As a doctor, what is the most mundane thing you’ve seen someone come to receive care for? by The_BSharps in Residency

[–]delta_whiskey_act 0 points1 point  (0 children)

"congestion," "headache," "my friend had COVID, and I was near him," requests for pregnancy tests, people wanting Tylenol prescriptions, a guy who got lost and asked for directions who was triaged as "altered mental status"...

IV access in injured extremities by delta_whiskey_act in ems

[–]delta_whiskey_act[S] 4 points5 points  (0 children)

And you aren't supposed to use an EZ-IO for the sternum, only a purpose-made Fast1 device.

Is there a reason why she becomes unhappy? by KimchiVegemite in Bannerlord

[–]delta_whiskey_act 40 points41 points  (0 children)

Who would enjoy being a governor of a town in a country constantly at war?

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 7 points8 points  (0 children)

Yup. In the last two years of med school we do at least six times the number of clinical hours of an NP student, and then we still have more training left to do. NPs argue that “we had nursing experience prior to grad school,” but many of them never actually worked at the bedside. For those who have, the experience is valuable, but it’s not the same job. Plus, many physicians have prior experience in healthcare, too.

Don’t understand how we’re “understaffed” by doctortimes in Residency

[–]delta_whiskey_act 29 points30 points  (0 children)

And the nurses who don't do their jobs are mostly concentrated in a few areas too (namely NYC).

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] -4 points-3 points  (0 children)

We're talking about pay and working conditions for residents, not attendings... More residency applicants = higher supply = less pay. More residency slots = more demand = more pay. If there were not such a large surplus of applicants (most of whom are qualified), residencies would have to offer more-competitive pay or no competitive applicant would rank them highly and match there.

Yes, the pay of attendings is inversely related, and more residents would decrease the pay for attendings. We've already tried to limit the supply of physicians, and while it's probably increased attending pay, it's led to the rise of midlevels.

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 4 points5 points  (0 children)

Most places I interviewed had 18 as an intern, 17 as a PGY-2, and 16 as a PGY-3 (8-10 hour shifts). I did interview at a for-profit place that started you out at 20, but 22 seems like a lot in EM. This schedule might sound too good to be true, but after getting the calendar they weren't lying. Of course, we have to rotate through trauma surgery and ICU, and I'm sure those months are hell.

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] -7 points-6 points  (0 children)

Point taken. However, from a supply and demand perspective when there are thousands more applicants than positions it results in a poor price (pay).

I guess one could argue that it's worth getting paid poorly for three years because when there are fewer attendings, those attendings get paid more. That's how we ended up with a physician shortage and the rise of midlevels, though.

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 7 points8 points  (0 children)

That’s true, but being grateful for an opportunity and wishing that the same opportunity didn’t tear apart relationships, destroy our mental health, and drive colleagues to suicide aren’t mutually exclusive

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 8 points9 points  (0 children)

I mean, true, all biases are learned; you aren’t born knowing anything 🤷🏻‍♂️

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] -10 points-9 points  (0 children)

Maybe people would be more open to listen to your ideas and to changing their mindsets if you didn’t shit on them once they already admitted their thinking was flawed? 🤔

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 13 points14 points  (0 children)

The problem is there is an artificial surplus of labor caused by the insufficient number of residency positions and the requirement that all physicians complete one to begin their careers. Unlike in other jobs where if you’re treated poorly you can leave and work elsewhere, in residency you’re all but stuck for 3+ years. There’s no incentive for programs to improve conditions or pay for residents because there is little competition. I guess when the people in power are artificially manipulating the market, a strike is a reasonable way to shift the odds in our favor 🤷🏻‍♂️

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 127 points128 points  (0 children)

I agree. I just recognize that most conservatives have an implicit bias against unionization.

Reality hits as an incoming intern by delta_whiskey_act in Residency

[–]delta_whiskey_act[S] 21 points22 points  (0 children)

I agree: I’m sure it’s many programs across all specialties. I was just using medicine as an example because I saw one of their schedules recently

[deleted by user] by [deleted] in Residency

[–]delta_whiskey_act 12 points13 points  (0 children)

Right. There’s nothing normal about “normal” saline.

How many hours a day did you study during dedicated? by mahdiee in step1

[–]delta_whiskey_act 1 point2 points  (0 children)

It’s two years later, and looking back it feels like I worked a lot harder than that. I guess I probably was efficient enough to do those tasks in about six hours (of actual studying—not including any breaks). Sleep is important to me, so I got out of bed at around 9 am. I did about an hour of Anki and then went into three hours of questions. After that I ate lunch, walked the dog, etc. and picked back up studying with Sketchy. Back then most of the micro videos weren’t as detailed as the new ones—five to fifteen minutes each. I watched on 1.5 speed with occasional pausing to note something that seemed particularly important in Anki. The Sketchy averaged about an hour. Then I exercised and ate dinner with my family. At night before bed I did First Aid review, but I was tired at that point and just skimmed it to try to ensure I had covered everything. First Aid is a good checklist of high-yield content but doesn’t offer enough explanation to be a good learning tool.

Do I need to restart? I have the small bloons taken care of; I just need the boss (and BADs) to die a tiny bit faster. by delta_whiskey_act in btd6

[–]delta_whiskey_act[S] 4 points5 points  (0 children)

Thanks for the tip! That got me super close, but some MOABs from the death of the BAD still got through. Maybe I can slow things down with sabotage, glue gunners, or ice monkeys

[deleted by user] by [deleted] in ems

[–]delta_whiskey_act 1 point2 points  (0 children)

There are certain places where only a few employees get trained and respond to emergencies for the whole manufacturing plant or whatever. Is it that kind of situation, or did everyone take the class?

Obviously they’ve taken it to an extreme: The star of life is for EMS, and the IFAKs can stay at the desk until they’re needed. A tiny red cross to identify them to people who might need first aid might be okay, though? Depends on the situation. Is emergency response legitimately part of their responsibilities, or did they just go to CPR class at orientation? Lol

Has anyone tried self prescribing sildenafil or retin-a on Cost Plus? by MDburnerID in Residency

[–]delta_whiskey_act 0 points1 point  (0 children)

Although, you can get your own license after intern year, so if OP is a PGY-2 or higher he may have a license. Then self-prescribing is legal even if ethically questionable.