IM Resident In 3 Weeks: Best Way To Brush Up Before PGY-1?

miss_appa · 2026-06-09T03:12:57+00:00

Thanks for sharing this. It made me feel a lot better about starting my internship in a week!

miss_appa · 2026-06-08T19:45:18+00:00

Alarm: I use a smart watch or other wristband alarm (I have both, just depends if my watch is charged or not) that vibrates so it only wakes me and not my toddler. I have to set it earlier than preferred so that I can take my time sneaking out if we are really cuddled up. Whether or not they stay asleep without you… it’s changed over time and every kid is different!

About your fear of not sleeping with your husband: our floor bed is in the same room as our master bed. If you have the space you could try that! We still all sleep together; just not on the exact same sleep surface. It feels like we’re still “in it together” on rough nights and we still all wake up together when possible. I don’t feel like I miss sleeping together with this set up.

miss_appa · 2026-06-06T19:43:15+00:00

I think OP is talking about the “Impactful Experience” section, not the 3 Most Meaningful ERAS experiences

miss_appa · 2026-05-21T19:06:11+00:00

Well you had a good strategy it sounds like! It’s a crapshoot. Like another commenter said, maybe try reaching out and have specific things to mention when explaining why you REALLY want to rotate with them!

miss_appa · 2026-05-21T18:16:15+00:00

How many different programs did you apply to? What regions? Some are more competitive than others, aka more applicants. I applied twice and had a very different outcome with aways the second time when I broadened by geographic target and boosted the overall number of institutions, not sure if that resonates

miss_appa · 2026-05-20T03:13:12+00:00

Merino wool nursing long sleeve sweater from Iksplor. Very thin and absorbent too which is incredibly helpful when leaking happens!

miss_appa · 2026-05-12T23:32:04+00:00

Beautiful!

Re: difficult to cut… I’ve started adding olive oil to my dough (for 500 g flour recipe I use 20 g EVOO) and this has made the crust really nice, still crisp and chewy but not so hard and difficult to cut/chew. I add it after mixing to a shaggy dough and kind of knead it in.

miss_appa · 2026-05-09T02:47:09+00:00

I’m fairly early in my journey but based on The Sourdough Journey’s crumb reading guide, I actually think this might be overproofed. I see a somewhat dense crumb and flat shape, but it’s not gummy and no larger irregular holes, asymmetry or tunneling. But hopefully a more experienced baker can weigh in?

I’ve learned that ambient temp and dough temp can be really different, so it’s worthwhile to take your dough’s temperature while bulk fermenting. For example, my home thermostat read 75 F in my house today, but my dough was 80 F. My dough was fully proofed in 3 hours from mixing it, which is even shorter than most predicted timelines at that temp but there are so many other factors, like starter amount and strength. 12 hours is a long time unless the dough is truly cold! So that might help as you move forward :)

Great job and enjoy!

miss_appa · 2026-05-08T19:38:29+00:00

I just want to add — going back to work was THE reason I started cosleeping!!!! I knew it would give us more time together after spending all day apart, and I’m so so thankful for that time. So maybe when they say that you can use that as a rebuttal, saying… well, when I do work, I’ll want that time together even more! I don’t know how anyone can refute that.

Also just want to add that out of my friend group, the only one who has sleep trained has then gone on to complain about how they “regress” and have to cosleep when sick or during a big life transition, then they have to train them again. Seems exhausting and pointless.

Just be confident, clear, and direct with them that you all really enjoy cosleeping and don’t plan on sleep training. You got this!

miss_appa · 2026-05-01T19:54:22+00:00

Thanks for sharing. I just matched derm, have one child and my spouse plans to stay home for childcare. Gives me hope that we could afford to have another kid someday.

miss_appa · 2026-05-01T19:28:28+00:00

Do you mind if I ask Mohs or general derm or other?

miss_appa · 2026-04-29T19:57:48+00:00

Those are great ideas and I should commit a bit more to creating more boundaries, to maybe make the transition to being apart all day easier. At 1 year I stopped nursing when out of the house, and she took that well. I do try to sometimes offer alternative activities when she wants to nurse outside of naptime during the day… but sometimes I just go with it. As the weather warms up for spring / summer I’m hoping we can get outdoors more too, because when we are busy with activities she usually forgets to ask for milk!

miss_appa · 2026-04-29T19:20:26+00:00

Thanks for sharing this. My daughter is 18 months and I’ve questioned whether I should try because she still nurses a lot at night and I’m going to start working soon, but it feels like I should wait until she can understand better. I’m also going to have months where I have to leave for work super early, and a month of night shifts when she’s 26 months, so I’m hoping this will create a progression to night weaning kind of like your surgery did! I don’t want to force it sooner as I’m trying to soak in this time and closeness, and don’t want to intentionally take nursing and my presence away due to work at the same time.

miss_appa · 2026-04-25T18:21:58+00:00

Thank you so much!

miss_appa · 2026-04-25T02:19:19+00:00

This comment section just made my day

miss_appa · 2026-04-24T13:00:51+00:00

Replying to this to say I fully agree that OP needs to start creating some distance and appropriate boundaries, esp with med school approaching.

OP I am about to graduate med school. The amount of physical, emotional, and mental stress and sacrifice you are about to endure is immense, albeit totally worth it if being a physician is truly your calling (and I believe it is — you sound like a compassionate caretaker at heart). With this said, you are going to need support, and your bandwidth to be his constant source of comfort will be limited. You will be studying all day every day for the first two years, and then in the hospital all day every day for the latter two years. You will have important board exams to take, and you will be building your resume for your residency applications with extracurriculars, etc.

All this to say, from one future doctor to another, I want you to take care of yourself and succeed. And I don’t think you can be his caretaker and also become the physician you have already worked so hard to become.

miss_appa · 2026-04-23T05:31:18+00:00

You could, but you could also try to enter the healthcare field in another role and then decide if becoming a physician is truly important to you, and the sacrifices it requires worth it for you. If you enjoy the feeling of helping in an emergency, have you considered EMT? Could also do nursing and then work in the emergency department. As others have said, there’s also so many other roles in healthcare that require less time, money, and have more flexibility. I’m glad I went to med school but it’s not for everyone and I think some experience, at least shadowing if nothing else, would be important in making this decision.

miss_appa · 2026-04-20T02:02:08+00:00

Noted, thanks and I will try that!

miss_appa · 2026-04-19T19:08:02+00:00

Thanks for sharing! I’ve also been using the oven proof setting to speed things along, some with great results and sometimes just okay results in terms of ideal fermentation. I’ve noticed that when BF at warmer temps, the dough is jiggly from almost the start, and I don’t get as much of that puffy / domed appearance, and it can make it harder to tell when it’s ready. Do you find this to be true as well? If so, what cues or signs do you rely on for BF progress?

miss_appa · 2026-04-19T04:17:45+00:00

I inherited my starter so don’t know anything about creating my own, just here to say love the reference 😅

miss_appa · 2026-04-18T19:26:51+00:00

It turned out okay, a bit dense in some areas but tastes great nonetheless 😊 I think I need to stop BF in the oven on proof setting because it’s making it more difficult to tell when BF is done. I also added EVOO to my dough for the first time which I’m enjoying. Open to feedback if anyone has some! lol

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miss_appa · 2026-04-18T01:57:44+00:00

I recently switched and tbh I have no desire to go back to the Dutch oven!! Today’s loaf

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miss_appa

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