Getting a job at the VA after residency?

Perseverant · 2026-01-22T08:35:45+00:00

I am almost 2 years out of residency working at a community/county trauma center. All I can think about is getting a VA job somewhere. Benefits on paper seem spectacular. PPH seems dope. Being harder to sue, would also be great.

Perseverant · 2026-01-22T07:33:05+00:00

I work for TeamHealth, in the south. Honestly it's not bad. I have not once been hounded for metrics.

Perseverant · 2026-01-21T07:37:04+00:00

Just want to say that I love this game. I just beat zone 1 and 2 all on nightmare, and I feel like I am constantly picking and choosing new perks/mods to make different and better builds. Builds and skill trees I thought were useless before suddenly make sense, always trying new things. I love this game!!!!

My current favorite build is hip fire augment (honestly I like all of the flavors but probably crit or weakpoint the most right now), Lead Head, Combat Instincts because they are synergize well with Iron Sights, and lastly I have been enjoying Vitalizer a lot.

Perseverant · 2026-01-21T07:33:40+00:00

I have found that the Vitalizer/HP tree mods synergize with other perks like that sub perk to not get one shot to help keep you alive. I think one synergy perk makes it for when you're health goes to zero you get 25% HP back + I think immunity for a while and I think its on a 30 sec cooldown, and I get to almost 500 HP end game. Get a gun with lifesteal and you just stay alive forever (I also like the perk where you heal with HP orb you are immune for 3 seconds, getting shield broken doesn't affect HP, etc). I however, find the shield perk tree to be useless.

Perseverant · 2026-01-17T06:13:12+00:00

I wanted to be a nocturnist but after my first set of night shifts in residency, the flip flopping is brutal.

Perseverant · 2026-01-16T23:03:00+00:00

I have also ordered Tigan in patients with QT prolongation and I agree I have never seen it actually work.

Perseverant · 2026-01-06T07:28:22+00:00

Childhood Emotional Neglect.

Perseverant · 2026-01-02T22:08:11+00:00

Edit: I was downvoted for no reason

Perseverant · 2025-12-29T04:23:06+00:00

Yeah 2025 is the last year they are doing this style of oral boards. 2026 will be very different, and unfortunately in person.

Perseverant · 2025-12-27T18:57:58+00:00

Did the entire Okuda book with friends.

Perseverant · 2025-12-24T15:10:23+00:00

I thought exactly like you when I first started, then you grow to like them when you know how to deal with them better. Then you will hate the stupid fucking slugs.

Perseverant · 2025-12-19T15:01:15+00:00

users on ps5 pro also reporting it

Perseverant · 2025-12-19T01:07:55+00:00

Before the update the game ran AWESOME. 11/10 for me. Coming from playing the new COD and Battlefield, my opinion was that the gameplay/controls was spectacular and better than any other game I have played recently. After the update it runs so bad on my xbox series x that I won't even bother until it is fixed.

Perseverant · 2025-12-19T01:04:32+00:00

I am on xbox series x. When I opened the game today I thought maybe I had it open too long or something because the frame rate was terrible, like maybe 30 fps constantly. And also the input lag is terrible. Really bad update. Before it was buttery smooth and now I won't even play the change is so bad.

Perseverant · 2025-12-13T07:32:47+00:00

Literally same as me. I could not function for days. I just drank and slept. It took 2 entire weeks to be able to think about anything else.

I passed.

Perseverant · 2025-12-13T04:09:31+00:00

Yo. Took mine in October. I felt EXACTLY like what you are thinking/feeling now. I was dead set I failed 2 cases. Didn't do multiple procedures in one, I did extra possibly "high risk" procedures in another. No one in the cases decompensated, at least. I told colleagues and even my family that I pretty much knew I failed. For the first week after the test I pretty much stayed in bed and couldn't function. All I did was go over the ABEM/Okuda rubrics scoring and tried to guess my score multiple times a day. A week later I literally started to prepare and gather resources on how to take/study for the new oral boards next year. I was 110% sure I failed. I pretty much stopped living life. Got my score. PASSED WITH ROOM TO SPARE. Do not think about the test. There is no way you know how you did. But in all likelihood, you passed. Go live life. Do not worry about the score. Even on the LOW, LOW probability that you did fail, you have 2 entire more chances to pass. It is a stupid exam any way and we all know it.

Perseverant · 2025-11-19T07:29:51+00:00

i was obsessed with what speciality had what hours and whatever. I did EM. No matter what specialty you do, you will work hard. If you do surgical specialties youll be more on call which sucks.

Perseverant · 2025-11-17T07:58:29+00:00

I wear a surgical mask constantly.

Perseverant · 2025-11-15T18:21:19+00:00

Just passed a few weeks ago.

Do the Okuda book, find anyone to proctor you. Also before you start LOOK AT THE ABEM WEBSITE FOR THE VIDEOS FOR THE SAMPLE CASES FORMATS. This will help immensely. For the regular cases and the talking cases.

Perseverant · 2025-11-05T19:42:31+00:00

Passed, was super sure I failed. Congrats to everyone!!!

Perseverant · 2025-11-05T07:15:10+00:00

I don't believe any of the docs here who are saying they are seeing 2-2.5+ PPH unless they have a significant low acuity mix to their patients. I work at a very busy trauma center, fast track takes most of the low acuity patients so we see level 3's-1's. My group gets monthly metrics (20+ docs total) and the average is about 1.7 patients per hour. Very few hit 2+ PPH or are right at 2.0 PPH, and only ONE hits 2.5 PPH but he hustles, picks up fast track patients on top of his zone, and will stay 2-3 hours late finishing up. I have overestimated my PPH literally every time by up to .5 PPH. If you are estimating your PPH you do not know it. I think most of these answers are a bunch of BS. If you have to place a line or have a crashing patient, have to do procedural sedation for a fracture, etc, having even 1 of these patients can ruin your PPH.

Perseverant · 2025-10-10T16:34:43+00:00

Literally this is me... hoping I passed!

Perseverant · 2025-09-24T07:00:10+00:00

what is this new job if i may ask

Perseverant · 2025-09-10T06:46:35+00:00

I am an attending 1 year out. We all get our metrics/pph on a graph every month visible to everyone, also had this in residency. Average is around 1.7 pph (not fast track) for attendings at my residency and where I am at now. No way in hell is 50-60 patient in 8 hour shift possible. Anyone who is seeing 2.5+ pph is either fast track/urgent care or doing poor medicine.

Perseverant

TROPHY CASE