I really try not to tell docs I’m a resident bc I don’t want them coming in with assumptions. That being said I’m pretty sure it’s on my chart because they all know. Anywho PLEASE FOR THE LOVE OF GOD STOP ASKING ME WHAT I WANT TO DO JUST TELL ME. I am at your office because I DONT KNOWWWWWW. Literally hate when they’re like well what do you think. Girl I don’t wanna think right now. If I had an opinion I would bring it up. Let me be a patienttttt.

Recently finished a week of nights and am stunned by the phone call volumes and constant interruptions. It’s honestly unsafe how frequently we get interrupted and most certainly leads to missed findings, report errors, and delayed reads. I’ve started to ask people to call me back especially if it’s for a wet read, but often this isn’t enough. I’ll just get another phone call in 2 minutes from a tech or someone else who needs a wet read.

Next night float I’ve been considering just not answering the phone until I’m finished reading the current study I’m working on. It really just doesn’t feel safe to be interrupted constantly and I don’t understand how it’s normalized for us to be phone monkeys while trying to make critical findings. The team will come in person to us for cases like trauma which of course we drop what we’re doing and prioritize.

I will update my post to provide further details:

I was a diagnostic radiology resident at an ACGME-accredited program, and my contract was not renewed before my final year of training. It's a complicated situation, but I'll try to summarize what happened and why I believe the decision was unfair.

The program cited deficiencies in several ACGME competency areas, including Medical Knowledge, Practice-Based Learning, Systems-Based Practice, and Professionalism. They alleged issues with my clinical performance, efficiency, productivity, responsiveness to feedback, educational participation, and compliance with departmental expectations.

I acknowledge that the program had raised concerns about my performance previously and that I had been placed on remediation plans. However, I strongly dispute several of the allegations used to justify the final non-renewal decision, particularly because I believe some are contradicted by documentation.

My main concerns are:

1. Inadequate evaluations and feedback: Throughout my training, I was not consistently provided with formal CCC assessments or milestone evaluations for review. During a substantial portion of my final year at the program, I also did not receive timely written evaluations documenting my performance. I believe this made it difficult to understand exactly where I stood and what specific improvements were expected.
2. Inconsistencies regarding my training progression: At one point, the program decided I needed to repeat a year of training. However, the initial communication regarding this decision was unclear, and there were inconsistencies between my official training classification, rotation assignments, and how the program subsequently treated my progression. I also have concerns about whether appropriate written notice was provided.
3. Disputed productivity and clinical performance allegations: The program raised concerns about my workflow, efficiency, and reporting turnaround times. However, based on the available records, my clinical productivity was comparable to, and sometimes exceeded, that of other residents. I was also routinely assigned substantial senior-level clinical responsibilities, which I believe raises questions about how the program characterized my overall performance.
4. Professionalism allegations and inconsistent enforcement: Some of the allegations involved departmental practices, including workstation usage and participation in educational activities. I dispute several of these claims and believe certain expectations were not applied consistently among residents. I also have documentation that I believe contradicts some of the allegations.
5. Concerns about the remediation process: Although I underwent remediation, I believe the process lacked clear, consistently communicated, and objectively measurable expectations. In my view, I was not given a sufficiently transparent opportunity to understand how my improvement was being assessed before the decision to end my training was made.

Eventually, the program issued a formal non-renewal notice. I challenged the decision through the institutional grievance process, presenting my concerns about the evaluations, procedural inconsistencies, and factual inaccuracies. Unfortunately, my grievance was denied.

Despite the non-renewal, I subsequently obtained an official letter from my program director confirming that I had successfully completed my documented training through the preceding postgraduate level. I also have a completed preliminary year in internal medicine and have passed all three USMLE Steps on my first attempt.

What makes this particularly frustrating is that I was extremely close to completing residency, yet the decision effectively prevented me from pursuing board certification through the usual pathway.

I understand that residency programs have considerable discretion in evaluating residents, and I'm not claiming that every concern raised about my performance was baseless. However, I believe the final decision relied partly on disputed allegations, inconsistent expectations, and a process that lacked sufficient transparency and timely feedback.

My main goal isn't financial compensation. I simply want an opportunity to complete my remaining year of residency and become board-certified.

I've already explored the internal grievance process and consulted legal counsel, but I'm now trying to determine whether pursuing litigation or negotiating reinstatement would be realistic.

I'd especially appreciate hearing from anyone who has dealt with residency non-renewal, successfully challenged a similar decision, or has experience with attorneys handling these cases.

Reposting here for more exposure -

Now that I’m a physician, I’m very aware of the fact that my phone number and address can be easily found online. After hearing about that pediatric intensivist that was recently killed because someone broke into his house in the middle of the night, I’m trying to get my info off the internet so my patients can’t find it. Has anyone done this before? Did you do it through paid services and if so which ones? Thanks!

Hey guys! I just got hired for a standardized patient role at a medical school, and i'm looking for some advice and thought of you guys since you deal with patients every day, see a variety of communication styles, and may have dealt with SP's yourselves!

I have a few questions;
What would you say was one of your most teachable moments that you had in one of your "encounters" or something that helped you?

What is something you witness day to day with patients that you wish more students knew about beforehand?

What should I be mindful of during this experience?

I can't help but compare myself to my co-intern. She's so smart, efficient, and always on top of her patients. Attendings and seniors are always praising her while I'm just there lol. I feel like I'm barely surviving each shift and trying to get my orders in, while she makes everything look so easy.

I'm genuinely happy for her, but it makes me feel like I'm so behind. I know I shouldn't compare myself to others but it's hard not to. Anyone else feel this way during intern year? Any advice?

I feel giving handoff is the hardest part? Any help how to do that efficiently? Any one here on same boat?

I don't know if I'm even allowed to ask this question here, but it would be good to get some feedback from actual medical residents. My girlfriend is doing residency right now, she's in her last year of family med. We're both in our 30s. 

It feels like she has two modes - stress at work and disassociating from life. She comes home from work and immediately escapes by playing video games during pretty much every waking hour outside of work. She'll put in 200 hours over a couple of weeks. 

Her mom, who is staying with us, and I do 90% of the chores like dishes, laundry, and food prep. 

On inpatient and night shift rotations, it's definitely like this. Even during other rotations, this pattern is there. 

I get it. I'm a gamer myself...and I for the most part want to support whatever she needs to destress. But I also feel like I want to connect with her, do things with her, and talk about life and the future (we do have things to figure out) and there's no space for that.

I don't know... is this normal? How do I support her while also considering my own needs? How do I distinguish real residency stress from her reaction to life while under stress? I've had stressful jobs working 60+ hour weeks... but I feel like I still managed my time outside in a certain way - a lot of me time, but also doing chill things with my partner and friends/family. I'm not sure if residency is simply a different kind of brutality.

Took my pediatric boards today, and I’m already remembering so many questions I got wrong. I’m feeling nervous, scared, and honestly disappointed in myself. I keep replaying questions in my head and worrying that I didn’t do enough to pass.

Hi Did anyone receive their ITE results?

Do we get the email ?

I am a family medicine intern and finished my first month of inpatient. Got a feedback that I am not quite there yet and not where they expect me to be at this point in time.

I did a lot of outpatient family medicine clinics before this.

not sure how to take this feedback.

feedback was from 2 third years assigned to work with me.

it looks like I am critiqued for minor things. One time I forgot to order morning labs. The other time I said I could do a Pap smear before watching a video and got critique for not being procedural. Then I forgot to replete magnesium one time.

I've seen a lot of topics asking about specific resources but theough my search I found like a thousand resources.

I'm usually used to use one resource and that's it, but apparently for residency there's way too much.

I just want to see what you guys would recommend as studying material for a junior radiology (PGY2/R1)

pgy3 65 % correct correlating to 22 percentile. My program takes percentiles very serious.

Need some encouragement and plan to pass ABIM. Thanks

Let's write down PGY level, ITE percentile and percentage so that we can look at correlation

My hospital is switching to Epic next week, and there were delays in the build. I am training a team of medical scribes Epic later today, but still have not been given any useful training materials or proper login. I expect to have access to the training playground / platform, but that may not happen. What I need are screenshots, images of training platforms, any pdfs or presentations someone may have that I can use so I can show what the it will look like. I understand it may look very different from my facility's, but I really just need something to work with. Any tips/tricks for smarttext etc. could be helpful too.