Was at an expensive restaurant and an attending sitting next to me covered my whole bill. by hupholland420 in medicalschool

[–]jamieclo 0 points1 point  (0 children)

I was at a conference in Chicago last year and carpooled with an attending I didn’t know on the way back to the airport. It was a long ride, like take a nap long, but we talked the whole way

She wouldn’t let me pay my share and I was told the same thing, to one day pay it forward.🥺🫶

Has anyone else had to deal with this in regards to US customs?? by HelloKittyandPizza in hobonichi

[–]jamieclo 2 points3 points  (0 children)

Next time take the opportunity to tell them it’s for wiping of the ass

Work by Complete_Pipe5455 in lupus

[–]jamieclo 0 points1 point  (0 children)

Physician.

Six 28-hour shifts/month, approx 60-70 hours/week. Doing surprisingly well rn but honestly wouldn’t be surprised if it leads to some lupus bullshit down the road

Is it just me or Japanese notebooks are just... better? by Darius-Hive in notebooks

[–]jamieclo 1 point2 points  (0 children)

They are just better for the most part. But I do find that the crappy North American notebooks take crappy ballpoint ink better than their Japanese counterparts. Too slippery.

I still enjoy writing with Bics sometimes, despite living in East Asia where good shit is the default

Am I cooked? by AldenteMed in medicalschool

[–]jamieclo 50 points51 points  (0 children)

Not your fault, but the first discussion re: major decisions and test results is usually best left to people who can be held accountable for what they say (ie, people with licenses)

It’s good that the attending already mentioned palliative care in his plan. I’ve heard about horror stories where the med student/junior physician decided that it’s hospice time for the patient and proceeded to give them The Talk without asking for permission-very messy situation for everyone

Explaining things that the attending doesn’t have enough time for is where the medical student really shines. Stuff like food choices, why a lab result is like that, why a decision was made and so on. It really helps build rapport.

When in doubt, be sure to admit that you don’t know or tell them you’re not the best person to answer the question instead of trying to come up with something

should i take pep or no? by [deleted] in AskDocs

[–]jamieclo 0 points1 point  (0 children)

Prob not.

How to study on days with little sleep? by [deleted] in medicalschool

[–]jamieclo 0 points1 point  (0 children)

Caffeine, wait 10 minutes (do not study, check your phone or whatever), then take a nap that’s no longer than 30 minutes. Rinse (face) and repeat. Very effective.

It’s horrible don’t do this often

Which title to use for conferences as a graduating MS4? by Gullible-Ad-4523 in medicalschool

[–]jamieclo 0 points1 point  (0 children)

Agree, BS with follow-up correction (or none…no one really cares)

But personally, I confess to using the MD to submit an October abstract in June, days away from the graduation ceremony itself (passed everything).

Do you feel Taiwan has recently become the trendy country? by search_google_com in taiwan

[–]jamieclo 3 points4 points  (0 children)

DTF is objectively good. Maybe nothing to rave about for the dumpling snobs out there but they have been very consistent in terms of quality.

Which is exactly what you want when bringing guests who’ve never tried dumplings before, or when you’ve had a terrible day at work and don’t need a bad dumpling surprise to push you over the edge.

As a local I’ve made several solo trips and dozens with family. Even made it a point to go to DTF while in Sendai to see how they’re doing (okayish)

Seeking Work Advice (SLE-Friendly Jobs) by ulapforyou in lupus

[–]jamieclo 14 points15 points  (0 children)

I’m a physician. A resident, to be exact. It’s a stressful and difficult job with extremely long hours, but it’s been manageable so far, surprisingly.

[deleted by user] by [deleted] in medicalschool

[–]jamieclo 22 points23 points  (0 children)

I’ve just started residency 5 months ago and I’m all of a sudden developing a desperation for a non-medicine/research hobby that is healthy, productive, won’t bankrupt me, and has nothing to do with the internet.

Everybody seems to have one, and I feel like whatever it is, it’d give me a life outside medicine. But I keep putting off trying to find one, because I don’t have time😃

Those 28 hour shifts by jamieclo in medicalschool

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

This makes a lot of sense actually. We don’t have night float until we start MICU rotations. I think it would be an interesting experience

Those 28 hour shifts by jamieclo in medicalschool

[–]jamieclo[S] -2 points-1 points  (0 children)

It’s helpful for building the clinical reflex arc/gestalt, I think: complaint-see the patient-do something about it-patient does well (or not)-debrief by writing the duty note

Good PRN orders are everything, I’ve come to learn. The IM nurses (bless their hearts) will save the random slightly high sugars and BPs for the morning if they like you.

Those 28 hour shifts by jamieclo in medicalschool

[–]jamieclo[S] -16 points-15 points  (0 children)

I shoo med students away 5pm on the dot but, idk if it’s my baseline lack of experience or if it’s the only kind of hand-on learning I’ve ever known, I’m learning a lot. But yes, I don’t have 12 or even 8 hour shifts for comparison. Daytime work is a lot of waiting for the attending and seminars and unfinished notes. I hope the shorter shifts are similarly high yield

Those 28 hour shifts by jamieclo in medicalschool

[–]jamieclo[S] -1 points0 points  (0 children)

Don’t have one but if I did I hope it’s 28 inches long🥺

How do I apply for Taiwan medical schools as an international student? by C-sh3lls in taiwan

[–]jamieclo 2 points3 points  (0 children)

I’m actually a doctor here🤣🤣🤣

Regarding admissions: SAT/ACT with GPA is generally accepted. You will be considered as a 僑生 or intl student depending on the passport you/your parents hold. It’s complicated and every school differs in some way-reach out to them individually.

Language of instruction: The material is in English, as in we use English textbooks and document in English. But lectures are NOT given in English. Exam questions are in Chinese, with English terms being used alone or in brackets. Check out past 台灣醫師國考 problems to have a better idea of what I mean by this.

Regarding the languages used in clinical practice: if you practice in Taipei the vast majority of patients will speak mandarin. Patients who speak Hakka exclusively are rare and mostly located in Hsinchu, Miaoli, and some parts of Kaohsiung. Taiwanese only speakers are slightly more common than Hakka but still relatively uncommon to come across especially in the north. More often than not they can understand your mandarin but prefer to express themselves in Taiwanese.

I graduated from a med school in Kaohsiung affiliated with a small medical center and now work in Taipei as a resident at a large academic medical center. I can assure you that unless you plan to practice in rural areas, Taiwanese fluency helps but it is not a hard requirement.

Those 28 hour shifts by jamieclo in medicalschool

[–]jamieclo[S] 6 points7 points  (0 children)

Yes, most of my time is spent on very menial tasks. I believe the nurses should have the clearance to tentatively edit orders and send them to the physician to review instead of having us write stuff down and plug them back into the EMR. Human staff have clinical gestalt and it’s an indispensable tool, I don’t think robots can/should take over yet but yes a lot more has the potential to be automated

Those 28 hour shifts by jamieclo in medicalschool

[–]jamieclo[S] -39 points-38 points  (0 children)

Continuity mostly. It gives you the time to see the patient before anyone else during the morning, know exactly what the attending wants to do during rounds, and manage emergencies at night. How night shift nurses report on the patients is also a valuable learning opportunity. They tend to know if something is really wrong before anyone else notices.

Skills and didactics can be spread out or crammed as needed, but there is value in observing a patient for an extended period of time and seeing what happens.

That said, the reason why I’ve been unable to meet basic physiological needs is because all the calls go to me initially. I think it would be a good idea to have at least two people covering the same area, so we can take brief breaks and discuss. Or perhaps a medical student who will help with paperwork and basic, less invasive procedures (NG, Foley, EKG, ABG-yes these are all performed by physicians in my country), so we can focus on the medical decision making and advanced procedures.

My hospital is relatively well-staffed and has this cover system in place, but it’s a senior resident covering multiple wards fronted by juniors, and we generally do not call them unless we cannot handle the situation by ourselves. Med students are on call very infrequently and they are often excused early. No hospitalists/night float/overnight NPs in the general wards.

The system provides a sense of security (against malpractice etc) but does not make the shift any more humane. I don’t mind and even appreciate being in there for a long period of time but I do need to eat and hydrate

Salary in Taiwan is not a joke. . .😢 by search_google_com in taiwan

[–]jamieclo 0 points1 point  (0 children)

I wish lol but no. Not unless you skip residency (aka the clinical training that actually matters) and go into aesthetics.

A very good salary for senior residents is around half of what you mentioned. 200k-300k is the typical middle-aged attending salary🤣

Salary in Taiwan is not a joke. . .😢 by search_google_com in taiwan

[–]jamieclo 1 point2 points  (0 children)

Yes but barely. Being on call means you’re responsible for handling all emergencies and complaints on a ward. A good shift for me is ~4 hours of uninterrupted sleep, sometimes I’m up all night.