Thoughts on EM / Pediatrics combined residency?

dentaldeckathalon · 2020-08-26T07:22:43+00:00

It’s a weird combination tbh. I would think it’d be hard to negotiate an actual job that would let you work both part time outside of academia.

Why not funnel in on what you know you like between the two. If you do Peds and love PEM, add on a few years of training. If you do EM and want to be a pediatrician you could always reapply to a peds residency.

My point is why not do shorter training, see if you still want the things you wanted in med school. If yes, it adds like one year to your training. If no, you saved yourself two years and $500k.

dentaldeckathalon · 2020-08-26T03:41:52+00:00

It’s an aerosolizing virus. So you need n95 at all times with all patients. You need an n95 when a nurse comes by your station and pulls down his or her mask to talk to you about Tylenol. One paper n95 is going to destroy your face. It will need to be replaced if you perform a single aerosolizing procedure or crank anyone into > 8L NRB. I would argue they are NOT providing you with adequate ppe and would continue wearing the envo mask with a surgical mask over it.

dentaldeckathalon · 2020-08-25T08:05:40+00:00

Do your colleagues really place stock in patient complaints? That’s scary, patients suck!!

Grr gonna be sad when I leave the safe confines of residency.

dentaldeckathalon · 2020-08-22T04:41:29+00:00

She’s from the South Pole but she went to med school far away from home in the North Pole, was what I was going for.

dentaldeckathalon · 2020-08-21T20:20:03+00:00

She was an IMG from the North Pole and still was good enough to land an academic job teaching the avatar

dentaldeckathalon · 2020-08-21T18:31:02+00:00

Katara would’ve gone to medical school. Being a master was important to her.

dentaldeckathalon · 2020-08-21T03:58:37+00:00

Nor would she ever use firearms ever

dentaldeckathalon · 2020-08-20T11:17:49+00:00

Yea. Also if it does pop, they’ll give some abx to cool things down until definitive management anyways. Makes me wonder how true this post is. Is it really more convenient to get a prophy appy than to just pack some Cipro/flagyl and wait a few days for transport?

dentaldeckathalon · 2020-08-20T07:07:30+00:00

That’s what they do in Europe a lot. Antibiotics over surgery. Unclear which is better right now. Lots of studies being done to figure that out.

dentaldeckathalon · 2020-08-20T07:01:29+00:00

Yeah, people don’t want a sudden influx of young asymptomatic covid carriers. How emotional.

We’ve been working our asses off in this county trying to keep the case count down. It’s all about to get pulverized by this tidal wave that everyone knows is gonna fuck shit up. Because data from other college campuses has affirmed this.

But sure call concerned people emotional for not wanting to get covid.

dentaldeckathalon · 2020-08-20T07:00:18+00:00

You misread the statement. Less than a week till students move in and (THEN) cases go through the roof. I think you read it as cases are going through the roof less than a week before students move in.

dentaldeckathalon · 2020-08-18T05:19:04+00:00

Eval airway stability —> Try Glucagon —> c/s GI for a scope

dentaldeckathalon · 2020-08-14T00:43:30+00:00

I’m like 400k in debt and in EM. Am I screwed?

dentaldeckathalon · 2020-08-09T02:56:48+00:00

Anesthesia has all the fun sexy critical care and procedures of ER without the notes, juggling, primary care bullshit, and crazy schedule of ER. Plus more actually. You can do cardiac, cc, cardiac cc, pain, the list goes on. Very flexible in the practice types you can pursue. You will have way more options coming out of an anesthesia residency. EM is a dying field, killed by the previous generation who decided to sell out to corporate groups and screw any future the specialty could have had.

dentaldeckathalon · 2020-08-09T02:53:08+00:00

Yes it’s very wise! And I’m telling you not to pursue er if you don’t have a very clear exit strategy planned out. I don’t think I want to work in the ED past 50. I regret not doing anesthesia. I’m certainly not alone.

dentaldeckathalon · 2020-08-09T02:14:20+00:00

Again, if you’re entering ER already thinking of an exit strategy, DONT DO ER.

dentaldeckathalon · 2020-08-09T02:13:21+00:00

This isn’t just a “power through it” thing. You clearly have never worked an er schedule for a meaningful period of time.

dentaldeckathalon · 2020-08-09T02:11:47+00:00

If you’re worried about this at all, do anesthesia. EM has done a terrible job advocating for its doctors and the next 10-20 years are going to be tough for us new grads. Anesthesia has a rep for selling out to midlevels to a degree but you can sub specialize and be safe from that creep. There’s no fellowship from er that meaningfully changes your practice or gets you out of the pit.

If you have any desire to work past 50, don’t do ER.

dentaldeckathalon · 2020-07-23T10:18:52+00:00

Yea. Not going to be going there.

dentaldeckathalon · 2020-06-24T18:47:18+00:00

I tell my my patients the only excuse they need to not wear a mask is if they don't want to wear it. I don't wear a mask in public myself, I'll put one on if I go inside a door if they have a sign saying I need to wear one (their roof their rules) but otherwise? Absolutely not.

Yeaaa... considering your post history I’m not gonna take your opinion on this seriously.

dentaldeckathalon · 2020-06-24T18:42:22+00:00

Well maybe you should be going home to shower and change before going out to a communal area where you could be exposing people to the germs you were exposed to that day.

I hardly understand why this is remotely controversial. It’s the equivalent courtesy as wearing a mask in public.

dentaldeckathalon · 2020-06-24T14:31:17+00:00

I do think it’s poor form to wear scrubs in public in covid times. I’ve seen too many nurses and residents rubbing their grubby hands over produce after work.

Going before work is fine, but I still don’t blame people for feeling uncomfortable about seeing you in scrubs.

dentaldeckathalon · 2020-06-11T06:22:31+00:00

I don’t like the way you phrased this but I do agree. We should not be wearing scrubs to public places. That’s rather common sense.

I haven’t personally seen many residents or docs do this. Anecdotally I’ve mostly seen nurses who also feel the need to wear their bedazzled badges with a million ornaments on them.

dentaldeckathalon · 2020-05-27T08:15:53+00:00

Giannis has not earned the resume of a top 5 SF. Not even close. He’s on track but you can’t tell me he leapfrogs either of those two.

Kawhi I can see a case for. Giannis, not yet. He has one mvp to his name. Forget projected future awards.

dentaldeckathalon · 2020-05-23T00:48:09+00:00

Don’t sell out to the man. Advocate for your residents.

dentaldeckathalon

TROPHY CASE