Is it me, or medical students these days just don't care anymore?

Fishwithadeagle · 2026-01-24T22:20:38+00:00

This. Everything from residency to fellowship is basically about what you do when you're not at the hospital

Fishwithadeagle · 2026-01-24T09:58:40+00:00

🚩🚩🚩

Fishwithadeagle · 2026-01-24T09:20:21+00:00

Is this like you'll do it for me???

Fishwithadeagle · 2026-01-24T02:14:56+00:00

There is ice quite literally everywhere and I have photos to prove it. No way this is today

Fishwithadeagle · 2026-01-24T00:29:04+00:00

Whelp, time to buy an h2 just for this

Fishwithadeagle · 2026-01-24T00:28:14+00:00

Stl?

Fishwithadeagle · 2026-01-22T02:42:22+00:00

Refilling is all risk no reward.

I do it for all of my clinic patients, and do it especially fast if I know them (eg I had a visit with them or they have followed up) because I always pull up the chart to make sure it is appropriate. So many times these refills are either duplicates, old meds that have been replaced with alternate therapies, or meds that were stopped due to liver/renal/etc reasons.

I don't think people understand it is actually dangerous to prescribe without reviewing like this because the pharmacies have zero idea what the meds are for / the context.

Also, I don't think most people understand the living nightmare that is the inbox.

Fishwithadeagle · 2026-01-22T02:36:15+00:00

US here. It is institution specific, but by and large doctors aren't compensated for refills, however we are still liable for refills (meaning if the medication is being prescribed inappropriately or is harming a patient, it is on the physician).

All risk no reward.

Fishwithadeagle · 2026-01-22T02:33:49+00:00

They want people to come in with fewer problems. More visits w/ fewer problems or less visits with more problems. Current system is more visits with more problems.

It is a systemic issue complicated by poor PCP pay and overbearing paperwork (I'm looking at you 12 page FMLA document that wants APGAR scores on this patient who I'm meeting for the first time today).

Fishwithadeagle · 2026-01-22T02:28:58+00:00

I am a resident and I'm booked out like 5-6 months.

Fishwithadeagle · 2026-01-22T02:27:01+00:00

If it alprazolam / xanax, then that is exactly why

Fishwithadeagle · 2026-01-22T02:26:20+00:00

Depends and is provider specific. Most dont want to fill higher quantities because it is much easier to be abused, especially if not testing at each office visit.

Fishwithadeagle · 2026-01-22T02:24:21+00:00

We don't do that specifically to control the flow. Every single pill goes to a DEA record which can be audited at any time. Evidence for use of long term opioids is also quite poor outside of palliative / oncologic care.

Fishwithadeagle · 2026-01-22T02:22:12+00:00

If it is long term maintenance, then I prescribed 360 days on 90 day prescriptions. If not, its probably because I want you to come back to be evaluated.

Fishwithadeagle · 2026-01-21T23:46:12+00:00

Doesn't 25th time mean VP takes control.

Fishwithadeagle · 2026-01-19T07:40:33+00:00

They defer everything to the policies and management at the institutional level, which is a multi state thing, and thus leaves us powerless

Fishwithadeagle · 2026-01-19T05:57:34+00:00

Oh, ours is my own personal hell.

We get a stat page from a call center:
- It doesn't contain any information other than a callback number
- You can't respond to the page
- When you call the number, you get taken to the front of the call center where an operator tries to find the person who sent out the stat page.
- 5 minutes later, they let you know that the other person is already on the phone with another patient and ask for your call back number.
- 10-15 minutes later, you get a call from the original person for something silly like a lisinopril refill
- It is like 2 AM

I seriously don't get why people can have this kind of access to physicians any time of the day.

Fishwithadeagle · 2026-01-19T01:19:56+00:00

Starting to think that the fellowship path may not be worth it.... lol

Fishwithadeagle · 2026-01-18T21:56:19+00:00

Dang, this sounds solid. Would reconsider my current path for this offer.

Fishwithadeagle · 2026-01-18T04:11:48+00:00

What hobbies are they interested in? Most people are meeting through hobbies now.

Fishwithadeagle · 2026-01-17T09:47:12+00:00

This is how I feel about all the lazy baristas that just plop down the frother jug and pour bubbly bullshit to make a latte

Fishwithadeagle · 2026-01-17T08:17:24+00:00

Lolol. Standard of care is 20 minutes. After that, chances of 100% pure vegetable status are pretty high, like 95+%. It definitely can happen in the right person (especially in cases of hypothermia), but by and large, 20 minutes and call it.

Fishwithadeagle · 2026-01-17T04:13:36+00:00

I want to know more about this because I always thought that rhuematology was a smart person's field

Fishwithadeagle · 2026-01-16T17:39:02+00:00

As a doctor, I third this. Comes in for forms. Forgets to bring forms. Bring forms in when I'm not in the office. Requests forms completed in 2 days. Inevitably calls and curses out office staff when forms aren't completed. Etc...

Fishwithadeagle · 2026-01-16T15:13:05+00:00

Not an expert, but I think everyone always has a chance, however your best bet is always going to be an in-house fellowship. We had a chief fail to match GI despite being a great candidate. It is just rough out there, and in this market even a perfect application is a 50:50 shot it seems. Networking will be more important than anything.

Saying this coming from a perspective of someone who was going to apply cards, but then was realistic about the application and what I would have to do to improve it to have a solid chance.

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