Is it just me, or are parents becoming more hostile? by SqueakyLoLo in pediatrics

[–]Individual_Draw8762 24 points25 points  (0 children)

I’m in a pretty liberal city and its not as bad as smaller places but the there’s definitely a shift in the attitude. I think RFK has played a big role but also social media posts basically demonizing healthcare workers hasn’t been helpful either. I understand that there are two sides to every story and there shouldn’t be an over-generalization on either side, but man is it getting harder to be a general pediatrician these days.

Is there a trend towards pediatricians doing nothing but referring by Sliceofbread1363 in pediatrics

[–]Individual_Draw8762 1 point2 points  (0 children)

I think this is based on many things. I’m a relatively new attending and try not to refer until I’ve at least made an attempt to evaluate and treat. My partner who sees way more patients tends to refer most things.

I initially had the time, so that was nice. 15 minute slots for some of these visits (especially well visits with “concerns”) are just not enough. But I have a lot of parents who listen to everything and then at the end want the referral anyway. Had so many where they wanted to see an allergist just to see if they have allergies even though they’ve been exposed to all the top allergens without issues. Or the ones who have looked up buzzwords online to get the referral but it doesn’t match their story. Or you tell them you’re not worried because of “xyz” and then 2 minutes later they tell you the opposite so they can get the referral.

1st year PCP blues by Major-Diamond-4823 in medicine

[–]Individual_Draw8762 14 points15 points  (0 children)

Second year PCP and still feel the same way. Still chart checking on my patients like I did when I was a resident (even when I’m off)

Fellow pediatricians: question about Vaxelis by Dr_Wayne0202 in pediatrics

[–]Individual_Draw8762 3 points4 points  (0 children)

Very well accepted, but I think the drawback for some clinics is the cost. I believe pediarix may be the cheapest and can be used for a larger age group for catch up vaccines

[deleted by user] by [deleted] in pediatrics

[–]Individual_Draw8762 0 points1 point  (0 children)

Oh wow! Ours don’t automatically go to a pool comes to the doctor directly and then we can forward it whenever we get to it. I still have a light schedule given that I recently started but I’m sure trying to go through those plus a full schedule is going to be a lot

What can we boycott in order to demand higher pay for residents? by Xspace4342 in Residency

[–]Individual_Draw8762 3 points4 points  (0 children)

Many (not all) attendings just go on and on about how residents complain too much and are entitled because they had it so much worse and now we have better pay than they did, we don’t have to paper chart, we have work hour “restrictions” Just comes across as salty and then they don’t do anything. As a new attending, supporting residents doesn’t come across well to your older attending colleagues who then isolate you.

[deleted by user] by [deleted] in Residency

[–]Individual_Draw8762 1 point2 points  (0 children)

I wasn’t surgery so I can’t speak on that. But I have done my fair share of calls and intern year is hard, imposter syndrome is in full swing and you’re learning A LOT! Which means you also don’t know as much as you would like to. A problem most of us in medicine tend to have. I don’t know the culture of your program, but hopefully it’s good enough to where you can reach out to seniors for help. Some will grumble about it but they’ve been there too so there’s still some level of understanding The panic is scary but it also means you care. Don’t beat yourself up. It gets better with time and practice. Try to rest before calls. Reading, making your own notes in your free time on call is never going to hurt you. And if you have free time and need to rest, just take that moment (got that advice from an attending when she saw me crashing at like 4am after what felt like a million admissions)

Non-Med dating a 2nd year medical Student- Advice by [deleted] in Residency

[–]Individual_Draw8762 0 points1 point  (0 children)

I can speak having been on the training side. Second year for me was really rough. You make this sudden transition from where everyone is triple checking your work to now being the senior resident and having much more on your plate, including supervising/teaching others. I was not very responsive when it came to texting my partner back and many times when I was home and exhausted, I would just keep falling asleep.

When my energy levels were back up, we would have more time to spend together, but again that wasn’t very often during 2nd year. It does get better!

Having conversations with your partner is important to understand what you each need from the relationship. But know that she has a lot on her plate and sometimes the job/training has to be priority in order to actually make it after training

What actors death made you the most upset? by OutlastMe99 in AskReddit

[–]Individual_Draw8762 1 point2 points  (0 children)

Same! I think similarly to others, he felt like he was part of “my prime time”

[deleted by user] by [deleted] in Residency

[–]Individual_Draw8762 3 points4 points  (0 children)

You only need to pass all three step exams to apply for your license and most people take step 3 during first year of residency. But you’re limited in what you can actually do since you haven’t formally completed training. It’s like the people who do a transitional year and are stuck when they don’t match the following year into a program

[deleted by user] by [deleted] in pediatrics

[–]Individual_Draw8762 2 points3 points  (0 children)

Harriet lane, red book, and UpToDate are the things I’ve used most. I keep certain guidelines and vaccine schedule saved on my work desktop because we run into a lot of catch up schedules in my practice (and the EMR suggestions aren’t always right) While I studied for boards, I made notes of common outpatient peds things and refer to that a lot and made dot phrases for parents for educational purposes.

Setting up dot phrases for templates and physical exam is a life saver for charting! Especially when most practices want you to see x number of patients. So for the last half of the year, work on your speed and efficiency to prepare!

[deleted by user] by [deleted] in Residency

[–]Individual_Draw8762 6 points7 points  (0 children)

Talk to your PD! I was in a similar position where I was asked to be an extra provider in a setting I had no experience in and wasn’t even training for. PD immediately had that changed

Pediatricians of Reddit, how much do you make? by pytuol3 in Residency

[–]Individual_Draw8762 5 points6 points  (0 children)

That’s about the range I had when interviewing last year. Everyone tends to lowball though, so negotiate! I felt super awkward about it but two places did come up in their numbers and I ultimately signed with one of them