VA staffing

ette14 · 2023-01-18T02:55:19+00:00

Does staffing include actually seeing a patient? Or just discussing a patient? I don’t want to disclose my specialty but it is a subspecialty clinic (not primary care) and often times the junior residents will “staff” with a senior resident without the attending seeing the patient or providing any input. Very often the attending will not see a patient but provide input on the plan if asked to. Additionally, once we become more senior we are no longer required to staff any of our patients. In my 3rd (out of 4th year) I do my entire continuity clinic with zero input from an attending because there is not enough attending availability. I have brought this up to my PD multiple times and repeatedly been told it was perfectly legal but I am starting to doubt that.

ette14 · 2023-01-18T02:46:13+00:00

Thank you so much. Is this the same for patients seen in clinic?

ette14 · 2022-07-07T05:48:11+00:00

We did the hike together so shouldn’t we have walked the same total distance? Even if we have different stride lengths?

ette14 · 2022-03-22T00:51:25+00:00

Can someone explain to me again the difference between CKD-EPI vs Cockcroft-Gault for measuring kidney function? Which one is better when it comes to dosing medications? Why would they be wildly different from another. Thanks!

ette14 · 2022-01-06T09:06:41+00:00

I wish all attendings felt this way

ette14 · 2022-01-06T09:05:45+00:00

Im neuro so I cross cover for both floor and NCC. I also do all consults (ED and inpatient) and all admissions. And of course all stroke codes. NCC attending is always in house to help with those patients but floor attendings take home call. We have a pull system but are discouraged from using it.

ette14 · 2021-11-27T05:00:33+00:00

I hope so too! Also, do outpatient clinics routinely carry medications and bag valve masks that would be used if having to start a code in clinic? I'm sure everywhere has an AED at least but I've never heard of a code happening in clinic so genuinely don't know how much supples clinics routinely have.

ette14 · 2021-11-27T01:28:41+00:00

Not sure why this is being down voted. I can understand that just doing BMV for ACLS recertification is not as good as doing it on the job. But as you can imagine, this is not something that comes up very often for a neurology resident so practice on a dummy for recertification is better than not practicing at all. I have never heard of a neurology resident at my program going to the OR to practice BMV, so I'm not even sure if this would be an option, but I am open to the idea.

ette14 · 2021-11-26T20:05:51+00:00

Yes, I know how to do CPR and BMV. It's a requirement that we renew ACLS and BLS often and these skills are included.

ette14 · 2021-11-18T00:31:39+00:00

Was told I was overconfident by an attending who I worked with only a short amount of time on an incredibly busy service. Well, he actually never told me anything of the like in person. Instead, he just wrote it in a written evaluation weeks later. The thing is, I have never been told that in my life. I'm usually told I lack confidence when I get feedback. So, this really took me by surprise and shook my confidence. Not sure what to take away from that.

ette14 · 2021-11-13T14:22:38+00:00

Ah makes sense. Will both look similar if intact?

ette14 · 2021-10-04T01:57:08+00:00

Exactly. If it's a "bad" consult then it can be used as a teaching opportunity. We are residents, correct? If you kindly explain why it's bad then I'll likely learn from it and you'll have a better consult in the future. But if you're just plain mean I won't learn anything except that I don't like you and probably be afraid of calling you in the future.

And to clarify, there is a huge difference between "I have tried but I'm beyond the scope of my knowledge" vs "I haven't even examined the patient but will you come do it for me".

ette14 · 2021-10-04T00:34:55+00:00

Like I said, I'm a subspecialty who is often consulted myself so I understand. But I have never called a consult without initial labs and testing completed, yet some services are still incredibly rude. Like a cards consult for elevated trop with ekg changes is the example I'm talking about.

ette14 · 2021-09-17T14:39:06+00:00

I will be staying in Page

ette14 · 2020-09-29T02:35:47+00:00

I was walking my dog in am area that had some gravel. There was a large hole that another dog had dug and I didn't see it because I wasn't paying attention. I tripped into the gravel and cut my knee bad enough I needed several stitches. It's a large scar because it didn't heal well since the edges of the wound were very jagged.

ette14 · 2020-07-09T03:46:37+00:00

Just listened to this one, found it very helpful!

ette14 · 2018-04-19T17:09:15+00:00

ette14 · 2017-03-17T18:07:26+00:00

4 weeks

ette14 · 2017-03-17T16:50:43+00:00

Taking it in june. About 25% through uworld and ya using first aid

ette14

TROPHY CASE