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Discussion in 'The Mainboard' started by skeezy, Apr 27, 2015.
2nd year sucks but it’s smooth sailing after Step 1
I’m on icu call. It’s been quiet today which means I’m bout to get fucked overnight.
Week from tomorrow is first day as an attending
2nd year is terrible, but it ends eventually. 3rd and 4th year are great
Most of the kids the year above me told me they enjoyed M2 year more than M1.
After the constant snapchats of their diplomas and names with MD, my wife and her schoolmates/classmates all solidly hate life. Apparently military medicine is just as shitty as civilian.
I liked it better than 1st year at MCG. Less bullshit 2nd year. No small group sessions, no histology, no anatomy. Step 1 blows dick but I didnt mind second year.
4>3>1>2 for med school
Fellowship year is kicking my ass but also really enjoying it. Interventional Radiology
Basically this. In the middle of 4th year now and it's pretty sweet although the match is pretty anxiety-inducing.
2nd year kind of sucks. Lots more info and step 1 is a beast
Yeah, especially when you don't match. ASK ME HOW I KNOW ಠ_ಠ
Doesn't matter had still Ortho
Y'all were right, 2nd year fucking sucks. I feel like I have much less free time than I did first year.
We have a ton of small group stuff now in 2nd year.
4th time this week. Old ass lady, definitely good for discharge. Prolly needs TCU, but refusing. Doesn't wanna go home yet though, so intentionally shits the bed in PT "oh wow ohhhh so weak ohhhh halp."
PT: "Patient weak. recommend strongly against discharge."
IDK who makes me wanna burn this mother down more: patients, or physical therapists.
You’ll probably be more mad when she readmits. Sometimes it’s easier to just keep them a couple extra days as long as you aren’t committing fraud to do so.
I'm winless vs old ladies with anxiety and personality disorders
And winless you shall remain.
Just make being in the hospital less comfortable than being anywhere else.
1. Q1-2 neuro checks
2. Q2 vitals
3. OOB and ambulate q2
She'll leave when she cant get any sleep and has to walk the floors all day.
Also a great way to make your nurses hate you.
All I gotta say is ED is so dumb.
Depends how they feel about the patient.
Or about the nurse...
Just mag citrate the patients who have the nurse you h8. Ez.
Sitz bath and fleets enema for the patients cared for by any nurse that ever gave me lip.
I also enjoyed a stat CBC followed 30 min later by a stat BMP followed 1 hour later by a stat Amylase.
0.5mg Morphine IM
also pnk$krtcryna$ty the hospital utilization review committee or whatever they're called where you are was my hit squad for patients who were on a free ride and refused to leave. I would let them know the patient was okay for discharge but was being difficult, they would show up, say you have been cleared for DC you have 48 hours to be out otherwise you will have to pay the entire bill for your stay. People would split after a day.
Utilization was no help to me, for whatever reason.
Getting ready to rank my choices for my third year schedule and I would appreciate any input. I am mostly interested in Ortho and Emergency Medicine. My thinking is that I don't want surgery to be my first rotation, so that I can get used to being in the hospital before rotating through it. I've also heard if you want to do EM, it helps a lot to rotate through it as your third year elective, which for some reason you can only do if you have the elective as your last rotation. The only stream that has the elective as the last rotation has surgery as the first, so I'm a bit torn on what to do. This is all assuming I score as well as I need to on step to match ortho which is not a sure thing by any means.
I did surgery first and I'm an orthopod. First rotation is kind of nice because they realize you're brand new so lowered expectations. Just have a good attitude and work hard and you'll be fine.
I was thinking about the lower expectations, I feel like jumping in and doing surgery first might actually be good since I can decide if I really like it or want to consider other fields.
Only one way you're going to find out. Plus your surgery rotation will be more gensurg. You score ortho points when you do your AI/Sub-i
a little bit of everything?
good. I like well rounded orthopods, nothing pisses me off more than a guy who only does TKAs who usually flounder around a femoral nail or attempts a shoulder scope and asks for everything under the fucking sun
Like being a mechanic that only gives estimates.
My fellow g3 goin into sports did not appreciate that analogy
Future Ortho hand weenie here but will do a lot of trauma, some general stuff starting out. Basically enjoy all of orthopaedics outside of spine.
I can’t help it, I love it. Do like trauma outside of pelvis and maybe destroyed peri articular work/pilons so I’ll get big on a lot of that depending on where I end up, hopefully savannah or Athens.
99% of sports meds are worthless don’t @ me
Also our orthpods have to have the best gig ever, we have traumatologists who handle 100% of call and Acute fractures so the rest of the group just do scheduled stuff
Pilons are kinda funky depending on the doc. I have two trauma docs, 1 will crank one out in less than 2 hours, his counterpart will make it a 4.5 hour affair. It’s the exact same with clavicles...drives me crazy
Liked for the call rotation
I’m out here
Doing real medicine
Translation: We're about to tee off now so call the hospital and move my appointment with Mrs. Bellows back 90 minutes...Just snake a tube down her nose and I'll be there...in four or five hours.
Future urologist here. I work on bones too.....sort of
I’ll never understand people who work EM.
Nights, weekends, drunk people, drama, drama, drama.
450k/year for shift work oughtta do.
Most the ones i know didn't go into this to be a doctor. Just a gig to them. Usually bankrolling some other life-fulfilling thing like a microbrewery, bike shop or some shit. Wouldn't say EM speaks to many as a vocation.
450k/yr is robust.
350k is a little more national average https://www.medscape.com/slideshow/2018-compensation-emergency-medicine-6009654
Not to say you can’t make 450k or even more in certain locales.
Regardless, I make 250k pre-bonuses and other benefits in family medicine. I work 4 day weeks, no call, no nights, no weekends, no micro-management, my work is super simple, I fire problem patients, very little drama, I make all my kids practices and games. My school loans are being paid for. If I ever want to make more money I can do little things like supervise mid-levels, serve as a medical director for random companies, approve DME equipment, etc.
You see all these surgeons and EM docs divorced 3 times. The burnout rate is absurd.
Lifestyle matters, I don’t care what anyone says.
I thought you were crit care/pulm not FP?
Nah bro. Ain’t nobody got time for that.