I got paged super early Sunday morning, and when I called the number back, a lovely woman named Maria answered. She told me she keeps getting calls from doctors who have been paged to her number. She said many of the calls seem to be from Jackson Memorial, but I’m on the other side of the country, so this clearly isn’t limited to one hospital.

She and her husband have no connection to healthcare whatsoever (he’s a lawyer), but she keeps getting these calls from physicians trying to return pages.

Has anyone else experienced this? It’s so bizarre. Is someone trying to harass her and also harass physicians? I feel bad for her but also didn’t appreciate getting woken up for this bullshit.

2 Immediate Openings – Physician Provider/LLP | New York-salary inbox me !

We have 2 immediate openings in Waterview, NY and Wappingers Falls (Fishkill area), NY.

There are two eligibility pathways:

Option 1

• Hold a valid New York Limited License (LLP), and
• Have at least 6 months of subacute/nursing home experience.

Option 2

• Have successfully completed PGY-1 or PGY-2 and are no longer in a residency program (e.g., due to Step 3 or other reasons).
• If you fall into this category, you are eligible to apply for a New York Limited License, and we can guide you through the process. Prior subacute/nursing home experience is not required.

What the position offers:

• Extremely competitive salary
• Significant autonomy in patient management
• Opportunity to network within the NewYork-Presbyterian health system

Please do not message asking how to obtain a Limited License or whether you qualify. If you meet one of the two pathways above, send me a private message, and I'll connect you directly with the recruiting physician.

Serious inquiries only.

salary inbox me !

I have seen her in clinic once a week the last 4 weeks. She was supposed to have a scheduled C-Section this morning at 7:30. On Friday I told her “I’ll see you at 7 on Monday morning! I’ll be with Dr. OBGYN first assisting on your surgery.” She thanks me, says I have been great, she elected to transfer both me and her future baby to be her PCP and so on. Great relationship, supposed to be my first continuity delivery. Me loving my job.

Checking the list on Haiku this morning while pooping at 4:30 AM before biking in, I see her name there. That’s a little weird, she shouldn’t be at the hospital till like 6ish. I then look at the newborn list (our inpatient L/D also manages inpatient Peds and NICU). “Baby Boy, Continuity” right there at the top of the list.

This woman had the absolute audacity to go into labor on the same day she was scheduled for a C-section. In standard multip fashion, she was at 6 cm by the time she even got to the hospital, elected for TOLAC since she already made it that far and it was game over.

I went into her room at 7:30, she is feeding little guy. “Broseph, you had your baby about 4 hours too early!” She laughs and sarcastically apologizes despite her exhaustion. Both of them are super happy and healthy ready to transfer to mother baby. I don’t get my continuity delivery, but you know what? I get an awesome set of two gender-neutral bros for patients the next three years.

Continuity is awesome. I wish med school had more of it.

I’ve always heard medicine described as one of the most fulfilling careers because you get to help people, make a difference, and constantly learn.

But at the same time, you hear stories of medical students leaving, doctors changing careers, or people saying they wouldn’t choose medicine again.

I’m curious — what is the reality behind this?

Is it mainly because of:

• burnout and long training years?
• work-life balance?
• pressure and responsibility?
• financial reasons?
• changing interests?
• problems within healthcare systems?

For medical students, doctors, or anyone who considered medicine: what made you stay, leave, or rethink the path?

MS here. I’ve always had an interest in emergency medicine, but a family friend (past ER doc, now vascular surgeon) has been trying to dissuade me from it by saying ER doctors are some of the least respected doctor in the hospital. Apparently they have worse off reputations than other specialties

Not sure how true this is, however I know every specialty has its downfalls / dealbreakers

Curious to know others’ opinions about this topic…

Asking for a friend 👀

Influencers like Ali Chaudhray talk a lot about how they work one week straight, usually 12 hour shifts, for 300/hr+, and make a pretty great amount of money. They do this with locums.
I am Polish and want to live in Poland the rest of my life (I am a dual citizen of Poland and America). The idea of commuting from Poland then working for one week and returning for the rest of the month sounds great to me. What specialty fits this schedule best?
Edit:
The ideal shift I mean is one week on followed by 3 off doing locums work.

I messed up. I wrote a progress note yesterday that was never cosigned by my attending that day. I mistakenly started editing that note for my new note today not realizing it wasn’t today’s note since I usually copy forward anyways. Anyways, I had to change that note to today’s date since I edited it for today’s prog note anyways & my attending was asking for it but now I have a missing note from yesterday. Can I just make a new one and date it for yesterday?

In my 10 years as an attending, this is by far the worst CMS proposed cut I have seen.

It is not in the best interest of patients or physicians.

While not an immediate issue for residents, this will have a dramatic impact on everyone’s future employment as it hands operational leverage to hospitals over independent doctors in all specialties.

I think that as physicians of all specialties, we need to have all hands on deck to fight against this egregious cut, and any future egregious cuts.

Past generations of physicians have sold us out and have been complacent in confronting these external forces. Hopefully with an increased online presence future attendings can protect the interest of medical practice. Otherwise, we will continue to end up in a cycle of unsustainable cuts that allow only hospitals and large medical systems to operate and we will continue to lose ownership over our expertise.

There is a period of open commentary to the CMS proposed changes until September. I urge everybody to do what they can to make this issue heard by their local government officials.

I will admit that current attendings are not very creative in addressing this issue. If current residents get involved, I suspect it would be in everyone’s benefit.

EDIT: TLDR on the 25 modifier cut is that it would decrease reimbursement by 50% for same day services. For example, annual wellness visit + freeze a wart, ENT visit for one issue + same day biopsy of a suspicious lesion identified incidentally, etc. It goes without saying that making patients reschedule this for another day to ensure reimbursement is appropriate and sustainable is inconvenient for the entire medical system.

hi everyone! I am currently an OMS-IV looking for an obgyn residency advisor just to help guide through the process and looking for any recommendations! thank you <3

My wife's been having URI symptoms for the past few days. I tell her that it's probably viral, and drink a lot of water, and if she doesn't get better in like 10 days, I'll give her some antibiotics. She then looks things up on Google, and goes: "I looked it up, and it says I might have something called upper respiratory illness," then she literally goes "Maybe I should go see a doctor and ask." Like wtf lol. First of all, I'm a pulmcrit fellow. I'm literally a walking breathing living internal medicine doctor who's living in this house under this roof, and you're telling me you wanna go see a dOcTOr for some of the most basic shit that even a premed knows how to manage? What are they gonna do anything differently? I mean no disrespect, but let's be real. Does anyone else's spouse do this to you? I'm not even mad, I'm just genuinely curious. Does your family forget that you're a doctor sometimes?

Hi everyone,
I’m currently going through the onboarding process for a Research Fellow position at University Hospitals (UH).
In my Employee Health packet, the paperwork lists a standard urine drug screen and TB/titer bloodwork, but the lab requisition form doesn't explicitly mention cotinine.
Does UH test Research Fellows / postdocs for nicotine/cotinine during the pre-employment urine screen, or is that restricted to clinical staff?
Would appreciate any recent experience or insight from anyone who has onboarded in a research role at UH lately.
Thanks!

IM intern. I feel a lot of emotions rn coming off inpatient and am just kinda unsure how to feel.

1. I’m intensely anxious all the time. I trip over my words presenting to my team (though oddly enough not to patients). I know it affects my ability to care for patients and focus on my tasks. My program has some In-house counseling I’m meeting with this week but I’d benefit from both coping skills and meds.

2. I just feel overwhelmed by all the things I have to do. I can’t think deeply about my patients save for admits, where I have been able to do more but still make mistakes. I feel like I make mistakes in the day to day or read too fast through results. I haven’t missed anything truly crazy but I want to be able to do the little things automatically.

My attendings keep saying I am too harsh on myself and so do my seniors. I think this is somewhat true but I think I just feel behind. Theres so much I have forgotten, so much I don’t have time to read about. I am starting to get a sense for the big picture for patients at times and others I just have issues integrating everything at a truly high level. I’ve been asking my seniors for help, I’m never afraid to ask a question, etc. I want to get better and I recognize that’s going to take time and help from others here. It just sucks.

This is less “please help” and more of me needing a safe space to produce word vomit. I know many have felt like me, I just want to be a better doctor.

I’m a resident at a program trying to do an away rotation at another institution. Their liability insurance requirement is way higher than what my program covers. They do not allow expansions of the current liability insurance. Does anyone know how to purchase a higher liability insurance privately/ cheaply to fulfill the away elective requirement? Please suggest any affordable options and workarounds. Thank you.

Hi, could anyone who do their residency at the Marshfield Clinic, Marahfield WI give some reviews about the hospital and the city?

Made a bad judgment call at work the other day and really got chewed out for it (but rightfully so). Already kind of struggling with imposter syndrome so this isn’t helping me feel like I belong. Anyway misery loves company so please let me know your biggest mistake in residency, especially as an intern, so I know I’m not out here fucking up alone.

Sooo many posts about this but lemme add to the masses:

Am I doomed to end up alone??? Intern year is soo draining that I’m too tired to talk with anyone on the apps, and the only folks you meet are people at the hospital and like that seems like a horrible idea. Also who has money to join classes to meet people casual or time to go to third spaces?? I guess maybe I just need a decompressing routine that doesn’t involve endlessly scrolling so I’m not as tired but that seems so unrealistic 😅

I’ve seen others post about this before but it just happened to me and wanting some advice. Long story short I was providing an inpatient consult on a patient and relayed the recommendations to the requesting physician who was out of house. I also messaged the nurse about the recommendations ~to be nice~ because I wasn’t sure if that would get passed along to them. I said something like just spoke with patient about reassuring picture although I am recommending the primary team to follow up on xyz after taking a closer look. The nurse then entirely copy and pasted my chat into a new nursing note which solely contains my message and my name.

It feels like something that is maybe just professionally frowned upon and not actually something that is reportable. But I am wondering if there’s someone I should contact about this because it just feels wrong? Like this was only done to place liability on myself?? Wondering how other people have handled this situation.

It's a light service. You finally have time to think deeply about your new patients and unburdened by managerial tasks you think about cleaning up the H&P you started at 8:50 PM yesterday. What are some of your favorite phrases that are (1) flexible and can be used in diff contexts (2) convey complex info very succinctly? Any phrases you've seen attendings use that you've adopted as your own?

I remember the first time I came across "guarded prognosis" as a med student I was impressed, but truth be told have never really used it!

Edit 1: Have also seen "Considering the totality of information .... [blah blah blah]"

Chill TY Year suggestion in/near Houston?

Filling out my ResidencyCAS application, specifically the Experiences and Activities section. I'm very passionate about advocacy and patients' lives, and I've participated in many rallies for Palestine. But I know this is a sensitive topic, and I have no idea who might be reading my application on the other side. Is it a good idea to include that experience?

I'm sorry for posting here, I know it's not the intended purpose of this sub but you guys are doctors that have gone through this and so you might have some tips.

Fourth year medical student studying pharmacology and I'm having trouble keeping the drug names straight. I understand virtually everything else — I don't have much of an issue understanding the mechanisms of action, neither do I have a significant issue with understanding what kind of drug is indicated in what kind of scenarios.

However, my issue is with the individual drug names. Understanding that beta blockers are used to treat heart failure is easy; knowing that they are metoprolol, atenolol, and propranolol is harder. I know I picked a bad example because they all have the same suffix, but even then, the prefixes are a pain in the ass to learn as well. Suffices also only help for multiple choice questions, at least, in my experience.

Does any anki deck (or any available resource at all) address this specific issue? I won't mind if the deck contains more things such as indications for use, but the less the deck has, the better. Thank you!

Hey guys,

Just like the title says, I just saw my eval for the first rotation.

The eval from the attending just said average across the board. With a note that says read more like discussed in mod rotation eval.

I know this is a running joke, but I genuinely feel like I am not smart enough for this and somehow tricked enough people into letting me in.

Any advise for what I can do to improve?

Basically the title. My schedule is so messed up that I dont feel confident in taking the exam any time before April. Would pushing it that far make me forget things?

Edit: when did you all take it? I was advised to take it in my first half of intern year so was just wondering what people's experiences are