▲ 52 r/Noctor

The reason scope creep has gone so far is because of preserving interpersonal relationships (imo)

This is my take, but I've noticed this in myself but in friends and others. But when you are MD is dating a NP/PA and they sort of believe in this hogwash or know people that do you sort of have to moderate a little bit to preserve interpersonal but also working relationships. Also lot of these nurses seem to really believe in nursing theory and believe in their modality of caring or whatever that is an alternative fact/truth to like medical care. Its like an entire ecosystem I feel like you can see when you see all these textbooks written by DNP/NPs or whatever that advocate strongly for the nursing part or whatever. Just spitballing my thoughts, curious what others think

reddit.com
u/Efficient_Equal6467 — 8 days ago

How to stop gaining weight during stressful periods of my life

Does anyone have any thoughts on this? Should I calorie count. I don't get it, I just seem to gain weight when I am in a stressful rotation or like studying for step exams. I just wanna stay fit. I lift a good amount so my muscle is still there but my abs aren't as visible as they use to be. But overall, i seem to go thru these cycles where i gain a couple lbs when stressed. Its not a crazy amt of weight, but a couple lbs here and there maybe some shorts/pants won't fit as well but still are fine

reddit.com
u/Efficient_Equal6467 — 1 month ago

Ended a 2-month relationship with uBPD partner abruptly, struggling with lack of closure

Only 2 months in, she blew up over something minor and started splitting, and I ended it then and there and blocked her. I was burning out from managing the constant emotional swings. I was basically her therapist making decisions for her and losing my mind. When she was good to me I felt like I was on heaven but when she turned bad it was a massive headache to reassure and get her back on her good side. But because it ended mid-episode, there was no real conversation, no closure. I guess I am struggling with that now. Why did I spend 2 months developing a bond with such an unstable person. I wish there was a clean break, some sort of conversation and then we went our seperate ways instead of it was this.

reddit.com
u/Efficient_Equal6467 — 2 months ago

How to stop getting distracted between my 50 minute study sessions?

Any tips ya'll? Studying for these exams and I do 50 minutes of studying then 10-20 minutes break time in between. The issue for what's happening is that I end up taking break too long and watching dumb bs on youtube or disney plus and sort of get distracted for a hour. This is too much time to lose. Ideally, I do 50 minutes on, then 10-20 minute break then lock back in and do that the entire day. Any solutions? What are activities I should do in these breaks that will help me feel recovered enough to lock back in again for another 50 minutes

reddit.com
u/Efficient_Equal6467 — 2 months ago
▲ 2 r/Sekiro

Games similar to sekiro?

Big fan of sekiro, beat the game, looking for combat system that feels as satisfying as sekiro just love hitting all those parries

have played fromsoftware games b4 as well

reddit.com
u/Efficient_Equal6467 — 3 months ago
▲ 7 r/Step2

High Yield Step 2 Divine Intervention Episode List

Is there any spreadsheet out there for this where we all in a hive mind sort of settle on the best divine intervnetion episodes to listen too. alternatively, people can make comments here and I can collect it as I make a spreadsheet and then make a seperate post and post it there

This is master list I have assembled so far, any additions?

https://preview.redd.it/uklvz4bvoggh1.png?width=477&format=png&auto=webp&s=692755f9c0c8d8caa0d27e39968a3daa45b721f3

26 USMLE Radiology
29 3rd Year Medicine Shelf Review Part 1
30 Comprehensive Medicine Shelf Review Session 2
31 Comprehensive Medicine Shelf Review. Session 3
32 Comprehensive Medicine Shelf Review Session 4
36 USMLE Ophthalmology
37 Risk Factors, Preventive Medicine, and Screening Guidelines
41 USMLE Antibiotic Guide
65 Ventilator Physiology For The USMLEs (an overview)
94 USMLE Step 2CK Rapid Review Series 1 (Peds)
95 USMLE Step 2CK Rapid Review Series 2 (Peds)
97 The “Most Important” Podcast (USMLEs)
100 The “Clutch” Micro Podcast
102 The “Clutch” Cancer Podcast
104 ACLS, Arrhythmias, and HY Cardiac Pharm
111 The “Clutch” Pharmacology Podcast Round 1
112 The “Clutch” Pharmacology Podcast Round 2
119 USMLE Step 2CK Rapid Review Series 3 (IM)
120 USMLE Step 2CK Rapid Review Series 4 (IM/Peds)
121 USMLE Step 2CK Rapid Review Series 5 (IM/Peds)
123 USMLE Ethics Series 1
125 USMLE Step 2CK Rapid Review Series 6 (IM)
126 USMLE Step 2CK Rapid Review Series 7 (IM)
127 USMLE Step 2CK Rapid Review Series 8 (OBGYN)
128 USMLE Step 2CK Rapid Review Series 9 (IM) and a small update on the newer Step 2CK Questions
130 USMLE Step 2CK Rapid Review Series 10 (Peds)
131 USMLE Step 2CK Rapid Review Series 11 (OB, Psych, IM, Neuro)
132 The Floridly High Yield USMLE Social Sciences Review (For Step 2CK, Step 3, and maybe Step 1)
134 USMLE Step 2CK Rapid Review Series 12 (IM-Cardiology)
135 The “Clutch” Electrolyte Podcast
137 Next Best Step In Management Series 1
138 The Clutch Genetic Diseases Podcast (especially for Step 2CK and Step 1) + Some Thoughts on The New 2CK Exam
141 USMLE Step 2CK Rapid Review Series 13 (IM)
143 The Clutch Biostats Review (Comprehensive for all the USMLE exams)
145 USMLE Step 2CK Rapid Review Series 14 (Surgery)
153 USMLE Step 2CK Rapid Review Series 15 (Surgery)
156 USMLE Step 2CK Rapid Review Series 16 (OBGYN)
158 USMLE Step 2CK Rapid Review Series 17 (Surgery)
159 USMLE Step 2CK Rapid Review Series 18 (IM)
161 The Clutch Auto-antibody Podcast
163 USMLE Step 2CK Rapid Review Series 19 (Surgery, Abdomen)
164 The Clutch Toxicology Podcast (Drugs of abuse, overdose, withdrawal, toxidromes)
166 USMLE Step 2CK Rapid Review Series 20 (Psych)
167 USMLE Step 2CK Rapid Review Series 21 (Cardio)
173 The Clutch Immunodeficiency Diseases Podcast (HY for all USMLE exams, especially 2CK)!
174 USMLE Step 2CK Rapid Review Series 22 (IM)
175 USMLE Step 2CK Rapid Review Series 23 (Psych)
177 USMLE Step 2CK Rapid Review Series 24 (OGBYN)
180 Hematology For The Surgery Shelf Exam
181 Comprehensive NBME Emergency Medicine Shelf Review Series 1
182 Comprehensive NBME Emergency Medicine Shelf Review Series 2
183 Comprehensive NBME Emergency Medicine Shelf Review Series 3
184 The NBME Weird (Complications, Prognostics, More Risk Factors/Common Causes of Death/Screenings). An Episode 37/97 Extension
187 USMLE Step 2CK Rapid Review Series 25
189 USMLE Step 2CK Rapid Review Series 26
195 USMLE Step 2CK Rapid Review Series 27
196 USMLE Step 2CK Rapid Review Series 28
197 Bias in Biostatistics
199 USMLE Step 2CK Rapid Review Series 29
202 USMLE Step 2CK Rapid Review Series 30
204 The USMLE And The Military (Ultra HY for all the USMLE exams!)
207 The USMLE And Geriatrics Part 1
210 USMLE Step 2CK Rapid Review Series 31
211 USMLE Step 2CK Rapid Review Series 32
219 USMLE Step 2CK Rapid Review Series 33
220 USMLE Step 2CK Rapid Review Series 34
221 The Floridly HY Trauma Podcast (for Step 2CK, Step 3, Surgery, EMED Shelf Exams)
225 USMLE Step 2CK Rapid Review Series 35
227 USMLE Step 2CK Rapid Review Series 36 (OBGYN + Others)
228 USMLE Nov 2020 Changes Series 1: Palliative Care 1
230 USMLE Nov 2020 Changes Series 2: Quality and Safety
231 USMLE Military Podcast Part 2
234 USMLE Nov 2020 Changes Series 3: Medication/Transition of Care Errors
238 USMLE Step 2CK Rapid Review Series 37
239 The NBME and OBGYN Risk Factors (+ Upcoming Step 2CK Course)
240 USMLE Step 2CK Rapid Review Series 38 (Ortho and OBGYN)
245 USMLE Step 2CK Rapid Review Series 39
247 USMLE Step 2CK Rapid Review Series 40 (and upcoming 2CK, 10 hr class 7/25)
250 The Ultra HY Vaccine Podcast (and upcoming 2CK Course 8.8.20)
255 The Legendary Step 2CK/3 Pharmacology Podcast
256 USMLE Step 2CK Rapid Review Series 41 (and Step 2CK 10 hr Course 9/5/20)
258 USMLE Step 2CK Rapid Review Series 42 (and upcoming 10 hr course 9/5/20)
267 The USMLE and Normal Changes in The Elderly
268 USMLE Nov 2020 Changes Series 4: Palliative Care 2
270 USMLE Step 2CK Rapid Review Series 43 (and upcoming 2CK Course 11/6-7)
272 USMLE Step 2CK Rapid Review Series 44
274 USMLE Step 2CK Rapid Review Series 45
275 USMLE Nov 2020 Changes Series 5: Diagnostic Errors
276 USMLE Nov 2020 Changes Series 6: Professionalism/Ethics
277 USMLE Nov 2020 Changes Series 7: Infection Prevention and Control
282 Combo Podcast (Risk Factors/Prognostic Factors) + Step 2CK Rapid Review (Series 46) + Step 2CK Course Reminder
283 Combo Podcast (Risk Factors/Prognostic Factors) + Step 2CK Rapid Review (Series 47) + Step 2CK Course Reminder
284 USMLE Step 2CK Rapid Review Series 48 (Bone Disorders)
285 USMLE Step 2CK Rapid Review Series 49
290 USMLE Step 2CK Rapid Review Series 50
291 USMLE Step 2CK Rapid Review Series 51 (+ USMLE Step 2CK/3 Course Reminders)
297 USMLE Step 2CK Rapid Review Series 52
299 USMLE Step 2CK Rapid Review Series 53
304 Divine Intervention Episode 304B – Quick Ep 304 Correction (1 min)
306 USMLE Step 2CK Rapid Review Series 54
307 USMLE Step 2CK Rapid Review Series 55
312 USMLE Step 2CK Rapid Review Series 56
314 USMLE Step 2CK Rapid Review Series 57 (+ 2CK/3 May Course Reminder)
316 USMLE Step 2CK Rapid Review Series 58
320 USMLE Step 2CK Rapid Review Series 59 (and 20hr 2CK/3 course reminder 6/18-19)
324 USMLE Step 2CK Rapid Review Series 60 (+ 2CK/3 Course Reminder)
325 The Extremely HY Screening Guidelines Podcast
330 USMLE Step 2CK Rapid Review Series 61
334 USMLE Step 2CK Rapid Review Series 62
335 USMLE Step 2CK Rapid Review Series 63 (+ Upcoming Step 2CK/3 Course Reminder)
336 USMLE Step 2CK Rapid Review Series 64 (+8/25-28 Step 2CK/3 Course Reminder)
337 How To Successfully Answer Drug Ad Questions On The USMLEs
338 Fetal Heart Rate Tracings Made Easy
344 USMLE Step 2CK/3 Rapid Review Series 65 (+10/4-8 2CK/3 Course Reminder)
350 The Clutch Teratogen Podcast (+ Step 2CK/3 Course Reminder)
351 USMLE Step 2CK/3 Rapid Review Series 66
355 USMLE Step 2CK/3 Rapid Review Series 67
358 USMLE Step 2CK/3 Rapid Review Series 68
363 Taking the confusion out of confounding
364 Effect Modification (+ Step 2CK/3 Course Reminder)
366 USMLE Step 2CK/3 Rapid Review Series 69
369 USMLE Step 2CK/3 Rapid Review Series 70
370 USMLE Step 2CK/3 Rapid Review Series 71
372 The Clutch Headache Podcast (for Step 1-3)
377 The Clutch GI Bleed Podcast
380 USMLE Step 2CK/3 Rapid Review Series 72
382 USMLE Step 2CK/3 Rapid Review Series 73
384 IBDs and The USMLEs (Step 1-3)
390 USMLE Step 2CK/3 Rapid Review Series 74
391 USMLE Step 2CK/3 Rapid Review Series 75
394 USMLE Step 2CK/3 Rapid Review Series 76
396 USMLE Step 2/3 Rapid Review Series 77
399 The 3 Confusing Poisonings (HY for Step 1-3)
400 Get Your Head In The Game: The Psychological Aspects of Doing Well on Test Day
401 USMLE Step 2/3 Rapid Review Series 78
403 USMLE Step 2/3 Rapid Review Series 79
405 USMLE Step 2/3 Rapid Review Series 80
408 USMLE Step 2/3 Rapid Review Series 81
412 USMLE Step 2/3 Rapid Review Series 82
413 USMLE Step 2/3 Rapid Review Series 83
415 USMLE Step 2/3 Rapid Review Series 84
420 USMLE Step 2/3 Rapid Review Series 85
421 Pulmonary Pathophysiology Series 11
423 USMLE Step 2/3 Rapid Review Series 86
426 USMLE Step 2/3 Rapid Review Series 87
427 USMLE Step 2/3 Rapid Review Series 88
431 USMLE Step 2CK/3 Rapid Review Series 89
434 USMLE Step 2/3 Rapid Review Series 90
436 Eye Findings and The USMLEs (floridly HY for Step 1-3)
438 USMLE Step 2/3 Rapid Review Series 91
442 USMLE Step 2/3 Rapid Review Series 92
449 USMLE Step 2/3 Rapid Review Series 93
451 Serotonin Syndrome (with integrations)
452 NMS and Malignant Hyperthermia (vs Serotonin Syndrome)
453 A Quick Review of HY Psychiatry Timelines
454 USMLE Step 2/3 Rapid Review Series 94
456 USMLE Step 2/3 Rapid Review Series 95
459 The Clutch STI Podcast (for Step 1-3)
460 Floridly HY Antibiotic Review for Step 1-3 (Part 1)
461 Floridly HY Antibiotic Review for Step 1-3 (Part 2, final)
462 USMLE Step 2/3 Rapid Review Series 96
466 USMLE Step 2/3 Rapid Review Series 97
468 USMLE Step 2/3 Rapid Review Series 98
473 USMLE Step 2/3 Rapid Review Series 99
476 USMLE Step 2/3 Rapid Review Series 100
480 USMLE Step 2/3 Rapid Review Series 101
483 USMLE Step 2/3 Rapid Review Series 102
486 USMLE Step 2/3 Rapid Review Series 103
487 USMLE Step 2/3 Rapid Review Series 104
488 USMLE Step 2/3 Rapid Review Series 105
491 USMLE Step 2/3 Rapid Review Series 106
495 USMLE Step 2/3 Rapid Review Series 107
500 USMLE Rapid Review Series 108 (For Step 1-3)
502 USMLE Step 2/3 Rapid Review Series 109
504 A Super HY Discussion of Some USMLE Concepts + Testing Considerations (Step 2/3 Rapid Review Series 110)
509 USMLE Step 2/3 Rapid Review Series 111 (MUST LISTEN for Step 2/3)
513 USMLE Step 2/3 Rapid Review Series 112
527 USMLE Step 2/3 Rapid Review Series 113
532 USMLE Step 2CK/3 Rapid Review Series 114
536 USMLE Step 2/3 Rapid Review Series 115 (with included worksheet)
545 USMLE Step 2CK/3 Rapid Review Series 116
553 USMLE Step 2/3 Rapid Review Series 117
571 Quick and Dirty Emergency Medicine For The USMLEs
572 Quick and Dirty Emergency Medicine For The USMLEs (Part 2)
574 Quick and Dirty Emergency Medicine For The USMLEs (Part 3)
575 USMLE Step 2/3 Rapid Review Series 118
577 USMLE Step 2/3 Rapid Review Series 119
578 Quick and Dirty Emergency Medicine For The USMLEs (Part 4)
582 USMLE Step 2/3 Rapid Review Series 120
595 USMLE Step 2/3 Rapid Review Series 121
601 USMLE Step 2/3 Rapid Review Series 122
604 USMLE Step 2/3 Rapid Review Series 123
607 USMLE Step 2/3 Rapid Review Series 124
612 USMLE Step 2/3 Rapid Review Series 125
613 Peri-operative Medicine (Social Sciences)
614 USMLE Step 2/3 Rapid Review Series 126 (Basic Sciences)
616 USMLE Step 2/3 Rapid Review Series 127 (More Basic Sciences)
618 USMLE Step 2/3 Rapid Review Series 128
621 USMLE Step 2/3 Rapid Review Series 129
622 USMLE Step 2/3 Rapid Review Series 130
628 USMLE Step 2/3 Rapid Review Series 131
633 USMLE Step 2/3 Rapid Review Series 132
635 USMLE Step 2/3 Rapid Review Series 133 (Some HY Basic Science Mechanisms)
638 USMLE Step 2/3 Rapid Review Series 134
648 USMLE Step 2/3 Rapid Review Series 135
650 The Clutch Nutrition Podcast (For Step 1-3)
651 USMLE Step 2/3 Rapid Review Series 136
653 USMLE Step 2/3 Rapid Review Series 137 (Dermatology)
659 USMLE Step 2/3 Review Series 138
660 USMLE Step 2/3 Rapid Review Series 139 (Super HY Stuff)
661 The Genetics Sprint (for Step 2 and 3) Part 1
662 The Genetics Sprint (for Step 2 and 3) Part 2
reddit.com
u/Efficient_Equal6467 — 3 months ago

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule (thoughts)

AI Summary (I feel its pretty accurate):

  • Payment Rate Adjustments:
    • Due to the expiration of temporary funding from the Working Families Tax Cut (WFTC) legislation, overall payment rates face an effective 2.50% statutory reduction compared to CY 2026.
    • The proposed CY 2027 conversion factor decreases to $33.17 (-1.19%) for Qualifying APM Participants (QPs) and $32.84 (-1.68%) for non-QPs.
  • Same-Day E/M and Global Surgery Visits:
    • CMS proposes paying 100% for the most expensive service on a single day and reducing all additional surgical procedures or separately identifiable E/M visits furnished by the same practitioner to 50%, addressing potential duplicate payment overlap.
  • Add-On Code G2211 & ACO Modifiers:
    • Transitioning the E/M complexity code G2211 to a modifier that increases the base E/M payment by 16%.
    • Creating a new modifier (MOD2) offering a 32% payment boost for E/M visits provided by clinicians participating in Shared Savings Program or LEAD Model Accountable Care Organizations (ACOs).
  • Practice Expense (PE) Methodology Overhaul:
    • Phasing out reliance on old American Medical Association (AMA) survey data (from 2007 or earlier) in favor of objective, auditable cost data, supported by a new "PE stabilizer" to prevent short-term volatility.
  • Remote Monitoring Restrictions:
    • Requiring Remote Therapy Monitoring (RTM) to be for established patients only, mandating an initiating visit for both RPM/RTM, and limiting billing to services delivered by direct practice staff rather than third-party contractors.
  • Preventive Care, Chronic Disease, & Behavioral Health:
    • Establishing distinct coding and payment for Shared Medical Appointments to address chronic conditions and peer support.
    • Extending phased payment increases to smoking/tobacco cessation and SBIRT (screening/brief intervention) services.
    • Adding specific codes for clinical staff-led Advance Care Planning (ACP).
  • Rural Health Clinics (RHCs) & FQHCs:
    • Recognizing Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) as stand-alone billable visits under the RHC benefit.
    • Extending the waiver of in-person mental health visit requirements through December 31, 2027.
  • Statutory Eligibility & Program Integrity Updates:
    • Medicare Coverage Limits: Implementing WFTC legislation to restrict Medicare eligibility to U.S. citizens/nationals, lawful permanent residents, Cuban/Haitian entrants, or Compact of Free Association residents.
    • Drug Inflation Rebates & 340B Reporting: Requiring 340B covered entities to report drug claim data to a new Medicare Part D repository starting January 1, 2027.
    • Lab Fee Schedule (CLFS): Enacting phase-in caps (up to 15% annually through CY 2029) on payment reductions for clinical diagnostic laboratory tests.

Didn't see much discussion on this curious what WCI thinks

cms.gov
u/Efficient_Equal6467 — 3 months ago

Airpod max 2 fixes issues from gen 1?

My current airpod max 1 whenever battery dies sort of gets bricked and I need to reset multiple times and then turn it back on and then charge full and it works fine. Basically I can never let charge go to 0. I also need to store it in the bra case when its not in use as it seems to discharge battery really fast now when otu of case. No idea if this is issue still with airpod max 2? I find it pretty annoying because besides these issues I still like these headphones

reddit.com
u/Efficient_Equal6467 — 3 months ago

Nostalgia for 2nd age pvp

There were issues with jade abusers and juju spam and guardian angel spam but man I miss playing pvp I just had so much fun and it didn't really feel like p2w that much. Loremaster spam was an issue as well. You could grind for a lot of stuff and it wasn't too bad. Pets were annoying but that was about it grinding for gear wasn't too bad.

reddit.com
u/Efficient_Equal6467 — 4 months ago

How to efficiently study for IM shelf, taking Step 2 after

I'm taking the IM shelf in 6 weeks and then going straight into dedicated for Step 2. Trying to set up my Anki and UWorld the right way for both and could use some input.

For the IM shelf: what tags should I unsuspend in one deck? I have most of them unsuspended already I think, but I want to be exhaustive. Which decks/tags do you all use for medicine specifically?

For Step 2 dedicated: what tags should I add on top of the IM shelf set once I transition?

On UWorld: I've done most of the IM/medicine questions already. For the shelf, should I just finish out the remaining medicine questions, or also start doing ambulatory medicine, family medicine, and emergency medicine now? Trying to figure out the best order to work through the bank. Do I do the other 636 questions here?

https://preview.redd.it/4sy2479udr6h1.jpg?width=841&format=pjpg&auto=webp&s=f0576425e4369faffc0d24c58662c7d958c15b03

reddit.com
u/Efficient_Equal6467 — 4 months ago
▲ 3 r/Step2

How to efficiently study for IM shelf, taking Step 2 after

I'm taking the IM shelf in 6 weeks and then going straight into dedicated for Step 2. Trying to set up my Anki and UWorld the right way for both and could use some input.

For the IM shelf: what tags should I unsuspend in one deck? I have most of them unsuspended already I think, but I want to be exhaustive. Which decks/tags do you all use for medicine specifically?

For Step 2 dedicated: what tags should I add on top of the IM shelf set once I transition?

On UWorld: I've done most of the IM/medicine questions already. For the shelf, should I just finish out the remaining medicine questions, or also start doing ambulatory medicine, family medicine, and emergency medicine now? Trying to figure out the best order to work through the bank. Do I do the other 636 questions here?

https://preview.redd.it/3yrvkdu6cr6h1.png?width=841&format=png&auto=webp&s=cb82faf315954aa15796800593e8cb4dca7a1eaa

reddit.com
u/Efficient_Equal6467 — 4 months ago

What anking tags should I do to study for the IM shelf and looking forward step 2 exam?

I will be taking the IM shelf in 6 weeks. What tags should I put in one deck and study? I have most of these cards unsuspended I think already but I want to be exhaustive in terms of doing anking cards.

Also also after I take my IM shelf I will be going into dedicated. What tags should I do for the step 2 exam?

Does anyone have any idea how I should best use uworld to study for IM shelf and then step 2. Should I just focus fully on IM shelf and do all the medicine questions in uworld

reddit.com
u/Efficient_Equal6467 — 4 months ago
▲ 15 r/Gundam

Where can I watch MOBILE SUIT GUNDAM HATHAWAY The Sorcery of Nymph Circe???

I can't find it in theaters near me, anyone know when it is coming out on streaming

reddit.com
u/Efficient_Equal6467 — 4 months ago