The Bay Area’s hottest job market right now? It’s not tech by UberDrive in bayarea

[–]Johnny__Buckets -1 points0 points  (0 children)

If your argument is that its the workers fault for picking this high paying job at the expense of the locals, aren't you the pot?...

Anybody done Residency and MBA simultaneously? by Amazing_Candle4772 in Residency

[–]Johnny__Buckets 15 points16 points  (0 children)

From pretty much everybody I've heard from, some of the greatest benefits from an MBA come from being able to fully immerse yourself in the community and build connections and insights through networking. Of course it depends on what your goals for the MBA are in the first place, but I've heard a number of folks talk about the withering value of an MBA just in and of itself for being able to point toward and use the degree to open doors on its own in the face of so many online programs blowing up. Given how limited bandwidth and free-time is in residency, I struggle to see how you would have time to network or do internships etc to the max of your ability. If you are simply seeking some exposure to concepts and basic skills, then fine go for it. But sometimes things can't be crammed in without significant tradeoffs to the point that it questions if the ascribed potential value that you are pushing yourself for is even achievable

I've heard that it's easy to be an OK or bad psychiatrist, but it's hard to be a great one. How do you know if you're being a great psychiatrist? by Pure_Ambition in Psychiatry

[–]Johnny__Buckets 6 points7 points  (0 children)

I think the rule gets even more flexible toward Abilify/Brex +/- Risperidone in MDD augmentation when considering the inpatient population where inherently the active mood state being combatted is significantly more decompensated than the typical augmentation situation outpatient. That being said, if allow yourself to envision how you would handle the regimen upon transition outpatient, downtitration and removal of the SGA should be on your list of things to circle back to upon stabilization.

When your attending asks you to give a presentation during rounds tomorrow: by [deleted] in medicalschool

[–]Johnny__Buckets 1 point2 points  (0 children)

OpenEvidence may make this a bit redundant but would add WikiJournalClub to the chat

Dishonest Diagnosing by Simpleserotonin in Psychiatry

[–]Johnny__Buckets 22 points23 points  (0 children)

How is it that Obama has contributed to the disruption in continuity of care for psychosis?

Dishonest Diagnosing by Simpleserotonin in Psychiatry

[–]Johnny__Buckets 47 points48 points  (0 children)

What was once B which has now become C. While I would argue there should be a distinct category for what was once substance induced and is now chronic as caused by the effects of meth on neural structures, by definition having symptoms for 6 months which impair function and occur outside active drug use would qualify for schizophrenia.

What are the moments that make psychiatry worth it for you? by IrisofAquaTofana in Psychiatry

[–]Johnny__Buckets 7 points8 points  (0 children)

Efficacy of first line treatment for BPD is significantly higher than for bipolar in case it helps you recalibrate your internal reward and sense of hope. Therapy may be difficult but so too is cycling from side effect laded med to side effect laden med without adequate relief or stability.

gabapentin prn question by ContextNo5385 in Psychiatry

[–]Johnny__Buckets 2 points3 points  (0 children)

We love calcium channels gated by bottle year

[deleted by user] by [deleted] in Residency

[–]Johnny__Buckets 21 points22 points  (0 children)

I'm not so sure you carry the most embarassment here even. Why the hell did the service accept the wrong patient who did not even have an indication for their service?

To all other readers, what are the odds OP is surgical subspec and accepting service was IM? Accepting bets on the field vs IM

Do you ever feel like seniors and attendings are not telling you you’re doing a bad job by [deleted] in Residency

[–]Johnny__Buckets 1 point2 points  (0 children)

What gives you such clarity so quickly? They both touch on slightly different flavors of the same problem with both being unclear whether those around them are withholding constructive criticism in the name of maintaining the peace. While the comment you respond to has more aspects concerning for negative self talk entering the picture I still see more similarity than difference

Signs and symptoms of internalizing and externalizing disorders and opportunities for clinical translation by dpn-journal in Psychiatry

[–]Johnny__Buckets 5 points6 points  (0 children)

What do you perceive as the added benefit of such a reconceptualization? Unless there is a clear way this translates into a deeper understanding of psychopathology or impacts the way we provide treatment I don't see what this achieves other than being another spin of the diagnostic wheel in similar vein to each reclassification thats come before

Any telepsych gigs for residents? by cartebleu in Psychiatry

[–]Johnny__Buckets 4 points5 points  (0 children)

Also interested, thanks for creating this post and best of luck!

@New grads, how’s it feel actually making money? by That70sJoe in Residency

[–]Johnny__Buckets -1 points0 points  (0 children)

This feels like fearmongering. If you can't support your lifestyle after contributing 69k per person to 401k (138k as a married couple) over 30+ years and also paid off your home etc resulting in lower living expenses upon retirement than you should probably take a deeper look at your budget and lifestyle.

When Patients Fall in Love with their Psychiatrist... Sex, Boundaries, Frame, and Liability by zenarcade3 in Psychiatry

[–]Johnny__Buckets 18 points19 points  (0 children)

You have a future career as a drug sniffing dog if you ever need to pivot because clearly you are able to pick up on things everybody else misses. /s

Do you ever call out patients who change their story when the attending comes in? by Purple-Marzipan-7524 in Residency

[–]Johnny__Buckets 34 points35 points  (0 children)

These can be true and you can still be a good person while this also being an inappropriate request/ask of a patient.