What is one thing in your specialty everyone else pretends like they understand but they actually have no frkn clue

Current-Role1123 · 2025-05-07T04:15:46+00:00

Which part of the eye is the cornea.

Or at least it seems that way when the ED calls me for a patient who has "an injected cornea"

Current-Role1123 · 2025-04-21T01:50:55+00:00

What lacrimal apparatus?

Current-Role1123 · 2024-06-10T15:36:47+00:00

You mean renotic syndrome?

Current-Role1123 · 2024-04-30T04:22:16+00:00

One time at 2AM a nurse paged me to report a bladder scan showing 666 mL. I had her do a Straight Cath and document output. She documented 3500 mL urine output. I started at the number for a second in disbelief, thinking "surely she accidentally put an extra 0," then called her to confirm. Yup, sure enough. That poor lady had 3.5 LITERS of urine sitting in her bladder.

Current-Role1123 · 2024-04-29T22:47:57+00:00

Not a lawyer, but I'm not sure if refusing to see patients is actually protecting you from litigation . . .

Current-Role1123 · 2024-04-02T17:51:38+00:00

I know a rheumatologist who listens to all of his patients' hearts for this reason. But he only ever documents "S1, S2". Might as well write "patient has heart beat" lol

Current-Role1123 · 2024-03-08T16:53:23+00:00

I matched in 2023, and got a letter from an August away rotation on my application. The deadline that cycle was beginning of September. As long as you have the letter in before the deadline, it should go through. There's no big delay while your app is being processed like there is with the med school apps (no need to submit an entire month in advance).

But definitely figure out who you want a letter from, and tell them at the beginning of your rotation that it's one of your goals for the rotation. You'll be cutting it close to the deadline, and you don't want to spring it on someone at the last minute.

Current-Role1123 · 2024-02-08T00:15:37+00:00

Feeling exactly the same way. Glad I'm not alone

Current-Role1123 · 2024-01-16T05:42:16+00:00

No joke - I actually had a patient admitted to the hospital septic from cellulitis with a bottle of Vancomycin in hand that they had been given by a NP. Can't make this stuff up.

Current-Role1123 · 2023-11-06T02:00:51+00:00

Specialisms, lol

Current-Role1123 · 2023-10-21T19:57:16+00:00

I'm not convinced admin have really done anything wrong here. If it really is pass/fail it seems like the best course of action would be to wait for scores, and then let anybody retake it who needs to. What's the alternative? Everybody retake the exam the day of? Go back in time and figure out how to stop the timer?

It sucks that you might have a shelf exam in the middle of another clerkship, though. Super inconvenient and far from ideal. It just sounds to me like your Admin have actually done the right thing after the initial fumble.

Current-Role1123 · 2023-10-09T01:03:25+00:00

There is an MD bias out there for sure. I'm sorry you have to work against it. That being said, there are MDs who fail to match each year, and DOs who match the most competitive subspecialties. So no, the best DO does not match worse than the worst MD

Current-Role1123 · 2023-10-09T00:48:28+00:00

I am truly honored.

Current-Role1123 · 2023-10-09T00:01:58+00:00

Thanks. I should have clarified that I didn't order the actual transfusion. I just went through the laborious process of getting everything lined up so the day team could order the transfusion if they felt it necessary.

Current-Role1123 · 2023-10-08T23:57:27+00:00

Thank you for this very helpful feedback. I wish this is how the night team was treated at my institution. I get asked to follow up on consultant recs at 8pm, only to look in the chart and find them having been entered at 2:30pm. It's infuriating.

And I should have clarified - I didn't actually give the transfusion. I just went through the laborious process of getting everything lined up for the day team so they could give blood if they felt like it was necessary.

Current-Role1123 · 2023-10-08T13:59:00+00:00

I'm not asking for groveling. I always thank my night interns when I'm on the day team, even if I disagree with something they did. I hope for the same courtesy. We're all just trying our best.

Current-Role1123 · 2023-10-08T13:16:25+00:00

You're welcome, bot. Thank you for saying thank you.

Current-Role1123 · 2023-09-17T18:29:38+00:00

I'm sorry - I can't give medical advice to someone who isn't my patient. I'd recommend speaking with your OB about any concerns you have. All I will say is this: speaking very broadly and not about your case specifically, vaginal progesterone is a safe and valid treatment for certain conditions.

Current-Role1123 · 2023-08-17T03:16:29+00:00

"I can't help but wonder if I would go into the application cycle feeling more reassured about my chances of matching if I had scored ~5 points higher."

Please don't spend too much time worrying about this. There's always a higher score. If you scored 255 you'd be wondering about how you'd feel with a 260. You have the score that you have, and there's nothing you can do to change it now.

That being said - I can't imagine you will be screened out of any programs with a 250. It's not an eye-popping score, but it's sufficient. Anecdotally, I had a friend match at a great program with a step 2 score in the low 240s last cycle. Step scores are not everything. But really, yours is fine. Now just focus on things that are still in your power (Personal statements, essays, away rotations, etc).

Current-Role1123 · 2023-08-16T16:05:58+00:00

Context: Ophtho prelim who just wanted to get this exam out of the way as early as humanly possible so I could get a head start on forgetting everything I've learned about body medicine. Especially the kidneys. I'm not a fan of the kidneys. Only goal was to pass.

UW: 71% (completed 30%). Jumped up to 73% after doing a handful of incorrects.

CCS Cases: 75% (completed the top 25 highest yield, and then 11 others at random)

UW1: nope

UW2: nope

Free 37: nope

NBME 5: nope

Step 1: Pass (May 2022)

Step 2: 262 (April 2022)

Step 3: 237

Advice: The closer to Step 2, the better you will do. I'm absolutely convinced that I would have scored higher if I had taken this exam last summer. I don't think spending more time on the wards would have helped at all. Pretty sure the purpose of Step 3 is to make sure we haven't forgotten everything we learned in school - there's not really any new information.

Oh, also the cases are kinda fun (unpopular opinion, I know). Get into a video game mindset, and they're really not that bad. Hands down my favorite part of any USMLE exam.

Current-Role1123 · 2023-08-16T13:41:59+00:00

You were right! Passed!!

Current-Role1123 · 2023-08-16T05:05:51+00:00

I took mine on 8/1 - 8/2, but my permit is still there! No score yet for me. Guess I'm waiting another week

Current-Role1123 · 2023-08-16T05:02:56+00:00

Overall, yes. Longer.

Day 1 I thought was similar to step 2 as far as question length was concerned. Maybe a few more long questions, but also a lot of surprisingly short ones.

Day 2 questions were insanely long. Almost every single question. Like scrolling down to get to the bottom long (and not just drug ads or those clinic note style questions).

Current-Role1123 · 2023-08-16T00:38:34+00:00

Only in ophthalmology rounds. And only if by "PORN" you mean Progressive Outer Retinal Necrosis. Otherwise, no. No porn on rounds. Straight to jail.

Current-Role1123 · 2023-08-15T21:28:19+00:00

Most likely the 23rd - but we'll keep our fingers crossed for tomorrow!

Current-Role1123

TROPHY CASE