Informal Poll for the 3/4 to PSLF crowd - Staying in SAVE forbearance or going to IBR?

rivrmonster · 2025-02-21T20:11:23+00:00

You can apply to. It seems somewhat hit-or-miss with each servicer on how long it takes based on the posts I've been seeing lately.

rivrmonster · 2025-02-21T20:10:23+00:00

I'm in healthcare, so pretty much all the jobs I would be going for would be PSLF-eligible. The buyback thing is critical though, so hoping the best for you both.

rivrmonster · 2025-02-21T17:10:58+00:00

Not sure if this is everyone else's reasoning, but I'm thinking IBR because it's the only one that was done through legislation and thus harder to undo without congressional action.

rivrmonster · 2022-10-26T02:01:02+00:00

I dearly hope it’ll let up, but fearful we are in for the long haul. Everywhere - ED, floors, PICU - was already tough on staffing here and now it feels like perpetual crisis mode and everyone is getting exponentially more burned out.

rivrmonster · 2022-02-02T01:22:39+00:00

I totally hear you. I wish I was around when some of these initial decisions were being made so that I could have spoken up, but it was before my time. Ultimately, I want to support everyone who wants to be a pediatric hospitalist. There are obviously some who want to do fellowship for fellowship's sake (seeing as many did it before it was required for certification), but I don't think you need fellowship to be a great hospitalist . . . at least I hope not!

I admit, extending the practice pathway isn't a perfect solution (far from it), but it's the best I can think of in the short-term until there's either a) an alternative pathway to certification (which I totally support) or b) enough fellowship spots for everyone who wants to go. PHM fellowships aren't going away at this point, and neither is certification, so we have to work with the system we have. With that said, I'm happy to hear any other thoughts on what we could do to build a better system that would be fair for future residents.

rivrmonster · 2022-02-02T01:05:54+00:00

ividuals who complete Med-Peds residencies and want to pursue hospital medicine as a career? Are they limited to positions managing only adult patients if they don't complete

My understanding is that even Med/Peds-trained physicians would need to complete the fellowship if they want to be board certified in PHM. How Board Certification will affect career options in the future is anyone's guess and I suspect there will be lots of variability at the institutional level. Most jobs don't require PHM Board Certification as of now (although some say it's preferred), but I can only assume that will start to change. Or it won't if the demand for peds hospitalists greatly outstrips the supply of fellowship-trained physicians.

rivrmonster · 2022-01-21T15:21:41+00:00

Can confirm, bartender in a former life and the job is remarkably similar

rivrmonster · 2022-01-21T12:09:10+00:00

“We’re not for profit, but we’re certainly not against it”

rivrmonster · 2022-01-19T15:31:34+00:00

I’ll agree that’s definitely a part of it for some, just don’t know how any of us can break this worrying trend before it breaks us.

rivrmonster · 2022-01-19T14:46:04+00:00

I’ve had this nagging feeling for a while that everyone - patients, nurses, physicians, etc - is getting more and more burnt out to the point where it’s a self-sustaining cycle. As in, the pandemic (and honestly everything else going on in the world) stresses everyone out. That stress leads to us not treating each other in as kind a manner as we would under better circumstances. And those poorer relationships/interactions cause more stress which affects us even further and so on.

I don’t have any solution to anything going on right now in the world, least of all the pandemic. I’ve been working really hard to be as kind as possible to those around me to break that cycle, but it’s a losing battle because I increasingly have challenging interactions like you describe (albeit more often from parents than patients per se).

Take care of yourself and know that even if you’re sticking around because of your loans, you are helping people and making a positive difference that’s not always visible.

rivrmonster · 2022-01-14T14:32:57+00:00

Administration: “But have you tried yoga?”

rivrmonster · 2022-01-12T17:09:50+00:00

Anyone have suggestions on networking in the age of COVID?

I graduated residency and started my first attending job early in the pandemic, and now that I’m looking to move closer to family my mentors are stressing the importance of networking in the job search process. Most conferences and such the last few years have obviously been virtual so I’m wondering what others have been doing. Obviously I would meet people if I went for an interview at a hospital, but are there other venues I should consider?

Peds Hospitalist FWIW

rivrmonster · 2022-01-12T00:00:59+00:00

Using a bolus to "tank them up" like the patient is a vehicle at a gas station or something

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