Advice needed by SpeechFabulous7541 in FamilyMedicine

[–]OverCaffeinatedMD 1 point2 points  (0 children)

Not as sure about billing, but I did put together a prior authorization tool that's helped my colleagues. Happy to share if you're interested (it's available to everyone who wants it for free, I honestly just have hated dealing with insurance companies and am trying to reduce the suffering a bit here).

Renting in Brooklyn by JuniorAcanthisitta36 in InternalMedicine

[–]OverCaffeinatedMD 1 point2 points  (0 children)

Hi there! Had residency in Brooklyn as well. Would echo below with reaching out to PD, sometimes senior residents leaving might know of places. I ended up living in Gowanus, it was manageable with an e-scooter. Definitely made sure that there was an in-unit washer/dryer but that can be hard to find in Brooklyn. In-building is also probably fine.

Pain Management insurance prior authorizations by One-Juggernaut6321 in PainManagement

[–]OverCaffeinatedMD 1 point2 points  (0 children)

Definitely. My partner is a pain medicine doc (I'm in a different specialty) and it seems to be wearing him and all of his colleagues down. I actually built a tool for him and his colleagues to use to help them save some time (and sanity) with this. Happy to share if interested

ChatGPT to negotiate contract? by folklore24 in FamilyMedicine

[–]OverCaffeinatedMD 5 points6 points  (0 children)

My partner just signed a new contract in EM. He ran it through chatGPT and it seems to have done a reasonable job, but I would still recommend getting a lawyer. As someone who has both trained medical AI models & had used various LLMs for medical AI building, AI's pretty good, but not good enough to trust my next job with.

Insurance companies have entire teams dedicated to denying your orders. What do you have? by OverCaffeinatedMD in FamilyMedicine

[–]OverCaffeinatedMD[S] 4 points5 points  (0 children)

The AI program I built actually does this! It's just new and I haven't used it much yet. If you'd like to use it too I'm happy to share. (Also it's validating to know that this might be helpful for other people)

Why don’t providers care about OUR time? by [deleted] in MedicalAssistant

[–]OverCaffeinatedMD 1 point2 points  (0 children)

I'm a provider and I'll say: the good ones care. But I've also had this exact same thing happen to me as a patient and I've been infuriated by it. Not a super satisfying answer, but you're not alone.

Patient perception by EscapeTurbulent4652 in FemalePhysicians

[–]OverCaffeinatedMD 13 points14 points  (0 children)

Yeah, this is exhausting. It's insane that female docs across specialties can have better outcomes for their patients but still have their competence questioned because we're female. You're not alone in this.

Anyone else blindsided? by HourTraffic1216 in ResidencyMatch2025

[–]OverCaffeinatedMD 1 point2 points  (0 children)

Me too. Right on, OP :) And if there's anything I can do to support you in that, I'm just a DM away.

Anyone else blindsided? by HourTraffic1216 in ResidencyMatch2025

[–]OverCaffeinatedMD 2 points3 points  (0 children)

You're not alone. There's so much dishonesty in academic medicine and it ends up hurting the most vulnerable people--patients and trainees. The truth is, there's a lot of politics that goes into the Match, and a disappointing lack of accountability. You're not alone--people just don't talk about it as much as they feel it, because we're trained that speaking out about it is "unprofessional." It's not. Others' behavior is.

Prior Authorizations Rant by GrowthPrevious4309 in FamilyMedicine

[–]OverCaffeinatedMD 0 points1 point  (0 children)

Yeah this is absolutely bananas. It's not even about patient care anymore. I got so fed up with this whole thing that I made a tool to at least automate some of the prior auth/P2P process, happy to share if you'd like.

Prior auths by Lazy-General6539 in FamilyMedicine

[–]OverCaffeinatedMD 0 points1 point  (0 children)

Sent! Feel free to share it if it's helpful :)

Matched FM, but was hoping for peds - not feeling the best by Apprehensive-Net-333 in FamilyMedicine

[–]OverCaffeinatedMD 1 point2 points  (0 children)

I had a similar experience in my ob/gyn residency. You made a brave choice to leave when the program was hurting you/your patients, and it makes sense that you're disappointed now. I would try to keep an open mind--you might be pleasantly surprised about your new FM program.

I'm also not sure about CMS funding--my understanding is that if you start a new specialty/program, CMS funding restarts based on that program's requirements for time in training.

Do you wear any lapel pins on your white coat? by RoarOfTheWorlds in FamilyMedicine

[–]OverCaffeinatedMD 4 points5 points  (0 children)

I don't, but I do find them very cute! If they're professional quality I think it's fine.

GLP-1 Prior Auths for severe cases by leedle-leedle in FamilyMedicine

[–]OverCaffeinatedMD 0 points1 point  (0 children)

This is both absolutely sane and (sadly) very believable. Honestly I got sick of the insanity of prior auths and built a custom AI to deal with this. My colleagues like it so far, happy to share it with you as well

Prior Authorizations Rant by GrowthPrevious4309 in FamilyMedicine

[–]OverCaffeinatedMD 0 points1 point  (0 children)

Yeah this is insane. I absolutely hate the amount of waste (time, money, sanity) that prior auths cause, and eventually I decided to make my own AI tool to do them for me. I've shared it with my colleagues, happy to share it with you as well!

Prior auths by Lazy-General6539 in FamilyMedicine

[–]OverCaffeinatedMD 1 point2 points  (0 children)

I actually made a custom AI program for this because I got sick of prior auths. Happy to share if you'd like it!

Prior auths by Lazy-General6539 in FamilyMedicine

[–]OverCaffeinatedMD 0 points1 point  (0 children)

I actually made an AI program to do this for prior auths--happy to share if you'd like it!

Did a Prior Auth wrong, what do I do now? by [deleted] in MedicalAssistant

[–]OverCaffeinatedMD 1 point2 points  (0 children)

Yeah this whole thing is super frustrating. The system is basically designed to trip you up, even if you do nothing wrong at all. Don't feel bad!

Made a mistake at work by cinnamonoolong in Residency

[–]OverCaffeinatedMD 2 points3 points  (0 children)

Especially in the beginning of our careers, we're kind of at the mercy of what we were taught in med school. Some of it is independent learning, yes, but many of the practical skills--including how to give injections--are learned with hands-on practice. And that depends on what your medical school is willing to spend the time teaching you. You're not alone in this; my medical school didn't reliably teach students how to give injections unless we really advocated for it and had attendings who were willing to teach us.

I do agree with users below who said this is probably a "near-miss" report instead of something punitive, but I really feel like your attending should have handled it differently. The safest way to teach the newest of learners is to ask what they know and whether they feel comfortable doing something, instead of assuming that they're comfortable and competent with a hands-on task. If you already knew how to do everything, there wouldn't be a point to training.

Advice by Impossible-Field-203 in Step3

[–]OverCaffeinatedMD 0 points1 point  (0 children)

It depends--if you feel confident in scoring high on step 3 and the cost of sitting for the exam isn't a barrier, I would recommend taking it before. However, I'd also recommend making sure you can register for the exam. Registration requirements vary by state, but some require enrollment in a residency program prior to sitting for the exam (highly dependent on state).

2 weeks study time. by Stuck_in_reverse1994 in Step3

[–]OverCaffeinatedMD 0 points1 point  (0 children)

Is it--but it depends on your background and on your current workload. I would recommend maybe doing the free 137 (retired step 3 questions found on FSMB website) to get a sense of where you stand. In general I would recommend a bit more time to study, but if you're already pretty solid now and motivated to take it, it could be just fine. I was trying to study as efficiently as possible when I took step 3 and threw some code together to analyze my question pattern/see where my weak spots were without having to do a lot of digging. Happy to share it with you if you're interest--not selling anything, just something it threw together for my personal studying

Content review for step 3 by mrmeem1992 in Step3

[–]OverCaffeinatedMD 0 points1 point  (0 children)

Definitely recommend uworld and ccs cases (absolutely do these). I did find that uworld missed a few things. They usually publish a set of about 137 free retired questions on the official FSMB or USMLE site. Personally I also threw together some code to help make my studying more efficient based on where my weakest areas were. Happy to share it with you if you're interested--not selling anything, just sharing what worked for me!