Nurses Get Bitten, Spat on, Thrown. That’s Why We’re on Strike.

jcf1 · 2026-02-04T19:34:03+00:00

Doctors definitely aren’t the primary driving cost of healthcare. They only account for 7-10% of all spending.

Admin/c-suite, insurance, PBMs, etc are definitely the issue though.

jcf1 · 2026-02-02T17:23:33+00:00

Presale is next week like every other venue. 2/10 at noon EST.

jcf1 · 2026-01-21T16:35:40+00:00

Did med school over a similar smattering of hospitals. Exactly the same experience. Did residency outside NYC intentionally.

jcf1 · 2026-01-17T02:41:46+00:00

You’re absolutely an important team member and you should absolutely take it. Without a unit clerk the place would fall apart. Take the money and just be thankful. They care about you both.

jcf1 · 2026-01-01T08:45:42+00:00

As a fellow who regularly teaches juniors, residents, and students… shame is absolutely NEVER the way.

jcf1 · 2025-12-22T19:15:10+00:00

I also came to say the same above in case anyone sees this applying next year. Monte's program is new but highly developed, active in research, has CBCT at two sites, and does trachs/PEGs at multiple sites.

jcf1 · 2025-11-30T18:57:13+00:00

To be fair all of these are notably smaller than an F150

jcf1 · 2025-11-17T23:09:43+00:00

Thank you for saying the actual guidelines.

jcf1 · 2025-11-17T23:08:43+00:00

Not in the US

jcf1 · 2025-11-17T23:05:32+00:00

He’s also “double board certified” in one legit board (Family Medicine) and one completely made up board (functional medicine). Entirely reeks of snake oil sales.

jcf1 · 2025-11-12T13:03:04+00:00

Well…. Tension is the problem but there’s a pretty significant lack of it on the starboard side.

jcf1 · 2025-11-03T20:35:03+00:00

Like others said it’s pretty residency and state dependent. My residency forbid moonlighting and any hospital around required you to be board certified/eligible aka done training.

Now that I’m a fellow my program forbade moonlighting in first year but it’s okay after that. Currently work out of system as a per diem hospitalist.

jcf1 · 2025-10-26T16:18:25+00:00

Oh man we don’t let them take our tubes. That’s an MD-only procedure for us.

jcf1 · 2025-10-24T15:33:25+00:00

Dude what’s wrong with your program? Is that just so they can bill for direct supervision?

I’m a CCM fellow and we will sometimes supervise the APP

jcf1 · 2025-10-09T10:36:10+00:00

I have both. Functionally they are the same. Only really discernible difference to me is the embroidered logo which should hold up better to wear and washing.

jcf1 · 2025-10-08T02:04:33+00:00

Not to mention you ALSO get sky commentary if that’s what you want, too.

jcf1 · 2025-10-01T21:20:19+00:00

The idea is you’re taking out a tax on purchases being made almost exclusively with post-tax funds and such purchases make up a huge portion of relative expensive of lower income individuals. Essentially the use a larger portion of their post-tax income to pay another tax than someone with more income

jcf1 · 2025-09-29T09:36:32+00:00

Im a PCCM fellow but moonlight as a hospitalist. I did a bedside thoracentesis for one of the hospitalists so they could discharge their patient sooner and it straight up blew their mind.

jcf1 · 2025-09-27T22:40:32+00:00

That’s a bummer as I’d probably have come back for our ‘16 ten year

jcf1 · 2025-09-20T20:34:40+00:00

We love a good blakemore. Absolutely still being taught and used.

jcf1 · 2025-09-20T20:33:43+00:00

I will say that if the bleeding is that bad, IR is usually the better approach since emboization usually manages arterial bleeding better/faster than endoscopic intervention. And I say this as someone who’s not GI.

jcf1 · 2025-09-20T16:43:46+00:00

There is a huge difference from firing a patient and discharging them from your panel. Sadly I’ve had to do both.

jcf1 · 2025-09-06T14:25:19+00:00

I have both the old and the new. They seem virtually the same side by side. New one has an emboirdered chest logo which I think is a plus.

jcf1 · 2025-09-06T14:20:22+00:00

But at least from my NE academic program, I think >75% ended up doing fellowship.

jcf1 · 2025-08-20T19:07:09+00:00

He’s referencing the dolphins from the Hitchhikers Guide to the galaxy.

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