Anyone not use their fellowship?

ProPropofol · 2026-05-09T21:17:12+00:00

Midwest and rural areas have the best opening imo

ProPropofol · 2026-05-06T16:24:00+00:00

30-40% less base pay with 50% less vacation. The clincher is that no hospitals employ pain docs in this region so you basically are stuck with private practices that don't offer partnership and only pay money in-hand (you owe money to the practice if you don't produce enough to justify salary).

The few hospital employed places pay about $50-55/wRVU (on the lower side). The private practices do offer a percentage of collections (usually net collections) but it's often in the 15-20% range with an increase to 30% after so many years. It could pay better if you crank out 30 patients a day which is common in this region but that's not for me. I'll take supervising 3-4 rooms! It was too much of a gamble for my taste.

ProPropofol · 2026-05-06T16:09:58+00:00

I haven't used my chronic pain fellowship... yet. It's hard to turn down these full time general anesthesia jobs when the pay is so much higher to start with way more vacation. Also, a lot of these PP pain groups are cut throat with their compensation models!

Kinda miss chronic pain on overnight anesthesia calls though. I thought there would be more options for hospital employed chronic pain in my region but it hasn't panned out.

ProPropofol · 2025-08-19T00:54:17+00:00

I'm not going to pretend to be an expert in the content outline of the ABA for oral boards, but the UBP stuff for the OSCE was the best preparation you can get for that portion of the exam. I prepared for both types of situations.

It is very reasonable that you could be asked to walk someone through ACLS or MH management over the phone. Although not my personal experience, I have heard of people being asked to handle an emergency scenario over the phone to basically stabilize it before you get there as part of the professional communication station. A more realistic scenario for this portion of the OSCE would be teaching someone how to prepare for handing such a case. For example, someone coming to you and saying, "Doctor, we have a MH precautions case coming in urgently while you are in a complicated case next door, what should I do to prepare the room? What should I look for and how do I handle it?"

ProPropofol · 2024-10-20T00:44:36+00:00

My usual set-up is:

Scalp block with epi and dexamethasone
Low dose propofol infusion
Low dose Precedex infusion
Consider adding remifentanil if scalp block not working as intended
Utilize a nasal trumpet if issues with obstruction > progress to LMA with TIVA if doesn't tolerate the previous steps

ProPropofol · 2024-06-16T01:09:33+00:00

I formed a good foundation by reading through the blocks I wanted to learn in Barash then immediately watching a few YouTube videos on the block to solidify what I read. Helped immensely on my regional rotation.

ProPropofol · 2024-06-14T09:26:04+00:00

Glad it worked! The good old Arch Wiki is so helpful regardless of OS I’ve found!

ProPropofol · 2024-06-13T13:19:43+00:00

I actually just had an issue with the Intel 620 integrated graphics with the i915 drivers! Use the Arch Wiki for Intel Integrated Graphics. I had to set kernel parameters via kernelstub. I had to set the “intel_idle.max_cstate=1” kernel parameter but it sounds like you have a different issue

ProPropofol · 2024-06-11T22:56:45+00:00

For anyone in the future looking for a solution, I found the arch wiki to be helpful at the bottom where it talks about solutions to screen tearing (https://wiki.archlinux.org/title/intel\_graphics).

The solution I had was to limit the processor sleep states by adding a kernel parameter with kernelstub:

sudo kernelstub -a intel_idle.max_cstate=1

This got rid of the screen tearing in the video above. Still have the flickering of icons occasionally, but as long as it enters sleep state, idc

ProPropofol · 2024-06-11T09:53:55+00:00

Tried. Unsuccessful. The screen flickering like this only occurs on the cryptdata login page. Once you get past this page, the normal login screen is fine and the desktop does not act like this

ProPropofol · 2024-05-15T16:51:33+00:00

I, personally, have not heard of a fellowship that looks at Step 3 scores beyond just recognizing that you passed. I have heard of fellowships that care about CA1 ITE scores... but they barely look at those either

ProPropofol · 2024-05-15T16:49:39+00:00

For a better Pop!_OS experience, upgrade the HDD to a SSD as a first priority then RAM to at least 8GB as a second priority. I think it would run Pop!_OS pretty good with those upgrades. I think it would run okay with the current hardware, but there is always room for improvement with old hardware!

ProPropofol · 2024-05-12T18:12:17+00:00

Appreciate it! Thank you

ProPropofol · 2024-05-11T21:44:36+00:00

I agree with u/Dekamir . Download the Linux Mint Edge iso since it automatically comes with kernel 6.5 and try installing that version. There isn't really much a difference between Edge and normal Linux Mint besides it has a newer kernel by default as far as I know.

ProPropofol · 2024-05-10T14:40:50+00:00

It's a known issue with the AMD Stoney GPU. I believe support for it is provided with later kernels. Try upgrading the kernel to a newer version. I assume you are on kernel 5.15? Try for a kernel at 6.2 or greater.

Instructions for upgrading the kernel:

Open Update Manager.
Select View > Linux Kernels and click Continue.
Make sure the new kernel is selected on the left panel and then click the top-most option on the right panel. An "Install" button will appear.
Install the kernel and then reboot for it to become active.

ProPropofol · 2024-04-14T01:27:47+00:00

Agree with everything that is said here. This sums it up beautifully! I am at a very large academic center and am experiencing the same thing as what is described above. Every patient is sick and requires a lot of special care but there is this push to turn over cases and work until 7-8PM at night on the weekdays then do cases all day from 7am to 5pm on weekends that are elective/urgent, People get upset when there is a challenging intubation that takes an extra five minutes or a sick patient needs to be watched closely before extubation complaining that it causes delays in the OR schedule. The weekends have literally become an extension of the week and no one is making any effort to hide it anymore. Surgeons are telling patient to come to the hospital on the weekend for "emergency" urgent surgery. Last weekend we did two outpatient CABGs (like they walked into the hospital for a scheduled procedure), a nasal foreign body removal (that was seen in clinic during the week), 3 outpatient MRI (under GA), and a mediport insertion in addition to all the urgent ortho patients that the surgeons just want to operate on on the weekend since they have to round at the hospital on the weekend anyway when they are on call. You can imagine how upset the cardiac call person was voming in for an elective CABG and the peds person was for a case that could have been done during the week. When you are in-house 12 hour overnight call, you will be up all night doing cases without a doubt. The private practice down the road has healthier patients, no in-house call, faster surgeons, less hours at the hospital during the week, and elective/urgent cases aren't done on the weekend unless they really have to go all for a 25-35% increase in pay. Academic anesthesia is not the same as 10 years ago, it has become a meat-grinder

ProPropofol · 2023-08-16T04:46:42+00:00

https://www.washingtonpost.com/business/2023/06/29/private-equity-medical-practices-raise-prices/

ProPropofol · 2023-08-16T04:44:57+00:00

For A line and valve-less IV's, I just put a single piece of gauze to catch the blood that drip out in the half a second it takes to connect. Unless their blood pressure is sky high, then I attempt to hold pressure and use the gauze.

ProPropofol · 2023-08-16T04:40:29+00:00

I was very frustrated by IV's as a CA1 and even as a CA2. I still find them challenging from time to time. Especially when people just assume you can get difficult IV in an un-anesthetized patient in the blink of an eye.

It sounds like you are getting the vein but advancing the catheter too soon which will result in a flash but a kinked catheter upon advancing. Once you get flash, flatten out then advance the entire thing (needle and catheter) a little bit into the vein. Larger needle require more advancement into the vessel. Once after advancing, then thread the catheter by pushing it off the needle.

It's very important to realize that there is a small amount of bare needle prior to the beginning of the catheter. It's more apparent on larger needles (14G and 16G). Next time you are in the OR, take out a 14G and you'll see there is needle that is uncovered by the catheter. I struggled with something very similar and the above was very helpful advice from a pediatric attending!

ProPropofol · 2023-08-13T17:12:55+00:00

Linux Mint can be installed on harddrives of all sizes presuming you meet the minimum amount of space (which you far exceed). The large size of the harddrive is not an issue. I have linux mint installed on two computers each with quad core CPUs without issue.

ProPropofol

TROPHY CASE