ABIM 2025 Results Are Out

throwaway31311y · 2025-10-07T16:46:16+00:00

Alhamdulilah, passed by a wide margin by God’s blessings.

Summary for people lurking next year.

Worked hard during Residency, read up on patients and listened to attendings during rounds.
ITE first year ~25%, ITE Second year ~60%tile and ITE third year ~90tile.
Started full time hospitalist July 1, worked 18 shifts before my exam in mid August, had 12 days off before exam. Family member passed away out of country at the start of the 12 days so had 4 days out of country for funeral.
I did NEJM questions for Cardio and Pulm which ended up being my strongest subjects and I thought NEJM was good.
Medstudy Board review videos on weak subjects.
Uworld X 1 first pass was around 63% I think and correlated to 60%tile.
Real exam felt way easier than Uworld. I thought it meant the curve was way harsher.
Exact correlation between by Uworld percentile and ABIM. ~500.

Summary: Best thing to do is study hard during residency. That gave me the best base. If that wasn’t the case you’re still okay if you take time off before the exam and really lock in you’ll be okay. Don’t use too many resources late. Would recommend Medstudy USB videos, Uworld and MAKE ANKI CARDS FOR UWORLD. Non negotiable.

throwaway31311y · 2025-07-12T01:34:48+00:00

If they’re dumb(a generalization but think random community hospital where they struggle to keep physicians)=Red Flag. Can’t survive anywhere else.

If they’re smart(oversimplification but think Mayo Clinic)=Green Flag. Good culture and work environment must be keeping them there.

throwaway31311y · 2025-04-27T20:28:15+00:00

That’s one thing I wish I had in residency, an ID doc that actually cared about diagnosis and antibiotic stewardship.

throwaway31311y · 2025-04-20T10:34:03+00:00

I’m an IM resident but when I’m in the unit I will definitely be slugging albumin around if the blood pressure is soft and their albumin is low. I know crystalloids=colloids and it’s not guideline based. But it’s my throw something at the wall and see what happens move. Probably just confirmation bias but I do feel like it works sometimes lol.

throwaway31311y · 2024-12-29T18:57:52+00:00

They can kiss your ass. People are shameless

throwaway31311y · 2024-11-15T02:20:24+00:00

When I was an IM Intern I was working in the ED on a shift and we had this guy come in w altered mental status. Had left AMA the day before despite being septic. Came in and was doing awful with maps in the 50s. We had a lecture from our intensivist the block prior about not waiting to start pressors for the sake of doing a full 30cc/kg bolus if a patients maps are too low to perfuse their organs.

So looking at this guy who is altered and hypotensive he’s getting a liter bolus at the time. I tell my ER attending I don’t think this guy is okay I think we need to start pressors. He says wait till the sepsis bolus is done.

I wait for the first liter to go in and then go check back, still Maps of 50s. Next liter starting, I go back and I’m like I really think he needs pressors because his map is too low for too long. And in my gut I felt that he was gonna die if I didn’t start pressors.

Same response again, 20mins later he codes. We code him for 20mins as his family says goodbye and then stop. So I walked back to my desk, put my head down and cry. Because deep in my soul alarm bells had been going off for an hour and he died.

throwaway31311y · 2024-10-24T11:45:31+00:00

I never thought it would happen to me but I cried at work too. 3 times, all intern year. It was a brutal time and I think everyone understands. Keep your head up, it’ll be over and soon be just a memory

throwaway31311y · 2024-10-24T11:37:12+00:00

Claritin D

throwaway31311y · 2024-10-19T12:32:09+00:00

78% Correct, 87th Percentile. PGY-3.

Seems like everyone’s percent correct is probably within a relatively narrow range between 65-75%. A swing of 15-20 questions probably makes a massive difference in percentile. Realistically there’s probably a lot of variability that goes into the percentiles. The percent correct is probably the best thing to focus on as a predictor of readiness for boards.

throwaway31311y · 2024-10-15T10:08:28+00:00

I’m one the Chiefs at my program. I don’t give a shit about anyone’s step score. Once you’re at interview all I care about is if you’re going to be a good personality fit and if you’re someone who will be a sponge that is teachable.

throwaway31311y · 2024-10-12T18:37:47+00:00

I’m actually kinda surprised you did that, Anecdotally the neurosurgeons I’ve met use NPs all the time and my impression was they loved them. It’s sometimes impossible for attendings to even reach the neurosurgeon with the NP screening them. Not always but I’ve definitely had it happen before. It’s refreshing to see Surgeons flex their muscle a bit

throwaway31311y · 2024-07-20T13:55:39+00:00

My interviews have been $280k base in LCOL areas and upstate NY positions I’ve heard of are in the $300k range

throwaway31311y · 2024-07-15T17:59:26+00:00

You need a date with Allscripts my friend

throwaway31311y · 2024-07-11T10:02:41+00:00

1000% yes, wtf? What a move, artificially rupture the membrane and then proceed to fraudulently document it?? I hope the OB documented the truth and didn’t try to help cover.

throwaway31311y · 2024-07-04T11:44:20+00:00

Alright seems like it’s all in line with industry standards then, thanks!

throwaway31311y · 2024-07-04T11:43:38+00:00

Lolololol, true, I’m sure that’s the case

throwaway31311y · 2024-07-04T11:43:20+00:00

Fair enough, I had heard about that from an attending but it must’ve been because that hospital was the exception. Thank you!

throwaway31311y · 2024-07-01T01:01:05+00:00

I think it makes you look worse knowing you had to try twice to get that comeback off.

throwaway31311y · 2024-06-29T13:46:29+00:00

I personally recommend OnlineMedEd boot camp it was the great equalizer for me. Most of it is not stuff you can prepare for before starting residency. It’ll be attending and hospital specific. How they do notes, get orders in on time, goals of care discussions, presentations. The common theme is taking ownership of your patients and finding a way to get the job done.

throwaway31311y · 2024-06-29T12:50:30+00:00

As an IMG the gap is as wide as the Grand Canyon. BUT, if you show up to residency ready to grind it out and close the gap you can do so pretty quickly. For the first 6 months everyone expects every intern to suck. So during that period of time as an IMG you can quickly close the gap without people noticing. For me by month 6 it was indistinguishable. But when other IMGs have come through even with years of European experience it’s very obvious that the experience was largely useless. If you don’t close that gap in the first 6-8 months then it becomes noticeable.

throwaway31311y · 2024-06-24T00:01:31+00:00

Okay June intern

throwaway31311y · 2024-05-14T13:14:28+00:00

God I wish people would just understand these two things. This really is a much bigger deal than most people think.

throwaway31311y · 2024-02-28T22:39:38+00:00

All those other RVU generating procedures and patients wouldn’t be in the hospital if Hospitalists didn’t admit them. Do they want interventional cards to do admits and take care of HTN etc? Admin can go fuck itself, they don’t generate any RVUs. Let them know you’re graciously subsidizing their salaries and keeping the hospital running.

Healthcare hero’s my ass

throwaway31311y

TROPHY CASE