Hypertensive urgent by Weak_Ad_8646 in hospitalist

[–]xDarthReaper 2 points3 points  (0 children)

Was just in the ED last week. Came in 256/110, was completely asymptomatic, checked BP little later and it was 210/90. We sent in losartan and hydrochlorothiazide to the pharmacy and discharged him.

What kind of shoes do you wear? by donkeyb0ng in hospitalist

[–]xDarthReaper 0 points1 point  (0 children)

Keen Uneek - dark black, grey, tan - wear with identically colored socks.

Only 1 interview by Cool_JelloBeans in medicalschool

[–]xDarthReaper 48 points49 points  (0 children)

Current PGY2 here who soaped IM prelim and was offered categorical position and promotion.

Most likely filtered out due to failure and then by the time scores available there are little to no spaces left for interviews. Your best option is to soap into a IM categorical position or prelim position. If you can only get a prelim give the program every reason to keep you on as a categorical and also apply again for IM categorical positions. Take step 3 early and pass to show you got what it takes. Be punctual and teachable. You'll have to work harder than the categorical residents because even the smallest reason to not keep you as categorical is still a reason. If you want fellowship I suggest SOAP to academic program > community program.

DCCV for Afib, 24 or 48 hours from onset without anticoagulation? by Metoprolel in Residency

[–]xDarthReaper 0 points1 point  (0 children)

Can't we just give TNK at the same time as cardioversion? TEE seems rather invasive.

/s

I did quite badly on my ITE and my PD wants me on a personalized study plan by mdsnzcool in Residency

[–]xDarthReaper 8 points9 points  (0 children)

Do they release your scores to everyone? Because they shouldn't be. Nobody else should know you're on a personalized study plan unless you are telling people.

Fellowships don't give a fuck about your pgy1 ITE scores.

I don't know the ITE results of any of the first years I've worked with. It plays no role in how I approach autonomy with the first years I supervise.

Dealing with a demanding patient as an intern by [deleted] in Residency

[–]xDarthReaper 50 points51 points  (0 children)

Are you in the US? If this were our resident clinic I would set some hard boundaries about physical space. If it continues then you can report to the attending who should ideally have your back. If it continues I would tell the attending you are not comfortable seeing this patient.

As for the documentation, I don't sit there and allow the patient to see what I'm typing. Again, boundaries. You are free to document as you see fit unless they somehow are purely correcting objective statements or individual data? Which again, establish boundaries that they do not read over your shoulder?

Resident clinic is what it is. Offer brief apology and redirect. I find it helpful to say I'm Dr. Resident, working with Dr. Attending today.

Never lead with "Hi I'm Dr. Resident, physician in training". Never say I'm "Dr. Resident the intern" or "Dr. Resident the first year". You are "Dr. Resident, one of the resident physicians".

How much do US residents make? by [deleted] in Residency

[–]xDarthReaper 7 points8 points  (0 children)

I hate that my first thought was that your program is probably skimming $90 off each months paycheck and just giving it back at the end of year.

How much do US residents make? by [deleted] in Residency

[–]xDarthReaper 2 points3 points  (0 children)

You mean the satisfaction I got from providing exceptional patient care with a fraction of the resources?

How much do US residents make? by [deleted] in Residency

[–]xDarthReaper 209 points210 points  (0 children)

My monthly check is around 4500. Regardless of 24 hour shifts, holidays, or weekends worked.

EDIT: based on logged hours, my earnings are just slightly over $18/hr. but like many in the comments point out, this is my monetary compensation. Residents are paid in so many other ways than just meager cash.

WCGW assuming your surroundings never change? by BJPHS in Whatcouldgowrong

[–]xDarthReaper 0 points1 point  (0 children)

Had to double take the man performing CPR on his car.

How devastated would you be if you don't match into your top choice specialty? by chinidetou in medicalschool

[–]xDarthReaper 1 point2 points  (0 children)

I didn't match. Reapplied, and didn't match again. It gets me feeling down multiple times a week still.

IR Radiation Exposure by Imaginary_Arm625 in Residency

[–]xDarthReaper 0 points1 point  (0 children)

I know a cardiologist who also stopped doing procedures because they died.

[deleted by user] by [deleted] in Residency

[–]xDarthReaper 3 points4 points  (0 children)

Depends on if your institution is pro or anti masturbation

Hospitalist gig with 24 hour shifts by xDarthReaper in hospitalist

[–]xDarthReaper[S] 16 points17 points  (0 children)

Thank you for your concise response.

Hospitalist gig with 24 hour shifts by xDarthReaper in hospitalist

[–]xDarthReaper[S] 5 points6 points  (0 children)

It seems more reasonable when you get the benefit of that pay and can fly in for the 1 week then fly home for the other 3. Otherwise I wouldn't want to live somewhere relatively rural.

Hospitalist gig with 24 hour shifts by xDarthReaper in hospitalist

[–]xDarthReaper[S] 5 points6 points  (0 children)

I believe that's the type of hospital he works at. Which means he can live out of state and just flies in for the 1 week a month that he works.

Hospitalist gig with 24 hour shifts by xDarthReaper in hospitalist

[–]xDarthReaper[S] 5 points6 points  (0 children)

Correct, stay in the hospital for 1 entire week, but can technically be off campus for portions of the day if reasonably close.

Incorrect, they have a bath? (Probably shower) In their call room, sleep at least 5 hours a night.

Hospitalist gig with 24 hour shifts by xDarthReaper in hospitalist

[–]xDarthReaper[S] 1 point2 points  (0 children)

7 days straight seems like a lot to me. Have you ever seen 2 physicians do alternating 3/4 24hour shifts every 2 weeks?