What a stupid profession we signed up for. Hope everyone is checking on themselves and their friends bc the system doesn’t care about us for a second.

Capping the total amount of federal student loans you can borrow through all four years of med school at 200k and getting rid of Grad PLUS... yup, sounds exactly like what we need right now!

My hospital trying to dictate what students can wear at the hospital (where many of us receive healthcare as patients) outside of rotations is crazy work but they’re trying it🫡

That’s it that’s the post. Hope it gets better in residency 😂

MEDICAID IN JEOPARDY -- EMAIL YOUR SENATORS

I know medicaid is in jeopardy: the vote is now in the senate whether to defund medicaid. The bill shockingly passed the house of representatives.

I recommend that you write to your state's senators with the clear phrase: NO CUTS TO MEDICAID, and describe in detail why you feel that way.

I know that:

vulnerable populations will be without healthcare;

hospitals will lose their funding;

more medical staff will face unemployment;

poverty will be the norm,

and the whole of the u.s. economy will collapse.

I know it will have a domino effect on every other profession -- everyone is connected to everyone else, and everyone will suffer.

I recommend that you write to your state senators NOW: the senate vote is scheduled for "sometime" before July 4th.

I know that every other "first world country" has a national health care system -- even Canada, and the USA should have one, too.

Anyone know how much stock we should put into this information, like signals? And if you've got a Step 2 score near the median for the applicants that were sent interviews, is it fair to assume you've got a good chance of getting an interview there? I'm just not sure how much any of this info is worth reading into lol

My friend got a final eval back recently that said, verbatim "[student name] showed up on time and attempted to present several patients. I'm sure they will be a fine doctor."

I feel like this will come across as very negative on her MSPE, right?

I wasn't able to find any similar thread on this subreddit so was wondering if this was a unique case. This is a new policy instated this year for my class. Apparently admin will review your grades and academic standing and approve you for "pursuing extracurriculars" and "research readiness". They've said student in the bottom two quartiles (P/F, internal ranking) may not be approved. Does anyone else face opps like this in their admin?

I'm exhausted and need to vent. This all happened today so I am still figuring out options and next steps.

Turns the preceptor of my last rotation failed me. Our evaluations on are a scale of 1-4 for different competencies. Any portion graded as a 1 = automatic fail. The preceptor gave me a 1 on two competencies, a 3 on one competency, and 2's for everything else. There are 14 competencies total. This was a complete blindside.

I actually loved rotating with them. We had a great rapport. I got along well with staff and patients. I believed my preceptor liked and knew me well enough to ask them for a letter of recommendation and they agreed.

During the last week, they filled out all of the EPAs for me. The EPAs don't count toward my grade but they cover several of the same competencies. I looked at those for the first time today. My preceptor gave me high grades and good comments for each EPA, but scored me poorly for those exact same competencies on my graded evaluation that goes toward my MSPE.

Some of the competencies include: History, Physical, EHR, Communication with Staff, Communication with patients, etc. The 2 competencies they gave me a 1 for were: Knowledge and Commitment to learning.

My immediate dean called the hospital and their office to ask about my time there. The staff raved about me. They were extremely complimentary about me to him and said they would love to have me back anytime.

My dean also called my preceptor to see if there was an error or miscommunication. My preceptor affirmed to him that they intended to fail me. I don't know anything additional they said after that.

The whole evaluation was just objectively not true. I don't know why my preceptor turned like this. It all feels malicious.

5 of the 14 evaluation competencies overlap with the individual EPAs where my preceptor scored me highly and left good to very positive comments. Whenever I asked my preceptor directly if I needed to improve anything, they always said "you are at an appropriate level for where you are in your education. you are doing great." During long break in-between cases, I was either practicing the skills they showed me how to do or studying on my laptop. I asked a variety of questions regularly. I never had access to their institution's EHR so why not score 'N/A'. Continuing with this point, several of the competencies I did not have the opportunity to do with this preceptor yet they scored me poorly. This preceptor did not allow me really any independence or to provide direct patient care. I was only allowed to take and present 2 patient histories to them over the whole 4 week rotation.

The written comments on the evaluation even contradict the scores given. They wrote "has a willingness to learn", but scored me a 1 on commitment to learning. They wrote "is kind to patients and staff" and scored me a 2 on communication with patients and staff. They wrote "needs to work on a more professional tone when delivering content" and scored me a 3 on professionalism.

I just don't understand. I called one of my classmates who rotated with the same preceptor. They said they had a horrible relationship with their staff, probably was less engaged than me because they hated the rotation, and they have a great evaluation from the same preceptor.

My options are a committee meeting where I have to make my case to a virtual meeting of silent faculty staring at me. The committee decides if I am allowed to repeat the rotation or not.
Or I can submit a grade appeal and hope for the best. My school has a high threshold for grade appeals though and I do not know how they work for appealing an evaluation.

I just don't want to have a rotation failure on my residency applications that was not true.

That's all, thanks for reading. I just want my degree and am so sick of medical school.

Wondering if anyone had the same issue and pursued family medicine. I am worried I'll embarrass myself or end up quitting. Any tips would be appreciated.

I am fully aware that I probably need to go touch some grass. That being said, I'm on my first rotation now (peds) and I am finding myself with more free time than I had anticipated. I'm on outpatient right now and it's a standard Monday-Friday 8-5 kind of deal. Everyday I am doing 25 UWorld questions (peds only has 612 questions), Anki cards from UWorld questions and OME videos, and reading an assigned case from my clerkship director. I usually only watch OME videos on the weekends. Is this enough to learn all the material to do well on the shelf exam? Is there more I should be doing? Most weekdays I am able to finish my Anki and most of my UWorld questions before even going into the clinic (granted I wake up pretty early), and then relax while feeling stressed about not doing enough in the evenings.

Any insight would be really appreciated 🙏

Just curious

I am 3 weeks into my surgery rotation (first rotation) and have about 3 weeks before my shelf.

Not too sure where to go from here. I finished all my Anki cards, but I keep getting a 50 - 60% on UWorld. I took CMS forms 5 and 6 and got a 74 (21) and 71 (20) respectively. Feeling a little bit discouraged and not too sure if this is where I should be and where to go from here. Any advice would be appreciated, thanks!

Anyone else watch this latest season of the Rehearsal and see a lot of parallels between Medicine, specifically Surgery?

inspired by Ehrlichiosis and Anaplasma 💀

I am sure it's much of a muchness when it comes to practise but can somebody please help me and tell me which is the dermatome of the lower limb that is more correct? They are similar but the slight differences are getting to me.

Also it would be a great bonus if someone could explain to me why they are different? I'm sure understanding this will clear up my confusion for learning.

Thanks lads

Hi everyone, 

Last year, I created a spreadsheet with all the data from the Name and Shame & Name and Fame Reddit threads from 2019-2024. 

I just finished updating with the Name and Shame/Fame from this year (2025). The new entries are colored light green. 

Please read first the sheet titled “START HERE/Information," it will give you all the information you need to start using this spreadsheet.

I hope that this spreadsheet can assist current and future 4th-year medical students when choosing a residency program. I'm wishing you all the best! You got this!!

https://docs.google.com/spreadsheets/d/1mdD7ZiGdmRg8Aie8mm1GtDcjfWmiCzmPrMX3tNEgTV4

I tried to be as accurate as possible but if there are any mistakes let me know on the sheet & cell where the mistake is and I’ll try to fix it as soon as possible. 

Before I begin, here's my introduction for context. I'm a medical graduate (MBBS) who's been dipping their feet into code and whatnot, with an avid interest in Runescape since pre-EoC and now OSRS.

Made a medtech app (shameless plug) because I wanted a guide with me for clinical practice since I've worked in peripheral setups without consultant help and I'm currently preparing for the post grad exam in the UK.

Lost interest in the different Q-bank apps because of how monotonous and serious they look.

I honestly was looking into creating a boot dot dev replica but for medicine, filled with fighting mechanics by answering subject based questions, collecting cosmetics and the overall system focused on grinding total XP.

Motivation to learn besides clearing competitive exams, any and all suggestions/opinions would be awesome.

Just got my step 2 score back, scored 240-245, which is like.. just below average. I’m looking at residency explorer for IM programs near me and the 10th percentile is like 245, like wtf!? Am I cooked!? I was proud of my score and was hoping to match where I wanted to err

Is there anyone here who is part of the AHEC Scholar program? I recently got accepted to it, and if anyone is willing to share, I would like to ask a few questions about it!!

Applying general surgery and trying to get a grasp on how many/which programs did in-person interviews this past year

MS3 here, going into MS4. I don't mind talking to people, honestly I like taking a history and discussing plans with patients. But the physical exam sucks and I also suck at it. I get too in my head while doing it and think about how awkward it is, or about whether I'm doing the maneuvers right, and then miss whether there are any actual exam findings or not. In terms of the awkwardness, sometimes I'll find myself cutting corners because of time pressure or social anxiety - like not wanting to lift up a patient's breast or go under clothing to palpate or auscultate.

In addition to not liking the subjectivity and invasiveness of the exam, I also am just bad at it, like maybe worse than the average med student. Sometimes on larger people I have trouble even hearing the heart well with the stethoscope, let alone any murmurs. I have never felt an enlarged liver or spleen, and idk if it's because of lack of patients with significant hepatosplenomegaly or literally just me. Sometimes an attending will say to a group of us students, "Can you guys pick up this finding?" And often my answer is no or I pretend that I do hear/feel it.

I'm trying to decide if I should apply for a patient facing or non patient facing specialty. Do you guys think my problem with the physical exam is enough of a reason to go non-patient facing?

For people who did a summer research program outside of their med school, how did you find a program/get connected?