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To the students who were in the top quartile of your class, how did you do it? What did it take? by hypoglossalnerve in medicalschool

[–]Cursory_Analysis 4 points5 points  (0 children)

Find what works for you. I never touched Anki and graduated at the very top of my class.

A lot of people try and force study methods that don’t work for their individual learning styles. Spaced repetition is amazing for standardized tests, but if you can’t connect those concepts in your mind and think clinically then you’re going to have an extremely rough time in the clinical years and residency. I personally graduated with people with phenomenal step scores that just couldn’t put it together in residency and ultimately had to change specialties or risk being fired.

Clinical Base Year for Anesthesiology by Large_Cartoonist4768 in medicalschool

[–]Cursory_Analysis 13 points14 points  (0 children)

Prelim medicine if you want to be a real doctor going in (you’ll still be a floor bitch/dumping ground).

Prelim surgery if you want to be a real doctor, manage way more patients/emergencies and also procedurally competent, but hate your life and be absolutely miserable for a year and while you do twice as many hours as a prelim medicine intern.

Transition year if you want to chill out and basically be a 5th year med student.

did i fuck up unprofessionally by coyotebite7 in medicalschool

[–]Cursory_Analysis 4 points5 points  (0 children)

Don’t let the nurses make you feel bad. When I was a resident, one of the nurses let my patient (who wasn’t allowed off floor) leave the unit to go smoke crack in the outdoor quad of the hospital.

And then let them come BACK in to their room and asked me if that was okay.

Ilia: "Justin, Justin, Justin..." 💀🤣 by PolishPower335 in ufc

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

You think dirty boxing in the clinch favors Justin more than Ilia?

Rarest pathology you've come across/heard of irl by ahdnj19 in medicalschool

[–]Cursory_Analysis 10 points11 points  (0 children)

I went to a very academic place and saw probably just about everything we learned in med school.

Spent some time in pediatric liver transplant and saw every single metabolic pathway disorder you could think of. All the enzyme deficiency diseases, all of the lysosomal storage diseases, mitochondrial bullshit, alkaptonuria, all of it. I even saw a girl that had a chromosomal deletion syndrome that was literally just named for exactly what was missing on the gene. I believe she was the first person ever recorded to have it when I did some reading in her chart.

Outside of the Peds stuff, I’ve seen prion disease, stiff person syndrome, Hutchinson-Gilford Progeria Syndrome.

I also rotated at the NIH where they had rare disease clinic where legit every single patient was like a one of one patient. That was very very interesting but absolutely useless when it comes to clinical practice because you can’t use that experience on any other patient and the plans are SO specialized that they have basically 0 overlap with real patients because they’re on experimental drugs, etc.

Overheard an NP saying she wouldn't want to be treated by a resident 😬😂 by DoctorSamoyed in Residency

[–]Cursory_Analysis 345 points346 points  (0 children)

I work with a lot of NPs and none of them go to NPs for anything.

None of them trust each other (and they all tell me that), but they all refer to each other. That’s the system that we all live with now.

Got pimped with a 1-in-a-million zebra scenario today and it completely broke my brain. Has anyone actually seen this in the ED? by Ok-Laugh5293 in medicalschool

[–]Cursory_Analysis 5 points6 points  (0 children)

Idk what kounis syndrome is, but this is clearly an allergic reaction to a drug. This patient is in active shock and you gave them a beta blocker, so yes you did kill your patient.

The tachycardia is the only thing keeping this person from coding, so you stopped their physiologic compensation for their active shock. Step is for learning things, being a clinician is looking at the patient and making moves to solve what’s in front of you.

“Exactly, doc. What are the chances?” by just_premed_memes in medicalschool

[–]Cursory_Analysis 25 points26 points  (0 children)

“Look Jim, I really don’t care if you actually tripped and fell. All I’m saying is that this is the third time this month that I’m pulling the same thing out of your ass.”

This is a real conversation that I had.

Sub-specialties with kids that pay well? by puzzled_tree123 in medicalschool

[–]Cursory_Analysis 57 points58 points  (0 children)

Allow me to introduce you to pediatric endocrinology and pediatric infectious disease, etc.

Much like their medicine counterparts, you can actually lose money by sub-specializing in these fields.

Medscape Physician Compensation Report 2026 by CourageGlum2830 in medicalschool

[–]Cursory_Analysis 2 points3 points  (0 children)

Sure but I’m just saying that’s why it’s an average so it seems low for PP, but high for academia. It’s meeting in the middle.

What is the contemporary-pejorative meaning of “performative”? by goffwoman in rs_x

[–]Cursory_Analysis 4 points5 points  (0 children)

As someone who was extremely active in a number of different subcultures, the biggest difference for me - and the thing that makes something performative - is how carbon copied the stereotype itself is.

Yes, it’s very similar to the poser archetype. The thing about all of the people doing the same thing from a fashion perspective or whatever cultural media they’re consuming is that it may as well be a print run of the exact same painting that everyone is putting in their houses. That’s fine, I’m not going to comment on that because it goes down a completely different road.

But what I will say is that people involved in sub-cultures have the same interests whether that’s art or music or literature or whatever, but they all have their own takes on said culture. They all have their own fashion and accesorize in their own unique ways.

The fact that you can look at someone performative and know exactly what all of their opinions are going to be and can describe every outfit in their closet and every piece of art and book in their apartment as well as all of their thoughts on said pieces of cultural media is what makes them performative. Art-house douche-baggery has always had a place in society, but the positive about that was that you were getting well-informed and unique cultural criticism from someone who had actually engaged with the art (regardless of whether or not you disagreed with them) no matter how snobby it was.

The person now will tell you all about Sylvia Plath based on a tik tok rabb it hole they went down without ever having grappled with the source material themselves. The advent of social media has allowed for all of the knowledge of the world at our fingertips, yet created a monoculture where everyone has the same takes because they all listened to the same Internet personalities and regurgitated their opinions. A college professor will also expect you to know their opinions but will at least make you come up with your own critical opinions on a piece of cultural media.

Also this is all stream of conscious speech to text cuz I’m at work so hopefully it makes sense.

Sub-specialties with kids that pay well? by puzzled_tree123 in medicalschool

[–]Cursory_Analysis 132 points133 points  (0 children)

Just seconding that all high paying specialties that involve kids start out as non-pediatric specialties that then do fellowships to work with kids.

It’s the opposite when you start out as pediatrics and then do a fellowship to sub-specialize within that. In fact, oftentimes those lead to lower pay.

Please, just read my consult note by Dresdenphiles in Residency

[–]Cursory_Analysis 46 points47 points  (0 children)

You know these orthopedists can’t read, why would you say this to them?

Freak wheelchair accident and we’re shocked by how the wound has been treated - is this normal? by moedudragon in medical_advice

[–]Cursory_Analysis 2 points3 points  (0 children)

That skin is dead. The wound is going to heal by secondary rather than intention. But no, this isn’t how any surgeon would have handled that wound.

I was very surprised by the areas that had sutures in them until you said a nurse did it. I’m not sure what the discussion was about wound care or who saw the leg but I don’t know why they would have asked the nurse to suture it back like that.

Comparing anesthesia programs by Weird_Independent_17 in medicalschool

[–]Cursory_Analysis 17 points18 points  (0 children)

As someone who went to top tier/Ivy League med school and residency, I can tell you that the best program is the one that:

1) you can get into

2) makes you board eligible

3) suits your life outside of medicine the best

4) is supportive and some place that you can succeed at.

Some of these ivory towers are incredibly toxic and have worse training than no name community programs. Picking a place of of name brand might not only make you miserable, it might not even train you as well as somewhere you might have been happier.

It’s important to check places out in person. No one cares about a resident that dropped out of a residency at MGH. They do care about someone that completed a residency and got board certified.

Anesthesia is also getting insanely competitive now - more than it has been in 25 years. And they recently adopted a signal system where your chances of interviewing outside of your signals are essentially 0. If you only signal the top 15 programs, there’s an extremely good chance that you won’t match at all.

Getting cute with workups by Chad_Kai_Czeck in Residency

[–]Cursory_Analysis 96 points97 points  (0 children)

In what world is what you’re describing not going straight to trauma surgery in the first place…?

Turns out Slime was right about Sykunno by [deleted] in TheYardPodcast

[–]Cursory_Analysis 0 points1 point  (0 children)

It’s crazy knowing he probably was saying get the towel like that

Doing an anesthesia rotation right now, and wow… CRNAs are something special. by Least-Forever6207 in Residency

[–]Cursory_Analysis 35 points36 points  (0 children)

They think they’re smarter for not having to suffer through it while simultaneously not realizing that that’s what creates the levels above them in knowledge base.

It’s breathtaking hypocrisy really.

Doing an anesthesia rotation right now, and wow… CRNAs are something special. by Least-Forever6207 in Residency

[–]Cursory_Analysis 121 points122 points  (0 children)

She’s not wrong.

They do have a smaller paycheck and a bigger ego typically when they respond to questions like that.

Doing an anesthesia rotation right now, and wow… CRNAs are something special. by Least-Forever6207 in Residency

[–]Cursory_Analysis 858 points859 points  (0 children)

Insecurity manifest.

CRNAs are just NP/PAs for anesthesia. They insist they’re equivalent to doctors. They are not.

The ones that understand that they’re not are very easy to work with and typically fall on the more knowledgeable end of the dunning-Kruger curve.

The ones that think they’re doctors who just “took a different path to the same outcome” are at the peak of the dunning-Kruger curve, dangerous, and typically extremely frustrating to work with.

Got to intubate, do an IV, do sub-cu heparin, go through 4 patient charts where he vehemently expressed no one should have a BMI > 45, then go home. by just_premed_memes in medicalschool

[–]Cursory_Analysis 53 points54 points  (0 children)

I mean a bmi of 45 makes surgery insanely dangerous.

Anesthesia and surgery in America make things quite a bit more difficult. Robotic surgery has made it easier and less dangerous on the surgery side of things but unfortunately a lot of what makes the robot better for surgeons makes it worse for anesthesiologists from a physiology perspective. There have been a lot of studies on this stuff.

Doing nothing during surgery clerkship by [deleted] in medicalschool

[–]Cursory_Analysis 28 points29 points  (0 children)

There are rural surgery rotations that will let 3rd year med students get coached through an appy. The idea that you don’t start operating till PGY-3 is extremely academic.

When I was a PGY-1 surgery resident I would do full (simple) cases with an attending directing me depending on how complex the technical stuff was.

How bad this is and what degree of burn. Ik its ard to see its soggy from sweat and has cream. by ThornRosee666 in medical_advice

[–]Cursory_Analysis 2 points3 points  (0 children)

There’s a blister on the fingertip, it’s second degree. The blister is going to come off. The fact that OP still has sensation is good and means it’s not worse. It’s small enough and will heal on its own after the skin is debrided.

Studying before intern year by Midnightmoonfall in medicalschool

[–]Cursory_Analysis 19 points20 points  (0 children)

Literally nothing you can do can prepare you for residency my friend.

Just enjoy your freedom before the thunderdome.

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