New rule at my hospital. What’s even the point of a primary team? Just admit all chest pain to the cardiologists, all the abdominal pain to the GIs, all of the coughs to Pulm. What are we even doing here?

Signed already overbooked/overpaneled FM resident who just clicked some buttons in Epic to assign himself PCP and routed the chart to the schedulers for new patient plus ED follow up visit on patient’s who have never been seen by our clinic who is now asking for forgiveness and not permission.

Apparently this is unhinged behavior.

My fiancé and I lived in the same town for the first 8 months we were together, and we’ve been long distance for about 3 years now while I’m in residency.

I recently got placed on a PIP at work, and that same day she told me that one of the main reasons she was willing to do long distance with me was because I’d eventually become an attending and there would be a payoff for all the sacrifice. She said she wouldn’t have done long distance otherwise and that basically any woman would feel the same way.

She also said she wished she had dated someone who was already more stable in their career and that she felt like she wasted her youth on me.

I get that career and financial stability matter in a relationship, especially when you’re sacrificing years to do long distance. But hearing that on the day I got put on a PIP felt pretty soul crushing.

Idk if any other residents have experienced this (doesn’t matter the gender). And I’m wondering how I should take it overall

Dude has the Zoomies!!!! He’s so efficient, going room to room on practically a skateboard. Also, he’s been really chillax lately for some reason. Says “Peace, Love, Dope” a lot. Does the hang-lose hand sign. I feel like he’s a different dude entirely anymore?

Psychiatry fellow here.

Was covering our jail unit over the weekend (rounding plus consults) which is part of the main medical center. First shift at this facility so not a whole lot is set up for me yet. I got a consult in the ED towards the end of my shift, saw the patient, gave them a call to discuss plan, and gave them my number to call back since I don’t have a pager. They let me know on epic chat the patient is medically cleared for psych admission. I submit admission orders and note and leave for the day.

Next day comes around and I’m chart checking to see what happened with the patient after admission. I open the Ed note and glance through to see if they said anything interesting. Scrolling through and realize they have documented my full name “Dr Beanix755, Psychiatrist called and recommend admission, (XXX) XXX-XXXX.

Once I see my phone number, I flip out and message them to get the number removed and call HIM to inform them of the issue. An hour later I get a message that it’s been removed and I double check that it’s been removed.

Am I crazy for being super paranoid about this? I’m planning to let my PD know and wondering if I should be doing anything else

I’m trying to figure out which medical specialties give you the most free time / best lifestyle.
I genuinely don’t care much about salary, prestige, or competitiveness. My #1 priority is having as much free time as possible outside of work. I also don’t have a strong specialty preference, I find pretty much every field interesting (except obgyn/peds)
Which specialties would you recommend if free time and work-life balance are basically the only things I care about? And which ones tend to have the easiest lifestyle both during and after residency?

I’m in my last year of FM residency but don’t have the will to carry on. The reward at the end of the tunnel seems like it’s more work that does not interest me. I am open to transferring residency into a PGY-2/3 spot in a different specialty or even starting over as as a PGY-1 if needed. I have a strong interest in a traditionally 4 year specialty (psych) but even with 2 years of residency under my belt, I’m tempted to open a solo practice focusing on one or two things and just seeing people for that. Reduced salary is ok as long as stress load is more manageable. I don’t mind hard work, but this is not the right field for me. 

I’m tired of the depth, breadth, and overwhelming number of things to coordinate in FM: e.g. octogenarian new patient who comes in with 10 issues who was recently hospitalized, has active acute severe hypertension, no idea what his/her meds are, and is roomed 10 minutes into the next patient’s visit so the clinic day is behind starting from the first patient. 

My PD seems to be supportive. I’m taking a break from residency due to stress overload, am in good standing otherwise, and just looking to see what my options are (and/or if I am crazy for even considering quitting with ~10 months left). After 2 years of seeing people across all ages of life and healthy/diseased states (young and old dying) I want to pursue a life where I think I can be happy. I fell into FM after med school and gave it my best shot. I’m at the point now where I want to jump ship to a different specialty and am willing to wait years if that’s what it takes to pursue a well lived life. I have skills, but the past two years has been a fish out of water situation. Any advice, encouragement, perspective…open pgy-2 psych spots?

Got an attending job offer, have been working on onboarding since April. Haven’t used any marijuana in a very long time. Then my kid got really sick, went to the ICU and almost died. They’re better now, but this weekend it feels like the ptsd and scariness of the situation really hit me so I took a few edibles for sleep and to help relieve the panic symptoms. Last yesterday. Got a call this morning about testing….. i’m so fucked. The timing could not be worse. They mentioned 24-48 hrs I should have gotten a benzo prescription instead.

I live in a legal state, but job is not in a legal state. What the fuck do I do? I’ve never been worried about taking drug tests, or screwing up. I’m pretty tight laced and a rule follower so I’m panicking. Help?? How do I delay? Do I just kiss this job goodbye?

Graduated PCCM fellowship this year.

I enjoy my work (and the compensation). But have been seriously considering pursuing a graduate degree in anthropology.

Studied it during undergrad years ago. A lot of my research/writing during residency and fellowship was in it as well (even though I never considered formally pursuing it). Now have had a change in heart.

Goal would be to have a dual appointment in a university’s medical and social science dept as well as pursue grant funded research in medical anthropology.

This would necessitate a PhD (4-6 years including field work). Am I being impractical given the sunk cost of holding up my professional career in medicine.

Would appreciate any advice/input. Thanks!

I’m an anesthesiology and critical care resident in Europe, and I’m almost at the end of my first year. I’m just wondering, does this ever get better?

Every time I feel like I’ve got things working well something happens and I’m back to feeling totally frustrated and pissed off.

My level of responsibility and authority fluctuates enormously every day. On Monday I’ll be doing ortho trauma with an attending who hands me the room, tells me I’m in charge, and tells me to call him if I really need help…and on Tuesday I’ll be in breast surgery with an attending who calls me an idiot in front of the entire room for aspirating fentanyl into a 5 ml syringe instead of a 3 ml syringe.

I’m getting paid about ten euros an hour, and it’s totally fair game to dump an extra case on me at the end of a twelve hour shift, deny me a lunch break, or ask me to deal with any number of organizational problems that are way beyond my pay grade.

I know I’m not bad clinically, I’m frequently called for tough cases that are not offered to other fist year residents, and I’ve consistently gotten good feedback on clinical decisions etc, but I still feel like I’m struggling with certain interpersonal interactions. I know a lot of old attendings like me, and I’m pretty sure several new ones really don’t.

Last week a new attending (about six months out of residency) screeched at me for moving the bed to a better position to ventilate during induction, and I was so upset by the humiliating way she acted in front of the room, and this week I just turned my brain off with her. I didn’t do anything I wasn’t explicitly asked to, didnt ask a question or point out any problems I saw because I was afraid to offend her again and get yelled at. Now she’s mad because I “wasn’t engaged enough”.

Im really not trying to have a bad attitude, I’m just trying to survive this without loosing my mind, but this residency is turning me angry.

Thru either true mistakes or through no fault of your own, patients can get hurt under your watch. How do you get over it? How do you stop it from eating away at you?

Do you feel intimidated by senior co-residents who constantly judge you?

Some are amazing, but some are just plain bossy.

How do you deal with it without letting it affect your confidence?

Drop your favorite epic dot phrase!!

Do attendings make more or less than the average resident? This dude looks like he’s in middle school when he shows up, does one of those kick flip things before he comes into the building

IM PGY-3 doing my neurology rotation. I'm with general neurology. Man I've never felt so dumb. Do I even deserve to graduate and become an independent hospitalist. Segmental myoclonus, thalamic aphasia, cpt enzyme deficenies. Did I even go to medical school and do almost 3 years of IM residency?

Second-year IM resident here. One attending responds to nearly every plan with, “What made you choose that?” or “What else could you have done?”

I assumed this was just his teaching style. Then my mid-rotation evalution said I “need to demonstrate more confidence in independent decisions.” That caught me off guard becuase I usually explain my reasoning, answer his questions, and adjust only when he points toward something I missed.

On other rotations I can tell the difference between teaching questions and actual correction. With him every exchange feels like an oral exam where the result stays secret. I am considering asking him to label concerns more directly, especially when a plan is acceptable but could be improved. At the same time, I do not want that request interpreted as resistance to being questioned.

Has anyone found a tactful way to ask for clearer signals before the final evaluation?

Hi I am in the last year in medical faculty in Cairo, I was thinking about having my internship in Sudan so I can go to Ireland with just the OET or in Saudi Arabia so I can work there and make good money then go to Ireland by PLAP and OET , what do you think is best choice having an internship in Sudan or in Saudi Arabia?

Could you please share your evaluations or experience so far as an intern ! I am feeling so dumb and sad looking at my evaluations

For example, I’ve heard of cards being the “gunners” and GI being the ortho bros of medicine

Y’all please get disability insurance while in residency. You never know what can happen and you want your income to be protected (especially if you have a family that relies on you).

Example - being a surgeon and developing a seizure disorder.

Why is general surgery so popular? Brutal residency, not so great lifestyle as an attending, mediocre pay (comparing to other 5-year long residencies)… so what’s appealing about it?

At an offsite location for a trauma rotation and witnessed the Attending trauma surgeon make fun of an intern in front of their face about a very small thing they did, to another attending. If that were me I would be calling it out as unprofessional. Where is the line in this situation? I’ve had attendings yell at me for not standing up for myself but then things like this happen and it’s with some extreme higher up that probably treats everyone like shit and no one pushes back on them. As the intern I feel like I would get my ass handed to me if I called out a trauma attending for unprofessional behavior. Seems like a lose lose situation.

Edit for grammar

I just became a surgical intern 1 month ago after more than a year of not being in the hospital settings. I’m a bit slow with getting things done when I’m on call alone but I make sure I get all my tasks done. Yesterday,i had 5 new admissions I had to do by myself and 3 of them were trauma patients. Although, the fast ultrasound was done for the patients,I forgot to document the negative findings for 2 patients. I feel so terrible because the attending got mad and my other co-interns took the fall for it (NB I wasn’t on rounds to present the patient).I’m afraid I’m being seen as incompetent and untrustworthy because I was the one who admitted the patients. I know everyone makes mistakes but I’m someone who overthinks a lot and assume people don’t make as much mistakes as I do.