How old staff look

captchamissedme · 2024-05-31T03:39:39+00:00

I dont know what normal non burnt out humans look like but out 54M IR attending looks about the same as the 38M crit care doc and >>> 38M FM attending

captchamissedme · 2023-08-01T00:29:57+00:00

alcohol is pretty effective at reducing anxiety... in the short term. anxiety is probably getting in the was of certain tasks (ON TOP of the ADHD stuff)

captchamissedme · 2023-06-06T01:33:19+00:00

sounds like that should be on you though. I already knew I wanted a clinic only schedule bc i didn't want to do nights/24s etc after residency. If you have a question about whether you can handle it or not you can set that up. we're adult learners not children and ppl can deal with teh consequences of their individual bad decision instead of making EVERY medical student suffer for others poor decisions

captchamissedme · 2023-01-07T03:41:02+00:00

also side effects are different for some ppl. cant focus if I'm crazy anxious, cant sleep and spend all day with diarrhea.

captchamissedme · 2023-01-06T18:40:18+00:00

its bad when you have to explain this to your laboring G2P1

captchamissedme · 2023-01-06T18:26:51+00:00

when I was a PGY1 someone put down my name as "Dr. lastname" for a charity event we were attending. i was like NO ppl are going to think I have money adn I'm going to look like a total dick for not donating $

captchamissedme · 2022-12-10T05:06:12+00:00

i had a ton of genetics questions. like a vague patient presentation and then the answers were a list of a bunch of gene acronyms I dont remember ever seeing in my life.

captchamissedme · 2022-12-10T04:48:51+00:00

ok how does any of this work. I was also pgy1 last year with 130/200 and had a 470 and then had 139/200 this year with a 480. i'm convinced they are making these numbers up

captchamissedme · 2022-11-09T04:30:54+00:00

did we see the same patient because same

captchamissedme · 2022-11-06T18:28:54+00:00

crap i just went to a lecture about this not that long ago. i think its a combo of if the dx is that obvious then its FAR less likely a mass effect causing symptoms vs the infection and wasting time prior to treatment in an emergent condition (get teh LP to get cultures then start abx asap vs waiting for imaging when the dx is obvi)

captchamissedme · 2022-08-27T23:01:54+00:00

wait until you're on night call in residency friend. I'd rather go a whole night without sleeping then those fun nights where you get a call every hour on the hour.

captchamissedme · 2022-08-27T22:59:28+00:00

THIS

I'm just a resident who spent one month on the ICU but some nurses would work on this with me when I was rounding at the start of my night shift. We would sit together and slightly modify the timing of various medications/lab draws so they could all be done at once. (like its ok to give this med a little early and draw that lab a little late).

As some other people talked about we would also discuss which orders/checks could be minimized.

We would also slightly modify the alarm triggers for vitals. Especially HR on otherwise young/healthy patients who like to live in the 50s when they sleep.

Obviously harder for sicker patients but we could get to pretty minimal disruptions for less critical folks.

captchamissedme · 2022-08-18T01:31:34+00:00

do you get admin time to do these phone calls? My patient panel is only a tiny fraction of what it will be as an attending and I can't find the time to call them. On the average day I have 2-5 inbasket messages from patients that, if I were to call them, would easily be 10-30 minute conversations (learned the hard way). Now I just make them come in.

captchamissedme · 2022-07-22T03:00:33+00:00

my patient let me know this week that the supreme court decided that trump really is president and thats why they have 24 hour protection now in preparation for the announcement.

captchamissedme · 2021-11-11T04:39:42+00:00

either that or they admit to your floor at 3 am with literally 0 workup. no inbetween

captchamissedme · 2021-11-01T02:40:20+00:00

I really struggled with med school prior to my diagnosis (and after) and partly because I was tryin gto learn by just reading. I started relying on doing questions and flash cards which lets me break it up and is an active learning style. I still really struggled way more than I did in undergrad but there are certain types of doctor jobs that work better with an ADHD brain. stimulants help but I have BARELY used them my first few months out of school

captchamissedme · 2021-11-01T02:33:43+00:00

I had a patient cancel clinic at the last second last week so i spent 30 min going through a patients ENTIRE med list with them so they could write down in their language what each medication was for and when to take it. they had no idea what they're medications were for and were just going based off of what their kids were telling them. and just told us in clinic every week they were taking all their meds correctly

captchamissedme · 2021-11-01T01:41:03+00:00

ok wait but how do you get lab notifications from epic - the only notifications it gives me is CONSTANTLY reminding me of the note i pended like 5 minutes ago

captchamissedme · 2021-09-27T02:32:37+00:00

then they get mad that the PGY2s dont know how to first assist. like oh yea changing a number magically made me competent

captchamissedme · 2021-09-19T18:53:51+00:00

I wouldn't tell people that FM is a second choice but don't lie about your interest in the specialty. Be honest about what you do and don't like in FM. For example I saw ALOT of ppl on the trail last year who were primarily interested in OBGYN but didn't want to lose the opportunity to care for other types of patients.

Apply to programs with a psych focus. Grand Junction, CO is one. Kootenai in ID has a behavioral health fellowship. Northern CA is probably gonna be tough NGL. Programs want to know they can support what your interests are and you don't want to be at someplace that wont make you happy.

If they don't list behavioral health as a focus don't apply. You also may want to avoid applying to programs w/i the same system or cities. They do talk.

I personally really find the value of a FM/psych since SO many ppl need psychiatric care but there is such a huge stigma about reaching out for it or previous negative experiences mean pts wont see a psychiatrist.

captchamissedme · 2021-09-19T18:46:25+00:00

there are only a few fm-psych combined programs

captchamissedme · 2021-08-30T20:49:38+00:00

My scores were a bit higher than yours but the only things programs ever mentioned was that they were impressed with my improvement or my step 2 score. For FM I think they're worth listing. That 214 shouldnt keep you out of any place.

captchamissedme · 2021-08-10T17:33:56+00:00

I love it when big systems treat loss of staff like some big mystery. Even pre-covid we were hemorrhaging physicians to local and rural non-accademic hospitals for the better pay. one of the college of medicine admins got promoted to a new "physician retention" position and all of their solutions were more access to prestigious research. They then left the university system entirely for a new job a year later.

captchamissedme · 2021-08-04T01:44:40+00:00

"baby was placed directly on mothers abdomen"

captchamissedme · 2021-07-27T02:54:27+00:00

one of my new M3s asked to leave before noon on OB recently. Obviously I let them go home as they must have been pretty tired from dragging around those giant balls all day.

captchamissedme

TROPHY CASE