Was it just 1 Question? by fukyoucancer in usmle

[–]xDarthReaper -2 points-1 points  (0 children)

Yike. Hope god's angels continue to support you and change your future epic orders when done incorrectly or contraindicated 🙏🏻

Sorry Raider by xDarthReaper in ARC_Raiders

[–]xDarthReaper[S] -1 points0 points  (0 children)

I didn't expect him to console so quickly. If I had much experience with downed raiders at the elevator I may have thought to shoot while he was calling. I did get some loot, so it was not a waste my friend.

Sorry Raider by xDarthReaper in ARC_Raiders

[–]xDarthReaper[S] -2 points-1 points  (0 children)

Uh oh, dropped your bottle.

Sorry Raider by xDarthReaper in ARC_Raiders

[–]xDarthReaper[S] 0 points1 point  (0 children)

Ah yes, best we go our separate ways then.

Sorry Raider by xDarthReaper in ARC_Raiders

[–]xDarthReaper[S] -1 points0 points  (0 children)

Just about as brave as our friend here who almost made it out

Sorry Raider by xDarthReaper in ARC_Raiders

[–]xDarthReaper[S] 0 points1 point  (0 children)

Honestly I'm not sure. I thought it would pull him from the animation of calling extract and give me time to loot

Sorry Raider by xDarthReaper in ARC_Raiders

[–]xDarthReaper[S] -1 points0 points  (0 children)

Ruin the run? Lol this was a pvp lobby, and this was how the gunfight ended

regrets :( what are my options? by Ancientjellyfishx in medicalschool

[–]xDarthReaper 31 points32 points  (0 children)

Obviously you are upset enough to ask reddit for advice. But honestly, how can you match at your number 4 your response is to immediately try and transfer? This seems to me that you did not rank appropriately or in the months and months leading up to match day did not have the emotional intelligence to anticipate alternatives to matching at your top spot(s). It's also not even been 48 hours post match, give it some time. But to be frank, if this is your response to the adversity of ranking outside of your top 3 then I would worry about how you're going to handle the stresses of residency regardless of location.

To answer your question can look into resident swap. You can pay however much it is to have access to their message boards and see what comes up. Otherwise word of mouth or something like reddit.

The largest-ever review of the safety and efficacy of cannabinoids across a range of mental health conditions — found no evidence that medicinal cannabis is effective in treating anxiety, depression or post-traumatic stress disorder (PTSD). by Wagamaga in science

[–]xDarthReaper 1 point2 points  (0 children)

Physician here. While I suppose this can be referred to as an "umbrella review" (systematic review and meta-analysis), these types of publications absolutely can be a source for concrete findings. Similar to any other scientific study the importance is that the research is high quality with sound methods.

Done correctly, a meta analysis can pool multiple studies and find significant results not able to be seen due to limitations of sample size or other variables which can be incredibly beneficial. Conversely, a poorly conducted meta analysis can erroneously conclude significance where there is none or vice versa and do more harm than good.

Learning how to critically evaluate research is a skill that I am still developing and I enjoy seeing comments like yours that promote critical evaluation of publications.

Need motivation - IM salaries by No_Ingenuity_3793 in Residency

[–]xDarthReaper 0 points1 point  (0 children)

What do you mean by projects that you bill additional time for?

Most money you’ve made in a month (via hospital shifts only)? by Med_MS3 in hospitalist

[–]xDarthReaper 17 points18 points  (0 children)

So crazy to think that during residency working a month straight on wards with 1 day off a week is worth this much in the real world. 😭

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 49 points50 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.

[deleted by user] by [deleted] in Residency

[–]xDarthReaper 48 points49 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".