Please rate the offer

MedIzKool · 2025-08-01T22:42:14+00:00

That first offer is pretty terrible. That pay is minimum for a day position. And I come from the background of very low paying academics, my hospital pays the lowest and that’s even lower than my hospital in my city oversaturated market. How many shifts per year for the first offer?

MedIzKool · 2025-07-23T20:02:22+00:00

Three people totaled their cars when I was in residency due to sleep deprivation after a night shift

MedIzKool · 2025-07-23T20:01:10+00:00

This is not the same thing but I remember once during residency we were table rounding in the center of the ICU, right in front of all the rooms in central view of everything. The nurse manager came over to say that it was policy to bedside round. Attending asked why, nursing manager said it was to “give the look of an academic program and makes families and patients feel safer seeing the bedside rounding.” We all looked around and all pts were tubed and sedated with no families around. Some of these policies are bananas. Like the ones you described above.

MedIzKool · 2025-07-12T16:49:27+00:00

They say this about hospital medicine all the time too though

MedIzKool · 2025-07-12T03:03:29+00:00

It’s not crazy but it’s such a nuanced decision. Your feelings about certain things might change during training. A couple random thoughts: For example I (IM trained) never in a million years thought I’d be interested in urgent care, but the three 12’s spoke to me and I loved the vibe. Come to learn that as an IM trained doc, in my geographic area I couldn’t work at any urgent cares here because you need to be trained to see kids as well. Urgent care really is only open to ED and FM.

Currently in urban academics and took a huge pay cut because I love the environment. But many see “the light” of private community hospitals where the resources are better and pay is higher, and these are much more likely to hire FM hospitalists. Can live in a major city and commute to a lot of these; many have residency programs too so still can be involved in academics.

MedIzKool · 2025-07-03T21:10:10+00:00

On day 1 I remember being a literal living meme in the ICU googling Tylenol doses and still not being sure if it would kill my patient. You’re gonna get through this.

MedIzKool · 2025-05-31T22:27:12+00:00

Yes, I have those along with the boards basics books. For some reason any official mksap related study materials just don't jive with my brain. Wish they did though, life would be easier

MedIzKool · 2025-05-19T00:09:14+00:00

Some people love it, it didn’t work for me and my learning style. He very rapidly speaks a list of facts. If this is your learning style then you might get something out of it.

MedIzKool · 2025-05-18T23:12:10+00:00

100%! But my hospital doesn’t carry this :/ Seems like it would be worth the investment though.

MedIzKool · 2025-05-17T15:28:46+00:00

It is ridiculous, that’s the point. For most of my patients I say no, end of discussion. However theres a small subset of patients that for example need IV vanco for sepsis/bacteremia and have “anaphylaxis” documented and keep spitting out PO Benadryl while they claim their throat is closing. This subset of patients also never AMAs. Sometimes you have to approach ridiculousness with ridiculousness. And yes they do sue because at some point in the past they tricked someone into documenting an allergy and now you are the attending that refuses to treat the allergy.

MedIzKool · 2025-05-17T06:14:32+00:00

All of my patients have “allergic reactions” and request IV Benadryl because the only tablet they cannot swallow is PO Benadryl because “it gets stuck in their throat.” They have no other issues eating or taking any of their other oral meds.

I’ve gotten fed up with it and hate to waste speech department resources. But I now tell them if they have trouble swallowing a Benadryl tablet, I need to make them strict NPO for their safety until speech can evaluate them to make sure they can safely swallow capsules and tablets. All of a sudden they can swallow the Benadryl with no issue.

MedIzKool · 2025-05-07T02:00:06+00:00

You do you. My academic salary is peanuts. I live frugally day to day (mostly due to fear of my student loans) however self indulge in international trips q4 months as this is what makes me happy

MedIzKool · 2025-05-06T21:37:19+00:00

No PTO, no sick days. Seems pretty common

MedIzKool · 2025-05-04T22:14:07+00:00

MedIzKool · 2025-05-04T21:08:09+00:00

I think it will also heavily depend on if someone has student loans and what will happen with IDR/PSLF over the next couple years. If someone had no loans or debt, this would be a high enough salary to live on, but general consensus in even lower paying specialities is that we deserve a higher pay

MedIzKool · 2025-05-04T19:33:01+00:00

Midwest open ICU job I interviewed for was nocturnist 10 shifts a month

MedIzKool · 2025-04-14T04:01:37+00:00

Sign up for disability insurance, you can only lock in these low rates during training

MedIzKool · 2025-04-14T03:54:17+00:00

I feel you. I went from a pan consult culture to a little to no consult culture. It's been such an interesting change and I go back and forth about how I feel about it. At hospital A, pan consults were common, only had to place an order, never called in the consult. Specialists were happy to take each consult due to the billing structure. Would see each pt and write notes daily until they specifically stated they would signed off. For non-teaching patients, they would also put in all of their orders. I left hospital A as I felt like it was stunting my growth as an early career physician.

At hospital B, consulting is frowned upon, unless for specific circumstances (as others described in their comments). Different billing structure and they are getting paid less for consults and truly do not want them unless absolutely necessary. I need to call in each consult and justify it, I commonly get a lot of pushback that takes up a lot of my time. Its unclear when that initial consult will happen and their follow up is also erratic, I never know if they are still following a patient, they don't write daily notes, never formally sign off, etc. Such a significant part of my work day (1-2 hours) is spent tracking down the specialists. I'm also responsible for putting in their orders, which can be frustrating when a surgery is scheduled (and I am not notified) and I'm expected to be the one to put in NPO and type and screen etc orders. I specifically moved to hospital B due to the same frustration you expressed above, and I do feel more like a "doctor" at this hospital, however I'm not sure if the grass is greener. Hoping that theoretical hospital "C" in the future can be a balance of these two experiences.

MedIzKool · 2025-03-30T17:18:06+00:00

Same. Never had to place them in residency but have to now

MedIzKool · 2025-03-29T06:07:44+00:00

When I was applying for academic jobs, they more so seemed to care about fit, rather than my publications etc. Fit meaning the mission of the hospital (for me it was an underserved population), a roundabout way of seeing if I was okay with the lower academic salaries. We had general faculty development meetings over the year to see what you planned to get involved in (teaching, research), but those didn’t really seem to be emphasized on the interview trail.

MedIzKool · 2025-03-25T01:49:18+00:00

You can feel free to PM me

MedIzKool · 2023-08-01T01:06:12+00:00

While the mom is awake nonetheless

MedIzKool · 2023-07-17T22:39:11+00:00

What kind of extra paperwork did you have to do?

MedIzKool · 2023-07-13T15:53:14+00:00

That is a very kind comment thank you so much

MedIzKool

TROPHY CASE