u/expensiveshape

I should be excited because I'm graduating but I feel more empty than anything. I feel like I was on autopilot throughout medical school and didn't make the most of the experience. I didn't perform as well as I could have and ended up matching at a program and location I'm not excited about. I didn't achieve many of my personal goals either. Of course, there's always residency, but it's not the same as being a student and I won't have much time to do anything but work. I could have easily avoided this outcome if I just sat down one day and really thought about what I wanted out of the next 4 years instead of going through each day like a robot.

The worst part is I felt like this at the end of undergrad too. I could have entered medical school as a blank slate and grown more but I'm mostly in the same place I was 5 years ago. I have to make sure residency doesn't end the same but I don't know if I'll have the time to do anything else. I hate to say it but I liked being a student and don't want to move onto the next stage of my life.

About to start medical residency nearby and will be living in Norwood. I've looked into some of the gym options and it seems like opinions are mixed.

What are the wait times like at the various gyms in the area (Puregym, Crunch, Williamsbridge Oval)? Are the puregyms actually open 24 hours?

Any other gyms I can take public transport to that are worth it?

About to start medical residency nearby and will be living in Norwood. I've looked into some of the gym options and it seems like opinions are mixed.

What are the wait times like at the various gyms in the area (Puregym, Crunch, Williamsbridge Oval)? Are the puregyms actually open 24 hours?

Any other gyms I can take public transport to that are worth it?

Edit: To clarify, I'm specifically interested in PCCM and I'm asking since PCCM programs seem to focus on MICU at the expense of other ICU types and skills

This is a genuine question, I'm not trying to start an interspecialty catfight so I hope things can remain positive. I'm starting IM residency this year and it's well-known that like any other specialty, IM has its own set of weaknesses going into critical care fellowship - from what I've read, topics like hemorrhagic shock, advanced airway techniques, surgical and cardiothoracic critical care, etc.

I plan on reading as much as I can, but I'm concerned that the lack of actual clinical experience in these things in residency will make it hard to catch up in fellowship. My program is a pretty standard academic program where some of the intensivists are true CCM people while others are pulmonologists & researchers who do ICU on the side. Intubations are mostly done by the CCM fellows and we don't have an anesthesia elective so I'll probably leave residency with few intubations. We still run codes and do procedures as residents fortunately.

What advice would you give to an IM resident who wants to not suck at these things?

I hope it's fine to ask this here - the reason I'm posting here is because most of the things IM trained intensivists are weaker at are topics anesthesiologists are experts in. Things like hemorrhagic shock, intubations and airways, surgical and cardiothoracic critical care, etc.

I plan on reading as much as I can, but I'm concerned that the lack of actual clinical experience in these things in residency will make it hard to catch up in fellowship. My program is a pretty standard academic program where some of the intensivists are true CCM people while others are pulmonologists & researchers who do ICU on the side. Intubations are mostly done by the CCM fellows and we don't have an anesthesia elective so I'll probably leave residency with few intubations. We still run codes and do procedures as residents fortunately.

From your perspective being experts in these topics and seeing IM intensivists' strengths and weaknesses, what advice would you give to an IM resident who wants to not suck at these things?