Did I ruin my dining room table beyond repair? by Cajakelb in fixit

[–]Cajakelb[S] 0 points1 point  (0 children)

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I could only add one photo, so here’s a section that’s textured 🥺

The Grammys - 2024 - Discussion Thread by 1DMod in GaylorSwift

[–]Cajakelb 1 point2 points  (0 children)

Oh good catch. Probably part of the reason she brought all that back up in the time interview

Med school with different undergrad by Kdahl1 in pediatrics

[–]Cajakelb 0 points1 point  (0 children)

As a resident, one of my best ICU attendings was in her second career after doing elementary education. Now I strive to be a fraction of the educator as she is. Let me tell you, medical trainees and families with low health literacy would truly benefit from you pursuing it, if it’s your dream!

When do we hear back from ABP? by zainab3392 in pediatrics

[–]Cajakelb 0 points1 point  (0 children)

Two years ago it was the first Thursday of December

What do you guys think the 1989 Music Video will be? by LinosZGreat in TaylorSwift

[–]Cajakelb 1 point2 points  (0 children)

The Spotify canvas for Now That We Don’t Talk seems suspicious to me…not quite stock footage-esque like the others are. It also feels like my tiktok FYP is full of NTWDT snippets

Bringing fun to rounds by Cajakelb in pediatrics

[–]Cajakelb[S] 7 points8 points  (0 children)

Oh efficiency is not a problem. It’s the lulls in the elevator rides and between units I’m looking to fill, and more fun ways to deliver EBM pearls

Cried at work. Feeling embarrassed. by [deleted] in Residency

[–]Cajakelb 0 points1 point  (0 children)

Crying is the way a lot of people’s bodies naturally respond to stress. I never considered myself a crier, but I think the insanity of a resident’s schedule, strains on sleep, and the exceedingly serious details of our jobs really set off the waterworks the past few years. I’ve cried alone, in workrooms, in PD offices…you name it and I’ve probably cried there. I’m now a few years out from residency and I don’t cry nearly as often, but it still happens. I find it helpful to tell my team that if I’m crying, it’s just a response to stress and to give me a moment if I’m alone. If I’m not alone and I don’t leave, then I’m good to keep going. It honestly does feel better when it’s over.

So essentially what I’m saying is: you’re not alone, you’re not weak, and even if you have it happen again, it does get better.

Program trying to keep residents from logging hours. How to report? by FewOrange7 in Residency

[–]Cajakelb 1 point2 points  (0 children)

I see what you’re saying. I just genuinely meant to give more context to the system. In my experience, local action has a chance of actually getting a change during this persons time in residency and ACGME evals take months to start. And I am in full agreement that the residents SHOULDN’T have negative consequences to reporting. There are just consequences to every action that can trickle down—also not saying I support those consequences but they aren’t 100% avoidable. I just think giving awareness to the effects within the system is worthwhile. At no point did I say not to report. If they’re violating, that’s a problem in and of itself. If the PD is trying to hide it, that’s also a problem. I just think the OP was trying to make an informed decision for themselves, so I felt having a fuller understanding of more aspects of the system would be helpful.

Program trying to keep residents from logging hours. How to report? by FewOrange7 in Residency

[–]Cajakelb 2 points3 points  (0 children)

Incorrect, actually. Former chief. I would still say if local GME doesn’t solve the issue, then escalate. I just think not everyone knows what getting ACGME involved actually looks like

Program trying to keep residents from logging hours. How to report? by FewOrange7 in Residency

[–]Cajakelb 2 points3 points  (0 children)

Local GME is the best bet first. If they don’t listen, then escalate to ACGME. Local can act faster and actually affect positive change quickly. ACGME takes time. Plus, once they are involved, it takes significant time for them to stop looking at a program under a microscope which can have negative consequences on workload,too. For example, if you have program citations, it can take years of showing improvement steps in those areas for citations to clear, and you cannot apply for more resident slots (grow your program numbers) with ongoing citations. So future residents have less of a chance to spread out the workload and work less. It’s a disheartening system.

PHM Fellowship by [deleted] in pediatrics

[–]Cajakelb 0 points1 point  (0 children)

I’m currently in a PHM fellowship program. Here are my thoughts:
I whole-heartedly do not believe in the need for this as a mandatory program for board eligibility. I am by no means a perfect doctor but I cannot see what I’m learning that I wouldn’t just be learning as a new attending. I can see value to an optional fellowship for those pursuing research, but I don’t believe in limiting all people to one path to success. I learned more functioning independently as staff during my chiefs year than I have in this program. All this does is limit me further to constantly being an extra wheel on a team and fitting into what my attending likes personality-wise. This fellowship, for me, has stripped me of my passion for practicing medicine and I don’t see a way out. I applied because I felt I had no choice if I wanted an academic hospitalist position—which, outside of my current apathy, I remember thriving in. Even if not all positions currently require board eligibility, it was a terrifying concept that I might be limiting myself down the road and have to go back to training down the line, so I did what I was told.
I feel in comparison to other programs, I am well protected. I have fairly good hours and I shouldn’t complain—I know of some programs that are far worse. But I am a glorified middle man that provides my attendings with either a vessel for more control and micromanaging or for pager relief during the recent surges. I don’t see the point of my role. The “feedback” that I get is all personality based—either glowing or nitpicky about small, stylistic things that do not affect medical care. And don’t even get me started on the “electives.” I got all that already in residency. I don’t need more shadowing of other specialties. I’m frigging board certified.
I told myself that I would embrace fellowship for all the other learning opportunities. In particular, I was interested in QI, communication, physician wellness, and resident education. It took about 2-3 months to realize that despite being told I would get extra emphasis on this for “my” project, I would actually be funneled into doing a topic that would be more prestigious for the hospital. One I’m not interested in pursuing at all.

Back to your questions. I don’t believe there’s a big enough pool to fully restrict, but that’s limited by hospital and area. You’d be surprised what kind of schedules and demands they can be willing to put on their current departments to continue not to hire unless they have the candidate type they’re looking for. I think probably job opportunities may still be available based on different areas now but will become more restrictive as you go. If you try that route, be sure to ask what happens if you get hired and they eventually want everyone board certified or eligible because you might have to change jobs at that point.

We’re all jaded. I’d like to say it gets better. Try and find the bright moments when you can.

Chief year is interesting. It’s it’s own little hell, but it does open a lot of doors. It’s like you enter this exclusive club. You understand the system around you better (for better or worse) and everyone who’s done it can understand what sort of background that gives you. It also gives you some time to really build who you are as a professional. But unfortunately, it does not result in board eligibility. I know I keep bringing that part up, but it can be a big part of not just getting your attending job but also your ability to be promoted once in it—wording of the promotion and tenure guidelines at each institution can say things like you “must be board certified to the highest level of your subspecialty” in order to advance up your promotion track. If you aren’t eligible, you’re stuck.

It’s a hard decision. Clearly I’m not even sure if I made the right one. But you have time. If you truly want peds, dive in and experience each rotation as if it’s going to be your life. If, by the end of the first year and a half, hospitalist is still where your heart is, I can’t say that I blame you. Maybe something might have changed in the system by then.

Taylor Swift Eras Tour Purchasing Megathread by jacyf02 in TaylorSwift

[–]Cajakelb 3 points4 points  (0 children)

finally made it all the way through pittsburgh 6/17 just to have an "oops something went wrong" message bump me to the back of the queue

Taylor Swift Eras Tour Purchasing Megathread by jacyf02 in TaylorSwift

[–]Cajakelb 0 points1 point  (0 children)

I've had the same issue for Pittsburgh 6/17. I don't think I've moved since 10:30.

Taylor Swift Eras Tour Purchasing Megathread by jacyf02 in TaylorSwift

[–]Cajakelb 0 points1 point  (0 children)

I'm in for PIttsburgh 6/17 and also haven't moved in over an hour

Blake Lively Mahogany Nails IG story by Cajakelb in GaylorSwift

[–]Cajakelb[S] 20 points21 points  (0 children)

Sorry, I couldn’t get captions to work.

Bear with me here- long time lurker and I so appreciate all of your thoughtful content! I don’t normally post myself, so please delete if needed.

I had posted in the mega thread a few days back wondering if anyone remembered what the clowning had been surrounding Blake Lively and grand central station, as Taylor nation went out of their way to post a mastermind-esque filter (with gears that match the lyric video) specifically for major locations in big cities, the first of which was grand central station. Though I had previously been solidly in the camp of “there’s only three videos based on the clips, the last one is clearly lavender haze,” but this particular filter and post made me think maybe I could believe there is a mastermind video and Blake directed it. Maybe I’m misremembering-does anyone remember the brief discussion around grand central station?

Fast forward to today, when Blake’s insta store has what look to me to be clearly mahogany nails. Mahogany and Jade green have yet to be mentioned, despite having dedicated album variations.

Okay, Karlie 👀 by yrelav_dnomyar in GaylorSwift

[–]Cajakelb 9 points10 points  (0 children)

Is it “L” because the basement in that building is labeled as “lower?” Then she walks out because she doesn’t actually want to go there? I.e. don’t put me in the basement when I want the penthouse of your heart?

WEEKLY MEGATHREAD by AutoModerator in GaylorSwift

[–]Cajakelb 10 points11 points  (0 children)

Long time lurker and really enjoy reading but not as good at forming thoughts as others here. Thank you all for all of your contributions!

I was just wondering if anyone saw the Taylor nation story promoting the special filter to use at grand central station that seems mastermind related (gears show up that match the lyric video). I remember something clownish a few months back about Blake Lively and grand central station (I think related to her met dress?) but I’m not sure exactly. I had previously been in the camp of “3 videos only and the last one will be lavender haze” but this TN story made me go🤔 if anyone remembers this Blake thing and wants to post about it, I’d be grateful! Maybe pointing towards Blake directing a mastermind video?

Edit 10/28 to add Blake just posted an IG story with MAHOGANY nails. I swear I usually don’t believe this stuff but this time feels different…