Hi everyone! I'm debating whether to choose rads or psych for my residency in Spain. I just finished medicine (I studied in Spain so keep that in mind) and I could go into either. I know programs in the US are very different from the ones here, but would you say there's a lot more studying after hours (at home, in your own time) in rads? I was hoping I could pick up most of the important stuff while working at the hospital (we finish our degree with a basic knowledge on every specialty), but everyone seems to mention the great deal of self-studying rads requires. I've tried to look up the same info on psych but I haven't been able to find anything valuable.

For context, psych was always my favorite during med school, my only issue is I didn't get any real exposure due to covid and I'm kind of scared of certain (acute) situations that might arise in the field. The psychiatric patient is very particular/special in its own way as I think we all know. I also don't see it as secure/stable as rads could be after residency (as in easier to find a well paying job). Emotional burnout is also one of my concerns. When it comes to rads, I'm really not that interested, I just consider it because it's supposed to have great work life balance and I'm really into tech (normal tech, that is). Looking at images doesn't sound half bad, but I don't like that it encompasses the entirety of medicine (tbh I've only enjoyed certain aspects of it, which are especially the ones rads doesn't deal with as much). Night shift seems to be hell here as well, so that also doesn't look appealing.

For further context, Derm was my first choice but it's just too competitive here as well, I tried and failed miserably. I also thought about anesthesiology, ophthalmology or even endocrinology, but discarded them due to emergencies, surgery, and IM-related, respectively. I don't see myself in surgery and I don't wanna be in stressful situations. I saw people on here recommend Pathology but that's just not really a very good path in Spain (imo). I value my time outside of medicine very much. I'm very aware I'll have to keep studying anywhere I go, I just don't wanna choose a specialty where that will occupy most of my free time and it's indispensable just to survive in it.

Any advice is more than welcome as I'm super lost. I'm planning on going to hospitals and ask to see what they do on a day to day basis to get a better picture, but I don't expect they'll let me stay more than 1-2 days in each service.

I'm an anesthesiology resident (does anesthesia resident mean the same?). All the anesthesiologists (attendings + residents) are really helpful. All but one. That frigid bitch.

She's nasty. I knew about her attitude before meeting her. But I've been through way worst people than her. Seriously, if she wanna top my list of nasty colleagues, she needs to do better than that. But not everybody can bear her cause she can be unbearable. She's rude, arrogant (and I believe a little lunatic). Once she told me "why are you looking at me like an idiot and not connect the ECG and put a vein?". That was my day 2 in residency.

There's a colleague (resident) who's having a hard time with her. She finds everything to be problematic. I think that nobody likes her, but everybody has to find a way of just ignoring her. He hasn't. She was just screaming on him (for no reason, it's her default voice, probably she was born that way). I found him crying on the bathroom. When you hear noise, it's her. She's even mean with patients.

So when she started her mental crisis again against him, I stood up for him (somebody had to do the start I suppose). I told her that this is no way to treat anybody, colleague or not. And she became aggressive towards me and asked why I interfere. Because I don't tolerate bullying I replied. And then she remembered how bullied she got as a resident and that she was greatful for being bullied because that meant that her attending was interested to show her things. I said that her PTSD is her therapist's problem not ours and that in 2025 we're better than that and we don't justify bullying.

I guess she hates me more than her baseline hatred for humanity, but at least I did what it had to be done.

Front temporal dementia elderly female patient grabbed my ass in clinic and giggled. Wtf.

I’m a straight dude so don’t really give a fuck but still kinda felt disrespected.

I’m a PGY2 in a competitive surgical subspecialty program. Recently started dating this woman who’s a pediatrics resident. She’s wonderful and I love spending time with her, but I find myself getting very annoyed when the topic of work/residency comes up. She has always been extremely supportive and empathetic of the demands of residency, but I get frustrated when I ask how her day was and she sometimes talks about about how busy her day was admitting patients, rounding, speaking with families etc. It’s not that I think peds/medicine residents have it way easier than surgery residents or that I think I’m better than her, but I find myself getting annoyed that I’m pulling 90-100+ hour weeks routinely juggling the OR, consults, and floor while I know her hours and workload haven’t been nearly as bad. I used to think it would be great to be with someone in medicine no matter the field, but I’m starting to think only a surgeon could truly understand what this feels like. I’m aware that this is a terrible way to think, but I’m just not sure how to get past it. I can’t even talk to her about it, because it sounds ridiculous even to myself as I’m typing this out. Guess I’m just looking for any advice and/or for anyone to drill some sense into me.

Anybody take a year off after residency and before fellowship to just work a normal doctor job (hospitalist or in a clinic) to catch your breath? Did it hurt your apps in anyway? Pros and cons?

I have heard so many different things if a central line can't be placed at the moment. Anywhere from 30-50 cc per hr max? Does this change if a midline is present? Can we bolus hypertonic through a peripheral?

IM intern Man I just want to vent due to my obnoxious PGY2 who keeps reminding me that i was the last one who was taken to the program and it was only due to having the step 3 . Like bro …. why do you feel the need to say this information not once but a few time in random non the less in front of students and other interns . Just let me be a god- damn intern and let me work. It hard enough to be 12 hours every day , presentation and the ever day task of paperwork just to be reminded that basically “ you are lucky , thats all” . Bro did i ask you ?

Is there anybody got green card based on his paper reviews? Appreciate your reply, thank you!

Honestly just annoyed and feeling like I'm not getting paid enough for this.

I was on-call overnight last week and had to examine an 80+ y/o woman with dementia who was experiencing severe SOB and clutching her chest and wailing about chest pain, so my attending was like well we gotta do it with physical restraints if necessary. She had indicated not 5 min before that she would let me do so and I had several nurses helping me. Anyway she got very agitated unexpectedly and ended up kicking me medially in the knee 🫠 it really hurt and three days later I still can't move it properly. I had to cancel a trip bc it hurts too much to drive :(

I went to the doctor responsible for these types of incidents so that's all taken care of, I'll have to get an MRI if it's not better by next week 🙃

However no one from my program has asked how I am after I mentioned during handover that I was injured by a patient except for teasing me for getting whacked by an 80+ year old (I KNOW I am embarrassed but it still hurt 😩). Am I crazy for expecting someone to at least ask me how I'm doing??? I feel ridiculous.... like I'm not being extra and I do plan to work completely as scheduled next week so 😩😭

so my program just shut down and we are required to find another spot and transfer after june 30th. my program is saying we have to complete the year.

IF I FIND A SPOT EARLIER , can the accepting program get in touch with acgme and get my funding transferred asap or do i have to wait it out? it’s called the CMS displaced resident rule .

can a pd/apd tell me if this is a possibility?

EDIT: many people are responding that i can find a better spot. what im asking is, can i move right now if my program is closing in july? Can the accepting program push acgme to transfer my funding to them even though my current program is open till july?

How to decide between the two?

Rapidly approaching graduation, and although I’m doing a fellowship I just need to hear how life really does get better after training 🥹🙏🏽

I'm 8 months into my IM intern year and we have yet to receive mksap. I'm doing fairly ok in regards to efficiency and clinical acumen/sharpness but academically I've plateaued.

Everyone is extremely frustrated, attendings are hinting that we should know certain things, which illicits negative effects... almost like we are set for failure. I get it our learning is our prerogative, but having mksap keeps us current and in line with the ABIM curriculum.

Also, I need structure to study which mksap provides. Studying for usmle, uworld provided that structure, that normally I'd supplement with YouTube videos.

What free*(bcuz poor) alternatives do u guys suggest for the time being?

I believe some government sites/pages that were referenced by doctors (I'm not a doctor but have friends that are and they were complaining that they couldn't reference some sites) have been taken down. If you want to still access them, albeit they won't be updated anymore, you can use a site called internetarchive to bring up older versions of any website. Not sure if this is actually helpful as I don't specifically know anything medical related, but if you knew the link previously to what you were trying to access it might help.

If it's not helpful at all, well I tried.

I dont actually know what a “feb intern” means but i do know that i am disappointing my attendings and colleagues and myself. I dont know medical knowledge, i will read through things and forget pathophysiology hours later. Please give me advice, im desperate here. I can do the job, im reliable, im honest, and they can depend on me, which is why its so sad when during rounds they ask me something obvious and i dont know the physiology behind it.

Well it’s that time of year again where you officially know how to do intern shit. You can check in and out of patient care mode with ease and grace. People have learned not to fuck with you and your shit lists overflow with the names of your colleagues and coworkers who have dared to question your decision making.

You are battle-worn, running on a mixture of caffeine and spite, waiting in the charting area for a crisis worthy of your skills, desperately chipping away at your deluge of documentation like a cross between a tweaker, Dr. House, and feral cats.

The nurses? They know. They page you with sweat pouring from their anxious palms about colace at 3am. The fear of being just another name on the shit list is palpable.

You are no longer sweet summer children. You are February interns. And we salute you.

Apparently he owns the largest remediation companies in the US and CA well…he said he was going to buy a plantation and buy me…

It always bums me out when, after finishing a rotation, I find out that people wrote negative evaluations about me, even though they told me I was doing great in person. I hope that one day, I can grow into a senior where I can support interns in improving, so I don’t have to write negative feedback while pretending everything’s fine. If you are a senior please help your interns grow! Thanks

Fm resident in icu. I hate it here. Feel like I shouldn't be a doctor.

In light of the recent changes with the US government scrubbing vital guideline resources from the Internet. In your specialty, what are some alternative websites/documents/apps that you can share that will be helpful for all of us to provide good patient care in this new environment.

Being so intertwined in medicine, I think about my mortality a lot and the ways I’m contributing to my own demise. So I always wonder, do other physicians think of how they’re most likely going to die? For example, while I’m thin, I never exercise. So I can imagine later on in life being really frail and having falls, broken fracture, etc. High cholesterol also runs in my family so I wonder if I may also succumb to an MI at one point. And if it’s cancer that takes me, chemo will kill me because of my frailty.

What is the scope for cardiac imaging specialization after doing a cards fellowship, as opposed to something like intervention or heart failure or structural or EP? Pros vs cons? Is it worth spending an extra year after three years of cardiology? (Asking about the extra fellowship not the imaging boards which i know you can take during gen card fellowship)

Hey everyone, I'm an IM resident in California who's here on a J1 visa. I've read it on multiple posts that moonlighting isn't allowed if someone’s on J1. Does anybody know of anyone who has done moonlighting (internally - which I think is working outside of your resident schedule in the same hospital, same IM program)? Please share your thoughts! Recs very much appreciated.

is the increasing dependence on diagnostic tools undermining the importance of traditional clinical examination skills in the field of medicine?

Why. Just why. I swear that overnight psychiatric nurses genuinely view their job as asking about every symptom just so they can ask MD for more overnight PRN orders. These are medically stable patients, how is it they have more symptoms than actually sick patients?? And no, it’s not always the somatically preoccupied anxious patients, it is the nurses because when I go talk to the patients half the time they don’t even want the PRN.

Not to mention the nurses absolutely lack any medical knowledge or insight at all. No, foul urine and no other symptoms is not a UTI. No, the patient with a negative flu test yesterday and only symptom is nasal congestion does not have the flu. And no, when you tell me the patient you just gave their nightly ambien and oxy PRN to isn’t responding, the thing I am concerned about is NOT the timing of their Tylenol PRN. Shut up.

I cannot even fathom how bad it is on other services where there are more patients and even more nurses. But I hope they’re at least slightly more knowledgeable.

And yes, I know they’re not all like this and I should respect their opinion and experience. My mom was a nurse. I get it. But I’m on my last day of night float and I’m pulling my hair out.

Rant over.

feel like I'm being reprimanded for reporting a safety incident that resulted in (hopefully transient) loss of function of my patient's hand

we were blown off by a surgical consult service for over a week up until shit hit the fan, she's post-op now and slowly recovering but I filed a safety and advocacy report, and now admin are down my throat.

long story short, from our team's perspective our patient's inpatient care was delayed due to her insurance status and some social issues, the right thing way done far too late in terms of surgical intervention. my mistake was jumping the gun to report it in a way that forced admin to get involved. dont regret what i did but i know i've could've handled it better.

anyone have experience in something like this? now my name is on a list and I have had to discuss with admin, i'm hoping it blows over quickly

I love surgery. I love everything about it from preop management all the way to discharge… I can no longer tolerate the people in surgery. Nauseating personalities, narcissistic characters with disgustingly inflated egos… they thing they are the only functional specialty in the entire planet and everyone else is stupid… I hate the personalities, I hate the unspoken “rules” the toxicity and the gossip… the constant pressure to violate ACGME rules and lying to hide it… everything about the specialty is appealing and commendable, however, most (not all) of the personalities in surgery make it very difficult to enjoy it… I wish we could protest nationwide this toxic and deranged structure and culture in this field. It could be so much better if we were for each other and not against each other… what a shi*tttt show

Hi Guys,

Do you have any ideas besides Moonlighting? I am PGY3, and I am not allowed to moonlight in my program. Does anyone know what I can do?

I need to move to another state for fellowship and am struggling financially.

I appreciate any info you can provide.

Applications I use on my phone DAILY as an OBGYN resident for life saving patient care.

THIS WEEK, I pulled up the STI app on my phone for a 15 year old who is in her 3rd trimester (pregnancy was of course secondary to a sexual assault) after she tested positive with chlamydia. I used the app in front of a clearly traumatized patient and her mother to let them know what med(s) were safe to use in pregnancy.

I used the MEC app YESTERDAY to answer questions for a pre op patient with tons of medical co morbidies + chronic pelvic pain who wanted reassurance that her decision to get an IUD under anesthesia was a safe/she was a good candidate medically.

And now there’s an NY obgyn being criminally indicted for prescribing abortion pills in Louisiana?

I don’t know what to say at this point because just putting our head down to just work isn’t the answer (looking at you ACOG). I fully believe it is no longer safe to be an OBGYN in the vast majority of this country. We all know what is coming next…

(Edited for clarity)

this has been answered separately in many threads but can’t find a consolidated list of answers. how many hours are yall spending in clinic / hospital vs studying / didactics on an average week. thank you.