And why?

Being in a generalist specialty, I have good days but also days when I regret the lack of respect, having to consult other specialists often, and the ever growing evidence and guidelines becoming increasingly hard for a generalist to keep up with. Less frequently I also think about income and prestige. On the other hand, I can’t imagine myself in a hyper specialized area where I lose all that I have spent years learning.

Do these thoughts cross your mind? I am interested to know from both competitive and less competitive specialties.

Currently a radiology resident, and I am struggling to find motivation to study. Partly because I feel like I haven't found an effective method of studying.

I struggle when taking cases but am not sure the best way to improve. Struggling to retain/apply what I am reading. Any tips?

Mainly worried about the difficulty of a surgical residency.

Say you're taking care of obese patients and you refer them to somebody in their locality that offers a diet plan and workout regimen to help reduce weight. If you get kickbacks from those people, would that be considered an illegal kickback even if they're not technically medical providers?

I am currently in my third year of med school. I understand I have some time to decide but I already feel set with psychiatry. With my recent interest/experience with children, I am interested in child psych. I was looking into the integrated child/adolescent + adult psych programs but I have not heard of anyones experience in. I am curious how this would be different than just a general psych residency then 2 plus years to fellowship in child. Is it just 5 years integrated vs 6 years fellowship the only difference? Is there a point to be on such a fast track then? IDKKK

3rd year peds resident here graduating soon, planning on outpatient peds. I have about $70k saved up during residency and want to know whether I should put those towards loans (about $220k) or let that sit and invest? Not sure about PSLF with the current administration so don't want to put too much hope in that and no plan to buy a house right now

I don’t mean pop pseudosciences or anything like that, I also don’t mean a person’s idea of a “dying” field. I’m talking about real specialties that were considered medically legitimate and recognized by regulatory bodies that, for reasons like advancing technology or turf wars, no longer exist and are completely gone.

Perhaps there were independent fields under a prior name that got absorbed by another field, or perhaps the whole specialty got phased out with new technologies or practices. Were there residencies or fellowships that used to exist in relatively contemporary times (last 50-75 years) but not anymore?

Have any of you had this situation?

RN: patient wants to speak with a doctor

Resident: Okay, what about? Do they have a question?

RN: I didn’t ask

Resident: Could you please ask them?

RN: But they want to talk to a doctor

Resident: Yes, but it helps me to triage their concern when I know what it is about.

RN: But they want to talk to a doctor

… this repeats 2-3 more times

Resident: goes to see patient

Patient: What time is lunch? (Or something equally unrelated to their plan of care or that their doctor is not the right person to answer for them)

I have seen the nurses sometimes document “resident refused to see patient” or something similar if we don’t get there fast enough. The nurse not asking the patient about their question/concern seems potentially dangerous from a triage perspective, especially as we are often on call for multiple services or >100 in house patients.

Anyone have any strategies for handling this? Or any strategies for handling nurses/staff when you get into an infuriatingly circular conversation like this?

^ I’ve lost like 12ish lbs depending on the day and time that I couldn’t really afford to lose. I eat 3 decent meals, I probably need to try snacking more but I’ve roughly counted and I feel like I’m eating at least 2k calories a day. I know I’ve got tons of reasons to be losing weight, and I’m honestly trying to gain more but it’s like I can’t keep up with how hard I’m working... Jw if anyone experienced anything similar and if so if anything worked for them? Ty

Am I crazy for getting angry every time I see this signature? Not only is it disrespectful to your colleagues - I sure as shit won’t spend my time trying to untangle your ramblings - but it also does not exonerate you medicolegally, Mr Oh so busy you have no time to read your notes. Last time I found a note like this by a medical student, FFS 😂. Being on a surgical service, it seemed they have embodied the God complex. And no, I won’t “contact the author if [I] see any discrepancies”. While I will certainly do that for a humble colleague, I am sure as shit holding you to every word you spoke out of your divine mouth and felt too important to review.

Edit: A few people seem puzzled. I am referring to chart notes rather than just radiology. At my institution most specialties dictate.

/rant

I (female) have been dating a resident (male) for 5-6mos. He went out of his way at first but, while our relationship has perhaps gotten more serious (key to his place, met his friends, etc), he’s not made much of an effort and always says he’s tired and often checked out. I understand this when he’s working nights and more difficult rotations, but when he’s working 8-5 clinic rotations, it’s hard for me to be as understanding & not take it personal.

So tell me!… — What’s it like dating as a resident? — How can I be more supportive of him? — What would you need from a partner as a resident? (i.e. time alone to decompress, help with errands, etc. Open to ideas.) — Do you think these issues are residency related or “he’s just not that into you” related? — What’s worked for you in a relationship during residency? — Anything else you think I should know? I’m open to candid advice and opinions.

I want to be understanding while also staying in my worth.

Also— he has about 1 more year of residency. He means a lot to me, but I’d hate to put myself through this only to realize residency wasn’t really the problem.

Anyone into metal/metalcore? It's been hard finding anyone into this niche genre at my institution. Last resort is hanging out at the local punk arcade/dive bar but trying to avoid this 😂. Probably asking too much. Not sure why its so taboo to be into it now. Grew up on my chemical romance, green day and Mastodon but still into the fresh hardcore. If you're in the Midwest PM me and let's catch a concert! PGY-4 neurology.

Never heard an ortho complain about "seeing all injuries" or GI about "seeing all GI diseases" for example.

What makes "seeing all cancers" particularly more difficult

PCP job, New york city

4 days per week in office. 10 hour days including 1 hour lunch. 18 patients maximum per day with guaranteed 30 minute appointments.

283,500 base salary. ability to pick up extra shifts. no call coverage. 9 holidays off per year. good EMR that uses AI to help write notes.

good health benefits (med, dental, vision), 3 weeks PTO first year. 50,000 k sign on bonus. malpractice with tail.

Could you share your experiences with pregnancy and child birth during residency? Did you take a long break? How did it work out for you overall? Would you recommend planning for child birth during residency or later? Thanks in advance for your insights!

Pgy2 here looking at jobs... The jobs that seem to fit with my personality to most are all out west ( jobs that have a combination of inpatient / outpatient / emergency medicine). I'd be okay with doing low risk OB, but have less of an interest in this because all the OBs we work with are dicks.

The problem is I live on the East Coast and don't really feel like moving because of family. Would prefer working in Virginia, North carolina, South Carolina areas.

Is this a thing on the east coast? Kind of seems like it's not or you have to be grandfathered in to it.

Guys, i'm going to do an observership in Radiology, recent graduate but still haven't applied for residency yet (but i will in a couple of months)... What do i expect?

Reaching specifically to the guys who are R1 or R2 or any radiology residents ... What topics do i need to know, procedures and just general tips to ace the observership and get LOR inorder to get accepted..

Hey everyone. My family’s dog of 16 years passed away very recently. I’ve been having a difficult time coping with the loss, as he really was an integral part of our family and a very important part of my life/brought me a lot of joy over the years. I’m trying to not allow this to impact my work/performance as a resident and I’m hoping that work might be a good distraction, but it still does feel very heavy. Was wondering if others could speak to and share their experiences coping with the loss of their pet during residency/medical training and how they managed to get through those times, or anything that they found helpful during this process. Any advice is appreciated, thanks.

Is it possible to quit residency after intern year to explore other career options and then return later if you want to? How would you do this in a way that doesn't burn bridges? I'm not sure clinical medicine is for me, but I don't want to wait 2-4 more years either before exploring something else.

Good or bad. It just always catches me off guard. I usually just say thank you if it’s good and ignore it if it’s bad, but I really wish patients would just stop saying anything altogether, even if they mean well.

I’m in a hard surgical specialty and I’m newly single . I’m stressed out about making dating work as a resident in a tough and busy surgical subspecialty (think the people with the longest hours in the hospital ). Can anyone comment on their experiences on dating while in residency as a surgical resident (all surgical specialties and non surgical as well welcomed ).

So my team is 1 senior and 3 interns. We all started new rotation on floors today. Already got 20 patients on list. Each intern took 10 each( since 3rd intern is on night shift transition off). We are also the admitting long call team today, we got new admit now but both interns are capped at 10. Is the senior supposed to take this new admit or is the senior considered capped as well? Also trying to understand does 10 includes continuous/old patient or new patient/ ICU downgrade patients or how is it divided. Technically all 20 patients were new for our team today (including 1 overnight admit). Thank you

I came across something called JOMI Surgical Videos while looking for resources to help me prep for cases. It looks like they offer step by step videos of surgeries with explanations and animations, but I’ve never heard of it before.

Has anyone here used JOMI?

• Is it reliable for learning surgical techniques?
• Does it actually help with OR prep, or is it more for general knowledge?
• Are there specific videos or specialties they do really well?

Would love to hear your thoughts if you’ve tried it or if you have other recommendations for surgical resources

Happy Thanksgiving to everyone 😊have a wonderful day with your family and friends . i wish you all the best one 😃have fun 🤩

Hello guys. I made a rotation in a small psyquiatric clinic with an internal medicine doctor. Is this letter worth it?

Howdy,

I'm just curious what setups others are using for your young puppies during residency ideally, if you are single.

I only have to work 1-2wks /mo in my final year. My 16wk. dog sleeps through the night in his kennel, but a puppy pen may be nicer so he can drink/potty on a potty pad. Maybe daycare in the future, but he sleeps so much now, it doesn't seem financially smart.

I’m a PGY1 and recently completed an ICU rotation. My feedback was overwhelmingly positive, and my supervising preceptor even made a comment on my final about how well I worked with nursing/allied health; I got positive feedback directly from nursing and allied health as well.

I just got a separate eval from a staff I worked with for a few days and he said I was very strong clinically but he said I should “be nicer and more positive when interacting with nursing and allied health” - I was pretty taken aback by this, since I’ve never received feedback like this before. I was never unprofessional, never raised my voice, and was never rude - granted I am direct and to the point in my communication, but as a young female resident I find that’s the only way I’m taken seriously (and my background is as an ICU nurse, so I have seen the politics of nurse/resident interactions on both sides). Just wondering if others out there have received this feedback and how you addressed it/changed your practice (if at all)? Thanks in advance!

Two months ago, I was hating my life and obgyn. I felt ignored, othered, and unheard. My voice/opinion didn’t matter. I wasn’t connecting with my co-residents. I cried often. I felt myself falling into clinically depression.

Now, two months later, nothing really changed I just don’t give a fuck about finding my place in the program 😁

I’m better off for it. I gave myself until the end of December to determine whether I’d stick with this program and obgyn, and now that I can tolerate it I’m torn. Are things getting better like everyone swears? Or have I just withdrawn from giving a damn so much that now it’s tolerable? Is this the natural emotional progression of intern year?

Anyway, how are we surviving fam?