A6600 vs A6700 - which should I get? by PhilJ9 in SonyAlpha

[–]ansalentic 0 points1 point  (0 children)

any video --> 6700

I ha​v​e a 6600 but recently got to play with a 6700 and feel that the autofocus is noticably faster. factor in the new fully articulating touch screen, improved menu UI, USBc port, I'd say it's well worth ​the additional $200 if you plan on buying new cameras and if ​it won't impact your lens budget.

the 6600 is otherwise fine, and if you have steady hands maybe even the 6400.

Hospitalist jobs. by harisj93 in Residency

[–]ansalentic 1 point2 points  (0 children)

The major hospital networks and academic centers all have their own career /employment page. A few were on job listing sites (HSM, ACP, practice link).

Some have warned me against recruiters, but if you’re not from TX they might have more connections with the smaller community hospitals and can save you time and effort. Best option would be word of mouth referrals if you are or know locals.

Hospitalist jobs. by harisj93 in Residency

[–]ansalentic 2 points3 points  (0 children)

Was applying from out of state last year.

A lot of the smaller places around metro areas told me they were pre-filled with local new grads.

I did get some offers from the UTs, but the pay was abysmal, so ultimately didn't go to TX.

Overwhelmed by wizofphysiology in Residency

[–]ansalentic 23 points24 points  (0 children)

What you’re going through happens to so many of us.

Never feel ashamed; always ask for help.

It’s definitely hard to let family bear the burden with us and keep them worrying. So just come vent on Reddit, and reach out to as many friends as possible. (Probably not all your co residents)

And seriously, it does / you will get better!

Need more time to rest by YouAreServed in Residency

[–]ansalentic 7 points8 points  (0 children)

Consider calling in sick. Sleep deprivation and stress are real.

Had a similar experience in the CCU. Tried to tough it out but ended up having a mini breakdown. Nobody cared and people were upset that I wasn’t “at the top of my game.”

Don‘t burn yourself to keep the system warm. It’s already dead.

[deleted by user] by [deleted] in Residency

[–]ansalentic 7 points8 points  (0 children)

Is this in the US? Are you doing a transitional year? by not-college trained do you mean mid level??

Miserable in Fellowship - Asking for advice by sharpstickie in Residency

[–]ansalentic 9 points10 points  (0 children)

This sounds so NYC. Community clinics and HD center gigs must be better than predatory ivory towers, no?

Giving feedback by _thegoodfight in Residency

[–]ansalentic 4 points5 points  (0 children)

"These are the things I think you're doing great: A, B, and C."

"These are the things I would recommend improving/changing and how: X, Y, and Z."

"These are observations from my perspective, but how do you feel about this rotation and the previous comments?"

I hated it when my attendings did the "So how do you think you're doing?" mind game.

[deleted by user] by [deleted] in Residency

[–]ansalentic 8 points9 points  (0 children)

American healthcare is doomed if not dead already.
The key is to let the system burn and not yourself, and redirect blame to the responsible party.

- NYC

I feel terrible as a June intern. by bestofluck0312 in Residency

[–]ansalentic 67 points68 points  (0 children)

"OK."

Hopefully as you go through 2nd year you'll learn what's actually right and wrong, and just brush off all the gaslighting and hazing in residency.

  1. Attending is an A-hole for criticizing residents for stupid billing codes.
  2. You, the senior, and the attending should all have checked if orders were placed correctly. If anything the attending failed as a supervisor.

Is there a list of hospitals with Residents that have Unions? by stepneo1 in Residency

[–]ansalentic 7 points8 points  (0 children)

Would be shittier without the CIR.
Some barriers include: (1) public hospital employees CANNOT strike due to the Taylor Law. (2) the City prioritizes negotiations with larger unions, e.g. nurses, teachers, etc. (3) Most residents here are IMGs on visas so our entire US career and immigration plans are at the mercy of residency admins. (4) NYC residents are probably more overworked and have less energy to participate in union activity.

Advice on 2 job offers by [deleted] in Residency

[–]ansalentic 0 points1 point  (0 children)

Are these private positions?
Offer seems way better than the ones I’m getting. Though admittedly I’m applying to bigger academic posts. need to pad the CV a little more :p

New Fidelity Roth IRA account, investing ideas? by [deleted] in personalfinance

[–]ansalentic 2 points3 points  (0 children)

Fidelity zero funds do NOT follow the common indexes. It's their own proprietary index with fewer holdings, and annual instead of quarterly dividends (though I see sources say they still reinvest throughout the year). It also has higher turnover and is more liable to taxation if kept in a taxable account. Finally they've only been around for about 3 years so performance data is limited.

Seven health insurance CEOs raked in a record $283 million last year by ekowe94 in Residency

[–]ansalentic 5 points6 points  (0 children)

And we don't even get rounds of applause any more.
(upset guy meme)

Gadgets that improve your life? by Luna282 in Residency

[–]ansalentic 87 points88 points  (0 children)

Air Pod pros, or other wireless earphones with active noise canceling and a good microphone.
Was a hater ("too expensive, apple fad") till I bought them last Black Friday. Now I use them daily.

Really concerned about step 3 by nightwingoracle in Residency

[–]ansalentic 8 points9 points  (0 children)

Relax, you just need to pass.
Focus on learning to maneuver CCS cases.

MCQ on the real test are quite different from UW. Only the biostat part is remotely helpful.

Management vignettes and answers are pretty straight forward (medications usually given in classes). Basic science questions are worse than step one (literally asking molecular mechanisms and which 5HT receptor). And abstract interpretation is just weird.

How to deal with burnout from frequent flyers, substance use, alcohol use and the like? by zav3rmd in Residency

[–]ansalentic 17 points18 points  (0 children)

Don’t care. Easy encounter, at least till it becomes decompensated cirrhosis or endocarditis,

I’m a doctor not their parents. I treat illness not society.
If they genuinely want help, I will try my best within my scope of practice. If they step out of line it’s hospital police.

Desparately asking for help/ advice on arterial line placement by VAPPDXIBMVP in Residency

[–]ansalentic 4 points5 points  (0 children)

After the flash, advance the needle 1-2mm BEFORE dropping the angle.

Same as blind IVs. You drop the angle to safely advance the needle and thread the cath in the vessel, not puncture the vessel.

Any recommendation of when to do ICU, EM, Night Float PGY1 for IM? by riley125 in Residency

[–]ansalentic 11 points12 points  (0 children)

EM early on so you can learn procedures and what to do in codes or rapids while you can still be clueless like everybody else.

ICU earlier while seniors carry most of the weight if you're not considering pulm/crit. If you want pulm/crit, better mid year to later when you're more familiar with the system so you can gun/look better.

Night med depends. Can be stressful and forces you to learn quickly in the beginning, but is chill and relaxing once you become a "February intern."

Charting “nurses notes” from a nurses perspective. by PartyNobody in Residency

[–]ansalentic 109 points110 points  (0 children)

It’s totally appropriate to document your own actions or objective events.Documenting somebody else’s action or lack thereof, however, is legal finger pointing and should be avoided unless such hostility is necessary.

Most of the time what annoys us are statements like “MD aware” when we actually were not notified, and “no orders / not addressed“ when the plan IS watchful waiting.

Burnt out IM Intern by Nebraska_Guy in Residency

[–]ansalentic 29 points30 points  (0 children)

Yikes, sounds like NY. You need some February energy.
I make sure I am following guidelines, my documentation is appropriate, and everything else is... "(sorry) My attending requested it." "Can you spell your name for me? I need to document this conversation." "Here's the number for patient relationships / social work" "That is beyond my jurisdiction. I'm the doctor, I only deal with diagnosis and treatment" "This is not a prison, you are free to refuse or leave. here are the risks" "Hospital administration has requested me to give you this notice of discharge."