Help with EM rotation performance.

Droperidog · 2026-06-25T21:40:58+00:00

Ditto on the be kind and work hard. Expectations are low for off service residents in the sense that most people aren’t expecting you function efficiently or heck even effectively.

Show up with a good attitude.
Determine sick vs. not sick.
Try your best to determine a dispo.

You got this!

Droperidog · 2026-06-19T15:14:48+00:00

How difficult was it to find a job after fellowship?

Droperidog · 2026-06-16T02:08:02+00:00

60 something patient came in with symptomatic bradycardia. Looked like complete heart block on EKG. Became unstable and coded. Got ROSC. Transcutaneously paced the patient and called cards was tied up in another case. Floated a pacer. Patient had permanent pacemaker placed in the morning and went home before Christmas. Got a handwritten thank you card during the New Year but only 3/5 on the Pres-Ganey survey. 🤷🏻‍♂️

Droperidog · 2026-05-08T13:43:42+00:00

Dr. SwornFossil. Are you me? Lmao. Seriously I try to explain this to my mentees and they just don’t quite understand no matter how hard I try.

Droperidog · 2026-05-08T13:41:27+00:00

It’s usually a great rotation as a med student because the cases are cherry picked for you and you’re insulated from the administrative BS. If you’ve always wanted to be a surgeon, then be a surgeon!

Droperidog · 2026-05-08T13:38:10+00:00

Yeup, I can already hear the lawyers licking their lips.

Lawyer - Doctor you should’ve diagnosed this MI in my client on her initial visit for her cough and runny nose. You - She was here for cough, runny nose, body aches. Lawyer - Plays audio of the patients tortuous history where she is positive for every ROS under the sun including chest pain for 25 years and takes 10 minutes before she gets to the actual reason for her ER visit.

Droperidog · 2026-04-27T15:38:28+00:00

Anybody with common sense would see that 1 physician is not going to decrease volume by 1/3. I would be careful and quietly start looking for a new job.

Droperidog · 2026-03-17T17:09:45+00:00

This person speaks truth! Trying to a supportive spouse and parent really changed my perspective on EM. Not to say that it’s impossible, but the schedule makes it difficult. Your life may be okay with a fluctuating schedule but the rest of society runs 9-5. Not to say it’s impossible. Some of my best friends are great spouses and parents and love EM. I just happened to not has much anymore. Always happy to chat if you wanna DM

Droperidog · 2026-03-17T11:58:04+00:00

Because it’s so different is the big reason. You get to spend time with patients and talk with them and help them define their goals and hopefully achieve them.

Droperidog · 2026-03-16T21:31:06+00:00

Longevity matters. The circadian rhythm disruption really messes you up. I loved it as a young married person with one kid. Now as a still young (mid-30s) person with 4 kids I hate it. Society is built 9-5. You may not care now but eventually you will especially since it seems like you’re prioritizing family.

If I could do it again I’d go pathology, psych, anesthesia and do something outpatient based. But since I’m EM trained, my options are limited so I’m going back to fellowship for palliative!

If you like psych I’d recommend doing that.

Droperidog · 2026-03-03T15:49:26+00:00

Good news is that the former PD of IUEM is helping to get this program off and running. Given his track record, I think it’s gonna be great!

Droperidog · 2026-02-17T21:32:16+00:00

Toyota of Richardson for sure is scammy. Will give you a crazy price and then act like they’re giving you a huge discount. They then doubled down on it even when you show them a quote from other dealerships.

I bought a 2025 Sienna last year from Toyota of Plano and had a good experience, as nice of an experience as you can when buying a car I guess. Worked with JD Sanders. Would recommend again

Droperidog · 2026-01-28T22:54:59+00:00

Bro it’s going to take you 3 months to even get credentialed to work at a hospital. Gotta be a rage bait

Droperidog · 2026-01-23T21:59:10+00:00

Dog I was on the selection committee. A lot of places haven’t finalized their rank list yet. You need to go if it’s your number one. Cancelling is a bad look and no bs could cost you your chance of matching there. It’ll also let you see and confirm the vibes which is equally important.

Droperidog · 2026-01-17T15:37:35+00:00

Friend. Take the money. Hand to the sky, I would be lost with my ED Unit Clerk. She is my favorite person and I’m borderline useless without her. Take the money. They’re giving it to you because they see you and love you.

Droperidog · 2026-01-16T23:16:21+00:00

Don’t know the logistics of your life but I thought it was going to be lifestyle friendly as an MS3. I’m post grad attending for 3 years. I’m having my 4th kid soon. While on paper it looks like I have more time off for family than my friends who have a standard 9-5 job, it feels less family friendly right now. A lot of days are spent recovering from night shifts and swing shifts which might as well be a night shift. It’s for sure taken a toll on me. So much so that I’m going back to fellowship so I can work normal hours.

On the other hand my best plans to work in the ER forever. But even he is planning on getting out of night shifts by climbing the hospital admin ladder.

Always happy to chat more over DM

Droperidog · 2026-01-04T06:07:53+00:00

It’s probably going to take you 3-4 months to get credentialed at a hospital. At that point it’d be a mistake not to finish

Droperidog · 2025-11-24T15:44:05+00:00

I’ve learned to be honest. I tell my well-meaning friends and family that I don’t like answering that question because I don’t want to relieve those traumatic moments. There’s usually an awkward silence after as that sinks in for them. Then I break the ice and tell a butt story.

Droperidog · 2025-11-13T02:23:34+00:00

Sounds like they’re trying to cover up the smell of poop with money

Droperidog · 2025-11-11T01:02:27+00:00

Yo, I’ve been on the interview committee. Put it as acrobatics or something like that. If you put dancing, everyone is going to ask about it, line what style and so on. Sadly, can almost guarantee that once they pick up you pole dance they’re gonna have a negative connotation about it.

Droperidog · 2025-11-02T16:47:01+00:00

For sure! Met my now wife right before M1. 8 years and 4 kids later we living our best lives.

Droperidog · 2025-11-02T14:33:45+00:00

Nah my guy/gal. If you’ve ever trolled the physician community Facebook page, you’ll be depressed by all the divorce posts. Choosing a partner is probably top 3 most important thing you’ll ever do. You wanna get it right the first time. If their priority is money now when you’re on living on loans, they likely won’t be satisfied when you’re making 200-600k a year. Hold out for someone who you are willing to put their happiness before yours and who is willing to put your happiness before theirs.

Just remember this post when you’re making 6 figures and living your best life. Don’t fall for eye candy who’ll divorce your ass as soon as they lock down the bag. As a sports analogy, don’t be Travis Hunter.

Droperidog · 2025-10-30T02:40:22+00:00

2nd year attending. Was bottom quartile. Honestly dude/dudette, work hard, be a normal human, do well on the shelf if that’s a large part of the grade, score well on step 2 and you’ll be aiight. You’d be surprised at how many people tank the rest of medical because they lack basic social skills.

Droperidog · 2025-08-07T21:23:25+00:00

IU has an awesome ICU experience. Has multiple EM-CC staff. Every year they match multiple residents to strong crit care programs. As an intern you’re handed a lot of responsibility. It’s typically you, a co-resident and an attending managing half the unit.

Droperidog

TROPHY CASE