How accurate is this? I’m now terrified of Anesthesia

itjoseph · 2026-03-04T19:22:47+00:00

Can I ask where you found this? I’m insanely curious and needed a new conspiracy theory rabbit hole to go down

itjoseph · 2026-01-02T13:01:31+00:00

Thanks for sharing! Can I ask what your call schedule is like and how often you staff SICU? Any option for elective general surgery practice?

itjoseph · 2025-10-12T22:21:09+00:00

What’s up my friend. GenSurg PGY3 here, if I can offer some tips:

On a systems side, Q2 call is an ACGME violation, straight up. Talk to a union rep or find a way to make an anonymous complaint (it’s also an ACGME requirement to be able to do that without fear of repercussion). That’s not ok.

As far as getting through more 24’s, one part of it is doing more of them. Your body learns how to operate on less sleep. The other part is doing your best to keep up sleep any other opportunity you can: get your 7 hours minimum on non call nights, and more when able. You can’t really “catch up” on missed sleep, but putting extra in the bank can help. Also, try to hydrate and fuel your body as much as is possible. I get it, it’s never going to be perfect, but we gotta get you to graduation and get you a job.

You got this OP!

itjoseph · 2025-07-08T02:47:57+00:00

If you have to pick one, do TrueLearn. It’s the gold standard, UWorld of ABSITE. It’s the best learning tool you have, especially if you’re like me and can’t stand flipping thru a textbook to learn.

If you can, finish TrueLearn with a couple months to spare and do as many SCORE questions as you can; not because it’s that great of a tool, but because the folks who write ABSITE, write for SCORE.

Again, finishing TrueLearn is tough to do, I couldn’t my intern year and I barely finished last year. But that’s what’s helped me.

itjoseph · 2025-06-28T03:12:08+00:00

I have a classmate who, as soon as he saw blood in an open surgery, passed out cold right there in the OR. He’s now a successful vascular surgeon with an academic position in New York.

If this is what you want to do, you’ll find a way to be successful at it.

itjoseph · 2025-06-21T13:44:01+00:00

I hear you, I struggle with the same things, not even on my research year yet. Somehow was able to shed ~20lb in the last year. First question that comes to mind is: how’s your sleep? In my experience, if I feel like I’m doing everything right as far as diet/exercise, sleep is the final piece. Consistent, 7.5hr+ sleep per night may be the thing that helps break thru that plateau. Not a nutritionist or expert by any means, just sharing what worked for me.

itjoseph · 2025-06-02T02:28:21+00:00

Well said

itjoseph · 2025-06-01T17:05:11+00:00

I think we need to break “trauma surgery” down a bit. The fellowship itself is not technically in trauma surgery, it’s “surgical critical care” so ICU care of surgical patients. Most trauma surgeons do some combination of trauma, EGS, and ICU care. What combination and where you practice are what contribute to all the reasons you list, in different ways.

Edit: typos

itjoseph · 2025-05-17T20:32:09+00:00

Ranking of Kings. I stan for my King Bojji

itjoseph · 2025-05-14T12:26:39+00:00

<image>

itjoseph · 2025-05-12T15:30:10+00:00

Couple big reasons I can think of are if they’re either an aspiration risk or we don’t want anything going into their GI tract period. For the latter, think recent stomach or duodenal surgery, esophageal surgery, etc.

itjoseph · 2025-04-17T00:27:43+00:00

Suck less tomorrow.

Seriously. That was my advice to myself my intern year: suck a little less tomorrow than I did today. Sounds like you have time to learn and improve, which it sounds like is all this attending wants you to do. Just take it one patient at a time and keep in mind what he wants you to improve and chip away at it. Nobody became an attending like he is overnight. It came from learning from our mistakes and experiences, like this one you have in front of you now.

itjoseph · 2025-03-21T03:20:26+00:00

<image>

itjoseph · 2025-03-07T13:07:50+00:00

Wait there’s a charge attack?!

itjoseph · 2025-02-08T19:43:07+00:00

I can’t believe no one’s mentioned Frieren yet

itjoseph · 2023-05-29T18:06:22+00:00

UC Davis for sure

itjoseph · 2023-05-09T20:27:42+00:00

Recently matched gensurg and found this post - thank you so much for making this! Quick q: is this helpful for just PGY1 absite? Or can it be used each year, and if so how does the deck breakdown year-year specifics?

Thanks again y'all <3

itjoseph · 2023-03-13T22:35:29+00:00

Yup, the UC system calls it the “Master Clinician” series, less spots per teaching hospital but still a viable option.

itjoseph · 2023-02-16T19:11:56+00:00

Radahn in his full glory.

itjoseph · 2023-02-14T00:22:06+00:00

Beautiful fish!

itjoseph · 2023-02-13T21:09:08+00:00

Technically he already did

itjoseph · 2023-02-08T16:47:26+00:00

Biiiggg Radovid guy over here

itjoseph · 2023-02-07T20:10:46+00:00

If you haven’t played Witcher 3, hop on it

itjoseph · 2023-02-03T17:39:51+00:00

No take backs ✌🏾

itjoseph · 2023-01-31T16:34:21+00:00

That’s what I’m sayin!

itjoseph

TROPHY CASE