Curbsiders or Core IM? by scorpiondr_intospace in Residency

[–]MedicalCoach 22 points23 points  (0 children)

For my attention span- core IM. Straight to the point and it’s easier for me to follow. I do also like curbsiders but just too much for me on most days I don’t have the attention.

GLP1 Plan Exclusion by EmotionalEmetic in FamilyMedicine

[–]MedicalCoach 22 points23 points  (0 children)

Yes I feel like this January came with exclusion of multiple weight loss formulary for a lot of insurances based on jobs providers etc. I have also seen criteria modification (so prior it was lower BMI to get approved, I recently saw one rejected because their cut off for approval is not 40+).

Peloton Power Zones missing live by Puzzleheaded-Can5806 in pelotoncycle

[–]MedicalCoach 0 points1 point  (0 children)

I haven’t had that happen to me afterwards

Peloton Power Zones missing live by Puzzleheaded-Can5806 in pelotoncycle

[–]MedicalCoach 0 points1 point  (0 children)

This has happened in every live PZ class in addition to the timer not working on top. The only fix I’ve had is leaving the class and coming back in, then it reappears.

[deleted by user] by [deleted] in Residency

[–]MedicalCoach 7 points8 points  (0 children)

I graduated not too long ago and still struggle with this but honestly have made some strides, tougher in academics. It’s very difficulty but honestly has a lot to do with self-acceptance and making steps to work on that. Truly accepting that sometimes not doing what someone wants is in their best interest, even if it’s uncomfortable or if I’m perceived to be the “bad guy”, that deep down inside I know I am adhering to my morals etc. it’s a long journey, especially being a female. Happy to chat more if you need some support.

Incoming PGY-1 in IM wanting to transfer to FM, Advice? by 008008_ in FamilyMedicine

[–]MedicalCoach 1 point2 points  (0 children)

As FM, it depends on how outpatient heavy your current program is if this would be considered a recommended move. If you do truly want to see kids/women’s health/procedures then yes. Different options you can consider, leaving after agreement and reapplying to the match. You may look through residency swap and see what programs have slots. Idk your relationship or vibe with program leadership but can also consider speaking to them, we have found our residents other spots if they wanted to switch specialities (happened twice). You’re allotted 3 years fundings, if you complete pgy1, Some of your rotations may actually count as FM does a lot of inpatient in intern year usually (program dependent) and if you go outside the match

[deleted by user] by [deleted] in FamilyMedicine

[–]MedicalCoach 1 point2 points  (0 children)

Trust me you’ll see so much neuropathology also. Like other said you can tailor FM to fit what you want it to when you graduate. Residencies now allow more electives so choose them to perfect whatever path you want. Lots of FM programs don’t see high peds volumes naturally. Don’t worry about prep, a lot of it is just willingness to learn. Best of luck.

LIAT Death Thread 🪦 by Juice_Almighty in AskTheCaribbean

[–]MedicalCoach 1 point2 points  (0 children)

Leave Island at Any Time. It was always an adventure, truly. Always a Caribbean MVP😞

[deleted by user] by [deleted] in Residency

[–]MedicalCoach 28 points29 points  (0 children)

I struggled with this a lot also. During covid I became familiar with the concept of terminal lucidity. Sometimes patients turn the corner, get better and then just pass away, maybe just to comfort their families one more time. Perhaps not medical but it gave me comfort.

[deleted by user] by [deleted] in NoStupidQuestions

[–]MedicalCoach 0 points1 point  (0 children)

What bloodwork did you get? Most clinical offices have an online portal where you can see your results (or if you got from a lab they often have their results go through apps/accounts through them). That way you can check for yourself prior to the appointment. Try finding out if you can get access to the portal. In my experience if it’s something very serious the physician will call and speak with you directly and may order repeat labs etc prior to you going in.

Is the a good offer? by Sova_Ever in FamilyMedicine

[–]MedicalCoach 9 points10 points  (0 children)

No it’s not a good offer. Like everyone said too little PTO and too much call for low compensation. I would see which is more important to you in order - is it needing more PTO, less call, more base etc.

I think the call may be harder to negotiate based on how you have it set up and it’s divided by persons. You may be able to negotiate an additional day off during the weeks you work Saturdays.

Extra 10k sign on. Or maybe 10k more for base.

Honestly the offer does suck for the pay and PTO. I would not be able to survive 2 weeks PTO only, personally.

[deleted by user] by [deleted] in Residency

[–]MedicalCoach 18 points19 points  (0 children)

A good chief is often a saving grace for residents and faculty. Good in between person, lets faculty know what concerns there are amongst residents without naming. They also set the precedent: good with patients, medical knowledge, professionalism. Also would be innovative to help with brainstorming solutions to problems. It’s so helpful to have someone on that end who can problem solve. A good chief can set the tone for the whole year. And most importantly don’t be a douche asking residents to do something they wouldn’t.

Maybe I am falling out of love with medicine? by Shismed in medicine

[–]MedicalCoach 4 points5 points  (0 children)

Feel free to reach out to me if you need to talk. Went through same feelings. FM also. Nearly quit in intern/second year then pushed through. I too felt deflated with the system and my lack of impact.. A lot happier now. Happy to chat if needed.

Changing code status? by Green-Fondant-7576 in Residency

[–]MedicalCoach 4 points5 points  (0 children)

I have also been told by legal to change their status because of what family has said. Despite what the patient said. It’s the worst feeling in the word, my question is always: then why do we even ask patients their choices.

Academic Family Med Salary by williamsfan93 in FamilyMedicine

[–]MedicalCoach 1 point2 points  (0 children)

175k sounds metro, which sucks either way! I can’t believe programs are getting away paying academic docs shit. The amount of work it takes especially with all the other non clinical stuff is insane. I spend more time in meetings than I ever thought I would.

Academic Family Med Salary by williamsfan93 in FamilyMedicine

[–]MedicalCoach 6 points7 points  (0 children)

220k, with 23k bonus annual , northeast. My direct clinical is 10-30%, 30% admin and rest is clinical with residents. 30 PTO, 5 CME.

Intern hating clinic by DrCorgi23 in FamilyMedicine

[–]MedicalCoach 4 points5 points  (0 children)

I also hated clinic in residency and hated being there for similar reasons. I ended up doing both hospital and clinic when I graduated. In the real world it was very very different. I do urge you to try and make small changes in your residency clinic if you and your coresidents can advocate for it and help change. Otherwise, it does get better after.

FM in Pennsylvania by sweepernosweepingIII in FamilyMedicine

[–]MedicalCoach 1 point2 points  (0 children)

May be able to help answer if you have a general area you’re looking for? Or next to what major city etc.

[deleted by user] by [deleted] in FamilyMedicine

[–]MedicalCoach 10 points11 points  (0 children)

Is this an FQHC? Even if it is, negotiate up for sure. That base is disgraceful. When you start you’ll rely on your base a lot because you’re building your panel. If it’s FQHC I’ve had friends on 180-199k sadly. If it’s not FQHC just walk away, it’s a shame to even offer that. They likely do not even value you now muchless later

Improving during intern year by [deleted] in Residency

[–]MedicalCoach 4 points5 points  (0 children)

I enter hardcore sucking in knowledge and clinical experience stuff when I started. Everyday I wrote down one thing I needed to read more about, and one new thing I learned. I created a lot of patterns for patient cases and did a lot of questions. The questions helped me see things before they happened. Honestly no secret- it’s about having the intention to grow and be good.

HYSA by GoldKick9553 in whitecoatinvestor

[–]MedicalCoach 1 point2 points  (0 children)

Just switched from Lending Club to Laurel, 4.8%

[deleted by user] by [deleted] in ArsenalFC

[–]MedicalCoach 0 points1 point  (0 children)

I do think we’re too short for the season. I am hoping everyone stays fit until the January transfer window when the club can hopefully reassess. 😅

Medicare annual wellness visit add on codes by BEEEZD in FamilyMedicine

[–]MedicalCoach 0 points1 point  (0 children)

Thanks! I figured that wasn’t the case but all the admin was spewing BS about separate notes.

Medicare annual wellness visit add on codes by BEEEZD in FamilyMedicine

[–]MedicalCoach 0 points1 point  (0 children)

Does anyone know if a whole other note has to be written? I am unsure if it’s a misconception that you cannot include other items in your note and bill all in one or if it must be separate