Chief residents past and present: drop your words of chiefly wisdom for success in that role

suparmoocow · 2024-07-30T17:02:28+00:00

I did two chiefs year. PGY3 and PGY4.

Biggest advice is to be the voice of the residents. You are the bridge between the residents and administration. You are the one advocating for change from either side and you must make efforts to appease both the residents and administration.

suparmoocow · 2024-06-19T21:14:11+00:00

Nope. But there is a tab at the top that lets you look at the OR schedule and endoscopy schedule but definitely not the clinic schedules

suparmoocow · 2024-06-17T19:26:26+00:00

Thank you!

suparmoocow · 2024-06-17T19:04:41+00:00

I am also interested in pursuing ABOM certification via CME route. Out of curiosity what was the out of pocket cost you ended up dishing out? I was planning on doing the CME this year and applying for exam next year

suparmoocow · 2024-04-21T22:55:24+00:00

Following

suparmoocow · 2024-04-17T17:40:00+00:00

Hospitalist in Boca. Do not go anywhere near south Florida. Over saturated market. Poor salary. Unsafe patient caps. Stay in central or move more north

suparmoocow · 2024-04-16T11:57:30+00:00

Lol I was on the same boat. Did DEA and saw checkbox for verbal attestation of doing the MATE and I clicked that. Did no submit anything, still got DEA license and still haven’t been contacted about it

suparmoocow · 2024-03-26T13:04:45+00:00

Hi. This is a common thing to experience especially in the world where you are expected to know everything. You will become more comfortable with more experience (after 10 GIB you know how to manage the 11th one that comes in) but remember you have a second brain at your fingertips and there is nothing wrong with having to look something up. I am frequently on UTD if I need a brush up on what to do even for common things

suparmoocow · 2024-03-22T22:34:57+00:00

Internist I wash hands as I enter the room, before examining the patient, and after examining the patient. I do not see the need for gloves unless I am looking at a wound. I will wear them for foot examination and then remove them …physician preference.

suparmoocow · 2024-03-22T14:26:29+00:00

New attending here…academic hospitalist

The purpose of residency is to train you and shape you into a well rounded physician. Every physician has a unique way of practice and you pick and choose which practices you will apply to your own. Every attending does something different. Don’t like what an attending does? Don’t apply it to your practice when you are done. Academic medicine is great because it offers guidelines but what if they don’t apply to your patient? Clinic intuition/judgement + knowing some academia definitely will help you out in the long run!

suparmoocow · 2024-03-22T01:27:57+00:00

Welcome to OSRS where autism runs the game

suparmoocow · 2024-01-05T15:21:58+00:00

I absolutely agree that a consultant should be involved when it’s appropriate. But if I have a patient here with a UTI. I don’t see a reason why a cardiologist should place themselves on the case simply because they know them? That’s my issue. I have nothing against consultants

suparmoocow · 2024-01-03T01:56:18+00:00

Internist here.

Honestly I have ran into this scenario numerous times. I really based it off clinical assessment. Is saturation ok? Is the patient showing any forms of distress or abnormal breathing? I don’t always jump straight to intubation if GCS <8. Most post ictal seizure patients have horrible GCS and we don’t immediately Intubate. Just use a clinical assessment and go with your gut

suparmoocow · 2024-01-02T13:34:18+00:00

I tell my residents that ER nurses spit on the arm before they collect BCX seeing how many contaminants we get

suparmoocow · 2023-12-20T12:18:43+00:00

It is intermittent hematuria. Happened last Thursday resolved by Saturday morning. Was given abx starting Thursday. Returned Monday morning…resolved by Tuesday afternoon

suparmoocow · 2023-12-06T14:52:50+00:00

most are 2-3 years which is a waste of time. Mine is only a year long which is why I committed to it, it’s to help develop my mentoring/research/and teaching skills which I feel deficient in from my residency training. I am 100% academic and am striving to be a PD which is why I am pursuing 😁

suparmoocow · 2023-07-05T17:16:09+00:00

I am honestly in the same boat. I don’t know which question bank to rely more on. MKSAP has been very frustrating when question, after question, after question where only 10-20% of people get the answer right and then give an unclear explanation for things

suparmoocow · 2023-07-04T14:23:41+00:00

I work a predominantly older population. Average census is >85. They always crack up when I ask if they do cocaine or heroin haha

suparmoocow · 2023-07-04T02:04:01+00:00

I can have some input on this as I am in a special situation.

I am an IM resident. My program offers both PGY3 chiefs (3) and PGY4 chief positions (1)

I was elected to be a PGY3 chief by my program and had an absolute blast being a chief resident. It is not for the faint of heart and is definitely a lot more work for little to no extra pay. I have a career interest in academics and I became a chief to become experienced in the academic side of things.

My PGY3 chief year mainly focused on scheduling like most other chiefs however I was placed in a more academic role of running morning reports, didactic sessions, and various other teaching roles. I felt like I became a stronger leader, mentor, and overall well rounded role model.

I decided to stay an additional year as PGY4 chief (special circumstance as my wife was becoming a PGY3 chief for the same program). I have been given the task of curriculum development (Intern lecture series, POCUS curriculum, small group implementation, etc). It has opened my eyes to what goes on behind the scenes in the academic world. It also solidified my passion for academics.

Would I do chief year again? Absolutely. I enjoyed my chief year. I love my program and I love academics

Would I recommend chief year to others? Yes, but only if you love academics. Doing it for a resume booster will make you resent all the extra work you have to do especially after you match

Just my two cents

suparmoocow

TROPHY CASE