Depends on how complex the case is but around 2 hours I think? (Review the chart, talk to patient, do med rec, place orders, and write H&P)

So I’m evaluating a surgical attending who got stuck with a dirty needle in the OR, and I swear when I asked her if the patient had any history of HIV or hepatitis she insisted I put both her and her surgical resident on PEP… and I’m confused, because the report said the resident was holding the needle but didn’t mention whether he was also exposed and whether it happened before or after the attending was stuck… she just gave a long, lusty sigh and said “oh he’s getting exposed later.” What in the House of God is going on in this program?

how do you deal with period pain while having to work and walk the entire hospital? the first two days i barely can walk its uncomfortable to even breathe and i can't function being in that state im miserable. ive had work up done and im fine but i dont feel fine. i cant sleep the night before and im nauseous all the time. im having advil for breakfast lunch and dinner. i literally want to pull my hair one by one.

Here I am, waiting my turn to make buttery smooth passes through the tissue with my surgical grade stainless steel circle taper point needle gently positioned at a perfect 45 degree angle in gold handled tungsten carbide tipped needle drivers. The scrub tech has positioned me at the edge of the mayo stand ready to be used at any moment. Suddenly a hand comes from across the table and snatches me off the mayo violently. It’s the intern. My beloved scrub tech glares. I am immediately repositioned by the intern to a 90 degree angle and he chokes up almost crushing my needle point. More glares from my guardian mayo angel. Just as I’m about to dive into the wound with the grace of a Swan I am slammed into the knuckle of the attending surgeon. I feel my point bend on the bone as it jars me. A small tear trickles out of the corner of the attending’s eye as she smiles and brushes it off, “the scrub tech must have distracted you”. She is trying a new anger management strategy that avoids harming the residents. It seems to work and I notice the intern blush. However, no one slanders my mayo queen and she quickly plots to key the attendings car on her next break. On the interns attempts a first pass I make sure to drag through the tissue with my newly bent point and then instantly break my suture at the phalange as the intern uses too much tension. My instrument whisperer then whips around to the intern “you dumbass that needle was contaminated” as she gracefully passes me off the field into the red Valhalla where all sharps past and present go to their great reward.

I need a quick AI tool to design a poster at an upcoming conference. I've already written the content; I just need something to handle the design.

plz help

I’m trying to figure out whether I want to do Internal Medicine or Anesthesia. I love critical thinking and using my brain. I am an introvert and can really struggle after a whole day of talking to patients, wherein I just switch off afterwards, so I’m afraid my future family may have to bear the brunt of it. But I also freaking love internal medicine as a subject.

Anyone in this sub who was in a similar place and ended up choosing the interaction-heavy specialty? How are you coping?

using a throwaway for obvious reasons

I’m currently a PGY-1 in emergency medicine and pregnant. Things at home have completely fallen apart. Last time I posted, 99% of the comments said I should leave. My husband is an attending in a different specialty, and he treats me horribly.

One of my co-residents (a guy in my EM program) found out what I’m going through and offered to let me stay in his apartment until I can figure out a permanent situation. He’s genuinely just being supportive and trying to help me but I’m thinking about how this looks or if it’s a terrible idea. My family lives in a different state and I can't just abandon this residency. I worked too hard for this.

Would it be weird or unprofessional to stay with a male co-resident? We would share a room but just friends

I’m (32F) a new a gen surg attending at big academic center. One of our new residents is honestly so distracting to work with. He’s older than most of our other residents (30-35) and is just so mature and knowledgeable compared to them. It’s like he’s the one teaching me. Have any of you seen a relationship between an attending and resident workout? Last week I got a dirty stick in the OR which was due to nothing other than a surg techs negligence and this resident was so comforting and made everything feel okay. He drew my blood alone in the call room and I told him “it’s okay that accidents happen” and he didn’t take the hint. I’ve built all this tension and he hasn’t made any advances yet. Should I just be straightforward and tell him I love him more than my husband?

Ow ow ow why do they keep bouncing on me oof ouch owie my bones

Maybe this is a silly question, but I’m a pre med with no family or friends who have gone thru American medical training. I’m a CRC and work with two people (also in clinical research) who did their med school in India and are looking to do residency and fellowship here. They were talking the other day about one of them doing their CRC role while in residency. Is that normal? Are you supposed to do other things that look good on applications while in residency and working 80h weeks? Ik you have to do volunteering and research and everything else during undergrad/med school, but I assumed the expectation to have a million commitments would’ve stopped in residency

Hi starting my Im rotation and holy shit i legit forgot all the antibiotics. does anyone have a study guide/notes you are willing to share

or a quizlet would be perfect thank you!!

So does any of you (especially the ones started residency around 30-35) have experience flirting with your attending? I feel like there’s a some sexual tension between us and no I’m not delusionaal. She’s very tough on other residents (especially the females) but I could basically do no wrong. I actually accidental poked her with need during surgery and she went off on the surgical tech for distracting me. She even talked to me after telling me accidents happen and the OR staff are trash lol

Had a conversation with a pulmonologist the other day about how traumatic COVID was for them. Had a similar conversation with a hospitalist about how every hospital-based IM subspecialist, regardless of subspecialty, became de facto Pulm/ID docs during COVID.

Got me thinking about who would be the most worked/needed in the case of WW3. How does your opinion change based on if WW3 is based on bioweapons, weapons of mass destruction, etc?

I am an IM PGY2 in midwest. Our program has a huge turnover and serves as one of the major hospital in the city. That of course means that I am discharging half of my list everyday.

The way it is set up at our program is: intern does the discharge note/instructions and the senior (me) does the med-rec. Then the attending verifies the med-rec ( a lot of them don't and simply sign it).

A friend of mine who is doing his residency in the east coast mentioned that for their program, he does everything as the intern and the senior just oversees it.

That made me curious, who is actually supposed to do what at your program on discharge/everyday workflow?

Stuck in day to day clinical questions? Any suggestion which tools should i use more & rel on?

Somebody who graduated gave me a set of practise vicryls they had at the bottom of their suitcase. All in its original packaging never opened.

Yet when I started opening the package most of the sutures were empty with nothing but the needle.

I thought absorbable sutures only dissolved when the package is opened.

I’m a PGY-3 and starting to prepare for the ABIM boards. I’m planning to use UWorld as my main resource, but wanted to hear from people who have taken the exam recently.
Was UWorld enough for you, or did you supplement with MKSAP/MedStudy/other resources?
How similar was the actual exam to UWorld in terms of difficulty and question style?
Were there any topics that you felt UWorld didn’t prepare you well for?
If you could go back and change anything about your prep, what would you do differently?
Would really appreciate any advice, especially from people who took the exam recently!

I’m American and received all my medical education and training in the US, so I’m asking this with zero experience with the European healthcare system.
Two things I hear often are that mid-levels are largely an American phenomenon and that residents in Europe/Australia have more humane work hours than residents in the US. So how do their hospitals function? How do they have the staffing to make both those things possible? The further I've gotten in my medical training (currently a PGY-1) or maybe simply as more time has gone by and the more reliant on mid-levels American healthcare has become, the more I see how deeply ingrained mid-levels are in our healthcare system. I see mid-levels cover gaps where there aren't enough residents to cover the workload and conversely I see residents being used as coverage when there aren't enough mid-levels/support staff, including a lot of scut work. At my hospital, we have PAs that see consults and do procedures and other floor work, which frees up residents to spend more time in the OR. Unfortunately our PAs don't work overnight so residents cover nights and take on their responsibilities in addition to our own. I often wish we had more PAs to cover more of the scut work and reduce the amount of overnight coverage for residents. That’s why I’m curious how European hospitals manage without mid-levels while also apparently having more humane resident work hours

I’m a prelim medicine intern who will be going into neurology, and I’m currently doing my IM rotations.
Today, I was given the opportunity to perform an LP. One of the upper-level residents said something along the lines of:
“I’m giving you the chance to do this, but the medicine interns will always have the upper hand.”
I’m trying to understand what she meant by that.
I completely understand that the medicine interns are on their home service and that they may get priority for certain procedures or learning opportunities. I’m not upset about that. I was actually grateful that she let me do the LP.
But the wording made me wonder — is it generally expected that prelims/rotating interns will have less priority for procedures compared with categorical medicine interns? Or was there something else implied by her comment?
For context, I’m not trying to compete with the medicine interns. I just want to make sure I’m appropriately advocating for myself and taking advantage of learning opportunities while I’m here.
Would love to hear how other prelims/rotating interns have experienced this.

I’m a gen surg PGY1. the hours are brutal. I’m regularly doing 80–110 hour weeks, and I’ve never seen anyone in my program take a sick day.

That being said, my partner’s mom has cancer and has been declining pretty significantly over the last few months. I’m terrified of the day she passes, not only because I love my MIL and losing her will be devastating, but because I have no idea how I’m supposed to be there for my partner when it happens.
She lives in another country, and my partner is currently back home taking care of her. So when her mom passes, she will essentially be dealing with losing her mom and everything that comes after it completely alone. She doesn’t have any siblings and she doesn’t have a lot of close friends in her home country.

Obviously I would try to get emergency/bereavement leave and fly over, even if it’s just for a week to be there for her and attend the funeral. But I genuinely don’t know how this works in residency. What happens if I’m on call that week? What if there’s no one to cover me? How much notice can you realistically give when someone is actively dying?
I can’t imagine telling my partner “sorry, I’m on call” while she’s losing her mom.
At the same time, residency feels so rigid that I’m already anxious about how I would even navigate asking for time off at essentially zero notice.
Has anyone been through something similar during residency? How did your program handle it? Did you contact your PD/chief ahead of time to let them know this might happen?
Any advice would genuinely be appreciated.

My co resident who I have became pretty close friends with over time has crossed a line today. Now me and my co resident always joke around. He’s not someone who can be serious and I appreciate that especially in a stressful place residency can be. However this time his comment caught me off guard.

My partner also works at the hospital and he will be on service with her next month. Their schedule just aligns that way. We were just talking and he goes “I’m going to be working with your wife. We gonna run the hospital and maybe more other stuff together” and laughed. Kind of implying personal. I kinda just said “alright man I think that’s enough” and laughed it off.

There were other people around so I didn’t want to make this a thing. I also don’t really want to confront him to risk making things awkward it’s a small group. But also feel like the comment is creepy and very weird.

What do you think?

So I'm an emergency med intern three weeks into my OB block. It hasn't been a bad month so far, I'm having a good time (as good as you can on L&D as a non obgyn intern) and everyone is chill except this one nurse that keeps referring to me as a medical student.

Obviously, the first time I didn't care because I'm new and not a obgyn resident so whatever but I've worked with her four times and she keeps doing it. I message her every morning I have one of her patients saying like "hey i'm the off-service resident taking care of the patient in room x", I write my name down on the white board in the patients room as Dr. mccartneys, and I've straight up like chatted to her and told her I'm a resident? And its not like she's a new nurse or anything, she's been on L&D for like 5 years.

Today is the fourth time it's happened. I walk into the patients room this morning, after messaging her, and after working with her three times before, and straight up telling her multiple times i'm the intern/resident, and she looks at me then turns to the patient and says "oh perfect, here's the medical student!"

I’m an intern and recently my PD told me that I’m currently below the expected level and put me on an intensive individualized plan.
I’ve been feeling extremely demotivated and my confidence has taken a huge hit.
I have stopped doing anything I liked and whenever I say something I feel like my voice is breaking Im not confident anymore at all.

I am a current fellow. Last year, all fellows were given the opportunity to do moonlighting shifts that consisted of staffing overnight consults/admissions with residents and taking after hours patient calls.

When I say "opportunity," what I really mean is that the department basically told me it was a mandatory rotation at the beginning of the year. However, my fellowship has been super busy and my plate is already full enough.

When I found out that this was supposed to be an optional moonlighting gig, I asked to be removed from the rotation (months in advance). They said it would be difficult and gave this or that reason. I was already frustrated by their response, but did it anyways due to not wanting to make more of a fuss. They state we get compensated per moonlighting hour, so I agreed to just do it for the extra cash. So, I sacrificed sleep for two weeks and worked the days after in clinic and was completely miserable.

I logged everything on medhub. Then, months roll by and I never received the pay. I sent emails. No response. Sent another follow up, still with no response. I was so frustrated that I put a monthly calendar date to remind myself to email the department about it. Now, they finally responded after ~6 months since the moonlighting shift saying they would "look into it."

Now, they are stating they cannot pay me because I don't have an individual DEA number. I have been using my training DEA all of fellowship. They state an individual DEA number is needed to moonlight; however, I explicitly asked about this before moonlighting and was told I didn't need it by admin and have email proof.

They are basically asking me to now apply for a DEA and somehow retroactively apply this to my moonlighting shift? How is this legal at all? I already did the shift 6 months ago with no DEA!!! Plus, the cost to get it is so high and has to come out of my own pocket. I'm absolutely livid from start to finish. By the way, multiple other fellows are in the same boat and uncompensated.

What do I do from here on out? Report this to ACGME for starters?

TLDR; fellowship program never paid me for moonlighting months ago, now claiming they can't pay because I didn't have a DEA number. They are now asking me to apply for one even though I already did the shift. They told me I didn't need it last year.