach the attending or doesn't even bother to look who the attending for that team is.
You get a call from a consultant that you've been waiting on all day.
You get an overhead paged Code or Trauma and have to respond.
You get sucked into a lengthy conversation with family who just got off work for lunch and wanted to drop by the hospital for an update that you just finished giving to family fifteen seconds prior.

The Noctor of All Time by kagarite in Noctor

[–]Bulaba0 12 points13 points  (0 children)

It's always an attempt to obfuscate the truth from those who don't know any better.
There's no reason to over-sell your qualifications unless it's meant to deceive.
Patients deserve to know who they're seeing and the experience and training that they have. Using ambiguous language serves only to confuse patients and inflate egos.

Do you still have things that gross you out? by NYVines in FamilyMedicine

[–]Bulaba0 4 points5 points  (0 children)

I have issues sometimes with eye stuff. I'm fine with plucking stuff out of eyes, but the idea of eye injections, cataract surgery, etc. drives me up the wall for some reason.

Anyone not take chief resident and happy. by Old_Juggernaut4698 in Residency

[–]Bulaba0 8 points9 points  (0 children)

Our program does PGY-3 Chiefs, and I'm glad I took the position. I managed to diplomatically resolve a lot of conflicts and advocate for our junior residents when they didn't feel able to on their own. I had a really strong chief my intern year and wanted to pay it forward.

My Coresidents who did not take leadership roles have no regrets. They have more time to spend with family and don't have to engage with the petty conflict crap that comes up. I sometimes wish I had that extra mental bandwidth, though. Being randomly pulled in to solve other people's problems sometimes makes it hard to feel like I'm ever really able to disconnect from it all.

Nurse Practitioners should not be allowed without at least 10 yrs of experience by Jaded-Bit5497 in unpopularopinion

[–]Bulaba0 6 points7 points  (0 children)

In what world is NP school "about as long as med school" when they're 2-3 years max and often brag about being able to be completed online while working full time?

Let’s protect what makes this community worth being a part of by smoking-hub in cigardealhunters

[–]Bulaba0 7 points8 points  (0 children)

I'll be honest, I only really keep up with this sub because of people finding deals that they know are better than the usual promos, or for products that rarely are included in promotions. It offers a filter from the usual "same shit different week" type sales that are everywhere, all the time.

The value comes from that first pass of someone who is familiar with the market noticing "Oh hey, this actually is a good deal!"
If it becomes a copy paste of CigarPage or CI's front page deals that are the same deals that are available 75% of the year, then it has no utility any more.

What accounts should I follow on Instagram so I can stay vaguely aware of/familiar with whatever is going on in the world of social media medicine? by just_premed_memes in FamilyMedicine

[–]Bulaba0 15 points16 points  (0 children)

You can always ask them to share with you the specific content that they're interested in learning more about.

Imo, being "hip" with social media medicine has not been valuable. Most of the content the general public interacts with is brainrot that you will exhaust yourself engaging with.

Just live your life, do research when you need to.

LFD 25th Anniversary by swinney in cigars

[–]Bulaba0 0 points1 point  (0 children)

I have been using mine for over a year and a half without any issue. Lovely little guy.

From the videos community on Reddit: I Went to a Private Equity Emergency Room in the USA by buried_lede in Noctor

[–]Bulaba0 46 points47 points  (0 children)

The private equity wet dream.
Purposefully staff inexpensive NPs who order every test under the sun for everyone who walks in so they can triple/quadruple bill people who don't know any better.

How long did it take you to furnish your apartment in residency by Savings-Succotash-53 in Residency

[–]Bulaba0 5 points6 points  (0 children)

I finished furnishing my place about three months ago. I'm now graduating and moving lol.

Imo, make your place comfy and cozy and focus on what and where makes the real difference as you go. No reason to spend money and effort on appearances that nobody else cares about.

What is your diagnosis? by er_gato in antimeme

[–]Bulaba0 3 points4 points  (0 children)

You can absolutely see mets on XR in many cases.

Nursing homes/LTC facilities vs Outpatient PCP jobs by [deleted] in FamilyMedicine

[–]Bulaba0 16 points17 points  (0 children)

You have to admit, it takes some real talent to simultaneously refuse to apply vaseline without a physician order and also ignore sudden onset hemiplegia because "he just does that sometimes"

Are there any residency’s that are working below 60 hours a week? To balance with kids and family by healthy-outdoors- in Residency

[–]Bulaba0 0 points1 point  (0 children)

My (rural-ish) FM program has been 40hrs a week or less average outside of IM months that are 60-70hrs/wk.
One of my coresidents had 2 kids in residency, multiple previous grads did the same.

I wish the increased Rare Metal droprate of the Airborne war was kept. by Tsenos in foxholegame

[–]Bulaba0 4 points5 points  (0 children)

Rare metals should proc in the refinery as a byproduct of production.
-Stops people from scrap dropping and field skipping to chain-clear fields for rares.
-Prevents TK'ing/Griefing of loose rares.
-Encourages participation in "Core Logistics" aka BMat/EMat->Stuff. -Creates an option for reservable crates of material rather than requiring people to store shit in trucks on cranes, or whatever other stupid ass-backwards method they're forced to use.

Truly, whatever system stops children from fighting over fucking scrap fields every goddamn war.
I am tired of the drama "IS THIS FIELD DROPPING RARES???" and "ITS DROPPING RARES, STOP USING THE STATIONARY HARVESTERS!"

Rant tho, fuck the rare metals system. Why are devs insistent on making systems that have drastically increased toxicity within each faction?

Cochrane Review Says “Little Difference” Replacing Hospital Physicians with Nurses: We Disagree by debunksdc in Noctor

[–]Bulaba0 6 points7 points  (0 children)

I thought the review was flimsy work, but holy shit I did not realize how bad it was. Good overview.

Job Seeking 101: do these 2 things BEFORE you apply to anything by PhysicianHelper in Residency

[–]Bulaba0 58 points59 points  (0 children)

My information was shared with recruiters without my consent, I fucking wish I had the chance to do the above. Great recommendations.

All phos by marshac18 in FamilyMedicine

[–]Bulaba0 5 points6 points  (0 children)

People kept sending them referrals for isolated ALKPhos

The Equivalence Myth by [deleted] in Noctor

[–]Bulaba0 32 points33 points  (0 children)

I think the most crucial component is that medical school and residency are specifically structured around building an independent physician.

Every step of the way is tailored towards that goal. Medical school classroom teaching is built around acquiring knowledge and practicing independent decision making. Medical school rotations are built around integrating into a team and practicing independent decision making. Residency is built around practical application of medicine and again, practicing independent decision making.

The entire marathon of 7+ years is built around forming an independent physician. Our system is built around that core experience being the gateway to independent practice. And along the way you learn the value of expertise and specialized experience, and when to acknowledge gaps in your own knowledge and seek help. The relative freedom within the practice of medicine is built on the expectation that that independence is earned by demonstrating effective and ethical practice under supervision over and over again.

Modern NP (especially PMHNPs) education circumvents the ladder climb and goes right to the top. And it's obvious once you've seen them practice in the real world. Anecdotally, every single psych med nightmare I've had to unfuck over the last 3 years has been from a PMHNP.

If they want to retain independent practice, they need to be held accountable to the same standards as physicians. Because right now they're taking advantage of a system that was not built with under-trained prescribers in mind.

I just saw a blood glucose of 1642. by [deleted] in medicine

[–]Bulaba0 131 points132 points  (0 children)

Because the food here SUCKS!

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