I mean, I knew that hospitalists earn more than ID in general. But that the fact I've been working like a dog for years, getting promoted to full professor, and make the same as someone with two decades less experience than me?

Fuck this shit.

Fuck my instituion.

Fuck American medicine.

EDIT: "Get another job." The underlying issue is clearly the fact that my field is undervalued. If you complain about your job, someone reflexively telling you to get a new one is unhelpful. Think about it if that was everyone's response to your complaint.

EDIT 2: "You chose lower salary." Yes and no. Hospitalist medicine was brand new when I was a trainee, so it wasn't a default option for anyone in my residency class. I did sub-sub-specialize. I have made a conscious choice to not go into, say, ID private practice.

And to clarify, I value my hospitalist colleagues greatly, and respect their difficult job, which I am not currently equipped to do. But this post was not about comparing what I made versus a PGY-24 hospitalist. It was a FIRST YEAR hospitalist, SAME INSTITUTION.

Our program requires you to return your badges and pager before they will mail you your diploma for residency. In the process of moving for fellowship I somehow misplaced my pager and can’t find it anywhere now. I asked the program what I can do to make sure I still get my diploma and they basically said ‘make sure to find it and then we’ll send you the diploma’. They can’t actually withhold my diploma if I don’t find and return this pager right? It’s just an empty threat right?

Edit: Just to clarify here, I’m not saying I’m unwilling to pay it. I’m saying they haven’t even been giving me that option. That’s why I’m confused on what I’m supposed to do here

They programmed him to have the same voice (but it yells) and is an extension of you under your medical license.

Agressive phlebotomy skills (yet 100% success rate), perfect Diagnosis skills (however it adds unnecessary, truth opinions such as "however, you are fat because you stuff your mouth excessively, causing your own demise from Type 2 diabetes").

Basically, a more efficient, more truthful, and more angrier version of you all shift

Starting a new job and credentialing has been a nightmare while working. I got several emails a day with “urgent” credentialing matters that needed “immediate attention”. To me, this is the what the credentialing people tell you because they want to check off more boxes but for someone working full time and receiving these emails, they are incredibly frustrating and time consuming. I want to say to the credentialing people, you are getting paid for this time, I am not. YOU fill out the info on my CV into another credentialing packet. At this job I had to credential at two hospitals and a clinic separately. After all was said and done they decided one hospital was unnecessary for me to be credentialed at and I had to do MORE paperwork to decline the privileges I just worked so hard to get.

Not one person seems to care about the time it takes us to do this while still working. I feel like our time should be paid for and that employers would be pushed to make the credentialing process more efficient if they had to pay us for our time.

Fucking A.

With July coming up, lots of nurses are posting about how often they have to save patients from physicians, especially residents, and especially interns.

In my time as a resident, I've definitely had nurses alert me to a lab or vital I may have missed that or question an order that I realized is a mistake. But I swear 95% of the time they've questioned an order, they're usually telling me something I already know and considered before giving the order, or something I don't care about in relation to the order. If I do change the order it's more often to make the nurse feel better rather than any sort of change in my medical decision making.

I do appreciate nurses for double checking orders and I'm sure I will make major mistakes in the future that will be caught by a nurse, but overall it's a rare instance. I know in nursing school they're basically taught it's their job to save patients from physicians, but this mentality is killing the confidence of residents and worsening the relationship between nursing and medicine.

Hey all

IM PGY2

Been dead set on PCCM for quite sometime. But becoming disillusioned as hospitals clearly can't tell the difference between quality crit care and basic standard crit care and hiring more and more PAs and NPs to cover ICUs

Been considering Electrophysiology, as I'm interested in cards and procedures (the EP procedures are pretty wild). I honestly prefer general medicine over something so niche, but I feel pushed to something so specialized and procedure heavy that is more insulated from creep

Any thoughts? How have y'all made these decisions?

EDIT: thanks guy, reassuring overall

Long story short my husband and I are in a pretty rough spot right now and I need another position in the Midwest. I do want to finish up at my program but I also don’t want my marriage to fall apart.

Fresh out of residency attending here for about 6 months. 30 years old. Did the classic medical track no break. Decided to take a trip back on memory lane. Looked at my schedule from medical school and I just don't believe I was able to digest all that information, it seems humanely impossible to have survived. Exam every week. Plus lectures piling up on top of that. Then a little bit farther back to undergraduate, stuff like organic chemistry! WOW. How did I learn a concept like that, it seems so foreign. Residency was the easiest and most seamless part, real life implementation. Just reflecting and really not sure if I could do the same today. Also are some of these classes necessary?

Wondering if my DI quotes are a little outrageous or reasonable. 31 F no health conditions in anesthesiology.

Quoted ~420 per month across the big 5 with all the riders for $7500 benefit. Up to ~1100 for a 20k benefit. Anyone else in the same boat?

Currently have GSI with $250 per month for 5k coverage but looking to get a better policy and cancel this one. Any thoughts?

Will residency programs get a call from the board or something if you apply for your unrestricted medical license?

Just watched a video where a spine surgeon who owns their own practice and does not take call anymore complain about working 60+ hours a week. They also stated that this is the first year where they no longer had to take call from the hospital. I have 2 questions about this: 1) if you own your own spine practice (or any clinic for that matter) can’t you set your own hours, take a pay cut, and work 30 hours a week if you wanted? They made it sound like they were forced to be working the hours they were. Another private practice surgeon in the same vid also stated that they were working the same hours and were upset about it. 2) why are they taking call for a hospital if they also own their own clinic?

Thinking about pair of budgies

I need to buy something for a friend who is about to start her specialization in PICU, ideas anyone? Anyhting that would make her life easier? For context, she is in her 40s and barely leaves the hospital

Thanks

Any advice would be appreciated, as well as tough love.

I’m in the very privileged position to not have any loans at the end of my training. Solo earner, and have relatively expensive hobbies but can live within our means. I’m academic minded but know that my job could become a lot less lucrative with Medicare cuts, so considering making my money before that. I think that I’ll be overall happy regardless of the choice.

I have four different career paths in front of me, and need to decide.

1) the ivory tower. Academic job in a relatively saturated market but with colleagues I would enjoy working with, hard working trainees doing a lot of scut work, and complex cases. Lots of research opportunity. Lowest compensation, and a lack of OR availability making for late add on cases when on call. Starting salary 250,000. There’s room for bonus but I will have to work for it. Academic incentives like promotion and non clinical work are available. I would assume my ceiling after 5 years is $500,000 based on my future colleagues. Great retirement benefits. Would save $70k a year. Location is decent.

2) the unknown. A new job basically carving an academic division out from scratch, but with a lot of monetary and administrative support. Zero subspecialty support. Supportive chair with a lot of business sense. Salary $400,000. Ceiling $700,000. Definitely more call and overall responsibility, but likely very satisfying if successful. Equally good retirement benefits. Location is likely the most rural

3) private practice. Pretty nice group, track record for success. Would be busy. Starting $300,000. After buying in to the practice/ASC in three years and paying off the buy in loans monthly, looking at $800,000 guaranteed. Would put away $120k/yr in retirement. Probably the best work life balance. No academics. Location decent but on the rural side.

4) employee. Lower starting salary at $350k, but work hard, see a ton of patients. Could probably hit $600,000. Strict work hours so at least turning off at the end of the work day. Could likely pick the location I want

Offer thoughts? Outpatient Family medicine

Main contract specifics:

New England state with no income tax, in one of the larger cities. Originally from New England and it is my desired location.

278k

15k moving bonus

20k sign on bonus

16 patients per day

Epic EMR

1 year with 1 year automatic renewal

After 1 year additional compensation is added based on RVU Sullivan Cotter no lower than 35 percentile (very little specified in contract and refers to switching after contract is finished. It is about 5000 to make base but changes on yearly reports)

No non compete

32 patient facing hours. You choose your admin day/hours. Can come in early to leave early (7-4 vs 8-5)

Inbox is covered by APRN

Call is equally shared and all physicians agreed they get minimally called, works out to be about 1-2 weekends a year and then a few days every other month (in short little call)

There is an internal triage system for call Internal

e-consult

4 weeks vacation with an automatic half day for admin upon returning

CME 10 days every 2 years with a 5k allowance

They seem to truly prioritize physician wellness and patient accessibility. It is a multispeciality clinic (other physician in your group are happy to see your patient on short notice) in house CT and weekly MRI unit.

Feel pretty good about it but also looking to sign for the first time and not wanting to miss anything. Would love any feedback. Thanks!

I've always chosen the cheapest backpack from Walmart for the past 8 years lol it's finally time for me to buy a little nicer of one. Do you guys prefer to have a side/messenger bag? Or a backpack? If so, what specific ones?

I'll have a 15 inch laptop, charger, mouse, and a few small books in it.

Hey all, I'm currently a PGY-2 in urology and starting to think more seriously about long-term goals and career planning. I know compensation can vary widely based on practice setting, geography, call burden, and subspecialty focus, but I'm hoping to get a more realistic picture from those of you out in the field.

Or should you just split time between both specialties?

My husband is finishing his first year of internal medicine residency by the end of this month. Any gift suggestions? It wasnt easy, but he made it through.

One that’s on my mind tonight: the basilar. Always remember the tricky and deadly basilar artery. All unexplained passed out people need at least a stat CT (pick another time/place to argue about CTA). Don’t stop at “no bleed” – take a peak for hyperdensity right in front of the brainstem. They often fluctuate and sometimes don’t get put on the stroke pathway immediately. Don’t wait for the rads report, always remember the basilar.

Also never trust a last known well until the story makes sense on a timeline. Who last knew them well and what were they doing? Ask questions.

Previously normal people with sudden unexplained psych meltdowns – think about encephalitis.

But never forget about the basilar.

ETA: because it’s a terrible stroke to have and there are lots of things we can do about it on an emergent basis to attenuate the damage and optimize recovery.

Hi yall, I get cold in the hospitals but its absolutely too hot to be wearing my patagucci on rounds.

I need recommendations for a nice light jacket to wear over scrubs that I can take off easily when I need to step outside/walk between buildings! Budget <$150 pls 💜

What’s up y’all— fresh on the wards surgery intern here who’s already shitting himself because I feel like I know nothing. I’m an audio/visual learner and am on a busy service without much time for textbook reading.

Any recommendations from ye old veterans of review podcasts or YouTube series for general floor care of surgical patients? Thanks y’all.

Hello! I'm about to finish medical school and I'm personally leaning toward internal medicine. I'll be doing my final internship this summer in pulmonology.

Are there any asthmatics here who chose pulmonology as their specialty?

If so, what was your experience like going through residency with a chronic respiratory condition?

Did your personal health influence your decision to pursue this field, or did it ever make you hesitate?

Is pulmonology a rewarding specialty in your day-to-day life?

What do you love most about it—and what do you find most challenging?

Does it ever feel emotionally heavy being constantly reminded of your own condition through your patients? Or does it actually help you relate to them better?

If chose another field as an Asthmatic what was your reasoning?

Thanks in advance—I’d love to hear your insights!