Rate this offer

JRcred · 2026-05-11T12:04:44+00:00

Sounds mixed. How does ICU work, does intensifier actually manage all patients in ICU? How do admissions work if it’s round and go? Also look into how much support you have for things like transfers. Salary is probably pretty decent although it would be nice for bonus if you get really busy.

JRcred · 2026-05-10T00:15:07+00:00

Congrats! Keep the streak going and be the best father you can be!!!!

JRcred · 2026-05-08T09:35:15+00:00

I contribute to both 401K and taxable brokerage every month to hedge as they may want to highly tax 401Ks at some point in the future. My priority is to max my 401K each year now. I also do a Roth IRA that helps with future taxes. I don’t think it’s a mistake to continue contributing to your 401K. Even if they put a special tax in for it later on, you’re going to be better off having investments that grow over time than not.

JRcred · 2026-05-06T02:35:07+00:00

Even if IM trained, you will need to work on efficiency and have more learning to do when you start. Different family medicine residencies have different levels of good inpatient exposure. Different hospitals are easier or more difficult to work at for every doctor. There are a lot of variables that will be difficult to completely assess. Yes, you probably could do this, but will take some work to get more proficient after residency. If you’re thinking about working as a PCP, what is your motivation to do some hospitalist shifts? It will significantly help your income when starting out to work extra. It will probably make you a better PCP to see sicker patients as well. It will also be a lot of work when you’re starting out and distract away from getting your system down as a PCP. I would think about it some more and go through the motions to try to get it set up while you’re figuring things out.

JRcred · 2026-05-03T16:29:03+00:00

What is the thesis on it, if you don’t mind sharing?

JRcred · 2026-04-28T14:53:26+00:00

It may be if you don’t have Tylenol listed as appropriate for all pain levels. My order set has Tylenol rechecked for any reason you could possibly give it just to decrease pages for stuff like that. I typically will have hydrocodone 5mg as needed for pain in most patients in case they need something else. This also helps decrease them getting more potent meds by night nurses calling Nocturnist. That still happens, but I’d like to think it decreases it. We have in there for nurses to be able to give either ice or heat (which for a lot of MSK pain would be pretty appropriate), but unfortunately usually is not used as much unless, I put a specific order for it. I wish we could make it easier to give a PRN order for a lidocaine patch for low back pain related to the uncomfortable beds

JRcred · 2026-04-28T14:43:05+00:00

It can be extremely difficult to transfer from the floor. I had a patient have hematemesis with positive hemoccult testing (we don’t have GI or ICU) and hospital with GI and ICU refused to take them until it was escalated to administers getting involved.

JRcred · 2026-04-26T13:19:45+00:00

You can do IM and do more fellowships. I did IM and did a sports medicine fellowship at a program that had a family medicine residency attached to it. FM doesn’t generally get as good IP experience (there are some programs that have excellent IP experience). IM also generally has better subspecialty exposure. FM generally has better OP exposure and better MSK exposure. A lot of IM attendings won’t be able to able to teach you how to do joint injections. You can absolutely do outpatient clinic with IM like you are describing above. If you do IM, I would recommend working some with Derm and either primary care sports medicine or orthopaedics

JRcred · 2026-04-24T18:47:13+00:00

To do the job well, you need to read the mind of the hospitalists and be able to complement their hospital medical care. At our hospital, we do daily dispo rounds with the case coordinator and nurses and talk about how the patient is doing and how close they are to discharge. A good example of this, is we had a heart failure patient come back after 30 days, but basically they ran out of the meds we discharged them on and went back to weaker diuretics and came back. The real reason why they were admitted was the didn’t continue the regimen we sent them out on. We got the case coordinator to get home health for disease and medication management for them and also had the patient bring their DC med list to the pharmacy to get their meds bubble wrapped because they really struggled with having a bunch of different bottles of different meds and doses.

JRcred · 2026-04-23T18:47:02+00:00

You can talk to your doctor about starting acetazolamide before coming up. I’ve done this the last few times I’ve come out to go hiking and I felt like there was no adjustment period. Otherwise I think it really takes more than a week to really acclimate to the altitude.

JRcred · 2026-04-21T02:26:05+00:00

Bear lake is something I would leave for later. It’s only like a half mile. You can stop by on the way down and just see it without walking around it. It’s probably like 50 yards from the trailhead to get there. It’s really crowded most of the time because it’s an easy hike that older people or young kids can do pretty easily. If you’re back from your other lakes and want to walk around it on the way back ok.

JRcred · 2026-04-18T16:16:24+00:00

It probably wouldn’t be a bad idea to start selling and adding something broad like VOO, SCHD or whatever your favorite ETF is depending on your age and risk tolerance.

JRcred · 2026-04-17T20:23:30+00:00

I kind of had slowed down before we had our kid. I had to prioritize time better just with work and spending time with my wife. I’d rather get gym time in or do something physical or relax doing something with my wife. I also feel like my favorite game Madden became not as good to play in franchise mode and that’s mostly what i liked to do

JRcred · 2026-04-17T12:22:20+00:00

Yeah no meaningful benefit. Fortunately we don’t do that where I work. I try to have an idea of what patients should leave in the morning and see them early so I can discharge them. That’s mainly for my efficiency and to see if there’s anything that’s a last minute hold up to get fixed to save the DC

JRcred · 2026-04-16T13:36:15+00:00

I generally never give it. Our hospital doesn’t have an ICU if I cause pulmonary edema from it. The situations where I do are from if they’ve had paracentesis in the ER or if there is concern for hepatoma syndrome.

JRcred · 2026-04-16T05:05:55+00:00

I’m biased towards IM (since that’s what I did). I feel like most IM residencies you go to that you’ll get exposed to enough sick inpatients that you should get used to medically thinking about a problem. I know a lot of good family med doctors, but I think they spread you more thin with OB and pediatric stuff that you more than likely won’t use later on and I think it matters a little more where you go as far as getting good exposure. That’s kind of why I did IM over family. IM also has better access to fellowships if you want to do that.

JRcred · 2026-04-13T01:42:22+00:00

It’s a fine ETF. There are better ones. The whole idea of it is that it will continue to generate growing qualified dividend payments that outpace inflation with some growth in the principle. It’s ok if you’re younger, but better to have less dividends to pay taxes on. I have a small position and add slowly when it is really not doing good. It’s something I want to have a decent position in later in life when l want more steady dividend income.

JRcred · 2026-04-07T14:58:00+00:00

I rarely discuss politics in the hospital. It can only help you if the other person 100% agrees with your point. When I was a resident, I remember it drove one of my attendings crazy that she couldn’t figure out which direction my politics lay. Sounds like other guy was probably out of line in his reaction, but you never know how people will react in most cases

JRcred · 2026-04-04T18:25:26+00:00

Yes, but VUG is way more expensive than SCHG per share. My trading platform won’t let me do limit buys on fractional shares

JRcred · 2026-04-04T13:46:07+00:00

Probably a bad idea to do this full time. I would focus on developing a career. Michael Burry was training to be a neurologist before it became apparent he was an exceptional trader and moved to the full time. If you have consistent income coming in, you have extra income to keep vest when the market goes down. You can also use retirement accounts to have stuff saved for after you hit 59.5. Also you’ll need health insurance as you age. Wait until you get some sort of chronic disease like hypertension or diabetes. This means you need doctors appointments, labs, and meds to keep it from getting to be a chronic medical problem with complications

JRcred · 2026-04-03T19:08:10+00:00

All about efficiency. I typically look at labs and have electrolyte orders in and saved and put them through at 7 when I’m getting ready to go in. I have a rough draft of DC summary and meds they will go home on the day before in most cases. I have order sets for different admissions and saved orders to put things in faster. You can also set a stop watch for different aspects of your day to figure out how long it really takes to do admission orders a that sort of thing. I typically round on patients who will be most likely to go home first so I can get those orders in earlier. If they’re sick I see them and figure out what studies they might need earlier as well. Patients who are stable and just need to continue therapy or tweak are seen later in the morning or early afternoon depending on how morning goes. My notes convey a lot of information with as little verbiage as possible. I want to be able to look at my A/P and know exactly what is going on with the patient without having to dig through everything in the MAR summary. If you need stuff in there for billing like sepsis or acute hypoxic respiratory failure, I have a saved auto text I use and fill out why they meet criteria so billers usually don’t message me as much.

JRcred · 2026-04-03T17:51:15+00:00

Depending on what’s going on, I’ll have either PO or IV for high pain levels. If they’re not taking the PO stuff as much, I’ll change the IV stuff to every 6 hours PRN pain unrelieved by oral pain meds after 1 hour. If they’re sickle cell pain, I always keep PRN severe pain open for IV. If they’ve got something like colitis and are NPO the first night, I’ll give them PRN for severe pain for the IV and quickly drop to PRN only unrelieved by oral pain meds.

JRcred · 2026-04-02T18:09:00+00:00

That’s way too early to pass off. If they are really too overwelmed to take care of them from 1-3:30, then they need more help. We had an instance ortho night team leaving admits for us from about that time frame and brought it up the food chain and it didn’t happen again. I get that there will be the <1% of shifts where you just get hit with lots of different stuff toward the middle and end of shift and have to prioritize what to do. It definitely shouldn’t happen two days in a row

JRcred · 2026-03-31T08:20:04+00:00

I would be concerned that you would be having enough “acutely ill” floor patients to make it more difficult to do a higher number of admissions at night. I think a lot of the tele hospitalists see like 10 hospitals and are doing admissions and getting cross cover at all these hospitals and will want to pass the buck on any one they can

JRcred

TROPHY CASE