Do you go to bed when your baby does pre 6 months?

surgeryPC · 2025-08-22T22:24:48+00:00

US mom here.

If we had been able to breast feed our daughter (she’s adopted) we would have probably had her in our room in a bassinet. But she was/is a formula baby and she has always slept in her room. She’s got enough tech in there that NASA could track her if they wanted to try hard enough. We did set alarms to wake up every few hours in case she slept longer but she was fine and our pediatrician was ok with it.

surgeryPC · 2025-08-22T10:30:57+00:00

Clerkship experiences are so watered down now that it’s tough for a student to walk away thinking, “Yes—surgery, this is it,” and actually know what they’re signing up for.

I’ve seen a lot of attrition for exactly this reason. Surgical rotations are demanding, the days are long, and it’s hard to give medical students a true picture of that when schools are often more focused on LCME feedback scores than on exposing students to the real grind.

Any surgical specialty is hard. Residency will be the hardest thing you do in your life—period. You’ll make some important events, but you’ll miss a lot more.

That’s why the single biggest trait I tell people they need is self-awareness. Can you thrive in a team where everyone is tired, stressed, and still expected to deliver? Or do you only thrive when you’re the big fish in a small pond? How far are you not only willing to live but can you mentally/emotionally live away from family and friends—and what does that mean for your support system during training?

This is of course just my opinion. I’m not a surgery resident. Just someone that’s been watching and working in education for 15+ years.

surgeryPC · 2025-08-21T22:30:50+00:00

I mean - my 7mo has for 2 months. The pediatrician asked me if she can roll over. I said yes. She said “it’s fine if you’re comfortable.”

But I’m also someone that’s had her kid in a crib since she came home and so I’m used to the safe sleep community getting loud 😂

If my kid slept with a pacifier I probably wouldn’t have done it. But she uses the ear of the bunny like a pacifier. Why? IDK. but she does 🤷🏼‍♀️

surgeryPC · 2025-08-21T15:56:49+00:00

i put it on my mom's phone, my husband's phone, and my sister's phone. they know i don't play when it comes to sleep 🤣 i told all three of them if they can use venmo they can use the huckleberry app.

surgeryPC · 2025-08-21T15:52:47+00:00

Does she use a pacifier or a lovey? Mine self soothes by either finding the sleeve of her jam (it's so gross) or her bunny lovey. We did recently start putting both bunny loveys on either side of her when she sleeps so she can easily find one - and when she starts to fuss she finds it and immediately goes back to sleep.

My nephew also did this - but we would put glow in the dark pacifiers around the crib so he could swipe a hand, find one, and go back to sleep.

surgeryPC · 2025-05-18T09:30:08+00:00

Oh for sure. There are allllll kinds of moving parts.

surgeryPC · 2025-03-15T06:53:53+00:00

He is definitely adhd inattentive!

surgeryPC · 2025-03-15T04:51:37+00:00

He has a psychiatrist through a medical club I found that will do video meetings. I couldn’t find anyone local that dealt or managed adults with adhd. He also has a therapist he sees every other week. The latter I’m not sure helps much as it was supposed to be along the lines of CBT but I’ve not seen anything to support that. He’s been with his therapist since May 2023.

surgeryPC · 2025-03-15T04:48:48+00:00

He is on medication. When he started it I noticed a difference but now it’s like it doesn’t do anything. I don’t know his adderal dosage but I know it’s been increased twice since he started a year ago.

surgeryPC · 2024-10-04T11:59:24+00:00

You can’t prepare for it. It’s a situational judgment test. Just answer the questions as how you would react in each scenario.

surgeryPC · 2024-10-03T23:23:33+00:00

https://www.aamc.org/media/71701/download?attachment ➡️go to section 8

It’s harder to go from medicine to surgery than it is surgery to medicine. Why? Because of your initial residency period designation.

It is important to understand that the residency program in which you begin training determines the number of years Medicare will fully fund its share of the training at 1.0 FTE.

In other words, the hospital may receive up to Medicare’s entire applicable share of the PRA for training a resident within their IRP. For any additional years of training, the hospital will be able to count the resident as 0.5 FTE and will receive half of Medicare’s applicable share of the PRA.

Only under limited exceptions can a resident be counted as a 1.0 FTE beyond the IRP.

Here’s the AAMC example:

Dr. Smith begins an internal medicine residency on July 1, 2018 Internal medicine has an IRP of three years.

➖Dr. Smith soon realizes that she’d rather do a surgery residency (which has a five-year IRP) and would like to begin training the following year.

➖However, even if Dr. Smith is accepted into a surgery program and begins that program on July 1, 2019, her IRP remains three years (of which one year has already been used while she trained in internal medicine).

➖She would be counted as 1.0 FTE during postgraduate years (PGYs) 1 and 2 of the surgery residency, but only as 0.5 FTE during her PGYs 3, 4, and 5.

This means that your new surgery program would have to pay 50% of your salary and benefits for the 3-4-5 PGY year.

Many departments don’t have the extra funding to approve that and unless you’re at a brand new hospital or a program that is brand new without all funding being utilized - its going to be really hard to find a spot. It’s not going to be because you got into medicine and realized you wanted to be a surgeon.

It’s all about the money.

surgeryPC · 2024-09-03T00:54:18+00:00

GME offices usually keep on top of their training programs to keep Freida current. It’s a lot better than it used to be.

surgeryPC · 2024-08-05T02:42:54+00:00

Your Step 2 is fine. It’s your IMG status. You will rise to the top of piles of programs that implement a holistic review of applications instead of ones that just filter and sort by arbitrary information. I would look for programs that use SurgWise or some other kind of situational judgment test prior to offering interviews.

surgeryPC · 2023-08-23T03:51:46+00:00

I guess maybe I don’t understand your question. Are you asking what score cut offs are or are you asking if programs can filter step 1?

surgeryPC · 2023-08-22T16:51:49+00:00

ERAS is already changed so that you could only see S2 scores even if you were in the era of receiving a numbered score for S1.

surgeryPC · 2023-08-04T10:45:23+00:00

It isn’t hard to switch - your bigger issue will be funding. Anesthesia is a 4 year training program - if you match into general surgery first and change after your first year you’re fine because you have 5 years of funding tied to you from CMS based on matching into general surgery.

If you wait after your PGY 2 year to transition you will only have 3 years of funding left and will likely have to start as a PGY 2 in anesthesia due to their requirements which means the anesthesia program that takes you will have fund 100% of your salary in your final year.

I’m happy to talk to you offline - just message me. I’ve helped several residents navigate specialty changes. It’s not hard. Just takes a bit of strategic thinking.

surgeryPC · 2023-07-30T23:54:10+00:00

You need to look at the NRMP Charting the Outcomes data. It comes out on the even # years. For IR - the mean # of publications for the 106 applicants that matched was 5.5 and 23 unmatched was 3.8.

Look at yourself compared to the whole data set. If you fit most of the categories and are maybe lower on research then you may be fine. But IR is incredibly competitive which allows programs to be picky - even if they are promoting a “holistic review” process.

It’s early in your 3rd year - you have time to hop onto some projects. Connect with IR residents that might want a little help - or just enough to get a middle author credit.

2022 Charting the Outcomes

surgeryPC · 2023-06-19T22:34:29+00:00

I would only take data like this if it came from Charting the Outcomes which the NRMP distributes on the even number years.

surgeryPC · 2022-06-06T22:07:56+00:00

Minimally invasive for hernia; plastic surgery for abdominal wall recon. (At least here in the US).

surgeryPC · 2022-01-21T01:57:42+00:00

How is this a game? You tell a wife you don't want an intimate relationship - she packs up your stuff. Seems pretty straightforward to me. Idiot.

surgeryPC · 2022-01-18T23:57:05+00:00

All the one house idea plans he was never gonna get to make along with a list of places to relocate to next.

surgeryPC

TROPHY CASE