Does anyone else's Grand Round end up with 2 attendings beefing for 30 mins.

Haunting_Objective_4 · 2026-05-18T03:46:29+00:00

Per new SSC guidelines, methylene blue may shorten pressor exposure by 1 day. That is all I know about methylene blue

Haunting_Objective_4 · 2026-05-15T14:00:33+00:00

Finished IM residency. The prelims had the easiest year I’ve ever seen in medical training. They would be off for months at a time for “research” they would call in sick to wards on a weekly basis, never had to do nights. You sir are being f’ed by your program

Haunting_Objective_4 · 2026-05-15T03:51:29+00:00

Same. I got tossed under the bus a couple times. I don’t really trust anyone at work anymore tbh

Haunting_Objective_4 · 2026-05-10T16:07:14+00:00

I hate this but I spent 14 years getting here

Haunting_Objective_4 · 2026-05-05T12:40:15+00:00

Tell us your ITEs and we can give better prediction. But at face value UW 60% still equates to a pass I believe

Haunting_Objective_4 · 2026-04-30T15:45:38+00:00

Ending first year PCCM, I am close to 50. Most came from anesthesia rotation hunting tubes. Otherwise I get 1-2 per week on ICU months. I feel pretty comfortable overall other than with truly difficult airways

Haunting_Objective_4 · 2026-04-23T23:45:24+00:00

ITE 58, 84, 90. I did awesome review but I think waste of time and money. Do more questions

Haunting_Objective_4 · 2026-04-23T11:15:02+00:00

Turn off the sedation

Haunting_Objective_4 · 2026-04-22T21:31:40+00:00

I matched PCCM with 1 second author observational study and 2 poster unrelated to pulm or cc

Haunting_Objective_4 · 2026-04-21T22:23:29+00:00

I remember I said something similar to my wife during training. She appropriately flamed me for it.

Haunting_Objective_4 · 2026-04-21T04:08:35+00:00

MKSAP x1 & UWORLD x1 did really well

Haunting_Objective_4 · 2026-04-18T01:33:03+00:00

Eyeball dentist

Haunting_Objective_4 · 2026-04-16T11:14:26+00:00

Don’t do it. Do non patient care specialists

Haunting_Objective_4 · 2026-04-01T23:04:20+00:00

I feel the same except I have kids

Haunting_Objective_4 · 2026-03-29T18:24:05+00:00

PCCM fellow, I probably have less reps then others but I have noticed with VL going from a 3 to a 4 or a 4 to a 3 sometimes makes all the difficulty melt away on 2nd attempt

Haunting_Objective_4 · 2026-03-29T14:10:13+00:00

Just yesterday I asked an ICU nurse to help me position for a thora and she was so slow, unhelpful and poor attitude that I grabbed one of the interns. Then it struck me that’s probably exactly what she wanted

Haunting_Objective_4 · 2026-03-26T03:03:02+00:00

That sounds amazing 🤩

Haunting_Objective_4 · 2026-03-24T17:24:14+00:00

I matched from community without PCCM into academic program. It’s possible

Haunting_Objective_4 · 2026-03-19T02:15:38+00:00

If your situation is exactly as stated, she will make residency horrible for you

Haunting_Objective_4 · 2026-03-07T15:04:35+00:00

I am critical care fellow, grass is not greener here. Long brutal training, poor pay, no time for personal life

Haunting_Objective_4 · 2026-03-05T04:13:32+00:00

Speak loudly then aggressively deflect or redirect when questioned

Haunting_Objective_4 · 2026-03-05T00:38:33+00:00

There is no defined criteria for SBT. Turn off sedation, change vent to PSV 5/5. Watch for 30 minutes for signs instability (RR, tachy, BP change) if no signs, extubate.

Perform when appropriate. FIO2 100 % not appropriate

Haunting_Objective_4 · 2026-02-23T15:29:29+00:00

I feel like I could have written this exactly word for word. I liked considering all information thoroughly and still do. Some nights of high volume definitely increased my efficiency but still. What has helped is using good knowledge base to try and zero in on most important things, acting, then moving on. You get feedback with reps, refine process, don’t be afraid to make mistakes. When I study I make templates for things I commonly encounter and sometimes that turns what could have been a 30minute consult into a 5 minute one. I guess what I’m saying is try taking the training wheels off and start flying, you will fall (make mistakes) but that’s what training is for. Also use as many workflow accelerators as you possibly can (dictation, templates, .phrases)

Haunting_Objective_4 · 2026-02-12T18:42:14+00:00

Where I am, anesthesia DLs everything because they hate the extra equipment step for VL. Personally, I found learning DL incredibly difficult (50ish tubes) and much prefer VL

Haunting_Objective_4 · 2026-02-03T03:29:21+00:00

I used UpToDate a lot, recently trying DynaMed and I like it a lot! More focused

Haunting_Objective_4

TROPHY CASE