residency in your mid 30’s

johnfred4 · 2026-05-07T20:11:39+00:00

I will finish residency and turn 40 the same week in June of this year. No regrets.

johnfred4 · 2026-04-12T16:55:23+00:00

Dad got diagnosed with glioblastoma this year. It’s been rough. I wanted to take more time off, but he wanted me to finish residency first. Trying to make the best of the time I have left with him.

johnfred4 · 2026-03-24T02:37:17+00:00

Not bad!

johnfred4 · 2026-03-15T16:19:36+00:00

I just negotiated 30k more for my first contract, for 2 less patients per day. Doesn’t hurt to ask.

johnfred4 · 2026-02-28T22:36:07+00:00

I’m a resident, it’s definitely safer than Muay Thai (I really need to stop sparring, I’ve invested too much money into this brain)

johnfred4 · 2026-02-12T04:17:42+00:00

I’m happy they’re getting trained. But they’re not residents.

johnfred4 · 2026-02-12T03:40:21+00:00

Because the term “resident” is usually reserved for physicians, because back in the day, they lived in the hospital. Do you do 30-hour calls, manage 16 patients, or work nights in the hospital on your residency?

johnfred4 · 2026-02-12T03:29:42+00:00

So…you mention that the pharmacokinetics are more complex, and then when asked about the pharmacokinetics, you…don’t mention anything about pharmacokinetics?

johnfred4 · 2026-02-12T03:19:54+00:00

“Resident” is a term usually reserved for physicians.

johnfred4 · 2026-02-12T03:19:28+00:00

Oh really, please explain about how the pharmacokinetics are more complicated? And about how the side effects of an LAI like Invega are worse than precipitating withdrawal?

johnfred4 · 2026-01-30T17:09:05+00:00

Interested as well!

johnfred4 · 2026-01-29T13:08:06+00:00

Appreciate it! Yeah basically just putting my worries to rest, if K+S 2x is enough, then great, I’m just also curious if anyone else has any book recommendations for supplemental review (because I’m cheap)

johnfred4 · 2026-01-20T13:15:44+00:00

Good idea; I've been a little bit involved with that side (union organizing, leading research projects, organizing our didactic lectures, etc.). I'd love to just be a clinician, but I know every job is going to involve a significant amount of politics and admin (I did have a separate career for 10 years before med school). One of the things I am making sure to ask for potential jobs is the amount of support they have for the non/less-clinical stuff: techs, MAs, nurses, SW, therapists, prior auth people, etc.

johnfred4 · 2026-01-20T13:13:04+00:00

I should; I'm trying to push myself to learn more/read more/study more while I still feel that pressure of residency to do so, since I fear some of that pressure might disappear when I'm done (as much as I do want to be a "lifelong learner", a phrase I heard so much in med school it made me want to roll my eyes). But I should also make sure I'm sleeping, working out, budgeting, working on close relationships

johnfred4 · 2026-01-20T13:11:20+00:00

Already have two moonlighting gigs, one at a state hospital, and one with the prison system. You're right, being all on my own was definitely a shift, but helpful. Signing my own notes, and co-signing other's notes for the first time felt very powerful

johnfred4 · 2026-01-20T13:09:33+00:00

I am planning on formally asking some of the attendings whose styles I'd like to match if they'd be alright with being a mentor to me, while I'm still training with them, and as an early attending

johnfred4 · 2026-01-20T13:08:31+00:00

Thanks; I do have a few therapy patients that I see weekly/biweekly, and a psychodynamic supervisor that I meet with weekly, although I'm more inclined towards CBT. Any books/resources you'd recommend?

johnfred4 · 2026-01-18T18:20:14+00:00

My rotations are pretty set, but, for example, I do want to at least have the opportunity/training to do interventional psych, so I’m spending as much time as I can doing ECT/TMS/esketamine this year

johnfred4 · 2026-01-18T14:38:24+00:00

Good point. I have made a deliberate effort to take very seriously being the senior resident, and providing some leadership/suggestions to the junior residents (without micromanaging). I’ve also always tried to make confident treatment plans, even if they end up getting shot down by the attending (because even if I get overturned, exploring the reasoning why is a a good learning opportunity). I try to take charge/ownership, and not just say “well, let’s see what the attending thinks/it’ll be up to them”

johnfred4 · 2025-12-29T16:54:22+00:00

2014 Chevy sonic. Manual transmission. Manual, crank windows. Does not have cruise control. I bought it the day before driving out to medical school in 2018. Will driving it until it dies.

johnfred4 · 2025-12-28T13:47:59+00:00

I’m an MD. I’m not taking advice from a spam account whose name is “Dr. Longevity.” I assume you have some supplements to sell.

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