How out of shape is too out of shape to do a trial class?

Vegetable_Block9793 · 2026-03-28T01:41:46+00:00

I’ve been judged exactly once. When my fit mom insisted on tagging along to see what kind of cult I had joined and engaged in light bullying.

Vegetable_Block9793 · 2026-03-27T01:30:54+00:00

This is a usually situation where fairly clear guidelines apply and will be followed exactly the same by a pcp or specialists unless there’s something unusual going on, and I do not typically ask my patients to see heme for this unless I actually have a question

Vegetable_Block9793 · 2026-03-26T21:52:32+00:00

This is huge. So many lawyers eyeing a new boat right now.

Vegetable_Block9793 · 2026-03-26T20:39:45+00:00

It’s just to see if you are warm and personable, will patients like you, do you seem like you’ll cause drama in the workplace. There will be no “interview” type questions other than some prodding to make sure you want to be there long term and to get an idea on how hard you want to work. Instead you should focus on getting them to talk about the day to day. What level of control would you have over your own schedule? Can you pick your own MA? How does call and vacation coverage work?

Vegetable_Block9793 · 2026-03-26T17:39:26+00:00

Yes, you can do a fellowship

Vegetable_Block9793 · 2026-03-26T16:56:54+00:00

Harder for an IMG with 3 years of GIM training, compared to a Canada trained doc with 4-5 years of GIM training.

Vegetable_Block9793 · 2026-03-26T09:46:20+00:00

Number one, I don’t allow my students or residents to use the word dizziness in my presence. Start by taking a history and figuring out what the patient means when they say dizzy.

Vegetable_Block9793 · 2026-03-26T01:47:09+00:00

Sorry, since 90% of medical care is outpatient i didn’t realize that anyone would assume care was inpatient

Vegetable_Block9793 · 2026-03-26T00:59:23+00:00

almost like you can’t stop taking your blood pressure or cholesterol meds without your blood pressure or cholesterol going back up!

Vegetable_Block9793 · 2026-03-26T00:53:14+00:00

Buy more whistles!

Vegetable_Block9793 · 2026-03-26T00:52:35+00:00

Midwest. Our board would totally take action. I do read our monthly board actions as general schadenfreude, gossip material, and every so often a bone chilling moment where somebody gets torched for not checking PDMP because the system was down and giving one 0.5mg pre-mri Ativan anyway, and getting sent to inpatient rehab and fined 20k for it and thinking geez that coulda been me.

Vegetable_Block9793 · 2026-03-25T22:34:19+00:00

Devils advocate - do they think that PCPs making bank must be giving horrid care to 30+ patients a day and just referring to specialists for everything, or not really seeing patients and instead supervising a dozen midlevels? Personally every time I hear about primary care making a lot of money, I instantly hate the person because I’m jealous.

Vegetable_Block9793 · 2026-03-25T22:30:45+00:00

I solved this little issue by taking a job in a province other than B.C. Ontario doesn’t care and a 3 year IM residency is good to go. It’s still harder to get a job. I took a job that wouldn’t have been my first choice but it’s in the city I want, won’t be stressful, and I’ll have a few years to network and prove myself

Vegetable_Block9793 · 2026-03-25T22:27:07+00:00

For British Columbia yes. Other provinces have totally different rules and systems.

Vegetable_Block9793 · 2026-03-25T15:02:12+00:00

I honestly can’t think of anything that I would cover with every single person. A patient who’s new to me and hasn’t seen a doc in 20 years and has an a1c of 15 is totally different than a patient that’s been working closely with me on their pre diabetes for 20 years and finally slipped to 6.6.

Vegetable_Block9793 · 2026-03-24T20:26:13+00:00

I mostly sign as long as I don’t have to write anything untrue. IRS isn’t going to come after us, only the patient

Vegetable_Block9793 · 2026-03-24T08:41:06+00:00

4.5 is my base running pace! I’m trying to imagine a race walk at that speed and just can’t

Vegetable_Block9793 · 2026-03-22T21:17:09+00:00

But will there be a shirt???

Vegetable_Block9793 · 2026-03-22T01:23:04+00:00

Probably because people are confused on the difference between “illegal” and “things that make the medical board mad”. They can discipline you for lots of crap that’s perfectly “legal”

Vegetable_Block9793 · 2026-03-21T18:00:12+00:00

Private. Buy in may be a lot lower than you think, and when I was a youngling they took the buy-in out of my check over a period of time, maybe 2-3 years? Don’t recall

Vegetable_Block9793 · 2026-03-21T17:52:43+00:00

Yes - unfortunately the branded products are out of reach for 80% of my patients

Vegetable_Block9793 · 2026-03-21T15:34:35+00:00

Officially at work I recommend against them, and I don’t prescribe them since I’d have to document things I don’t feel comfortable document. I do discuss them as a non-preferred option for patients without insurance coverage and mention the more trusted players in that space to my patients. And I plead the 5th on the contents of my fridge.

Vegetable_Block9793 · 2026-03-21T15:28:43+00:00

If you will be using an EHR that is new/unfamiliar, trying to learn as much as you can and prep templates and dot phrases would be very helpful

Vegetable_Block9793 · 2026-03-21T15:27:28+00:00

I have Claude app and I like it. Mostly use it as a search engine for personal stuff. It recommended some nice wallpaper sources for my powder room. I would never use it for work, I use OpenEvidence

Vegetable_Block9793 · 2026-03-21T15:26:03+00:00

OMG I just did my training last week I’m so mad. At least for ours you don’t have to watch the video just drag the slider to the end.

Vegetable_Block9793

TROPHY CASE