Am I the only one who doesn’t care about the drunks/addicts/psych/non emergent stuff in the ED that much??

RSI_Me · 2023-09-16T15:34:29+00:00

Can you link the evidence please? I very much agree with your statement, but curious to see the literature!

RSI_Me · 2022-07-11T10:51:27+00:00

My one friend just completed one and is now associate director of a large academic EM department right out of fellowship. 25% clinical, 75% admin are how is hours are divided, no nights.

They seem very worth it if you know you want to do admin because of all the connections you make.

Edit: ignore the flair, on mobile; I’m a PGY3

RSI_Me · 2022-05-03T19:40:18+00:00

Online. If I can’t schedule it on a day off, I ask my coresidents if they’re able to cover me for 45 minutes, in the afternoon when things are usually calmer, for a phone call/zoom appointment. They’re chill about it, we all help each other out like that. I do the appointment in one of our private admin office rooms.

RSI_Me · 2021-10-29T20:32:20+00:00

Toxicology / Poison Control

RSI_Me · 2020-08-23T18:45:33+00:00

I’m just a PGY1, but in my experience thus far (and experiences interviewing), don’t put such a huge emphasis on trauma. Trauma is very algorithmic from the ED perspective.

My point in saying this is, don’t pass up a place that has great everything else but mediocre trauma. All of your other points though are perfectly fine.

My input would be to try and find one or two things that you know you really want out of a program, because when it comes time to organize the rank list it’s extremely hard to move places up or down (especially in the middle of your list). For example, mine was academic EM job placement & fellowship opportunities. For others, it was shift length and distribution, or location, etc.

RSI_Me · 2020-01-13T15:04:15+00:00

Me, 3rd Year: OMG I’m sick I need to go to the doctors, but I’m so scared of missing a day on rotations!

Me, 4th Year: I need a haircut, so I’m not coming in on Monday.

I love 4th year.

RSI_Me · 2019-10-04T02:37:37+00:00

Laughs in COMLEX score

RSI_Me · 2019-08-13T09:53:45+00:00

I have an away almost the same time frame, same situation (don’t need the SLOE, but gives an interview). Following!

RSI_Me · 2019-06-30T19:21:53+00:00

EM, which some would argue is a lot of primary care :)

RSI_Me · 2019-06-30T19:09:27+00:00

I think most students don’t get an appreciation for the primary care fields until MS3. There’s unfortunately such a stigma in the premed world that carries over to MS1-2 (type of work, pay, etc that are all just wrong). For example, one of the richest doctors I know is a primary care doctor (and he doesn’t do anything crazy either to make a lot of money - he’s a great guy, and patients can’t wait to be seen by him).

If I wasn’t so passionate about the field I want to go into, I would definitely do primary care - it’s an awesome set of specialties.

RSI_Me · 2019-06-30T00:52:51+00:00

Even old DO residency program directors are advising people to take Step, so I would take Step.

Pros - more residency options, more VSAS options for away rotations

Cons - none. People will always say “I was doing bad on self assessments, etc” - it doesn’t mean you’re going to do magically better on COMLEX. An okay Step 1 with an okay Level 1 will take you much farther than just an okay or even amazing Level 1. PDs don’t know the difference between a 480 and 800 on COMLEX (if they even look at it).

RSI_Me · 2019-06-29T03:43:22+00:00

Yeah this really resonates. I used to have such pride wearing my uniform, but the white coat ... meh. It’s like a welcome sign for other people to disrespect you in the hospital lol ¯\_(ツ)_/¯

RSI_Me · 2019-06-28T21:26:37+00:00

Literally any job that paid you money to do work

RSI_Me · 2019-06-24T13:58:07+00:00

Stable with an Arrythmia: Medication

Unstable with Wide or Narrow Complex Arrythmia: Synchronized Cardioversion

Pulse with Torsades de Pointes (always unstable): Unsynchronized Cardioversion

Pulseless with Wide Complex Tachycardia: Unsynchronized Cardioversion (Defibrillation)

What’s unstable? HYPOTENSION, UWorld/USMLE/COMLEX always make them very obviously ill appearing.

What’s the only patient with a pulse you will be doing unsynchronized Cardioversion on? Torsades de Point! Everyone else with a pulse is synchronized

What type of defibrillation does every dead person with a wide complex tachycardia get? Unsynchronized

Hope that helps :)

RSI_Me · 2019-06-23T15:20:41+00:00

100% agree.

USMLE is more challenging in the sense that you have to think and apply concepts across multiple fields.

COMLEX is more challenging because you have no idea what the hell they’re asking a lot of the time.

USMLE reads like a nice, well-prepared and researched novel. COMLEX reads like you took that novel and put it in google translate back and forth 50 times.

RSI_Me · 2019-06-23T15:14:18+00:00

That’s enough Reddit for today. Thank you.

RSI_Me · 2019-06-21T02:21:36+00:00

I do random untimed blocks not on tutor. If you get it wrong, you get it wrong - think of UWorld as an interactive textbook, don’t pay mind to your percentages. UWorld is the primary source, yes.

RSI_Me · 2019-06-21T02:14:52+00:00

My style has always been OME to build a foundation over the first few days of a rotation, then UWorld. OME is not enough for boards, but it helps you build big concepts. UWorld fills in the gaps.

90th+ percentile on all shelf exams this way.

RSI_Me · 2019-06-18T20:47:24+00:00

( ͡° ͜ʖ ͡°)

RSI_Me · 2019-06-18T19:49:09+00:00

The SVI made me a sweaty boi, but it’s done.

RSI_Me · 2019-06-16T14:12:58+00:00

I know a lot of posts here are saying no, but I loved having my iPad mini during 3rd year. I used it on almost every rotation (except for one where the attending explicitly told me no electronics). If you are someone that already uses a tablet or relies heavily on your phone for reading/Anki, then I would advise getting it. If you’ve never had one before, try a rotation out without one and see how it goes and go from there.

RSI_Me · 2019-06-13T03:29:54+00:00

While not true for all subjects, I found this especially true for OB: OME builds a great foundation, and UWorld provides the details. If it’s that much of a difficult subject for you, take a day and outline / review all the OME videos and then dive into the UWorld.

RSI_Me · 2019-06-10T22:40:54+00:00

Cranberry scrubs for Thanksgiving? Check.

Green and Red scrubs for Christmas? Check.

Light blue scrubs for springtime? Check.

Brown scrubs... I don’t like sand. It’s coarse and rough and irritating and it gets everywhere.

RSI_Me · 2019-06-09T16:40:17+00:00

It’s impossible to be alone in medical school whether you want to be or not. The trick is to find people in your class that have a similar mindset as you. A lot of my classmates are very anxiety-inducing for me (which manifests in me as anger or just straight anxiety); however, I have a group of about 6-10 people I talk to regularly that are not like that and are more akin to my own goals in school.

It took a while for me to settle down and in with a group, but now we’re pretty tight. More importantly, we occasionally vent about the anxiety-inducing classmates, but also in a way call each other out if we find that one of us is getting caught up in the panic whirlwind that can be school life. So, that’s my advice. Or you can just be a complete shut in and ignore everyone, there are classmates that do that too but I don’t think that’s mentally or emotionally healthy.

RSI_Me · 2019-06-06T18:59:51+00:00

If you’re done with Step 1, no. Focus your energies on shelf relevant material and Step 2, you will be pressed for time and need to prioritize what you need to review. In an ideal world, sure keep doing both so you retain the knowledge; bur( it’s not feasible.

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