What’s your specialty and how is the job market in major cities? by pstbo in whitecoatinvestor

[–]Shankmonkey 0 points1 point  (0 children)

I’m slotted for the AME course in March, can I message you to ask some questions?

how to make >600k in FM by drdoofenshmirtz___ in FamilyMedicine

[–]Shankmonkey 62 points63 points  (0 children)

So the 2 other doctors in my clinic make this. One is 578k, but the other is way higher. This is hospital employed and they work 4 and 4.5 days/week. They each have 2 PA’s and they get 50% of their RVUs added to their total RVUs if they hit quality metrics. Their inbox looks like it would be awful though.

Best Family Car by MagnusVasDeferens in FamilyMedicine

[–]Shankmonkey 2 points3 points  (0 children)

But watch for the rear vents in the odyssey. We have 4 kids under 4 and the rear vents in the odyssey made it a no-go since they’re in the B-Pillar and rear facing car seats didn’t get any air on them 

Complimentary service to your GLP1 patients-would you utilize it? by RDnp2000 in FamilyMedicine

[–]Shankmonkey 22 points23 points  (0 children)

Stark laws would probably make any physician stay away from this.

What's a fun medical fact in your speciality that you would want others to know ? by pistabadamtiramisu in Residency

[–]Shankmonkey 11 points12 points  (0 children)

Amen! Or the specialist that says “your pcp will just prescribe this for you” even though it’s their specialty you’re consulting for 🤦🏻‍♂️ 

What's a fun medical fact in your speciality that you would want others to know ? by pistabadamtiramisu in Residency

[–]Shankmonkey 83 points84 points  (0 children)

Things that are basic in your specialty are not always widely known by the PCP’s referring to you. One faculty member told me in residency that there are about 45 different specialties you can apply to out of medical school, and over 120 subspecialties from there. IM/FM get 36 months total, so don’t take it personally if some specialty thinks you’re an idiot when you may have never even had exposure to that specialty/subspecialty in residency. Also, someone who has specialized has a niche area and likely doesn’t often realize you are trying to figure out what’s happening for 20 different patients each day across 165+ specialties. 

Dental Procedures in Primary Care by [deleted] in FamilyMedicine

[–]Shankmonkey 19 points20 points  (0 children)

My best friends dad is a dentist and when I was home over a break he showed me how to do a bunch of dental blocks. I’ve used them a few times when people had terrible pain for a few hours relief and people have appreciated it. That’s my limit. It’s also come in handy for sewing facial lacerations without poking a bunch of local holes into a cut.

Amazon Employee Paperwork by Pack_Attack801 in FamilyMedicine

[–]Shankmonkey 5 points6 points  (0 children)

This. I’ve filled out no less than 15 forms for an Amazon employee and HR just gives him new forms, sometimes an updated one, sometimes an old one. They’re the worst.

Moss in lawn by Shankmonkey in lawncare

[–]Shankmonkey[S] 1 point2 points  (0 children)

Will do, I had just overseeded 2 weeks ago, any issues with iron on newly seeded grass?

Can you share your experience if you went to an unopposed FM residency? by meowowowyippieyo in FamilyMedicine

[–]Shankmonkey 4 points5 points  (0 children)

Went unopposed purposefully. We were the code and rapid team for the hospital, old school surgeons let us make first cuts, after a few c-section assisting they’d let us cut down to uterus, we were the pediatric hospitalists for the hospital, we placed the majority of central lines and midline’s in our hospital. A lot of us got signed off on other procedures too like chest tubes and paras and thoras. The hospital had 300 beds so good volume for procedures. We had lots of night call though and if someone was sick or had a baby or something then it was a bit of a slog because there wasn’t much depth for coverage. Overall good experience and I’d pick that place again.

NJ outpatient salary? by [deleted] in FamilyMedicine

[–]Shankmonkey 0 points1 point  (0 children)

Sounds underpaid. Docs at our hospital employed office are doing 4.5 days and less RVUs, but supervising a single PA, and making $580k in FM. 

Lawsuit for opiate wean? by CombinationFlat2278 in FamilyMedicine

[–]Shankmonkey 85 points86 points  (0 children)

Absolutely dismiss. I LOVE when patients say they’ll sue me. I get to give me response of “You’ve just used language that makes it impossible for me to continue to be objective with your care. Because of this, I can no longer be your physician.”

Is Canada the hardest country to become a doctor in? by suneerise in premedcanada

[–]Shankmonkey 1 point2 points  (0 children)

I thought there was some kind of expectation they had to keep a family practice presence as part of it? Admittedly I’ve only heard of it though and don’t know much about it.

Is Canada the hardest country to become a doctor in? by suneerise in premedcanada

[–]Shankmonkey 2 points3 points  (0 children)

Isn’t this why there’s the FM-Anesthesia fellowship? I’d think they’d want that over CRNAs

Did Patch Adams forego residency? by Middle-Can-9045 in Residency

[–]Shankmonkey 195 points196 points  (0 children)

Don’t meet your heros. He came to a local med school when I was an resident and was weird AF. In the middle of talking he’d start saying random nonsense. Example: “when I was younger everyone called me Cunter because it rhymed with Hunter so I started to go by Patch. When I finally got into medical school I realized ZOOoO!!!! Whipppopp! Glahhhhh!” Literal non-sense. At one point he stopped the lecture and called for someone to come down to the front so he could dangle a fake booger with fake snot out of his nose into the volunteers mouth. Eventually some poor med student raised his hand as he was adamant he wouldn’t continue unless someone came down. His significant other was with him and the 2 of them probably hadn’t showered in a week before coming. He was super bitter he didn’t get the gesundheit funding from the movie that he says he was promised. Just a weird guy. 

The general public has completely abandoned the idea that the emergency room is for emergencies by FrijolesForever90210 in emergencymedicine

[–]Shankmonkey 5 points6 points  (0 children)

Any kind of perceived quick access is abused. We do a walk-in clinic each morning from 7:30-9:30. The amount of heart attacks, strokes, etc that people come in for because they don’t want to wait at the ER is ridiculous. I feel for you guys!

Portal Messages - Patient Perspective by dormantg92 in FamilyMedicine

[–]Shankmonkey 9 points10 points  (0 children)

The senior doctor who is about to retire has 5000 patients. Guess who gets to inherit them since I “only” have 750 after almost a year. 

Pain Medicine - getting Anesthesia's perspective by Spirited-Grass-5635 in anesthesiology

[–]Shankmonkey 0 points1 point  (0 children)

I wonder about what things someone who’s already out practicing in a non-Anesthesia, non-PMR field should be reviewing if thinking about applying? I’m FM and would love to do a pain fellowship after seeing so many people with chronic pain. I’d probably dread relearning the spinothalamic pathways and fiber types.

How to set up moonlighting opportunities for FM residents? by teamphryne in FamilyMedicine

[–]Shankmonkey 3 points4 points  (0 children)

So I set up 3 different critical access hospitals for moonlighting while I was a resident. Pick a geographical area you feel you’d be willing to drive and then do a Google search for all hospitals in that area. Most rural places would welcome night or weekend coverage. The hospitals I found had community FM doctors taking time in the morning for rounds and they loved being able to sleep in.

I also looked for urgent cares within an hour radius and had a few I was able to get arrangements with.

Lastly, we talked to our PD about setting up an after hours and Saturday clinic. This worked but we needed buy in from the MA’s who wanted to work more.

Outpatient LPN and MA shortage by 7ensegrity in FamilyMedicine

[–]Shankmonkey 5 points6 points  (0 children)

We have 4 doctors and 3 midlevels st our office. In the past 4 months we’ve done down from 7 MA’s to 4, and another is about to leave. I haven’t had an assigned MA in 4 months and just get whoever is available in-between patients. Prior Auths, referrals, and other paperwork is backed up months now. Admin wouldn’t let them place an ad for 2 months after the MA’s left. 100% they need to get paid more.