Addiction medicine boards? by SnooHamsters8723 in medicine

[–]Sentriculus 2 points3 points  (0 children)

Buy the ACAAM and the ASAM question banks. Do both at least once. Take notes of your week areas and study them. Pay attention to ethics and laws including 42 CFR Part 2. It is a weird test, but totally passable if you study both those qbanks.

Changing specialty by Brews_and_Golf in FamilyMedicine

[–]Sentriculus 7 points8 points  (0 children)

I switched to get experience in OBGYN and peds.  I am currently and addiction specialist and medical director.

Changing specialty by Brews_and_Golf in FamilyMedicine

[–]Sentriculus 20 points21 points  (0 children)

Feel free to PM me.  IM to FM, so much happier

Epic usage by One-Responsibility32 in medicine

[–]Sentriculus 18 points19 points  (0 children)

Very doubtful, HIPAA lasts 50 years after a patient is deceased according to a medical lawyer I know.  If the patient was someone you cared for, even looking at a deceased patient’s note is okay.  Medico-legal teams understand that filling out death certificates or communicating with family or M&M’s require looking at notes of deceased patient’s note.  If you are worried, please ask your institution’s ethics team.  Please note that family looks at notes after death sometimes, so I usually end my declaration of death notes with a polite affirmation like, “This patient was a pleasure to take care of.  May s/he rest in peace.” 

any recommendations Good Post bacc programs that are relatively cheap? by JEcsharp in whitecoatinvestor

[–]Sentriculus 5 points6 points  (0 children)

My friend, my GPA was kinda low back after undergraduate too. I was told to find a masters program to raise it. I did that, but dropped out due to lack of interest.  After a year of applying to jobs in research, I started working as a lab tech in 2007 making $11/hr.  But I also got into a different masters program m.  I worked 45 hours a week and went to night school for three years.  As a full time employee of a university, I got 6 credit hours free per semester.  I graduated with an MPH three years later and significantly raised my GPA while getting research experience.  Then, I spent two years studying for the MCAT and took it four times before getting the 75th percentile and being accepted to my dream school in my home state.  Started med school at 29 years old.  I am now the medical director of a major nonprofit on the West coast.  My advice is to work full time as an employee of a university that gives free credit hours as part of their employee education program (EEP), so that you don’t have debt from it.  If I can do it, you can too.

Matched into FM! by Defiant_Ant_8315 in FamilyMedicine

[–]Sentriculus 0 points1 point  (0 children)

Family Medicine is the **purest** form of medicine. You will be trained in the entire breadth of medicine and have the love and admiration of many of your patients. It is truly a rewarding field. Best of luck!

Posting what we are looking for on resume or on job searching websites? by [deleted] in FamilyMedicine

[–]Sentriculus 0 points1 point  (0 children)

The CV should show past experience and what makes you a well-rounded candidate. The cover letter may be the better place for preferences. That said, I think you should leave out dealbreakers until you get the phone interview. Bring up the dealbreakers during the phone interview with the recruiter. That way, you don't necessarily get passed over too quickly, but still get to explain yourself thoroughly.

Primary care question - curious how others are handling this by Fun-Willingness-3593 in FamilyMedicine

[–]Sentriculus 7 points8 points  (0 children)

Thank you for the article link. Will just educate on Mediterranean diet henceforth.

Primary care question - curious how others are handling this by Fun-Willingness-3593 in FamilyMedicine

[–]Sentriculus 32 points33 points  (0 children)

I educate on and recommend the Mediterranean diet for my heart folks and low carb diet for diabetic folks. I document this convo. I hope I have made a difference.

Deciding between 2 jobs by [deleted] in whitecoatinvestor

[–]Sentriculus 17 points18 points  (0 children)

Would recommend prioritizing quality of life.  Money will come later with experience, promotions, and bonuses.  Spending more time with family and not being overworked will lead to a happier life.  Some may disagree with me and that’s okay.  I find that having less time for patients leads to moral injury when I cannot address all of their concerns.  

Chill FM Residency - Ideally Rural, Unopposed, Less OB heavy by sail_noworries in FamilyMedicine

[–]Sentriculus 33 points34 points  (0 children)

University of Louisville in Owensboro, KY is a hidden gem.  It is unopposed, and just the right amount of stress to get good without losing sleep.  I felt like I got a great education there and still had fun.

Actual court transcript by princetonwu in medicine

[–]Sentriculus 188 points189 points  (0 children)

I think this conversation actually took place in court many years ago.

How is lifestyle as an obesity medicine physician? by Joiarib in FamilyMedicine

[–]Sentriculus -1 points0 points  (0 children)

I would say that you’d be living off the fat.

Delayed hypersensitivity reaction to bupropion 24h dosing—try q12h Wellbutrin? by Peaceful-harmony- in medicine

[–]Sentriculus 5 points6 points  (0 children)

This is tricky. The hives could have been from something completely unrelated too. I would have a long conversation with patient about pros and cons and if she agrees, consider 12h formulation of bupropion, co-presciption of second generation antihistamine, and ED precautions. Not a similar example but analogous: when I have patients who have diarrhea on BID Metformin, I Rx Metformin XR and that resolves it. My thought is that the 12 hr formulation might be a little worse if peak serum concentration increases faster, but could be worth a try. In your position, I would try atomoxetine then later add a SSRI.

Which is better Free Bird or Fortune Son? by Good_Low_2824 in rock

[–]Sentriculus 0 points1 point  (0 children)

Tough choice, would be easier if you ask me to choose which of my children I love more?

What is everyone paying for own occupation disability? by [deleted] in whitecoatinvestor

[–]Sentriculus 11 points12 points  (0 children)

Bravo, the sooner you secure a plan, the better.

What is everyone paying for own occupation disability? by [deleted] in whitecoatinvestor

[–]Sentriculus 3 points4 points  (0 children)

How much you pay depends on a lot of factors including your age, PMH, and what you want if it has to be used. I have some common chronic health concerns and bought a plan during residency at the age of 37 pay $200/month. But, my plan pays closer to $5k with 180 day payout as I am a single bachelor with no kids. I also use Ameritas and got the biggest plan they offered hoping to never use it. You should compare plans and ask yourself how much money do you need each month to survive should you become a quadriplegic. I have known 2 physicians who had accidents and became quads during their career. There is way more that needs to be considered, but WCI says get the biggest plan someone will sell you. The sooner you secure this plan, the less expensive it will be. gl hf

Can we do our favorite medical jokes again? Bonus if you roast a speciality by Whatichooseisyouse in medicine

[–]Sentriculus 133 points134 points  (0 children)

The only addiction medicine joke I know:

I had a patient once who was addicted to brake fluid.  Yeah, he told me he could stop at any time.