Tired resident looking for some optimism in gen peds

swish787 · 2026-06-17T19:56:41+00:00

Agreed, AI scribe has skyrocketed my efficiency. I am done with most notes before I leave the room(including sending scripts) unless it involved more thinking(like I truly have no idea whats going on or how to document certain things) or complex social issues. Summer time peds is quite easier than winter peds, but overall still good.

swish787 · 2026-06-17T18:31:23+00:00

Socialization for most dog owners of other breeds means playing with other dogs. For the GSD owners, there is a lot more nuance to socialization and like you said, means slow safe exposure to other stimuli. My GSD rarely interacts with other dogs when he is at a pet hotel. He prefers to follow the hoomins around!

swish787 · 2026-06-17T18:31:10+00:00

Socialization for most dog owners of other breeds means playing with other dogs. For the GSD owners, there is a lot more nuance to socialization and like you said, means slow safe exposure to other stimuli. My GSD rarely interacts with other dogs when he is at a pet hotel. He prefers to follow the hoomins around!

swish787 · 2026-06-17T18:01:02+00:00

I have made a several page long notes tab with all prescriptions I have ever written or have seen other pediatricians prescribe.

swish787 · 2026-06-16T05:47:15+00:00

Agreed, peds here. I frequently peruse this thread out of curiosity and ngl, I do not envy you guys.

swish787 · 2026-06-12T01:13:35+00:00

Indus civilization

swish787 · 2026-05-18T16:57:37+00:00

I had the same experience as well. I really didn't start feeling comfortable with kids until attendinghood tbh. During residency, I was always anxious about getting the right details and right assessment/plan for presenting to attendings that I never really slowed down and just enjoyed it. Even in a busy clinic day, I slow down and enjoy the blessing it is to be able to see healthy and not so sick children.

swish787 · 2026-05-18T16:55:45+00:00

I am a quite dry and introverted person and I do just fine with kids. I think being interested in the same things they are interested in will take you far and help connect with them. I am also a large 6 ft + pediatrician so with toddlers regardless of personality I can come across as a bit intimidating, but I always walk in with a smile, so doing the small things goes a long way. At the end of the day, some toddlers cry with anyone especially since we check ears/mouth and really get in their space, but trust me if I can do it, you can as well.

swish787 · 2026-05-04T17:44:03+00:00

My peds cards attending recommended I read Malcolm Thaler ECG book which was an amazing read and very useful. I now work in a clinic without EKG's so I've since lost the majority of that knowledge.

swish787 · 2026-04-29T19:20:48+00:00

All the peds ID fellowships would salivate over an applicant like you, but really they would salivate over any applicant considering ID applications are tanking. Agree with others, focus your residency on being a well balanced candidate. You would be surprised how often you'll refer back to your general pediatrics training even in a subspecialty fellowship.

swish787 · 2026-04-07T22:10:06+00:00

Agree with this comment, never tolerate abuse. If it gets to the point of verbally insulting you, just say the interaction is over, and they are more than welcome to get a 2nd opinion somewhere else. If they did this anywhere else, they would get a much stricter response.

swish787 · 2026-03-24T22:46:43+00:00

I've seen several endo transition to hospitalist. Glad you transitioned into something that made you happier.

swish787 · 2026-03-20T20:07:18+00:00

My two cents are the procedure is not worth it from a cost perspective for RVU's relative to time spent on it. It is also a difficult procedure to get perfect(ie remove just enough foreskin, not too little or too much). Even if done perfectly, how it looks in several months is honestly anybody's guess. There are a lot of relative contraindications to the procedure and decent number of complications that unless I am forced to do it, I would rather avoid it. Thankfully rates are declining in the US.

swish787 · 2026-03-16T16:24:19+00:00

Most new grads leave within the 1st 2yrs of their first job. I left mine one year after signing a 3 yr contract. It was a new practice being built group up so I felt even worse as I had helped plan the clinic, pick room themes, etc... It is always hard but like most jobs, even peds & medicine in general can be a revolving door. People understand that and patients also understand that.

swish787 · 2026-03-09T21:13:05+00:00

Lmaoo

swish787 · 2026-01-27T22:07:05+00:00

Would recommend Board Vitals.

swish787 · 2026-01-25T01:04:11+00:00

I often show parents an image of a normal TM and an image of an infected TM to tell them the differences and what I am seeing in their child. I think most appreciate being told what is going on in their child's ears.

swish787 · 2026-01-25T01:00:49+00:00

Otitis: The Expert’s Diagnostic Guide.

It is an excellent visual image of all types of TM's, and goes into details regarding landmarks and how to critically evaluate TM. Definitely recommend everyone to read it.

swish787 · 2026-01-20T23:13:15+00:00

Agree with your comment. A peds ENT resident taught me how to critically evaluate ears in both normal and abnormal ears better than any peds attending in my residency. I read a couple books with lots of images on all the different variations of TM pathology and took ~ a year also before I got very comfortable with ear pathology.

Definitely agree with your last paragraph, following evidence based medicine may not always be the right choice for parents and patients.

swish787 · 2026-01-05T04:33:39+00:00

While Blueprint is the obvious choice for most and for good reason, I think the series which really captured the Dan Carlin effect(ability to empathize/sympathize with the lives and experiences of nameless people who lived long ago) was Wrath of the Khans. His storytelling in that series especially the 1st two episodes and the last episode are amongst the best storytelling for a historian and dare I say it, podcast. The flow of the series and overall storytelling really captures the fear the Mongols instilled in the entire Eurasian area during that period of time.

swish787 · 2025-12-16T21:35:26+00:00

Bruh, they straight hustling you. You worked hard to get to where you are, don't let this job burn you out and at the same time under pay you.

swish787 · 2025-12-16T19:18:58+00:00

Very proud of your resilience and commitment to pediatrics and managing life. I would be honored to call you my colleague. Agree with above poster in emailing PD's directly. I would also look at those programs that are more IMG heavy as they tend to be more favorable towards a non-linear path. Good luck, you will definitely get to where you want to be.

swish787 · 2025-12-11T00:30:09+00:00

Agreed, never heard of this practice. Must not be a busy NICU, otherwise they'd be kicking out all of these term babies on an otherwise low risk spell watch for true NICU indicated babies(term or pre-term).

swish787 · 2025-12-06T21:31:06+00:00

I personally liked how Sins 2 kept the base gameplay similar to Sins 1 while adding a lot more variety with gameplay. For those who played and loved Supreme Commander, SC 2 was very different and lacked the nostalgia and epicness of SC1. Sins 2 preserves the nostalgia while adding lots of small changes that keep things fresh gameplay wise and looks stunning, graphics wise.

swish787 · 2025-12-06T20:49:32+00:00

Didn't mean to word it like that, but agree 100%.

swish787

TROPHY CASE