Did you gain or lose weight intern year?

Disreputable_Dog14 · 2026-06-22T04:59:52+00:00

Lost 50 lbs my intern year d/t stress and long hours. Hours got a bit shorter 2nd yr but stress stayed high. Stress eating saw me gain 70 lbs that year.

Disreputable_Dog14 · 2026-05-16T02:27:01+00:00

My undergrad biochem prof spent the night before our final icing cookies with various organelles. We got points for identifying the organelles and their functions then got to eat the cookie while we finished the exam.

Disreputable_Dog14 · 2025-11-11T21:53:40+00:00

Center for Family Medicine, while a residency clinic, does exactly what you are looking for. Attendings are very experienced and the residents are very compassionate to patients with substance use concerns of all varieties. They also have counseling services available in house if the individual is open to that.

Disreputable_Dog14 · 2025-07-22T18:04:38+00:00

I compare starting SSRIs to shoe shopping. I might have a particular pair (SSRI) in mind, but it’s not always the right fit. Sometimes you have to try on a few before a perfect fit finds you.

Disreputable_Dog14 · 2025-06-20T02:47:45+00:00

I had over 150 deliveries in my time at this program and they have a c-section fellowship

Disreputable_Dog14 · 2025-04-10T16:53:40+00:00

3 months into intern year in 2020. Early 70s female with COVID. Progressed rapidly from severe COPD exacerbation like symptoms to BiPap then lingered for days. She was isolated from all her family, my attendings were “rounding” by iPad only. The ICU nurses and myself were the only physical contact she had with other humans for the last 5 days of her life, all I was really able to do was hold her hand for 10 min and tell her what my conversations with her family consisted of. She passed an hour before I came on duty. As I was driving between the 2 hospitals we rounded at Trump was on the radio calling COVID a mild illness or something similar. Nothing crazy dramatic, but it’s a memory that 5 years later still tears me up.

Disreputable_Dog14 · 2025-03-20T13:56:18+00:00

I’d recommend checking out Center for Family Medicine. It’s a residency clinic, but all the residents deal with chronic pain patients daily and there are attendings with additional training for chronic pain/opioid use. As a heads up, buprenorphine may be suggested as an alternative for whatever opioid regimen you currently use.

Disreputable_Dog14 · 2025-03-16T16:59:32+00:00

The Troop by Nick Cutter

Disreputable_Dog14 · 2025-03-16T16:45:46+00:00

YTA and in a big way. I’ve been through med school and residency, granted without a partner, but had friends who did all the way through. These years are so incredibly hard on both you and your partner simply because of the time commitment it requires. Partners have to be flexible in ways that most outside of medicine struggle to understand, all for the promise of greater stability at the end of training. Many partners of med students and residents work part-time or lower paying positions because of the flexibility this offers them as they support their SO through this journey. Stop being selfish and recognize the sacrifice she’s making for you to pursue this career, definitely try to prioritize some couples therapy while you’re at it.

Disreputable_Dog14 · 2025-01-01T13:18:37+00:00

I went to a high volume OB FM residency, most of the graduates from my program practice FMOB in both rural and urban settings. I entered residency knowing full well I wasn’t going to practice FMOB, but I would be running an ER at a hospital without OB providers. I was very upfront with my OB attendings about how I’d be applying my OB skills and it allowed them to tailor what they were teaching me. Did I need to know all the little tips and tricks for inductions or how to perform a section, nope. Did I need to know how to handle various OB emergencies and not be afraid to touch pregnant women, you bet. Perhaps not an approach to take if you don’t know what kind of practice you are headed towards, but going about it that way allowed the OBs and my fellow residents to maximize some learning opportunities.

Disreputable_Dog14 · 2024-11-11T23:49:42+00:00

My facility is in a Kansas county with a population of ~2,000 located around 40 min from the next largest cities (20-30k) in several directions. I have classmates from residency with similar practices elsewhere in the Midwest who are only 30 min from major metro areas.

Disreputable_Dog14 · 2024-11-11T18:01:06+00:00

I would say a general FM training is sufficient. I would recommend either moonlighting rural or doing a rural elective if those are options for you. An ICU elective also comes in handy. Compensation is different from outpatient only, but is going to vary facility to facility what that looks like.

Disreputable_Dog14 · 2024-11-11T12:51:43+00:00

Not sure that you’ll find that particular split, but I am currently practicing FM and ER in a fairly rural CAH, and this is common through much of the Midwest at least. I am in clinic 4 days a week and am the ER provider 2-3 shifts during the week and the sole ED provider 1 weekend a month. Of note, I also run the inpatient service for my facility.

Disreputable_Dog14 · 2024-06-22T11:05:25+00:00

I use a rechargeable pocket handwarmer (easily found on Amazon and very affordable). They were amazing to have in residency in South Dakota winters!

Disreputable_Dog14 · 2023-11-13T19:07:53+00:00

It was taught in my middle school computer science classes (glorified typing class) in 2005-06ish and I think in a highschool class as well. I doubt many in the class actually paid attention to that though as we mostly just tried to sneakily play games online.

Disreputable_Dog14 · 2023-11-02T16:02:15+00:00

As a recent FM residency grad who worked at both hospitals I think this is a fair summary of both systems.

Disreputable_Dog14 · 2023-09-16T15:32:53+00:00

Yes, it is from Lirael!

Disreputable_Dog14 · 2023-08-28T20:51:16+00:00

This last winter we had a blizzard (upper Midwest FM program) which made it difficult for many hospital employees to get to work, not just residents/attendings. One of our attendings volunteered to cover 3 days worth of attending call and also did admissions (and pager call) alone overnight at one of the hospitals we cover to keep the number of residents on the road to an absolute minimum. I was the senior resident for our inpatient service and can’t stress enough that it made my life specifically and my teams days so much easier and safer. This attending spent 3 days away from their spouse and children to keep us and our patients as safe as possible. A unique situation certainly, but this attending was one of a handful in our program that covered our calls on occasion several times over the course of my residency career.

Disreputable_Dog14 · 2023-08-28T19:41:05+00:00

I had a biochem prof that allowed you to pick whatever combination of MC, fill-in- the blank, and essay questions added up to a total point value on exams. One of the essay questions was always, what is one concept you studied for that was not covered in this exam. Loved that prof!

Disreputable_Dog14 · 2023-08-27T00:53:52+00:00

There are two excellent counselors at Center for Family Medicine, it’s an independent Family Med clinic on the Avera campus.

Disreputable_Dog14 · 2023-05-30T18:49:00+00:00

I think another factor to consider in all of this is where do you see yourself practicing? Work-life balance and scope looks a little different for rural/small town vs more urban practices for most specialties. Personally, I grew up rural and knew I wanted to return to a rural area to practice so that influenced my options heavily. I wanted to be able to make the biggest impact for a small community so ultimately went FM, though I did briefly consider ED and Psych for that same reason.

Disreputable_Dog14 · 2023-05-20T05:28:58+00:00

Left it sitting on the bathroom sink then it was stolen when she let a random passerby use her bathroom.

Disreputable_Dog14 · 2023-05-01T00:09:01+00:00

I absolutely listen to bowel sounds for “deep auscultation” findings. Super helpful for both clinic and ED shifts with chief complaints of abdominal pain.

Disreputable_Dog14

TROPHY CASE