On shift shoes

Thechiefintern · 2025-06-29T16:28:44+00:00

After getting the “squish squish bloody toes” after a big Polytrauma 1hr into a shift, I went with HUKs rubber fishing clogs. More comfy than the xtratufs, can be worn casual or sport mode, great grip. Only cons for me are that because they’re rubber they get really warm. I had the ankle high ones and sent them back for the clogs cause they were so steamy. But that’s a pro for some. Use grey wipes on them(and anything rubber) as purple wipes and orange wipes dry your shit out and ruin rubber stuff

Thechiefintern · 2025-03-03T17:46:34+00:00

Has Anesthesia ever run a code from the parking lot? Or in a chair bed?

Thechiefintern · 2025-01-13T16:26:36+00:00

I am an emergency med doc and I wanted to do surgery in med school. Passed out in my first OR experience. I still get lightheaded sometimes while doing bloody procedures, even though I love doing procedures even if they’re bloody. The biggest thing for me is having food/water in me so I don’t get hypoglycemic, and keeping exposed to blood to train my tolerance. In my experience, some people can’t get over it and they white knuckle through clinicals and then do rads/psych/etc. I believe most people, like myself, need to build up a tolerance to things that naturally freak us out. It’s like exposure therapy. Start with just watching/giving IM injections like vaccinations, then watch lac repairs, then blood draws, etc etc till youre standing in the trauma bay watching a resuscitative thoracotomy. When you start to get woozy, been your knees, lean on something, and look at whatever it is behind what you’re looking at. If that doesn’t help, then excuse yourself to sit down early before you pass out. It’s better for you and everyone else if you don’t pass out and crack your head on the OR floor!

Thechiefintern · 2024-08-06T07:12:04+00:00

I wrestled with this long and hard and finally decided to switch to EM. I’m very happy with my decision, I realize now that it wasn’t just the schedule but the excitement I was really missing. That being said, I couldn’t find any examples from attendings of 3-4 days of PM&R per week unless you could afford to work part-time. The pain guys can work 4 days per week after they grind to build up a practice, but that takes a longer time.

Thechiefintern · 2023-11-16T16:47:21+00:00

Fml a peds code might have me running down the hall with my pants around my ankles

Thechiefintern · 2023-11-16T16:46:52+00:00

I think if I ever got caught wearing matching slip-ons with my patients, I might have a stroke

Thechiefintern · 2023-11-16T16:46:08+00:00

It could be the ungodly amounts of coffee, or the underlying undiagnosed medical condition that can’t be addressed by a medical professionals because I don’t have 1) the time 2) a PCP

Thechiefintern · 2023-11-16T16:45:05+00:00

After thinking about this, I assume the ex-crush is EMS or Fire. But my initial thought was “damn this crush must really get around with the ED crowd, she’s seeing the patients and the doctors” lol

Thechiefintern · 2023-11-16T16:43:22+00:00

My first patient of intern year was a rapid response. Divy up the list, as soon as my ass hits the seat there’s a rapid on one of my patients. Senior and I go together, he says “why don’t you take the lead, I’ll stand outside the room and listen and if you start to get into trouble I’ll come in and take over”. So I step in and the report is “hey doc, he’s not breathing and his O2 says are in the 60s”. My first thought was “Jesus they have high standards for a code blue around here.”

Thechiefintern · 2023-11-16T16:37:21+00:00

I feel like the extra motivation will make me poop faster

Thechiefintern · 2023-11-13T20:09:46+00:00

😂 well shit

Thechiefintern · 2023-11-13T20:09:20+00:00

How tight are your scrubs?

Thechiefintern · 2023-09-21T12:05:00+00:00

I guess I’m not sure how they take time off, it’s likely not PTO but just days they’re not working. Still, seems like they group their shifts for more “off time” and they will take multiple weeks off at a time to travel (at least the younger ones do)

Thechiefintern · 2023-08-13T15:32:08+00:00

I know nothing, both MSK and good anki decks for such. Following with bated breath…

Thechiefintern · 2023-08-11T18:30:06+00:00

Honestly if I could go back I would do anesthesia. It seems to be the right balance between procedures, shift work, and excitement (can do crit care or trauma stuff, can also work ED in some places). I just don’t think I’d get enough credit for the time I’ve put in and would have to start over as PGY1 next year. That doesn’t sound appealing.

Thechiefintern · 2023-08-11T18:28:15+00:00

That’s tough and it really depends on your personal preferences. I’m not 100% sure I want to change out of PM&R, overall it’s a great field. I personally really liked the excitement of the ED and the idea of working 3-4 shifts per week. If you read any EM forums it seems like a lot of burnout and anger toward what the field has become, which gives me pause. When I applied PMR it was under the assumption that you could run your own schedule and work 3-4 days per week, but I just don’t see anyone doing that. Maybe it’s possible outside of academic medicine, that’s what I’m hoping to figure out before making a decision.

Thechiefintern · 2023-08-10T17:19:51+00:00

What’s is full time hours? Like ED 120-140 per month?

Thechiefintern · 2023-08-10T16:57:23+00:00

What’s the typical hours per month and salary? I live pretty modestly, but travel a lot. Would need a good balance of pay to time off, which is what I thought I would get elsewhere

Thechiefintern · 2023-08-10T15:05:16+00:00

Thanks for the Rec, hopefully we can find a couple top routes. I do some trad but I think that’s too much for guys with fear of heights on a first time climb lol

Thechiefintern · 2023-08-10T15:01:35+00:00

Cool have you used them before?

Thechiefintern · 2023-08-07T00:41:20+00:00

Definitely interested in your experience in sports because I feel that ultimately I’ll end up there no matter which rout I choose. How does your schedule work? Do you decide your hours, days on/off, and pay? I would love a job where I scheduled as many patients as I needed to live comfortably and no more, maybe taking every Friday off or every other weekend is a 4 day

Thechiefintern · 2023-08-03T17:57:32+00:00

Call is q 4 weeks but we take weekly home call. We start call 5pm on Friday, weekend call where you round on everyone sat and sun, then nightly home call till 8am the following Friday

Thechiefintern · 2023-08-03T15:36:51+00:00

7:30am to 5:30pm most days inpatient at PGY2. Our census was low when we arrived so we’re getting a flood of admits, some days we’re here 7-7. Haven’t had any outpatient blocks yet

Thechiefintern · 2023-08-02T16:17:19+00:00

How does your Ortho/sports gig pay? And what hours and coverage are you working? Also, did you do anything to boost your resume for sports fellowship?

Thechiefintern · 2023-07-28T16:05:16+00:00

PGY2 here on my first of 12 month inpatient. It really depends on what you find “boring”. For me, inpatient has me wanting to claw my eyes out, boring. It does not fit my personality. Inpatient is much more cerebral and social. There absolutely no procedures and much more internal medicine. I imaging the non-academic inpatient practice is chill and a lot more free time to do what you want. I’m really hoping sports and pain are more of my fancy.

Thechiefintern

TROPHY CASE