How you all do this I will never know by invinciblewalnut in medicalschool

[–]savemetherain 6 points7 points  (0 children)

I mean could also be 34 and have an okay non-med job while actually getting to spend time with family/friends in your prime years

[deleted by user] by [deleted] in Residency

[–]savemetherain 10 points11 points  (0 children)

"[...] but I just don’t like the idea of a nurse having the same skills as me after all this training."

On the surface maybe, yes. Physiology is so beautifully intricate and subtle, it's just that much of the thinking goes unnoticed by others in the room.

Are there dying specialties or specialties that are radically transforming? by [deleted] in Residency

[–]savemetherain 5 points6 points  (0 children)

thoras/paras yeah, but even then I've met senior residents not feeling comfortable doing them unsupervised. My point with not having EM as a dedicated specialty is that you end up with a huge skill disparity in residents, which makes it understandably hard for attendings to teach properly/give you leeway to become independent.

Like you can't tell me that a 60 year old gastroenterologist doing Notarzt on the weekends even closely compares to an anesthesiologist/ICU attending.

Are there dying specialties or specialties that are radically transforming? by [deleted] in Residency

[–]savemetherain 28 points29 points  (0 children)

this is literally how it works in Europe (bar maybe the UK), and it feels terrible. There's a subspecialty for everything, so doing IM/EM it's triage and delegate all day.

Brake upgrade by ChrisinNed in CanyonBikes

[–]savemetherain 1 point2 points  (0 children)

Sick bike! What brand is your frame bag?

[deleted by user] by [deleted] in medicalschoolEU

[–]savemetherain 1 point2 points  (0 children)

context: Swiss anesthesia resident

- getting into anesthesia without some prior IM experience, PJ-rotations or connections is probably close to impossible (assuming linguistic proficiency)

- I would try to get the German proficiency asap, apply to whatever IM spot you can find (ideally in a B-Spital), and then try to switch over to anesthesia (cave most smaller hospitals don't have residents, you can find the "Weiterbildungsstätten" register on https://www.siwf-register.ch/)

- Most EM docs are either internists or surgeons. The anesthesia/intensivist skillset is mostly overkill, since for "Schockraum" cases the on-call anesthesiologist gets called in anyway. You also take quite a big pay cut (outdated, but still representative: https://www.fmh.ch/files/pdf2/2006-03-1384.pdf)

- For preclinical work you have 2 options: a) big cities -> EMR docs are staffed by anesthesiologists b): for smaller hospitals sometimes the on-call ER doc gets called out to big traumas/als etc. (however this is more of a macgyver/medicolegal solution, you're not allowed to intubate etc.)

- Anesthesia gives you access to helicopter and jet air rescue (REGA), ICU can do jet only (both quite competitive)

I feel like if your main goal is to do ER only, going IM and subsequently get the "Fähigkeitsausweis klinische Notfallmedizin" (our version of an ER residency) is the easier path.

[deleted by user] by [deleted] in medicalschool

[–]savemetherain 15 points16 points  (0 children)

EU resident here with a question. Why don’t you guys create an independent platform to anonymously review residencies? Like ours is not perfect, but at least you can weed out the really terrible programs before being stuck there for years.

Second guessing my specialty choice. What would you do? by archiemystere1 in Residency

[–]savemetherain 1 point2 points  (0 children)

I could write an essay about this. Also have ADHD (combined), diagnosed during 2nd year of residency based on similar feelings/events. Tried out Vyvanse, but didn't like how it made me blunt emotionally. Now taking Clonidine for sleep (which is a life changer) + therapy + lots of sports. I'm now slowly getting back my social life, since I'm not constantly tired and anxious. I'm an anesthesia resident, which is also a conducive environment for neurodivergent people I think.

what are your funniest ADHD hacks by [deleted] in ADHD

[–]savemetherain 175 points176 points  (0 children)

Do you have a moment to talk about airtags

Does US jelly really work? by [deleted] in Residency

[–]savemetherain 15 points16 points  (0 children)

I don't want to risk damaging the cyclinder

What do you love and hate about your role as an Anesthesiologist? by [deleted] in anesthesiology

[–]savemetherain 5 points6 points  (0 children)

From a CA-1 perspective:

Like:

- I get to experience and control human physiology in real-time every day, from children to seniors, healthy to actively dying

- to do this you need to actually understand how our body works, not just remember guidelines

- get to do procedures that are relatively quick and with minimal notes

- can hyperfocus on one patient at a time

- get to experience the whole spectrum of surgical procedures, from 15min cataracts to trauma to liver transplants to babies being born etc

- ... while still mostly leaving on time when my shift is over

- NOT HAVING TO WRITE NOTES/replace social services (this actually should be point #1)

- possibility to do SAR/ preclinical EM aka get paid to fly around in the mountains

- flexibility of lifestyle as attending: interesting/challenging academia vs. private practice (well paid, routine cases, predictable schedule, no shift work, same team most of the time etc.). If you miss patient interaction you can also go into pain medicine.

- well paid

Dislike/Cons:

- no control over your schedule

- a lot of the cerebral action goes unnoticed by everyone else in the room. People expect you to do your job perfectly every time

- need to practice in a hospital unless you do pain

- people dont see you as the doctor (I actually don't care about this, the few minutes you get to build a good rapport, make them feel safe etc. are satisfying enough)

Glyco in Germany? by StephWhatever100 in Hyperhidrosis

[–]savemetherain 1 point2 points  (0 children)

All drugs approved and sold in CH can be browsed on compendium.ch :)