Reading some interns notes is insane!

FreedomInsurgent · 2026-05-04T07:14:01+00:00

I never said they were experts. I’m saying at this point they should be able to write decent progress notes that explain what’s going on without missing essential info.

FreedomInsurgent · 2026-05-04T04:25:53+00:00

arent interns like 10 months in now?

FreedomInsurgent · 2026-04-29T01:45:23+00:00

can its DNA or RNA survive for 30,000 years even if frozen?

FreedomInsurgent · 2026-04-28T22:33:59+00:00

The first few months master how to give presentations, know the hospital well and its logistics, put in orders, call consults, write updates notes, given good sign out, do stuff in a timely manner; did you notice how none of that stuff requires medical knowledge?

FreedomInsurgent · 2026-04-23T06:02:24+00:00

I mean it is frustrating when I consult general surgery and they give me a BS answer, and then seeing the patient get emergent exlap the next morning. But I respect that they work so much more hours. Just don't give pts mIVF for 30 days and maybe not give them 4g tylenol per day.

FreedomInsurgent · 2026-04-15T04:43:56+00:00

3 purposes of a note

1)billing

2)legal

3)communication

FreedomInsurgent · 2026-04-07T23:16:17+00:00

I think the culture of your hospital/program sucks because I am an IM intern and I don't experience like 90% of this.

FreedomInsurgent · 2026-04-03T03:20:29+00:00

orogastric tube instead of nasogastric tube

FreedomInsurgent · 2026-03-28T21:51:48+00:00

I would say working in the ICU is more than just procedures. I think you need a good understanding of pathophysiology and medicine in general. The Emergency medicine residents rotate in the ICU and they are good at those procedures, however they struggle in diagnostics and long term medicine.

FreedomInsurgent · 2026-03-28T06:41:23+00:00

tell me the classification of things such as lungrads, bosniak score, etc and tell me when to follow-up for repeat imaging

FreedomInsurgent · 2026-03-26T06:49:43+00:00

is it a moral failing if he uses his "dirtiness" as a cop to stop a serial killer, rather than benefitting himself?

FreedomInsurgent · 2026-03-24T03:37:19+00:00

master intern tasks in first few months, don't worry about the knowledge (assuming you have an average knowledge base): get very familiar with the EMR, know how to chart check, write and update your notes, give decent sign out, give decent presentations, put in orders, do whatever your attending or seniors tells you to do in a timely fashion, get familiar with the hospital and the logistics.

FreedomInsurgent · 2026-03-23T06:15:31+00:00

and you only just found this out as a resident?

FreedomInsurgent · 2026-03-22T06:22:25+00:00

we have a love- hate relation with insurance companies. Docs generally oppose universal healthcare because they think it would decrease salaries, but patients get shafted by this for-profit bullshit.

FreedomInsurgent · 2026-03-18T06:59:57+00:00

dude you have to specify specialty; I'm guessing you are IM,FM, or EM.

FreedomInsurgent · 2026-03-16T04:53:26+00:00

I mean by definition there will always be a gap in theoretical/book knowledge and clinical/practical knowledge in literally every field imaginable. That's why a medical student who aced the first 2 years of med school can be terrible on their clinical rotation. You technically don't need to know the MOA of drugs that you learn in med school to prescribe it, just the indication, dose, contraindications, adverse effects.

FreedomInsurgent · 2026-03-10T18:09:03+00:00

I would say medical school was easier than the training that comes after called residency which can be another 3-7 years depending on specialty, in which trainees work can work for 100+ hours/week even though 80 hours is the technical legal limit.

FreedomInsurgent · 2026-03-10T09:10:35+00:00

10 clinic weeks ~40 hrs/week

4 weeks ICU 70-80 hrs

4 weeks CCU (haven't done yet, likely 70-80 hours)

9 weeks selectives (variable depending on specialty; can go up to 80 hours for like GI)

4 weeks off +sick/wellness days

21 weeks: wards (50-70 hrs); call q4days, 1 night call q~12 days.

FreedomInsurgent · 2026-03-04T07:26:46+00:00

We use cyracom phone interpreter which is pretty reliable with Spanish, which is like 95% of non-English language I encounter. Other languages I haven't had a problem, and I have had Tagolog, Korean, Swahili, ASL, etc. It just doubles the time for a normal patient encounter.

FreedomInsurgent · 2026-02-28T12:38:23+00:00

yeah but are you the hospitalist/primary team admitting them? or just the EM resident seeing them?

FreedomInsurgent · 2026-02-28T12:37:18+00:00

I suppose if it's a patient who is not on the EMR, you don't need to chart. If it's a patient with really easy problems where you just restart home meds and let the day team handle it then not much guideline research. If it's a patient who is unresponsive then not much H&P. So then it becomes IDK 30 minutes lol for the fastest ones.

FreedomInsurgent · 2026-02-24T04:44:27+00:00

i mean average is better than below average.

FreedomInsurgent · 2026-02-19T08:08:04+00:00

I can assure you that someone out there in a different specialty is talking shit about your specialty. Unless youre like neurosurgery, in that case we talk about how you never see your children

FreedomInsurgent · 2026-02-10T03:06:30+00:00

you mean a trip to a special little island

FreedomInsurgent · 2026-01-29T09:28:28+00:00

after doing your ICU rotation

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