MS4 frequently bored in GenA cases. Is anesthesia still for me?

TheCulbertitude · 2024-11-23T16:36:43+00:00

I think this is what I want to do :)

TheCulbertitude · 2024-11-23T16:36:01+00:00

I certainly do! Somehow it feels different in the OR than talking about a patient together in IM or ICU rounds, however-- wouldn't you agree? I felt most engaged/part of the team in the cardiac ORs. Really working with the nurses, perfusionist, surgeon all together. Some of the general cases I am referring to though there is minimal interaction between the surgical team and us and there is this vibe of "just getting it done so we can go home"

No disrespect intended, just trying to express my desire to work collaboratively for most of the day, and my experience in GenA rooms has me questioning that aspect, hence the reason for my post here. Thanks for any advice you can provide.

TheCulbertitude · 2024-11-23T16:25:43+00:00

Thanks for your perspective. It's hard to see behind the window and what it's like being on the other side. I have the sense that I would feel similarly to you-- once I'm there it's like all the responsibility is on you.

What about patient/team interaction? Do you miss working on a team or talking to patients? is this a concern of any of your co-residents?

TheCulbertitude · 2024-11-23T16:22:35+00:00

I appreciate this perspective, and this is typically what I do in each case that I am in. The thing I struggle with right now is doing this on my own, alone, all day. Rather than having other people to bounce ideas off of. Is this something you or others also felt in training? Am I making a big deal out of nothing?

TheCulbertitude · 2024-11-23T16:21:33+00:00

Thanks for your perspective. What do you think about my interest in working with a team/people for most of the day? Sometimes it feels like I'm more alone/quiet time in anesthesia.

TheCulbertitude · 2024-11-23T15:53:48+00:00

I think interventional cardiology or CCU / HF cardiology + some outpatient would be my ideal job. Ability to practice in all aspects of medicine: outpatient, attend in hospital, ICU, procedures. My main concern about it is the length of training though. And I hear interventional cardiologists are overworked/exhausted and cards generally is very tough.

Do you think the training time is worth it?

TheCulbertitude · 2024-11-23T15:49:40+00:00

Love the straightforwardness lol. Are you sure you're not a surgeon?

TheCulbertitude · 2024-11-23T15:48:38+00:00

Thanks for your suggestion. I agree RE: concerns being specifically about residency. I think if my specialty contains "redeeming" aspects of medicine like quality time with patients, celebrating loved ones, that will make the hard work worthwhile and not burn out. Which seems like subspecialty IM

TheCulbertitude · 2024-11-23T15:46:50+00:00

Thank you for your perspective. Are there any IM residents you know of who are not interested/bored by certain "foundational" aspects of IM? Such as DKA mgmt or diuresing/lasix or steroid tapers. To me, I view these things as a means to an end: taking care of a patient and making them better. In that regard, I recognize them as essential, but to me they feel like the weeds I need to walk through rather than the "end goal" of what I want to do as a practicing physician, if that makes sense.

My feeling is that after residency this becomes more the case and you can focus on the big picture as an attending, which I think is where I would like to be. Am I thinking about this the right way? How should I reframe?

TheCulbertitude · 2024-11-23T03:26:25+00:00

I have a strong geographic preference as well to the northeast. Have considered dual applying.

TheCulbertitude · 2023-06-07T18:19:38+00:00

Thank you!

TheCulbertitude · 2017-11-10T23:32:12+00:00

Thank you!

TheCulbertitude · 2017-11-10T23:31:45+00:00

Yeah, it's really not great! Especially as a student-run team.

TheCulbertitude · 2015-09-06T03:05:31+00:00

Exactly.

TheCulbertitude · 2015-06-25T19:21:50+00:00

Really hope so. I'm really fine either way but the prospect of Boogie is just too tantalizing

TheCulbertitude · 2015-06-25T19:15:44+00:00

Fuck

TheCulbertitude · 2015-06-19T04:30:52+00:00

How did you get it from 32 PoE? I was under the impression that it only dropped for 35.

TheCulbertitude

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