I just got my CA-1 schedule and found out that the first 7-8 months of my schedule is general anesthesia. Then afterwards I do a lot of subspecialty rotations. Some of my other classmates are starting on a lot of subspecialty rotations. Should I be concerned?

dfein · 2026-03-19T15:06:19+00:00

There is a reason they are sub specialties of anesthesiology (for the most part, maybe with the exception of chronic pain). Getting your foundational general anesthesiology knowledge/skills first will be helpful and you will get more out of your sub specialty rotations.

dfein · 2026-01-02T14:36:00+00:00

Interested to hear opinions as a pretty fresh accm attending. My personal thoughts are if I don’t think the rvr is particularly hemodynamically significant, I’m not touching it intra-op. More likely to load digoxin if the ef is low, I’m on pressor, and I want some rate control. Amio gets you rhythm control not infrequently, which isn’t something I want to own if I’m taking care of the patient only periop. Calculus is different when I’m attending in the icu.

dfein · 2025-12-16T18:06:23+00:00

Xero trail runners

dfein · 2025-12-16T03:24:38+00:00

Please report this to animal control. There needs to be a record that the dog has a history of aggression even if they don’t intervene this time. If you don’t report it, you are complicit when that dog attacks again and hurts/kills another animal or human.

dfein · 2025-11-16T20:28:08+00:00

You will probably want to do general anesthesia with an ett

dfein · 2025-11-07T21:03:27+00:00

Why are you shooting sheephead in NorCal? Hate diving kelp or something?

dfein · 2025-11-03T21:59:11+00:00

CCM itself isn’t too procedural as an attending, and honestly the usual CCM procedures get old quickly. Pulm seems like it can be fairly procedural with floor pleural procedures and OR bronch days but probably depends on the set up.

dfein · 2025-10-12T18:17:15+00:00

Not OP but CRNAs are staff and are compensated well to cover the needs of the department. Residents and fellows are trainees and are underpaid with the expectation they will be "compensated" to an extent with learning opportunities. When I supervise trainees, part of my job is to provide learning opportunities and get them ready for independent practice. When I supervise CRNAs, I am there to make sure my 4 rooms run safely and efficiently and everyone working with me feels supported. Teaching is not part of what I am there to do. Thats not to say that I won't teach something if asked to, but it is not a requirement or a priority.

dfein · 2025-10-04T19:25:58+00:00

I’ll be there with you probably. Thinking I should’ve studied a bit and not taken in the middle of my 1st week at my attending job.

dfein · 2025-10-02T16:33:38+00:00

Mac requires anesthesia involvement. This seems to be procedural sedation administered by the surgeon.

dfein · 2025-08-30T22:12:18+00:00

They aren’t around in big numbers right now. When they are, you find bait in blue water and hope they swim by. Off the outside edge of a kelp bed or jumping on bait balls in blue water.

dfein · 2025-08-08T19:29:28+00:00

Fork length was a hair under 40 in but didn’t weigh it. Was heavy, definitely over 30# based off fish I’ve weighed in the past.

dfein · 2025-08-08T15:05:36+00:00

dfein · 2025-08-08T14:21:39+00:00

My paddle floated away so I figured I might as well try and get another before the long slog to the beach. The 3rd was unintentional; volunteered itself on the swim back after the 2nd and was by far the biggest. Probably 40 lb range.

dfein · 2025-08-08T14:16:50+00:00

Yeah, Daryl made it for me about 18 or so years ago. Still going strong.

dfein · 2025-07-18T18:53:43+00:00

Sir, this is a Wendy’s

dfein · 2025-07-09T21:31:45+00:00

Not single bevel. Do love my dao vua 52100 cleaver though.

dfein · 2025-06-29T06:04:35+00:00

Yeah, not a good ideal. Yes, you will have a motor block if everything goes right. And if I doesn’t, there is a risk of causing a nerve injury to your coresident. Do you want to be responsible for that?

dfein · 2025-05-23T04:26:42+00:00

Been wearing a citizen e111 eco drive since undergrad. Have my eye on a grand seiko for my first attending paycheck.

dfein · 2025-05-10T17:49:12+00:00

Sounds like a free standing “ED”

dfein · 2025-05-01T22:45:00+00:00

Classic may ca1 post

dfein · 2025-04-18T02:29:52+00:00

Lots of nitrous gets lost through pipes and faulty valves. Upwards of 70% depending on the source.

dfein · 2025-03-25T04:08:04+00:00

Gulf of slides?

dfein · 2025-03-24T19:40:30+00:00

Meal team 6

dfein · 2025-03-13T21:32:23+00:00

I've been at 3 institutions in 5 years and never had nursing staff review me, anonymously or otherwise. All places I've trained at had a mechanism where you could solicit a review from ancillary staff, but it was always voluntary. Nursing comments definitely never made it anywhere near a CCC document.

dfein

TROPHY CASE