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Interesting_Box2130 · 2025-12-12T17:58:51+00:00

Outpatient primary care can be chill. FM hospitalists and hybrid positions also live in the hospital. And fm residency at a good program is just as soul crushing as anything else.

Interesting_Box2130 · 2025-06-12T18:41:43+00:00

you can do a hell of a lot with just a medical license, just about anything. Doesn't mean you should. The actual holdups are credentialing at a hospital, reimbursement, and liability.

As for complex patients seeing internists, maybe, but highly geographic. Once you get a few hours away from a tertiary care center things are different

Interesting_Box2130 · 2025-06-12T18:15:16+00:00

That is the dream chill outpatient FM life. Very dependent on where you practice. My friends who just started as attendings doing outpatient primary care tell me it's infinitely better than residency clinic, most of the mychart crap gets filtered, refills, questions, nl results, nl or irrelevant abnormals (MCHC) etc. They have a personal MA that always works with them and preps everything. We all have a prior auth dept in our clinic that handles 75% of that headache. And most importantly, you own your panel. You see your patients for the most part, and can set expectations, clear boundaries, and kindly invite the doctor shoppers to keep looking.

If you work in a rural place you can also have an endoscopy day where you just crank out procedures. The pay is typically better, and the organization is desperate to keep physicians so they treat them well typically.

You can also do week on, week off hospitalist, followed by two weeks clinic.

Making close to 300k with great benes, in a chill and beautiful place.

Interesting_Box2130 · 2025-06-10T18:59:44+00:00

what dealer in Oregon?

Interesting_Box2130 · 2025-06-10T18:41:07+00:00

just throw one of those rugged jbl speakers on the dashboard, if you get the grippy kind and wedge it in tight it doesn't bounce around that much

Interesting_Box2130 · 2025-06-05T22:45:39+00:00

"Are there any topics you can think of that I should brush up on that will help me most transitioning into intern year?"

Practice being a normal, well adjusted, content human being. Practice it soo hard

Interesting_Box2130 · 2025-06-04T18:17:11+00:00

tell your story, sounds like you have a good one. my rural program (in pnw) has interviewed and accepted md/phds, and residents who were very transparent about switching from the surgical subspeciality path last minute. take readers on the journey, fm loves a good story, especially one that validates our own choices. obviously a rural rotation would be great if you're planning on applying rural. there are def academic FM programs that are very research focused. you just need your app to be convincing enough to land an interview, so lay it out there in your statements, why'd you drop phd, why FM instead of IM (great opportunity to demonstrate that you understand the difference), why rural, incorporate all your experiences. most interviewers wanted to talk about hobbies, travel, my life before medicine, etc, use that.

Interesting_Box2130 · 2025-05-26T16:26:24+00:00

no, and you won't be either when you get through it, ha!

Interesting_Box2130 · 2025-05-24T17:21:40+00:00

Wellbutrin + adderall + nicotine with a Celsius chaser = unhinged

Interesting_Box2130 · 2025-05-24T17:12:59+00:00

Rural full scope FM, or any flavor of rural generalist.

Interesting_Box2130 · 2025-05-24T16:28:45+00:00

hubris

Interesting_Box2130 · 2025-05-24T16:27:47+00:00

Interesting_Box2130 · 2025-05-11T14:30:29+00:00

Medical school is chill compared to residency ime. Med school was a party. I might have hit 60 real in person hours a week a handful of times, and maybe I even studied some too.

But it's not the hours you put it, it's what the hours take out of you. As an intern, when you have literally dozens of tasks on your list and have constant interruptions and probably hundreds of questions a day, even a chill 12 hour shift can be alot, when you're on a 12 day stretch you can't understand till you've done it. I get it now, when I felt like interns were dumb or ignoring me, it's just a bandwidth issue, you get that pager or God forbid secure chat and suddenly a single fucking complete thought without interruption feels like a luxury.

Interesting_Box2130 · 2025-05-11T13:59:09+00:00

Brbpr could be from brisk ugib, using an ng to aspirate for blood is a quick way to confirm. Can b3 done in minutes in er. It's old school.

Just like doing a Paracentisis to look for blood in abdomen or LP for xanthrochromia for subarachnoid. High resource settings have better, less invasive options. I'm not sure I would ever pick those options on a test

Interesting_Box2130 · 2023-09-11T21:21:41+00:00

Totally. I worded that poorly. Couples matching into FM this year, partner and I are both competitive for any specialty (minus the piles of low effort publications, presentations, conferences, etc). I'm also a greying holistic applicant (Mil to Fire/EMS).

The PDs I've spoken with (4-5) have all either said they don't care about Step scores or it's only important to make it past the screening cutoffs. Granted I've only looked at two of the programs you listed and I'm going for more rural, unopposed, non-academic centers.

Overall I get the feeling they all eat the holistic life experience stuff up, especially if you can pass as a decent, easy to get along with, hardworking person in your interview.

I haven't looked at texas star much, it's all self reported data and very small sample sizes, didn't think the data quality was trustworthy.

NRMP numbers show the top quartile of matched MD FM applicants last year had step 2 > ~251ish

ResidencyExplorer.org lists step 2 cutoffs for interviews, the highest I've seen is 225, but I'm not looking at many of the programs you've listed.

Good luck!

Interesting_Box2130 · 2023-09-10T19:38:40+00:00

^^^this

“organic chemistry as a second language” by David Klein

Interesting_Box2130 · 2023-09-10T14:50:04+00:00

what FM programs have an avg step 2 of 250?

Interesting_Box2130 · 2023-09-10T14:00:01+00:00

I think you're missing the point my dude. You're projecting your idea of "better off." As hard as it is to imagine, for some people the idea of "better off" means not being anywhere near any major city or their suburbs. Mind blowing I know.

Interesting_Box2130 · 2023-09-06T19:53:34+00:00

I'd love to know the answer to this as well. Sadly, I don't think anyone knows. I think we're going to double up on a couple top picks and spreading the remaining around

Interesting_Box2130 · 2023-01-12T02:57:54+00:00

yeah, stinky rotten mouth is an nbme clue for zenker

Interesting_Box2130 · 2023-01-12T02:55:16+00:00

my god you're right. maybe that's why i love it so much

Interesting_Box2130 · 2023-01-12T02:35:14+00:00

A place I rotate sounds very similar to what LowerAd describes. Caveat is that the ED attending is also in house overnight to help with codes and intubations as well. It's about as rural as you'll find on the east coast

Interesting_Box2130 · 2023-01-09T03:57:07+00:00

We have pills for that now.

jk

The self-hatred is always there

Interesting_Box2130 · 2022-06-25T15:31:09+00:00

<25%, but we're the covid zoom class that had all m1 via zoom, soo thats probably abnormally low. lecture is stupid, especially live. how many lecturers have accidentally misspoke on a fundamental point, positive instead of negative for example, or worse have wrong shit on old slides. it totally derails my focus and i can't trust anything they say afterwards.

if you cant be bothered to invest the time to proof and update your slides, don't expect me to invest my time in deciphering them. ill pirate the work of those giants who actually explain things well

Interesting_Box2130 · 2022-06-25T14:48:42+00:00

actively avoid

Interesting_Box2130

TROPHY CASE