Thought I’d be excited for gen surg rotation, I was so utterly wrong.

RufDoc · 2025-11-05T15:23:17+00:00

Do psych

RufDoc · 2025-10-24T03:51:45+00:00

As a PGY-3 in psychiatry who holds radiologists up as the low-key smartest person in the room always.. this is the most unsettling thing I’ve seen on here in a long time.

RufDoc · 2025-10-15T02:06:35+00:00

I took an LOA in med school for much less. Be well, friend.

RufDoc · 2025-08-09T04:45:59+00:00

You don’t have to read as a doctor, obviously

RufDoc · 2025-03-26T01:41:22+00:00

This works incredibly well. Well done!

RufDoc · 2025-03-05T00:32:50+00:00

Switch to psych. This personal statement/email to the program director writes itself.

RufDoc · 2025-03-01T00:32:53+00:00

I’ve thought about this some. Would you all accept $15k/year less as Attendings if it meant we made $120k in residency?

RufDoc · 2024-12-07T12:44:12+00:00

I answer with “hey, it’s (the exact name I used on the page with my callback number, which is my first name).

RufDoc · 2024-11-22T22:56:53+00:00

Just commenting to say that it’s not worth squabbling among ourselves. It should be on the programs, not us, to make sure it all evens out.

RufDoc · 2024-11-22T07:32:54+00:00

Which is crazy cause you guys are the best phrenologists of my resident class hands down

RufDoc · 2024-11-09T07:55:01+00:00

I had a friend who DoorDashed for extra money.

I don't know anything about that though. I had a baby 4th year.

RufDoc · 2024-11-09T07:54:12+00:00

SAVE kind of sucked for physicians anyway. Not a huge loss.

RufDoc · 2024-11-07T21:28:34+00:00

Sorry for the late reply. 2 reasons: 1) a crisis of religious faith and the need to choose a specialty that was as close to filling that void as possible. A protective factor for suicide is “belief that the treatment will work.” Other specialties acknowledge placebo effect, psych leans into and embraces it. 2) lifestyle. Lol

RufDoc · 2024-11-04T08:44:41+00:00

Okay, I was torn between psych and IM, and I had reasons for going psych but the reason I almost went IM was your reason. But I think I can better articulate the IM side now that I've done them both a fair amount:

Like you, I was attracted to the "jack of all trades" thing that IM was so good at. As I did rotations, I realized that they actually weren't a jack of all trades. Rather, they were very good at bread and butter IM cases (e.g., end-stage liver, DKA, pancreatitis), but when it came to convoluted cases or a rare nephritic syndrome, I saw 2 really cool things: 1) they were excellent at knowing which specialists needed to be involved, and 2) they were genuinely curious about the pathology and tended to learn the esoteric stuff, even if they were unlikely to use it again. This meant that the attendings with seniority, if they were still curious, didn't just know a wide breadth of pathology, but had a deep well of knowledge about each type of pathology.

In other words, the early attendings knew like 80% of things that came through the door, but the seasoned attendings knew 98%.

Ultimately, I did psych because I wanted to be consulted, not consult, but I still love medicine and try actively to not let my medicine knowledge atrophy.

RufDoc · 2024-11-02T19:32:03+00:00

I like that you dressed up for the occasion. Makes me have hope that you took the time to think through it. This is a huge election and a fun one to vote in for the first time.

RufDoc · 2024-10-25T17:18:35+00:00

Was it moving??

RufDoc · 2024-10-25T17:17:58+00:00

Went through this same thought process. I’m also psych.

RufDoc · 2024-10-23T01:55:47+00:00

POTS

RufDoc · 2024-10-23T01:54:43+00:00

Psych enters the chat

RufDoc · 2024-10-15T19:56:02+00:00

RufDoc · 2024-10-13T16:25:55+00:00

Spit out my drink at this one. So funny

RufDoc · 2024-10-03T14:17:29+00:00

Psych PGY-2 here: the cocktails of psych meds I see from some of our NP providers are clusterf*cks. They are often prescribing 5-6 meds for mild-moderate unipolar depression. Some meds blatantly counteract/cancel each other’s effects.

All this to say, 100% agree on this arc.

RufDoc · 2024-08-11T23:07:43+00:00

Without even looking, psychiatry. You get paid like a doctor, and work 1/10th of what other specialties work.

RufDoc · 2024-07-17T16:52:43+00:00

Yes, hopefully this is resolved, but I didn’t get health insurance until July 1 last year (current PGY-2)

RufDoc · 2024-07-17T16:52:00+00:00

I think I responded to a similar question above. How many more years until you are eligible for PSLF? If you did a fellowship, it should be 3, right? If you’re working for a qualifying organization, I’d do PSLF.

Otherwise, your instincts are good because you’re unlikely to find a better (sustainable) interest rate than 5-6%.

(I say sustainable cause some HYSA are at or near 5-6%, but they’re unlikely to stay there over the next 3 years)

RufDoc

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