PGY-1 , soon to be PGY-2, starting to think about fellowship options. Since medical school I've gravitated towards ID and neph (as well as derm, but that's another story).
I've spoken to faculty and fellows about these fields, but wanted to hear r/Residency's hot take on these fields. Anything from personal anecdotes, thoughts on midlevel encroachment and AI, lifestyle, or future demand for these specialties.
I’m on a wellness committee for our residency and some of our faculty recently had us compile a list of things we want to make sure all resident work rooms had helpful amenities: working computers (lmao) with badge tap and go, office supplies, printers, hipaa paper disposal bin, etc. but also things like microwave/fridge, water dispenser, etc.
We were told there may be leftover budget and asked what else would be beneficial or appreciated. They’re even willing to get us things like decor and stuff.
What things have you had in your workspaces in residency or even in medical school that you couldn’t go without or wish you had?
This applies to either inpatient or outpatient work rooms.
Why do these patients keep getting admitted, and they literally never leave the list. We aren't doing anything for them as well. I bet they have a higher chance of getting sick by being on the list.
Finishing up clinical training soon and prepping to join a specialized private group practice. And currently searching for recommendations on where to print out premium and classy business cards.
For those doctors that do have those, where did you get those that have executive-level quality, perhaps with clean embossed details or subtle foil finishes and pretty customizable. Thanks a lot!
I usually get fantastic, eager, medical students. Even the ones that are gunners have something to offer and half way through the rotation they learn how to make my job a bit easier because they’re good at incorporating feedback.
Then there’s those students who… just don’t know how to explain it. But one thing they all have in common is that that they’re just so god damn unteachable. The other day we had a new patient with seizures and I prepped my student for the presentation for a good 30 minutes. I taught him about EEGs, showed him the spot on the MRI the seizures are coming from that correlated with the EEG. Explained to him why we’re using certain seizure meds and why we aren’t using certain other seizure meds. Went with him to show him the physical exam.
And when it came time to do the presentation he just….. flopped. Didn’t mention basic parts of the history. Didn’t even mention the MRI or EEG that we spent 10 minutes going over. It got to the point that when he finished I basically just gave the presentation all over again. And it wasn’t even a first time thing. It’s every damn day. And I’ve talked to him about it and he says sorry and just does it over again. I’ve tried practicing presentations beforehand and that doesn’t help either.
It feels like I’m teaching SpongeBob SquarePants how to drive. I try to not give him more than one patient in a day but he sees the other med student (who’s a head above him) carrying 3-4 patients so he aggressively tries to get me to give him more.
So, I am a PhD student and tight in money. I am sure he doesnt want me spending a lot on a gift (I dont think he even expects me buying anything). What should I get for his graduation? he is also an interventional radiology. I wanted to buy him airpod pro but it is quiet expensive.
No hate to my skin loving homies but I don’t call it surgery when I do a lac repair or an LP.
Did this all stem from Mohs biopsies I mean Mohs surgery?
Hola amigos 👋! I’ll be starting residency soon, my current sneakers- adidas ultraboost that were rec’d in the beginning of med school are starting to fall apart. I am once again looking for sneaker/shoe recs (not sure if there’s anything better out there by now). Specifically, prioritizing comfort- gonna be standing long hours etc lol yall know how it’s gonna be.
This literally happened during my morning shift and I still have adrenaline pumping through my system. I am a PGY2 general surgery resident and my attending is one of those old school guys who treats everyone like a servant. He is technically brilliant but has the emotional stability of a toddler.
We were finishing up a routine laparoscopic case. Everything went smoothly, no complications, patient was stable. The attending was in a massive rush because he apparently had some private clinic patients waiting across town. As we were closing up the ports, he aggressively pulled the light cord and camera attachment off the console. I saw him yank the fiber optic cable instead of disconnecting the adapter properly. I was busy finishing the skin sutures so I didnt say anything in the moment because you do not correct this guy unless you want to get screamed at in front of the entire OR crew.
Fast forward to three hours later. I am in the resident lounge trying to swallow some cold coffee when my program director calls my cell. She tells me to come to her office immediately. When I walk in, my attending is sitting there looking like he is about to explode. He points at me and says I mishandled the scope during cleanup and shattered the internal glass elements. He claimed he saw me drop the camera head onto the stainless steel cart. The cost to replace or fix this specific scope is thousands of dollars, and since it belongs to a specialized surgical suite, our department is losing their minds over the downtime.
I was completely blindsided. I told the PD exactly what happened, that I was occupied with closing the incisions and that the attending was the one who disconnected the equipment in a rush. The attending immediately flipped out, called me a liar, and said my incompetence is a liability to the program. The worst part is that the scrub tech in the room is a traveling nurse who has only been here for two weeks. She was already busy counting instruments and cleaning up the back table, so she told the supervisor she did not actually see who unplugged what .
So now my PD is launching a formal review because the attending wants a reprimand placed in my file. If this note goes into my permanent record, it ruins my chances for the fellowship I have been working toward for the last four years. I am so sick of residents being the default scapegoats for these miserable old bastards who cannot admit they made a mistake. They have all the power, their word is treated like scripture, and we just have to sit here and take the hit for their expensive screw ups.
I have to meet with the risk management rep tomorrow morning. If anyone has dealt with a toxic attending trying to pin equipment damage on you, please let me know how you handled the investigation. I am losing my mind.
I used to love baking and cooking in med school, but with residency my time after work is very limited. I usually get home around 6, do a chore or two, go to gym, get back around 8. I try to start getting ready for bed around 9 so I rarely have more than an hour total to do prep, cook, eat, and dishes (no dishwasher sadly).
I often find myself eating on the go/fast food or making a frozen meal but it really makes me feel defeated/like I am losing a part of myself that used to bring me so much joy. I am also single and plan to have kids, so I feel like I really need to learn more about cooking basic meals at home prior to getting in a serious relationship/having a family. Issue is I don’t even know where to start.
I have a few really fantastic recipes that I love and am great at, but those were from med school and are very involved (think multi hour preps etc). I don’t have anything in between the “chicken and rice or basic sandwich” and the “5 course meal” category.
Do any of you have any recommendations for places to start? Maybe a website or book you love that focuses on healthy but time-efficient meals? Tips on grocery shopping/prepping that have helped you waste less and consistently have more options at your disposal on nights after work?
I am open to any type of cuisine and love exploring new types of foods (made my first curry recently!) and have no dietary restrictions.
Please let me know any thoughts or resources anyone has had success with! Or just commiserate in the comments about how it sucks to have to choose between friends, exercise, chores, cooking/nutrition, etc with our limited time 😂
I'm a 3rd year neurosurgery resident in western Europe.
When I was younger I thought of neurosurgeons as someone who really had it all figured out. They worked an extremely giving and important job, they were paid extremely well etc. They could pick and choose when and where to work, their expertise was almost mythical.
Now as I near the end of that dream it's becoming apparent that it was a pipe dream. There are so many neurosurgery residents in my country that it's unlikely I'll even have a job. The pay is the same as any other doctor which isn't really high to begin with, it affords you middle class life. I can't afford to travel and my pay won't take a huge bump when I'm done with residency, maybe 10% increase ish. So my life won't change much.
I have debt from school that is crushing me.
I'm living a pathetic life that is in no way anything like the life I imagined I would have.
I'm even working shitty side gigs to make ends meet.
I just needed to vent, I really feel like I fucked up. I worked so incredibly hard to get here and I have nothing to show for it other than being a slave of a system that apparently doesn't even need me.
Hey guys, I’m currently an anesthesiology resident, but lately I’ve been spending a lot of time in ENT surgeries and it’s honestly making me rethink my specialty choice a bit.
The more exposure I get, the more I realize how interesting ENT actually is. The combination of surgery, clinic, procedures, continuity of care, and being the primary physician for your patients is something I’m starting to value a lot more than I expected.
With anesthesia, while I genuinely respect the specialty and understand how important it is, I sometimes struggle with the feeling that you are there to support the surgeon and their operation rather than fully owning the patient yourself. Sometimes it feels like you are facilitating what the surgeon wants while the surgeon is still seen as the main physician and decision maker.
I do not mean this in a disrespectful way toward anesthesia at all. I know anesthesiologists are experts in physiology, airways, resuscitation, critical care, etc. I’m just trying to figure out whether this is temporary because of residency and exposure, or whether it means I’m actually more suited for a surgical specialty long term.
Did anyone else here seriously consider both ENT and anesthesia? Any regrets from either side?
I’d like it to be something medical, but that only a doctor would recognize as medical.
Current idea list:
Mittelschmertz
Podagra
Alopecia
Netter
Grafob
Lolinad
Looking for any ideas y’all might have.
Anyone have any recommendations for good disability insurance? We were hounded during our presentation to get this. They told us it can be as little as 10-20 dollars per month. I looked some up but idk I don’t really trust the things they put on the website since they’re trying to sell the product.
If you guys have recommendations, I’d love to hear!
I’m an early 30s female 3rd year fellow. Made a last minute decision to go to ASCO and prices are exorbitant. Looking for a chill roommate.
I won’t go into details since I don’t want to dox myself.
A co-resident. Same year as me, who I thought was my friend and we were close, basically threw me under the bus. This person straight up lied and blamed me for a work incident (no direct patient involvement or harm) saying not only untrue things but doing some old fashion character assassination to our program director.
There was an investigation into what happened and it was discovered that this person lied and my name was cleared. I actually did not find out about any of it until after all of it happened, and this person came clean to me because they were worried I would find out through someone else. They didn’t apologize but framed it in the context of “for the sake of full disclosure” because apparently they really did think I had done whatever they claimed I did.
I understand people can be competitive but being sabotage by someone I thought was my close friend is not something I have ever encountered before. Any advice or words of encouragement are appreciated.
Hi im thinking to apply to FM or Radiology, of course FM is easier to get a position, but my dream is radiology, i have a background in nuclear medicine in my country.
Step1 247
step2 259
How hard is to get a position in radiology residency, impossible?
best regards folk.s
“You guys have heard enough about surgery, let’s talk about leadership“ “I could bore you a bunch of papers but let’s instead talk about crafting an academic career”. Why does every invited Grand Rounds speaker do this now. literally the last 3 invited speakers were some big name bozos flown in from half way across the country who decided to just blab about their CV for an hour instead of saying anything useful. You would think the chairs of major academic surgical departments might have some thoughts about surgery, but no, they would prefer to talk about “developing your values as a leader”. Literally what is the point of this. The whole thing is just one endless academic circle jerk. The only people who benefit are the speakers who are paid to hang out with their buddies for a day and get a free dinner IMO.
This isn’t a made up story. This actually happened.
Me: “So this is why I think we should order [cheap blood test that comes back in an hour]”
Attending: *goes into a 5 minute rant as to why it’s not necessary, about why we should do hypothesis based testing, and why I’m the sole person responsible for the demise of US healthcare by over ordering tests*
30 minutes later…..
Attending: “Let’s order [expensive test that will delay discharge until after weekend}”
Me (having no idea why we need it): “Just for my learning, why do we need this test since the patient didn’t have any symptoms related to this and it wouldn’t change management.”
Attending: “you never know and besides she’s already gotten a million tests done here anyways”
Ok thanks for the education attending 👍
When are we gonna stop the whole “if it’s not documented, it didn’t happen”? When are we gonna stop writing so many bs unnecessary notes? Can you imagine how pleasant practicing medicine would be if we didn’t have to write all these bs notes?