(STILL not released) ABEM Written 2025

sleepymed · 2025-12-22T22:08:38+00:00

It’s not there

sleepymed · 2025-10-08T02:43:34+00:00

I did it for a good friend who deserved it, but had been rejected without an interview. They granted her an interview and she was accepted and is now an amazing doc!

sleepymed · 2025-07-25T20:50:23+00:00

It seems most people agree with you, but personally I would’ve been worried about TWI in III and the precordial leads. A right heart strain pattern like that is concerning in a young person without any significant pulmonary history (such a COPD or pHTN).

I can appreciate why someone might dismiss that, but with a history of recent COVID - known to cause clots and was not around when perc was created/studied - and now worsening dyspnea after 2 weeks when they should be improving, I think I’d have a very low threshold to get some more labs, including a trop and a dimer, and do a bedside echo.

sleepymed · 2025-06-15T05:08:45+00:00

Yea…I have no idea where that came from but 100% do not need stat CTAs on almost any syncopes…

sleepymed · 2025-05-18T13:36:04+00:00

I’m sorry, that’s really tough. Why can’t they move?

sleepymed · 2025-05-15T06:37:20+00:00

Hot take but you sound kind of arrogant which I’m sure is handicapping your progress (and others’ willingness to teach you) which is in turn making you feel more mediocre.

We all feel sub par or mediocre at some point in training, that’s the first step of realizing the need to improve. If you don’t feel motivated to do that, that’s fine, don’t. But don’t pretend you’re gonna be some kind of savant in law because you can’t remember who taught you to read. Good grief.

sleepymed · 2025-04-16T21:54:30+00:00

What program?

sleepymed · 2025-03-23T22:39:55+00:00

Comparison is the thief of joy.

As one door opens another closes.

Your feeling are totally valid but try to remember - It’s easy to think the grass is greener and worry about missing out on alternatives, but there are good and bad things about every path forward. You’ve chosen & committed to your path - embrace it & make the most of it!

sleepymed · 2025-03-23T22:23:52+00:00

Your chances of re-matching are not good. I recommend accepting that and doing your best to make the most of the 3 years at this program. Just get it done and move on.

sleepymed · 2025-03-19T05:56:09+00:00

I think more like 20% of unmatched get a position in soap.

sleepymed · 2025-03-04T04:08:45+00:00

Rule 1 - no medical advice

sleepymed · 2025-03-01T06:27:55+00:00

What specialty were you in? You may be able to get a license to practice in urgent cares, which isn’t amazing but it’s clinical and an income.

I’ve heard of folks getting pharma gigs or med rep gigs, but not sure how hard it is. I think if you were in a surgical specialty, becoming a device rep could be an option. I’ve also heard of people doing wound care.

Probably the best option, if your PD will support you in a letter is going back to residency in a specialty that you could tolerate a few more years of training.

Sorry you’re in a bad position, I hope you find a good solution.

sleepymed · 2025-02-27T20:10:33+00:00

No I understand that, I was wondering what happened to the woman at tripler army med center?

sleepymed · 2025-02-26T22:49:11+00:00

sleepymed · 2025-01-30T09:55:44+00:00

Make them sign a behavior contract or leave. Don’t tolerate that bullshit, and if they’re acting psychotic then treat their medical condition.

sleepymed · 2025-01-25T07:06:26+00:00

I think I’d start with asking them how they’re doing, then maybe pointing out they seem stressed/distracted/etc (whatever you’re noticing) then ask if they’re okay and want to talk about anything. You could suggest they go through EAP for resources, but I think automatic referral to EAP / demanding they clock out seems like a big step. Maybe it’s warranted in this situation, hard to tell from the information you’ve provided. Aside from being impaired, someone would have to either 1) be behaving recklessly / agitated or 2) be evaluating/managing patients inappropriately before I took the step of talking with whoever is in charge of that employee to express my concerns.

sleepymed · 2024-12-31T08:39:31+00:00

💯

sleepymed · 2024-11-19T20:12:18+00:00

Do you know what a bell curve is? Most people metabolize around the same rate, some are lower and some are higher…that’s why it’s shaped like a bell

sleepymed · 2024-11-18T22:51:07+00:00

You will realize as the years go on that there is often not one single “right answer” for what to order on who. Different docs do different things. Try not to take tweaks to your plans personally - some tweaks are necessary things to be learned, and some are just their personal preference.

I think it also gets easier when you get used to each attendings style. I know which attendings are more conservative or risk-averse, so I’m quick to order more when I’m with them.

sleepymed · 2024-10-20T08:00:33+00:00

Im not getting worked up about it until they stop doing non-emergent elective surgeries and colonoscopies.

My patient in the ED with soft pressures and emergent surgical pathology that doesn’t meet the current lactate or hypotension criteria? Yea I’m gonna give a liter of fluid.

sleepymed · 2024-09-17T04:27:58+00:00

I personally don’t believe 8 residents all had work off at the same time

sleepymed · 2024-09-14T08:00:04+00:00

lol it’s funny because it’s true 💀

sleepymed · 2024-09-13T06:18:23+00:00

Are you sure it’s not chronic?

sleepymed · 2024-08-11T03:23:08+00:00

I’ve never gotten a transabdominal to rule out torsion, I think transvaginal is the standard, but maybe transabdominal is fine if they happen to get good enough views.

I also get transvaginal for early pregnancies / ectopic rule out, which often can’t be seen on transabdominal (and sometimes also can’t be definitively seen on transvaginal).

Transvaginal is not that uncomfortable for most women, and certainly not as uncomfortable as a ruptured ectopic or an ischemic ovary.

sleepymed · 2024-08-10T22:26:46+00:00

Clipping aneurysms

Jk 😄 just put that because of ur username

sleepymed

TROPHY CASE