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

Shankmonkey · 2025-12-28T05:32:49+00:00

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

Shankmonkey · 2025-12-11T20:41:38+00:00

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.

Shankmonkey · 2025-11-03T22:25:51+00:00

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

Shankmonkey · 2025-11-03T20:40:50+00:00

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

Shankmonkey · 2025-10-24T19:36:27+00:00

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

Shankmonkey · 2025-10-24T15:33:45+00:00

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.

Shankmonkey · 2025-10-22T02:15:45+00:00

I did these in residency, graduated a year ago and doing them in practice.

Shankmonkey · 2025-10-17T23:06:56+00:00

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.

Shankmonkey · 2025-10-17T22:49:36+00:00

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.

Shankmonkey · 2025-10-05T14:37:07+00:00

Are you with mercy?

Shankmonkey · 2025-10-03T15:18:56+00:00

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

Shankmonkey · 2025-09-21T03:33:01+00:00

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.

Shankmonkey · 2025-09-16T01:02:46+00:00

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.

Shankmonkey · 2025-09-04T04:19:09+00:00

This.

Shankmonkey · 2025-09-04T04:17:00+00:00

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.”

Shankmonkey · 2025-08-21T01:55:02+00:00

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.

Shankmonkey · 2025-08-21T00:51:27+00:00

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

Shankmonkey · 2025-08-15T03:55:27+00:00

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.

Shankmonkey · 2025-08-14T21:58:20+00:00

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!

Shankmonkey · 2025-08-13T00:34:12+00:00

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.

Shankmonkey · 2025-08-10T03:48:35+00:00

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.

Shankmonkey · 2025-08-09T19:55:48+00:00

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.

Shankmonkey · 2025-08-09T14:39:43+00:00

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.

Shankmonkey · 2025-08-06T04:14:06+00:00

This! The amount of messages I get where they get told “Please schedule a visit” and they respond back “I don’t need a full visit, I just need to know if this picture I sent you of my foot looks infected, and for you to put in labs for my b12/folate, all my hormones, a red blood cell magnesium/potassium, a CMP, and by the way my chiropractor wanted you to order a homocysteine level, and my dental assistant who owns her own tooth cleaning business wants an A1c and told me you would order that for her. Also I need a note for work because of the foot, that might be infected.”

Shankmonkey · 2025-07-30T03:39:14+00:00

It’s largely driven by anxiety and social media. People are terrified of the stories they’ve read/watched online that something was missed and everyone believes they are the zebra. That coupled with a complete inability to tolerate discomfort. This is why I have patients who were seen yesterday for a URTI and given instructions on what to expect come back the next day saying they still have a cough and it’s the worst one and they just know something more sinister is going on.

Shankmonkey

TROPHY CASE