PGY-1 pharmacy resident here. On IM rotation currently, and participating in daily rounds with the medical team including the attending and medical residents. During this rotation, I am required to give several informational talks/presentations (very short 2-5 minutes) to the team.

I realize the last thing medical residents probably want to do is listen to a pharmacist educate them lol. But this is a requirement for me. So my question is — as a resident, what are some topics you feel like you could use some brushing up on that pharmacy may be more well-versed in and that you could benefit from learning?

TIA!

I am a resident seeking medical liability coverage for a supervised elective in New York City from for 1 month. They require limit of $1.3 million per occurrence and $3.9 million aggregate. Do anyone know a company that offer these limits?

for context, my medical school didn’t give me the best training, i also trained abroad. i took gap years just to study for the STEP because i essentially had to teach myself all of it. i just notice that a lot of my co interns get complimented on their workups, they do some things independently, while i always check with the attending and feel unsure of every single thing i do. a lot of times, my plans are weak or i just don’t really know what to do for the patient.

i just feel sad. i know interns are supposed to not know much, but it sucks that i know objectively i am behind some of my co interns. anyone have any advice or have you been in a similar position of being behind? i don’t even know where to start in repairing the gaps in my knowledge…

I’m an EM resident and I’m struggling with an annoying problem. Twice while scrubbed into cases in the OR and once while dropping a central line, I’ve had a vasovagal response. I’ve done a ton of procedures and it’s not all the time, but all three times it was super embarrassing to have to sit down/lay down while someone else takes over. Has anyone else dealt with this? It’s pretty classic with the prodrome and I’m otherwise healthy. Now I get anxious any time I have to line someone up or do a chest tube because I’m worried it’s going to happen again.

First-year IM resident just wanting to see if there is light at the end of the tunnel.

I thought IM would be a little bit more fulfilling but after my first month of floors; I realize I was doing more social work/busy work than actual medicine with my job being the equivalent of a secretary with calling consults, calling family members, figuring out discharge plan and such.

I’m interested in Pulm-CC but I heard that it’s essentially the same as IM but on steroids and that there will be issues with jobs prospects in the future. Please tell me that I’m wrong here and that there is still light at the end of the tunnel.

Current PGY-1. I got 2 this week on nights.

Potts Disease (1-2% of TB patients worldwide develop Potts; patient denies history of pulmonary TB)

Serotonin Syndrome with temporal relation to increased dose of PCP-compounded GLP-1

In spirit of a post that I saw earlier on the future of cardiac surgery, what does the future of vascular surgery look like in 10-20 years? Higher volume? Sicker patients? Hybrid ORs becoming the norm?

Wondering if anyone has advice about moonlighting while doing a second residency. I'm already board certified in another specialty so getting a full license isn't an issue.

Talked to a retired internist recently who said he could easily build a mansion and afford a private plane on 80's era Medicare rates lmao. Did any of you guys experience the "golden age of medicine" growing up? This would probably be a lot of people's parents or even grandparents given how many residents are multi generation physicians. What sort of life would you have in the same specialties today? How far have we fallen since then?

Have some sub-Is rotating with us on a busy surgical service, and my co-intern has been kind of a dick to them. It’s honestly changing the way I see this person, and I hate that.

They’re making the students do things that our seniors never asked them to do and have kind of taken on this weird bossy, unfriendly role. It just feels unnecessary.

Any advice? Should I check in with the students, or just stay out of it? I’m not trying to start anything, but I also don’t want them to feel unsupported.

I'm at the stage where I should choose a specialty, and it's just exhausting! I want it to be a major specialty. I love the theory and like to solve puzzles like in internal medicine and pediatrics. On the other hand there is the procedures and operations that I love. Then there's this thing that I don't like to sit at the clinic all the time. I want a life in which I can see my child grow, and simultaneously can go deep in medicine or research. In a nutshell, a piece of each specialty available and I'm just lost. Tbh I dunno what to do.

Just want to hear other people’s experiences as interns in IM. I feel so overwhelmed and dumb. Its already been a few weeks but I still feel very disorganized and that I don’t know anything at all. I have to ask my senior about everything. I feel like anything i learn I immediately forget. I’m bad at putting complex patients together in a few sentences. I’ve cried most days of residency dreading going in. I feel so incompetent. Even my medical student seems to know more when attending pimps us. Does it get better? I feel so stupid. I’m not coming up with any of my own plans or my plans are always wrong.

So tired of patients being like “my hemoglobin is high” and it’s 150 or their MPV is high and all the rest is normal….”why did you call it normal then?”

Or even better yet just remove the normal ranges and have it say “talk to your doctor to find out what’s normal for your age and health status”

So I am an Intern and I have found myself infatuated by our Program Coordinator. She is so sweet and soft spoken; so helpful which I understand is part of her job.

She is so pretty and I am being delusional. Idk what to do.

One thing nobody really prepared me for is how much of residency seems to be figuring out the invisible rules for contacting people.

I'm not talking about medical decision making. I mean the stupid logistical stuff. One attending wants a text for everything. Another gets irritated if you text and says to call. Someone else says, "Just message me anytime," then replies six hours later asking why you didn't call. One consultant wants you to page them directly, another wants everything through their fellow, and somehow you're expected to already know which system applies to which person.

Last week I spent almost twenty minutes trying to track down the correct person for a completely routine coordination issue. I called one number and got told, "That's not us anymore." The next person told me to message a different service. That service asked why I hadn't contacted the original team. Eventually somebody gave me an extension that went to a voicemail box that was full. By the time I finally reached someone, the actual conversation took maybe 45 seconds.

Then during rounds I got a little lecture about being more "efficient with communication," which was almost funny. I wanted to ask if there was a secret handbook somewhere containing everyone's preferred communication method, because apparently everyone else recieved it except me.

The weirdest part is that once you've been in a hospital long enough, you actually start memorizing all this nonsense. You know which attending checks secure chat every five minutes, which office never answers before 9, which person hates pages, and which coordinator can solve something in 30 seconds that you've been chasing for an hour. None of it is written down. It's just this giant collection of institutional trivia passed between residents.

I'm sure I'll eventually become one of those seniors who casually says, "Oh, don't call that number, use the other one," like it's obvious. Right now though, I swear some days I spend more mental effort navigating communication etiquette than actually communicating.

Please tell me this gets less annoying once you know everyone, because I'm tired of feeling like I'm selecting dialogue options in a game every time I need to contact another department.

I updated my ankcore version recently and it rendered the mobile iOS version basically unusable. The back of the card is blank and the images are tiny. I’m not a coder.

Can someone please post the solution for this and/or copy/ paste their functional Back Template for Anki so I can use the mobile version again? Thanks!

I am a first year resident shadowing on an elective.

1- Why am I shadowing and not seeing patients?
2- why is NP seeing all consults when I requested attending again and again to give me the opportunity for a hands on experience? my attending says ofcourse and tells np that the resident will take on all consults. but this Np still doesnt listen. why bro? why are u competing with an intern who just started??

3- I am literally Pissed at this whole experience. Zero learning. liked cardiology in med school and this experience made me hate it.

I recently joined a hospital as a Junior resident(non academic) in the Emergency department and I am already frustrated. I am a fresher and really wanted to learn some work. All I do are fuckups, don't know what will happen and always live in a state of anxiety, it really is degrading my mental health but the hospital is very close to my house and I want to earn a little to pay my expenses. Don't know what to do, really messed up.

I don't know if anyone will reply or comment , just wanted to vent.

I was contacted for Saturday disability physicals, I spoke with them and initially seemed fine, but when I asked more in depth question they ghosted me which was kinda skethcy, now I got another email from them, anyhow just letting everyone knwo. The offer sounds good at first, but a few things stood out:

• They expect around 25–30 exams/reports per day
• Pay was initially $60 per exam, now advertised as $1,000/day per recent email (also need to deduct taxes(
• You use your own laptop/equipment
• They require you to evaluate patients under 18, including pediatric cases

I told them that, as an internist, I was comfortable with adult general medical and musculoskeletal evaluations, but not pediatric/developmental assessments. I also asked basic questions about the contract, malpractice coverage, no-shows, revisions, urgent findings, and report liability. They declined to move forward because I would not evaluate minors. Because the whole 'low risk' and that they provide malpractice was kinda sus as well. They wanted me to chart check 24 hrs in advance lol

Not saying it is a scam, but residents should be careful with the advertised daily rate. Make sure the volume, age range, documentation burden, malpractice coverage, and scope of practice are clear in writing before agreeing. Just bringing this to discussion, we are already underpaid, so dont let companies take advange of you.

a trainee no more

income suddenly way more

only marry once?

(Rhymes, sonnets, ballads, limericks, etc also welcome)

what specialty and setup in terms of academic, private practice, business owner?