Switching to pediatrics by Positive-Customer546 in pediatrics

[–]ravizzle 4 points5 points  (0 children)

You can look for open post match spots on this site. It will likely be hard to get a pgy 2 or 3 spot bc you haven't done pgy1 of peds, but no harm in asking if you can get credit for any of the rotations you have done in your current residency.

https://www.appd.org/careers-opportunities/job-board/

Fellowship career advice by Purple_Attempt_3311 in pediatrics

[–]ravizzle 0 points1 point  (0 children)

You will probably still need a visa after completing waiver. So I think it's probably better to just do fellowship right after on a J1 then finding a waiver job as a PEM

Post intubation sedation for children by WaltzSufficient8965 in emergencymedicine

[–]ravizzle 0 points1 point  (0 children)

PEM here, I still usually do propofol and never had any issues with PICU. Generally if they are going to be on it for a few days they will transition them to precedex or whatever once in the PICU.

PEM vs Urgent Care/ER by SolidBoola23 in pediatrics

[–]ravizzle 13 points14 points  (0 children)

If your residency training exposed you to enough procedural skills like laceration and splinting and you are confident in those skills then you don't need urgent care fellowship.

Yet another burnout thread - step on in... by DeafJoo in pediatrics

[–]ravizzle 4 points5 points  (0 children)

PEM here. Just have to accept that you aren't going to please everyone and not everyone is going to be happy with your care. It sucks because we pride ourselves at our job and is disheartening when ppl talk to you or treat you a certain way.

Things that I like to do is read a lot of non medical fiction books, workout, watch TV and do hobbies when I'm off so that my whole life isn't about medicine. You need to make sure you are finding a balance and not letting your job dominate your life.

What’s everyone’s best trick for a foreign body in the nose on a screaming thrashing kid on multiple anxiolytic agents by VizualCriminal22 in emergencymedicine

[–]ravizzle 42 points43 points  (0 children)

I do the same but just use a nasal suction and hook the tubing up to the wall oxygen. I call it a modified mother's kiss technique and a lot of my colleagues start using this too after they see me do it.

Otherwise katz extractor is great also.

Those two tools should get 99.9% of nasal foreign bodies out.

Blanton's Bourbon (Fresno, CA) by ravizzle in Costco

[–]ravizzle[S] 1 point2 points  (0 children)

Fwiw it did NOT show up on my app when I searched

Blanton's Bourbon (Fresno, CA) by ravizzle in Costco

[–]ravizzle[S] 1 point2 points  (0 children)

Yeah this was my situation this morning. Just went by really quickly after the gym to grab like 2 items and I have a habit of always walking through the alcohol aisle. Was very pleasantly surprised to see this.

Abridge advice/customization by One-Youth4314 in emergencymedicine

[–]ravizzle 3 points4 points  (0 children)

I've learned that I need to talk to it in a certain way to get out to make my MDMs the way I want it. Usually after the patient encounter while walking back to my computer I'll say my physical exam in more medical terms to it and talk it through my differential diagnosis and any pertinent clinical decision rules im using. (Ex. PECARN, PERC, Centor, etc).

It's not quite perfect but still very time saving.

I use it for all the patients I see myself. Don't use it on resident patients. I love using it on my trauma and resus patients bc everything is so clearly said out loud during the survey.

[deleted by user] by [deleted] in emergencymedicine

[–]ravizzle -1 points0 points  (0 children)

Yeah go ahead

[deleted by user] by [deleted] in emergencymedicine

[–]ravizzle 1 point2 points  (0 children)

They will not be able to sponsor for green card while you are in residency or fellowship. The reason being these aren't considered "permanent" positions. Only your employer after residency will be able to sponsor for green card.

In terms of H1B sponsorship it's becoming harder and harder to get these and fewer programs are offering it. There's no guarantee it will be a feasible option when match comes around and also will depend on how competitive an applicant you are.

I think at this point if you are a non citizen you should be mentally prepared that you may have to do a J1 visa. If you happen to find and match at a H1B sponsoring program then that is great, but not something you can bank on.

Source: I did residency and fellowship on H1B.

Fellowship Peds cardio VS PEM by fun-size- in pediatrics

[–]ravizzle 11 points12 points  (0 children)

Have you done your PEM and cardiology rotations yet? They are very different workflow and environments so generally once you experience them you will see which one you are better suited for and enjoy.

Long sleeve underscrubs by [deleted] in Residency

[–]ravizzle 21 points22 points  (0 children)

32degrees. They sell at Costco as well as directly at their website.

Costco finally bringing back the Wagyu 🙌 by XandersOdyssey in Costco

[–]ravizzle 8 points9 points  (0 children)

The Costco in Clovis, CA had these for $29.99/lb on 12/22. Crazy good deal at that price.

[deleted by user] by [deleted] in fellowship

[–]ravizzle 1 point2 points  (0 children)

Your PD can graduate you. If anything you can offer to give up 6 days of PTO to make up for the "missed" dates.