I swear, the air in the hospital is aging me.

You can count up to the amount before they had adverse effects such as 4L when the 5th liter caused pulmonary edema and patient was fine beforehand..

Just got off another strenuous shift sprint, brain's basically mush, body feels like it went 12 rounds with a truck, and the only thing I want to do is faceplant onto my couch until my next shift every night. But then reality hits: apartment's a mess, laundry pile is mocking me, fridge is a barren wasteland, bills exist, and maybe I'd like to…talk to my partner/friends/see the sun?

I am very content with life and enjoy my time as a resident, but after a long day, there’s little bandwidth left to get these tasks accomplished.

Like, I know I gotta do this stuff, but finding the actual energy (physical OR mental) feels like a superhuman task right now. Everything just piles up and my days off turn into getting a fraction of life done or spent catching up on sleep debt/vegging.

Genuinely asking everyone here (no matter your specialty): - How do you actually DO stuff after work? - Are you batching chores? Paying someone else? - How does your specialty shape how you tackle these tasks? (I’m nonprocedural) - How do you even START doing chores after work? Any mental tricks or routines that help? - Best hacks for cooking, cleaning, errands? Meal prep tips that don't take 8 hours on your one day off? Is grocery delivery life-changing? Any cleaning schedule a resident can actually follow?

But also serious.

I was just thinking what is the rarest and most obscure specialization that exists in medicine.

Im so sick of being asked to do 100 things at the same time, especially on nights. We are way too available- if I’m being paged and called every two seconds I cant get anything done. So frustrating. Secure chat is the death of me, and if you see me actively doing something for another patient please stop coming up to me and asking 20 questions about some other patient

Consulted a specialty service who gave recs via text, put a note the next day and then 2 days later edited it and changed the recs. Continued to give verbal/text recs throughout hospital course (didn’t see the patient in person again) and now takes no accountability for it with a completely different thought process. This can’t be acceptable. Apparently that has been the pattern with the particular consultant, everyone hates it but they have been in the program for a long time 🤷🏻‍♀️ . Texts have since then disappeared, edited notes can still be viewed, but pissed me to off watch them lie blatantly.

I’ve been trying to get a hold of someone for days and seems like no one checks the inbox?

For example, you're in Primary Care and currently doing residency. Then, you wonder you wish you pursued surgery or radiology or opthalmology or something?

About to start PGY-1 and in almost 350k in debt. I found a decent studio apartment literally right next to the hospital (5 min walk on Google maps to the entrance).

I'm very tempted to just sell my car and either walk or use public transport during the very minimal rotations I do off-site (only couple months) or maybe buy a cheap ass bike/e-scooter to get to the hospital if the weather is ass.

Biggest issue is it gets below freezing in the winters and snows heavily.

Anyone advise against this?

the alternative is to keep my car and live further out from the hospital because the areas further out are nicer but then pay for car insurance, gas, maintenance, and monthly parking ~$200/month.

I am about to do an away rotation at an emergency department at big medical center. I am really trying to make a good impression because I would love to end up doing fellowship as close as possible to my girlfriend, which happens to be this program. A lot of people said the hardest part of an away rotation is learning the clinical flow and ins and outs of the EHR.

Well I just looked it up today, and this hospital uses Cerner, while my residency program uses EPIC, and I've never used Cerner before.

Do yall have any tips on how to get familar with Cerner as to avoid being slow as shit the first few days?

Feeling legitimately depressed. It was bad enough that I hated my specialty but now I’m hating my program. I could tolerate the toxic attendings but now they are unnecessarily and suddenly changing requirements in my program.

I know, I know quit or transfer. I’m just tired as hell and feeling like I got played

I have around $230k in med school loans and they are through AidVantage. I applied for income-based repayment at the end of 2024 like any sane person and they continue to say that my application has not been processed and is paused due to legislation/politics/etc. But, they want me to start paying on the standard payment plan, which I definitely cannot afford (would be around $2k out of the $4k I make per month, with the other $2k already going towards housing). I convinced them to put me on an administrative forbearance, however that ends in May.

What is everyone else doing?? Right now, I am thinking my only option is going to be forbearance, however apparently you only get 3 years of that as well (I’m in a 5 year program).

I hate this place, currently suffering here on rotation and am constantly astounded by how fucking awful the VA is. Please, commiserate with me and share your woes so that I may have even the slimmest glimmer of enjoyment during these dark and terrible days

I'm currently in my final year of medicine school preparing for step2 . I gave no experience or skills in research but want to get started . I don't know from where to start or from where to learn any advise?

Husband’s Jansport is garbage. He likes a lot of pockets.

Hi, I'm an intern at a program that allows for 4 weeks of vacation days and 5 sick days. So far, I have used 4 out of 5 of the sick days, mostly for acute illness and a few for mental health days. I have MDD and am concerned that I will need more sick days, considering there are still 3 months of residency. Should I reach out to my program about using some of my remaining vacation days as mental health days?

I don’t know if people have gotten lazier, but I’ve gotten more and more consults with zero work-up being done. I’m not talking about niche orders or labs, I’m talking about basic stuff. I don’t even know how to go about it, like can you please attempt to solve this problem or pretend to before consulting? I know this isn’t your specialty but I’m sure we all learned the basics in med school.

A few buddies of mine said that Southern California Kaiser decided to bump all resident salaries at all levels by 10% on July 1st to stay competitive. They said there were some happy dancing in the break room and halls!

I'm trying to obtain an NPI number and remember being told not to use our personal phone number or address at all. when making the actual NPPES account, I ended up putting my residency program's phone number and address, not realizing I would then have to apply separately for an NPI number, which also asked for addresses and phone numbers (I also used those that belonged to my residency address). I'm now in the process of my NPI number application where it wants to fill in my contact information, and I realize the the phone number it's using is probably what I put into my NPPES account registration. was I supposed to use my own actual personal phone number for that information, and just use the hospital's info for the NPI number application? I hope this made sense lol, I'm a bit confused! thanks

Hey, so I am a 2nd year resident just going through my ICU rotation and I have been recently getting the hang of jugular cvc placement, but my experience with subclavian cvc is rather limited. Now I have only tried them twice under supervision, and one time I didn’t find the vein so my attending had to finish. Now, my second one, I read up on technique before, tried the best I could, and punctured the subclavian artery… are there any tricks to avoid the subclavian artery with the landmark technique? I tried aiming for the upper edge of the manubrium, I tried going in as horizontally as possible…

Any advice would be appreciated!:) thanks

I am currently an IM resident at a community program. Right now, I feel like I want to become a hospitalist at a academic center, particularly because I am interested in teaching and medical education.

I am wondering how I can improve my resume to find such a position, especially coming from a community program and being someone not interested in doing research.

Also, if anyone has any factors that I should take into consideration before making this decision, that would be appreciated, too.

Someone mentioned in another group that there was a post about a private practice FM saying they made 600k a year. Apparently some of y’all felt some type of way about it.

Also an FM but I work for a hospital. Also make 600k a year from that job. How? I put up like 12000 work RVUs a year that’s how. Could put up more but my wife gets real sassy if I’m not home before 5. Which is nice, but I make several times more than that trading every year. It’s set up through trading bots that I monitor and tweak occasionally. I’m not quite making surgeon who owns several ASCs, but I run things on a pretty conservative Kelly ratio and I’m not that far off.

I do this job voluntarily and I like what I do in the world. I fill in the gaps in my patients’ care by doing the stuff some of yall don’t want to do and I reduce their suffering (because I’m a good fucking doctor). Again, like I tell the hospital when they try to fuck with my wRVU rate or some other nonsense, I do this because I want to not because I have to or even because it’s my best option. Sometimes I get offers to be vice president of client accounts or some other made up bullshit and they usually look much better than the spam I get offering me Locums jobs that pay less than I make at base.

I’m not going to post receipts but I assume someone is going to message me, and I’ll show a couple of you what my world looks like. Or not, I don’t know, don’t actually care that much.

Mostly just want a couple of you to know that, irrespective of what specialty you practice, I am the guy you pretend to be.