Hot take I know, but with the job market in shambles, and certain specialties booming or staying the same, we have it better than most

I'm an anesthesiology resident at a surgical icu and the surgery colleagues make one feel like a useless bug. It's not the questions that bother me but how they are asked and the complete lack of trust in our abilities and diagnostic workups. You are brought upon a hostile group of people after not sleeping for 24h and are not even allowed to speak your sentence to the end. Like let me speak I can answer all your questions for fuck's sake but stop interrupting me in a very humiliating tone. It completely lacks the minimum respect that should be in place in every human interaction.

Back to things I can change hopefully:

When this happens I get nervous and feel like I'm being examined so despite having done perfectly all night I can't present anything logically i get a shaky cracky voice and get red probably. I need advice to overcome this.

I’m starting to genuinely hate residency, and I can’t tell if it’s burnout or just the constant workload with very little appreciation. I have some issues with my program too, especially the backstabbing and the feeling that some people are willing to step on others to get ahead. I’m almost halfway through the year and feel like I can never catch a break. For those who have felt this way, how are y’all coping? Does it actually get better, or do we just get better at dealing with it?

I feel like if your life isn't at least average (if not above average) in terms of having support and stability outside of residency then you're fucked.

I have dealt with a disproportionate amount of bad things during my medical education/training and I manage REALLY well all things considered!! But the other day I broke a bit and I haven't recovered

I was getting chewed out for not knowing a bunch of trials among some other petty things where my attending just wasn't giving me a break. I just had a significant loss in my family and had been having recurrent dreams about my close dead relatives, then got news my literal only remaining immediate family member is newly sick, developed worsening headaches which were BAD that day, and was having some GI upset that day too as a little icing on the cake lol.

In the same week, I also had abstracts due for a conference.. which I never submitted because I was so burnt out and the mere thought was inducing panic and anxiety in me.

That day, I never felt so much like genuinely wanting to ~end it~ during residency so far because both mentally and physically I was just spent. It actually scared me a bit, and I'm not a stranger to coping with depression and anxiety.

Residency is enough to burn out and break anyone for sure. Sometimes idk how we do it in general. But I do think of my coresidents with stable situations, siblings and/or a nuclear family unit that is alive (who can care for each other, because I've been my family's caretaker), and a live-in supportive significant other at home who helps cook, clean, laundry, etc. Those few things would help me SO much. ONE of those would help me so much.

I think about my co-residents who are able to read a lot outside of work, are up to date on everything, doing research, and get a lot of praise for it. But the ones who do that are also usually living in pretty ideal environments. Logically, I shouldn't beat myself up, but I don't *want* to slip up because of external factors either. I'm a doctor, I should be reading and learning and knowing stuff.

How do we do it, fellow People Like Me?

Maybe I got lucky… or maybe when stakes are high, you shine brighter.

This is a post for anyone stressing over ITEs. I was in the 10ish percentile for all ITEs for all 3 years of residency. Every ITE, I’ve always had something going on in my personal life that I never really studied for any of it.

I truly started studying like I did for the Step exams about maybe 3 months before. Blew through uworld. sub 50 percent correct, but that just means I learned a lot from the questions I got wrong.

You made it this far. You’ll get through the ABIMs the first time or the second. It’ll all work out.

I used to pride myself on my concise but comprehensive beautiful masterpiece DC summaries. I would spend 15 minutes crafting each on average. Everything...test results, med changes and why, follow-up action items, appointments, focused conversations and their outcomes, the works.

Then I realized it was fucking killing me. I love a well done DC summary when I see pts in the office for follow-up. The problem is, it seems like no one else fucking cares. So I'm stuck in the office reading through a co-fellow's shit ass DC summary that says either absolutely nothing or it just a bunch of copy and pasted shit that doesn't make sense; even worse, sometimes it's just a series of progress notes copied and relabeled as "DC summary".

Now, we have coders that send us daily epic chats/queries/whatever starting the day the patient is discharged - daily reminders that admin gives no fucks about patient care, only billing. They are rushing us. After this weekend, I had 9 DC summaries to do.

So I took a hit of that sweet, sweet AI slop. It does too much, that's for sure. But a single click and 1 minute of revisions is infinitely better than what I was doing. I'm a third year fellow with 7 weeks of inpatient bullshit left and I'm just...tired. I'm tired of attendings being dicks, tired of the nonstop barrage of epic chats and pages and "this problem is a fucking emergency, respond now or you will be reported." It's almost never an emergency. Everyone in the hospital thinks their problem is the most serious and emergent thing to ever exist, and the fellow is the choke point where all this shit flows.

So, fuck em. They wanna put so much pressure and emphasis on this shit, let em get what they pay for. I wish it didn't come to this, but they can suck my AI clanker scribe's dongle. It's a race to the bottom now. Sorry to any of you that will have to read these shitty DC summaries.

I’m in an academic pccm fellowship and I feel like the fellowship is too chill. We have a lot of time off compared to residency and a lot of chill rotations with not a ton of clinical volume. I’m just worried I’m not going to be adequately trained when I graduate

Current IM PGY-3 and got the worst ITE score throughout residency this year. I'm very worried I won't pass boards. I am a decent test-taker, have never failed any exams, and scored well on all 3 steps.

ITE scores:

PGY-1: 60% correct, 47th percentile

PGY-2: 71% correct, 75th percentile

PGY-3: 65% correct, 25th percentile

The night before, I got ~3 hours of sleep and was literally falling asleep during the first 2 blocks. I am otherwise a well-performing resident and have never had complaints regarding clinical skills. My program has us do a fixed number of board questions each block, which I do in a very nonchalant way since it's a requirement, and I get 60-70% correct. I don't understand how I did so much worse and feel horrible. Also, does the percent correct or percentile matter for board pass estimation? Feel like crap and would appreciate any advice!

Can people please share the salary offers they were getting for hospitalist just out of residency? Include which state you are in bc salaries can vary heavily.

Please help increase transparency in salaries for medical trainees people of Reddit! It’s so hard to find anyone to talk to about these things and fresh grads end up having no idea how much to expect or negotiate etc.

I’m a IM intern struggling a bit. I have no confidence in making plans and decisions. Im struggling academically scored 1st percentile in ITE. I’m not stupid I scored a 518 on my MCAT but struggling. everyone says just do uworld and practice questions but I feel like it does nothing for me. for example for first step my baseline was 62% right, I did all of uworld reviewed every questions and then my score was still 62%. I just can’t learn I do a questions and immediately forget, I cant keep up in rounds I always forget details on my patients and get overwhelmed, pls help. when I do questions I’m never certain of answers ever, coming up with plans I need AI to make even the smallest decision because I just don’t know.

I’ll be meeting up on google meet from 7 to 9pm CST daily between now and then if you’d like me to share screen as I do a block of 40 med study questions and then review the major points with my study partner aloud.

Hi yall, I’m a PGY3 resident, and I had a particularly rough couple days moonlighting externally where I truly felt inadequate because I was much less efficient, and felt all over the place like a headless chicken and wasn’t sure if my workups were always correct and was constantly 2nd guessing myself and looking shit up more than usual.

I feel like I could sleep knowing I did my best work and would stand by my work in a court of law, but it felt bad seeing less patients then my colleagues and taking more time than them. It felt like I was dragging down the team cause we all share the total cap among the group.

I know I shouldn’t compare myself with seasoned attendings, and I’m probably being too hard on myself as I’m still ramping but it was a rough couple days.

On the flip side, I diagnosed WPW, EuDKA, myxedema, and SJS in the past 48 hours.

This sounds pathetic but I just wanted reassurance that I’m a good doctor cause I felt a bit inadequate this week.

It’s a different beast being a learner and being independent at the same time.

Nurses at Brigham and Women's Hospital voted to reject Mass General Brigham's "last, best, and final" contract offer, the Massachusetts Nurses Association (MNA) said in a statement Friday.

The MNA's Bargaining Committee, which represents more than 4,000 nurses at Brigham and Women's, is now looking to resume negotiations with the hospital. Pay for experienced nurses is over 200k dollars.

"A foundational principle of our union is that every nurse's voice matters," Chair of the MNA Bargaining Committee Kelly Morgan said in the statement.

"This vote shows the resolve of Brigham nurses, who are fighting for patient safety and for the professional respect we deserve," she added. "It's time for MGB to return to the table ready to negotiate in good faith to reach a fair agreement that recognizes the value of Brigham nurses and the expertise they offer for the care of some of the region's most complex patients every day."

Mass General Brigham argues that its nurses are already among the highest-paid locally and nationwide, and says nurses will still be getting annual raises as they progress through their wage scale.

The union had previously postponed what would have been the largest open-ended nurse strike in Massachusetts history to vote on the hospital's offer.

"Although we are disappointed by the outcome, our priority and focus remain on providing safe, high-quality patient care," the hospital said in a statement. "Brigham and Women's Hospital is prepared to maintain uninterrupted care and respond to any steps the union may take."

The hospital added that the outcome does not necessarily mean there will be a strike as the union determines next steps.

Hey guys
Is it normal that i still hasn't received anything yet ? I only received acp mail saying that i can get a planned lessons based on my ite result

why or why not?
just curious i thought there was a (shit post) flair but im probably hallucinating

Edit: and no im not AI although i wish i was sometimes

PGY1 categorical IM resident on a visa here. How do I look for programs that have open PGY2 spots? I’m planning to move out of NYC for family reasons. Is there any official website with the entire list of openings (I know other specialties like surgery, Peds have an official dedicated web portal for the positions. I tried to find one for IM but couldn’t). Help me out please!!!!! TIA

Sup, I am a rads resident with a QI project requirement that probably needs to start getting some of my attention, and I have an idea. If you are not a radiology resident, this is probably super irrelevant to you, may as well keep scrolling lol.

The best way I learn in residency is by reviewing my cases from overnight after my staff signs them final and makes edits. It’s great feedback, but I have some issues;

1) Many of the changes are insignificant and just wording differences, but it still takes me a while to go through all the text just to realize there is really no change. This may seem minor but when I am reviewing 120 studies the next day, it can really take time.

2) There is no way for me to track stats on my strengths and weaknesses unless I do it myself. I’ve read close to 5000 studies this academic year, and obviously I can tell that I am better as some studies compared to others, but in this day and age, it seems silly that there is not a system in place to track these trends for me. I.e: “MSK CT’s have significant changes to the report 12% of the time.”

We are a large university program with epic, visage, and powerscribe. If anyone has some kind of solution to this I would love to hear it and try to implement it at my program.

Sincerely,

A resident with a QI project requirement.

which service at your hospital dodges the most consults? (ie, tells primary team they don’t think it’s indicated and gets them to take it out). as a follow up, which service do you think does this most often in an unwarranted fashion?

I am IM PGY2 on a J1 Visa. I am into PCCM or like ICU in general but Due to some circumstances I need to do my waiver immediately after graduation. So that’s like 3-4 years as a hospitalist until I get my GC.
How hard is it to apply to PCCM (or any fellowship in general) after working as a hospitalist for few years? How to stay connected in the field that you wanna apply to? How to get your LORs after all that time ? How hard is it to get from a hospitalist lifestyle back to a resident’s lifestyle?
I would appreciate any advice from people who have been through this before!!

Attendings, how much was your first paycheck and how did your life change?

-burnt out Pgy4 who needs all of the motivation to keep pushing

Edit: thank you all. My broke ass has been motivated

In all seriousness - are there any residents/attendings that are actually loyal to their SO? I already know that when you go through this sub all you see are stories of cheating, especially surgeons and cardiologists leaving their wives and having an affair.

It’s lowkey soul crushing seeing so many posts and comments on this sub so I’m trying to see if the opposite exists - are there actually any folks remaining who are loyal and don’t even think about cheating?

Hello,

I am looking to gather brief feedback from current and former resident physicians regarding resident work hours and patient safety for a research paper I am writing for my social policy class. If you have a moment, I would greatly value your perspective on three specific areas:

• Your experience with current work hour limits (the 80-hour rule and 24+4 shift lengths)
• Your thoughts on the ACGME's proposed rollbacks (such as eliminating the 8-hour inter-shift rest period)
• Your stance on petitions (like Public Citizen's OSHA petition) pushing for stricter 16-hour caps

Do you feel the current or proposed changes go far enough to protect resident well-being and patient safety? Any brief thoughts you can share would be incredibly helpful.

Thank you for your time and for your hard work.

Best regards,

Alondra.

I want to start off saying that I don't mean this in a very tragic or grandiose way.

I am a PGY3 now, and I've had some time to observe with a cool head; I've also been through some hard times and easier times, and I think I am in a good spot to reflect.

I have come a very long way and to look back on all the things I've learnt and done is amazing. I know I got my patients' backs, I care about them and try to do right by them. I am able to help most, and know where to look for help when I can't.

I am a decent doc. I know a good deal, pick up on new things decently quick, make sure to identify knowledge gaps and address them proactively, manage to connect with my patients pretty well, etc.

That said, I know I am not the best at this - I have co-residents whose brains learn faster and make connections quicker, who would remember things I would have to look up, who would be just a tiny bit quicker on their feet during an emergency, some who are better at expressing empathy and establishing rapport, others that are more nimble with their procedures, etc.

I am not trying to be gloomy - I know I am not the worst, I know I might be better than some at some things; but I also know a few co-residents that just look like they were born to do this, you know? There are probably hundreds and thousands others, better than I am, at some or most or all of my job.

I know we become doctors because we care about helping our patients. How do you deal with knowing that while you do help your patients, there are a ton of people who would have probably been just a little better at taking care of that patient? My thoughts return to this in particular if my patient has a poor outcome - even if I haven't made any mistakes and don't see what else could have been done, I always think "maybe this patient would have been feeling better if they had seen that other doc instead".

Does anyone have any perspectives on this? As a resident or as an attending (cos I suspect I won't be the best ever attending doc to walk the earth once I graduate, either).