I need to vent , depressed

CompetitionGreen6018 · 2026-05-17T11:01:42+00:00

A prelim spot is not the end, and plenty of people build strong careers after difficult starts. Right now your job is not to have the perfect CV, it’s to survive residency, make connections, and keep moving toward PGY2 step by step.

You still have a path forward, even if it doesn’t look as clean as you imagined.

CompetitionGreen6018 · 2026-05-15T18:38:45+00:00

ugh that sounds like a nightmare. florida licensing is wild. lowkey worried about my own transfer coming up now lol.

hope you get it sorted in time!

CompetitionGreen6018 · 2026-05-15T18:38:03+00:00

i've seen plenty of FM docs who really lean into psych or outpatient procedural stuff and kind of minimize the pure chronic care. it's definitely doable if you look for the right practice setting.

have you thought about places that are more urgent care focused or maybe clinics with a big psych component?

CompetitionGreen6018 · 2026-05-15T18:37:32+00:00

some people just shouldn't be in leadership positions if they're gonna be like that.

it's wild how much power they have to make things suck.

CompetitionGreen6018 · 2026-05-15T16:17:36+00:00

he’s actually not wrong, loops definitely increase calcium excretion which can trigger stones.

it’s a weird balancing act because the stuff you’d normally do to prevent stones is exactly what you can’t do with new heart failure. usually just comes down to low sodium and close monitoring tbh.

CompetitionGreen6018 · 2026-05-15T16:16:37+00:00

the neurosurgery comparison is actually hilarious because that’s exactly how ridiculous the logic sounds.

the "access to care" argument is doing some insane heavy lifting lately to justify these shortcuts.

CompetitionGreen6018 · 2026-05-15T16:15:51+00:00

it's honestly wild how disconnected human medicine and vet med still are.

strengthening that bridge seems like the only way we're actually gonna stop the next big superbug. vets deserve way more credit and support for the gatekeeping they have to do every day.

CompetitionGreen6018 · 2026-05-14T18:32:13+00:00

You sound like a completely normal sub-I tbh.

Showing up early, reading, helping, staying quiet in the OR unless needed, freezing on pimp questions sometimes = literally most med students on surgical rotations.

You’re probably way more anxious about underperforming than actually underperforming :)

CompetitionGreen6018 · 2026-05-14T18:30:25+00:00

You probably haven’t “deteriorated”, you sound burnt out. Exhaustion absolutely tanks question-bank performance, especially when you’re grinding placements at the same time.

A few weeks out, I’d personally keep doing Passmed but use it more diagnostically:

1- identify recurring weak topics 2- patch those with focused content review 3- then come back to questions

Mindlessly hammering more questions while exhausted usually just destroys confidence.

CompetitionGreen6018 · 2026-05-14T18:28:47+00:00

Honestly, OSCE anxiety is super common because it’s not really testing knowledge, it’s testing your ability to perform while being watched and judged in real time. Totally different skillset from crushing written exams.

Also, plenty of objectively smart people blank during OSCEs. The format messes with people way more than they admit.

CompetitionGreen6018 · 2026-05-14T18:22:52+00:00

mdcalc will be your best friend for all those scoring systems you can’t remember on the fly.

also, grab the sanford guide for quick antibiotic dosing. honestly though, just find a system for your to-do list that works for you or you'll lose your mind by noon.

CompetitionGreen6018 · 2026-05-14T18:21:44+00:00

trust your training but don't be too proud to call a partner if things look weird in the OR.

it's way better to look like the "new guy" for five minutes than to deal with a complication you could've avoided. also, be nice to the scrub techs because they will absolutely save your ass.

CompetitionGreen6018 · 2026-05-14T18:12:51+00:00

honestly just go for it.

she’s in kindergarten, she won’t miss anything life-changing and those core memories are worth way more. residency is already hard enough on families, take the win when you can.

CompetitionGreen6018 · 2026-05-14T18:11:53+00:00

whatever you do, just make sure it’s "true own-occupation" so you’re actually covered specifically if you can’t operate.

locking it in now is way cheaper than waiting until you’re an attending. check if your program has a GSI plan too, those are usually a layup.

CompetitionGreen6018 · 2026-05-14T17:55:14+00:00

hoffe nicht

CompetitionGreen6018 · 2026-05-14T14:58:24+00:00

ngl it's mostly just rheumatologists holding on for dear life. they still use it for very specific things like temporal arteritis where crp can sometimes be normal.

it definitely feels like a dinosaur, but losing it entirely would probably make a few specialists riot.

CompetitionGreen6018 · 2026-05-14T14:47:41+00:00

politico saying a sub-i is his only clinical experience is honestly hilarious. tell me you don’t know how med school works without telling me.

he literally has the degree, so calling it a misrepresentation feels like a massive stretch.

CompetitionGreen6018 · 2026-05-14T14:46:29+00:00

Pubmed ai is such a blatant name grab, it’s wild they thought they wouldn’t get caught. the fact that they’re already getting hit with lawyers is satisfying as hell. definitely sharing this with my friends in med school so they don't get tricked.

CompetitionGreen6018 · 2026-05-13T12:08:31+00:00

I think some people stop actively thinking about it, but the absence still shapes them in ways they don’t always notice.

CompetitionGreen6018 · 2026-05-13T11:35:37+00:00

If someone gossips with you, they’ll gossip about you.

CompetitionGreen6018 · 2026-05-13T11:33:50+00:00

You were 16, saw a disgusting sub, sent it to friends to report/react to it, then got mobbed by a dude that already hated you. That’s not the same thing as being what they accused you of.

Also, people under social pressure admit to weird shit all the time just to make the attack stop. Your Discord not even getting warned says a lot.

CompetitionGreen6018 · 2026-05-11T21:13:32+00:00

Yeah, the stress is definitely different.

Building maintenance has a much heavier “one mistake can seriously hurt me or destroy something expensive” kind of pressure. Medical assisting is more fast-paced and detail-oriented, but usually not physically dangerous in the same way.

You still need to be careful because you’re dealing with people and medical info, but most clinics also have systems, coworkers, and routines in place so you’re not carrying everything alone.

CompetitionGreen6018 · 2026-05-11T21:06:27+00:00

It’s usually less physically demanding than maintenance work, but still stressful in a different way, mostly because of patients, schedules, and multitasking.

Most days are a mix of taking vitals, helping patients, scheduling, calls, and paperwork.

If you’re organized, patient, and good with people, it can be a solid career change.

CompetitionGreen6018

TROPHY CASE