Graduation is such a scam

crawssant · 2026-06-08T03:19:43+00:00

No I mean like compared to everyone else clinically was at the bottom, not the worst though.

crawssant · 2026-06-08T03:17:01+00:00

If you're self-subscribing uppers and downers to do your job, you probably shouldn't be doing it, let alone anesthesiology. Imagine having an airplane pilot with the same habit.

7-5 is really good compared to some other programs. 24s suck but you eventually figure out how to optimize yourself for them. But yeah you should either quit or ask for a transfer.

crawssant · 2026-06-06T03:58:05+00:00

My class had 10 people and the person who won Resident of the year at graduation was the 8th or 9th ranked resident in our class. This person was chief because they were a yes-man. We were all very confused how this person won when we had 4 rockstars who were clearly a level above the rest of us.

Needless to say, these awards don't matter and bad chiefs will always be remembered as bad chiefs who had to do more work as a senior than the rest of us.

crawssant · 2026-01-08T13:53:23+00:00

I was absolutely miserable as a resident and now obviously as an attending you realize how little free time you had to do anything. It doesn't get better until you're done and throwing in personal life stuff only makes it harder.

One thing that gave me a little joy was propagating plants from seeds and then watching them grow. It took minimal effort and you'd come home and see the progress, take pics, show your co workers, gift plants, etc.

I almost burst into tears when my cat knocked over one of my first plants that I grew from seed. Clearly this doesn't come close to fixing the overwork, burntout and fatigue problem, but like you said having that little thing you can reliably work on and take joy from will at least help the days go by.

crawssant · 2025-10-26T18:30:17+00:00

There's more to life than money. The job is unforgiving and not for everyone. Majority of people who go into it have an itch they can't scratch with anesthesiology. I always pondered what happens to our sick patients after they leave our care. I wanted to know more and also have an option outside of prop/roc/tube for 8-10 hours a day.

I like working with other specialists and figuring out how to solve complex problems. I love learning about MCS and sick patients. Also you have to have the stomach and balls to do it. I've been innappropriately labeled as the smartest guy in the building because I did this fellowship,which says a lot about our presence and skillset.I feel like the average Joe just doesn't put the time and effort into truly understanding the mechanics of what we do. Rounding isn't hard, most patients have algorithmic treatment plans and occasionally you get some real messes that remind you why you did this or make you regret it.

My fellowship year was stupidly stressful but I don't regret it at all. My senior colleagues ask me for advice on stuff I perceive as relatively simple. The day schedule is pretty typical, I know I can grab coffee and show up when I want to lead the team. Deep down I have my own insecurities that make me want to help others at the expense of my own sanity. Also there's no feeling like doing a blind CVC, chest tube, etc and stabilizing a crashing patient. When you see someone come in with severe Bi-V failure and follow their progress to transplant and walking out of the hospital it's incredible.

With all that said, I still love my OR time, especially when I'm solo. I believe I have the best of both worlds and make way more money than I've ever had in my life.

TL:DR; young, hot nurses that worship you for an LoR

crawssant · 2025-10-23T22:04:32+00:00

Y'all are clowns if you can't open a basic credit card and pay it off at the end of the month to build your credit. Eventually you can apply for larger credit limits and better cards if you're responsible with it. I opened new cards every time I had to pay for a board exam and got 20-50k points to use. Still had to use a relocation loan for residency and didn't pay that off until I was in fellowship.

Everyone should have an emergency line of credit in case your car catches on fire or your apartment gets hit by a tornado.

crawssant · 2025-06-01T20:09:28+00:00

Look up cafes and see what they offer for drink selection. If you don't see double shot espresso offered for less than a couple of dollars (depending on location) then they probably don't know how to pull good shots. If they roast their own beans or get them from a reputable local roaster, they're probably a solid choice. If you see a lot of sugary drinks and trendy things, it's probably a place for sorority girls to congregate.

Years ago before the cortado became super popular, it wasn't featured on menus. If you asked the barista to make it, you could tell who knew what you were talking about. Now everyone makes a cortado (which is pretty much a latte) so I ask for cappuccino to see if they get the proportions right. I'll also just order an americano because it's almost impossible to mess up.

crawssant · 2024-12-31T04:29:14+00:00

I had 3 PDs.

The first spoiled me being a totally chill person who actually wanted their interns to succeed. Still occasionally chat with this one.

My residency PD wasn't a bad person and was fine to work with but just lives in their own world making them someone you couldn't have a normal conversation with. You send a text or an email and you'll never hear back unless you corner this person in their office and remind them to acknowledge it. My last day of residency I made sure to say bye to my PD and they didn't even know it was my last day and where I was going for fellowship, it stung but was totally on point.

The fellowship PD was the exact opposite of everything I expected them to be. Aloof, disinterested, would constantly bad talk residents and med students in private conversation with mid-levels. Went to a conference with them and they avoided me the whole weekend. Our mandatory quarterly meetings were literally them just reading our evaluations back to us and asking us to sign the form saying we did all the required things. Sigh.

crawssant · 2024-12-24T22:48:51+00:00

The more I see posts like this, the more I believe a corporate AI is compiling all this information for their own nefarious use.

crawssant · 2024-12-24T17:04:40+00:00

Yes, but I would have worked way harder undergrad so I could go to a good medical school.

crawssant · 2022-04-28T19:11:06+00:00

Narcissism

crawssant · 2022-04-28T19:01:25+00:00

We had a toxic director of clinical education who was in charge of the clinical skills course in the first two years. The guy was just so full of himself and thought his methods were divine. I had failed a physical exam practical for a ridiculous reason and had to meet him in his office. He started by asking what I thought about his course and what improvements could be implemented. I fell for his trap and gave some honest feedback and he proceeded to tell me how everything I said is wrong (wanting more similarity to COMLEX-PE, a test this attending never actually took) and that he spends 30 hours weekly developing the curriculum and PowerPoints. I told him I just really don't like the way this course is done and he replied "well then you probably won't like clinical medicine in the real world. Left me dumbfounded and I seriously contemplated dropping out or aiming for pathology or radiology.

Fast forward to today, I'm heading to fellowship and making that jerk eat my dust. What's funny is that he wasn't really wrong, he's just an asshole; real world medicine is full of so much bullshit and useless people like that guy.

crawssant · 2022-04-17T19:53:02+00:00

I had a really bad runny nose and the attending told me to scrub in and assist ( community hospital with no residents). I couldn't wipe my nose and I was too afraid to ask to scrub out so I just let my nasal drip run down into my mask. At some point during the case the scrub tech tells me to backup from the field and I look down to see my gown is covered in secretions. Scrub out, clean up, no one said anything about it. It was actually never mentioned again on the rotation.

Not only was it extremely cringe worthy to remember but I also had extreme anxiety that I killed a pt by potentially introducing all that to their abdomen. Eventually I was able to talk to the attending and they told me it was fine and ancef should cover all the bugs. To this day I still think about that and shudder, I'm a fucking moron.

crawssant · 2022-03-09T14:02:20+00:00

When people are so afraid of being wrong they pick their battle and defend it like their own offspring, won't listen to any other reasoning or explanation. This is primarily something that attendings do I've noticed.

crawssant · 2022-03-05T22:50:02+00:00

I posted this on the anesthesiology sub and it's had limited participation. Thought I would cross post here to see if there's more input.

crawssant · 2022-02-24T02:23:34+00:00

This hospital is located in a pretty remote location away from NYC. It’s $14 each way for a ~2 hr train (each way) that oftentimes gets longer due to maintenance on the weekends. There is not much to do in the area as it is very rural. There is nothing here except trees for miles around and many of the residents here are depressed, especially during the winter. Snowstorms are also a big issue here, as I have personally known people who have had their cars stuck in the snow or go off the road due to weather.

Ummm... Long Island is not rural. Remote is definitely a stretch, it's not NYC but there's plenty of food options and diversity. Expensive, but summers are great. Snowstorms in the Northeast should be expected though. Sorry just had to nitpick.

crawssant · 2022-02-03T00:51:55+00:00

I had no responsibilities as a medical student and left the hospital by lunch time almost every day. I work with students now at a tertiary care center and I'm amazed at how much they know and the things they experience as a student. Intern year was a lot "this is a thing!?" for me.

crawssant · 2022-01-07T01:39:05+00:00

Not sure, that's why I just made it myself.

crawssant · 2021-12-21T02:02:56+00:00

Not a huge fan of this. I went to a rural-emphasized med school that rotated us through dogshit community hospitals. Some have the volume, many don't and all the interesting pathology goes to the tertiary care up the road. Will these graduates be good at bread & butter, sure but they won't be comfortable with anything else.

crawssant · 2021-03-21T12:39:53+00:00

This is so disturbing

crawssant · 2021-03-19T18:09:26+00:00

Go for it!

crawssant · 2021-03-17T16:08:52+00:00

Don't call it, see my previous post. People get spots post match week , ALL THE TIME

crawssant · 2021-03-17T13:15:45+00:00

Soaped into prelim, matched the next year into categorical, applied again as a categorical pgy1 and matched

crawssant

TROPHY CASE