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.

“Hello? No it’s okay I can talk,”

This is the conversation we overhead him say while still doing 1 handed compressions with the force of a silverback gorilla. It was effective - the patient lived. Is there some sort of unspoken role or attendings can do whatever they want once they get that title? This dudes a badass

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!

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 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.

He says the physical exam is performative bullshit and CT scan has replaced the need for it.

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?

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

Need some encouragement and plan to pass ABIM. Thanks

Do we get the email ?

How do you not feel like an idiot in the ICU? Swear my attending thinks I’m an absolute moron…

it’s so hard to come up with a good plan after just trying to get all the right info for rounds. No time to read at night after 13-14 hr shifts and just eating and sleeping when getting home.

Never done ICU in med school either

So recently I was on call and wanted to get some rest.
It was really hot so I decided to take my clothes off as I was sweating profusely.

I was lying naked on top of the sheets in the call room when a co-resident randomly opened the door.
The room wasn’t marked occupied, so technically, I was the one who failed to communicate my availability. I wasn’t doing anything suspicious. Just enjoying some well-deserved, uninterrupted rest in my birthday suit.

Now I’m wondering whether I should report them for barging in before they reports me for turning the call room into a nudist colony.

The good news is that I’m not worried about them
telling anyone. The bad news is that I’m worried they’ll tell everyone.

The other thing I noticed was that they were staring at my package for longer than they should have. Does that mean something? And another resident peaked behind them as well and they too for focused on my nether regions.

Ps. I am a grower.

Ps ps. I have a curved member which the ladies seem to love.

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

He usually wears sunglasses and does cool fingerguns pointing at patients, who promptly faint with their hand over their forehead. Dude’s hot as hell, looks like if Zac Efron had sex with John stamos

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)

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’ve just finished talking to an agitated patient and specialty consultant. All after giving honest feedback and study tips to interns and med students all morning. You see me speed walking in the parking lot or cafeteria hallway because either I’m DYING to get home to rot and decompress OR it’s my precious high stakes moment to go buy a coffee or run to the restroom.

I KNOW we made eye contact. But this isn’t fucking Pokemon where eye contact locks us into an interaction/pokemon battle.

No. I’m not going to personally escort you to the hospital exit. No I don’t want your fucking business card. No I don’t give a single fuck about your bullshit ass small talk in the elevator. I know that this may seem rude but so does you manipulating my inherent sense of empathy for your personal gain.

I promise to do better. Once I’m an attending and get my shit figured out I’ll hold myself to a higher standard from the moment I step out of my car after I get to work. Why? Because if my family member was lost in the hospital and asked for your help, I hope you would help them.

Until then, I’m going to min/max. Max out my empathy with other staff and patients, and minimizing the toll of you lot.

I’m a call room bed in an level 1 trauma center, I get a lot of business on slow days the residents will come through and nap, normally fully clothed.

Anyways the other day a resident came into the room looked at me longingly, idk it was kinda scary, then he unlocked the door and stripped out of ALL his clothes. He was pretty small and curved I noted. He looked at me again but like a predator.

Then he laid down on top of the sheets and comforter, ass out, and just laid there, sweating. A couple minutes later another resident pops into the room and stairs at this guy, he stairs back, and again isn’t moving.

The resident that barged in says “sorry lil buddy” and then leaves.

I need to change jobs.

Genuinely curious where yall go 0.0

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

Why is it okay for the attending who accepts the transfer patient call to not write a note saying what they were told? If I have nothing to go off of in the chart it makes it much harder to get the admission done efficiently because I have to skim through the 200 page packet full of junk they come with to find the parts that matter and I can't pend orders beforehand. Just skipping a short 3 minute note could save me 30+ minutes of unnecessary digging. And then when I have to call the consultants they get mad at me that the patients info from the outside record isn't scanned into our emr, or their images aren't available for them to review.

There are also transfer patients we get who also show up with no packet.... and the hospital doesn't send records... and the attending gets mad at me for wanting to order their tests here because I can't get them to send me anything... , saying I'm being inefficient with resources.