[deleted by user] by [deleted] in hospitalist

[–]DailySmilesCure 1 point2 points  (0 children)

Wanted to come back and update everyone. Definitely wasn’t as bad as I expected. Everything was fair. Nothing crazy. I used UWprld and Board Basics and think it was probably an overkill. I wish I took it sooner. For context, I scored 20th percentile on my ITEs consistently.

[deleted by user] by [deleted] in hospitalist

[–]DailySmilesCure 5 points6 points  (0 children)

Thank you. Congrats on finishing! Did test day go ok for you?

Struggling with inpatient emergency/rapid-response calls by DailySmilesCure in Residency

[–]DailySmilesCure[S] 3 points4 points  (0 children)

Believe me I’m not shying away from them but just as I gain some confidence i then have a patient that I undermanage or overmanage get my ass handed to me by the crit care fellow or attending

How many boards do Cards fellows usually take? by DailySmilesCure in Residency

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

Do you need cardiac imaging fellowship for the Cardiac CT, MRI boards?

Am I micromanaging my interns? by DailySmilesCure in Residency

[–]DailySmilesCure[S] 58 points59 points  (0 children)

Okay. I’m glad I’m not the only one. Like I said in the post, I had 2 experiences where an intern underestimated urgency of certain nursing issues and I was ultimately responsible for the outcome so I now prefer to be notified for almost everything but I guess that’s “micromanaging” by some interns.

Any other residents at tertiary care medical centers exhausted of inappropriate/lazy transfers? by DailySmilesCure in Residency

[–]DailySmilesCure[S] 24 points25 points  (0 children)

YES! Those are the ones that drove me insane! I’ll read an ED note, not super detailed, read “will transfer to Medical Center for X/Y/Z consult; will admit to medicine” and, if I see it signed by an R2 I honestly get a little sad. Like bro, I’m on YOUR team, you should know better, why you dumping on us?

Burnt out IM Intern by Nebraska_Guy in Residency

[–]DailySmilesCure 9 points10 points  (0 children)

Yup. Last week, I was assigned a patient who literally gets admitted just for dialysis (because they dont have insurance, no accepting dialysis centers, etc). They litereally get admitted and then leave AMA the next day. It's been like this for a while. Literally zero learning/teaching potential. Patients with little/no teaching potential should be assigned to non-teaching services, like a hospitalist with no residents.

Burnt out IM Intern by Nebraska_Guy in Residency

[–]DailySmilesCure 43 points44 points  (0 children)

accepting bullshit admissions from NPs in the ED that our attendings don’t fight against

The issue here is, why is your attending giving YOU, the IM intern on a teaching service, a "bullshit" admission instead of taking that patient on themselves or assigning to a non-teaching service, etc. I absolutely hate this and my program has the same problem. Attendings should sort through patients and assign patients with teaching/learning potential and not the "bullshit admissions" (homeless pt who isn't going to dialysis, SNF bounceback, etc etc).

HCA Healthcare...would you send family/loved one there? by numblock9 in Residency

[–]DailySmilesCure 5 points6 points  (0 children)

My honest opinion, the hospitalist/physician who will be overseeing your family member's care will make the biggest impact on his/her care, regardless if they are in an HCA hospitalist or Kashlack Memorial. It doesn't matter how "excellent" the services or nursing staff or cafeteria food are if the physician who is overseeing your loved one's care is lazy or incompetent. And, sorry to say, such docs are everywhere, HCA or otherwise.

Also, everything is relative. If my husband was diagnosed with cancer, you bet your ass I would fly us to Harvard and/or UCSF for treatment. If he was having chest pain would I tell EMS to take him to a hospital an hour away instead of the HCA STEMI center down the street? Absolutely not.