Hey guys, current R3 here in Ny. I need to move out due to the familial reasons. Any open spots that you guys know?

I have heard multiple different takes from different people. I have heard people don't study at all, all the way to people saying it is the most content heavy specialty in medicine and they study all the time at home for brutal exams

Does anyone feel that way? I am an intern. I have VERY little time for self-learning and reflection. My program is workaholic, and most of my time is spent on non-educational tasks. The very little time I get to think and reflect on medicine, I have to study for Step 3 because I need to take it before the intern year ends per program policy. Does anyone else feel this exam actively jeopardizes resident education?

One of attendings has a signature stamp that he gives to whoever is consenting the patient in preop so he doesn't have to walk by and say hi to the patient. He has a signet ring that he used to use (and still wears), but once Epic came around and everything needed to be scanned in they said that the sealing wax would mess up the scanner and told him he couldn't use it anymore. He threatened to quit and continued to do it until the department made him a stamp with the same design as the ring.

Anyway everyday before rounds he makes the resident team queue and kiss the ring. Everyone fights to be first so they aren't effectively making out with each other as he goes down the line. I, however, always take the last spot and make sure to kiss with tongue. He really appreciates that. Rumor has it at the end of the rotation he takes his favorite resident to his back office and drizzles hot wax on them and uses his ring......

Anyone else have attendings with weird quirks?

Not talking about difficult cases. I mean the dumb little things where you know the answer is somewhere but you cant remember exactly where.

Then you open one tab, that sends you to another site, eventually you find a 40 page PDF and ctrl+f three different terms because apparently everyone has a different name for the same thing.

Its probably only a few minutes each time but this happens constantly.

What have you done to make the random lookups less annoying? Better bookmarks? AI search? Or do I just accept the 900 open tabs?

Hi all, I am PGY-2 internal medicine resident. Wanna know what resources should I use for learning during residency and yes, helpful for board exam. My program purchased MKSAP. I am thinking of buying Amboss but don’t know is it necessary or worth it. Any advice?

Hi guys, how do you guys draw the balance in off service rotations? I feel like FM is so broad. I am in my third month of FM intern year and i feel like I tend to burn myself out if I try to know everything in a off service rotation. I also sometimes worry that I will forget things, Ie. I only had 4 weeks of inpatient peds and won't be touching it until next year, like how will i remember things lol and like looking at my seniors (even those starting 2nd year) know so much but like I feel like i forgot things from August already... Idk if this is normal or not

How judicious should I be with iv fluid boluses for patients like this in this setting? Or maybe patients with ascites?

And what do you define as an average level of intelligence and what is above average level?

IMO, average = can understand without struggle not complex ideas; understands complex ideas with some help from outside or after repetitions; can be naive; can be successful if works hard;

IMO, above average = can create complex ideas by them selves; finds easy ways; don't struggles with understanding materials; fast thinkers.

I can be mistaken. Do not take seriously. I just need some advice.

Maybe it's better to not think about surgery, if I'm really average intelligence person?

I'm from Asian developing country. It's much more easy to get into General surgery residency than to Internal medicine.

I want to get this crap over with and actually start focusing on my specialty. problem with comlex is that im locked in with the 950 for 2026. since for i have enough time during that rotation to study for 3-4 weeks before.

The con is that 2026 is 2 days whicle 2027 is 1 day. I am doing truelearn right now have 700 questions done, catching. up on sketchy bs, doing anki but admittedly just kind of going through cards when i have time. currently at 57% correct on truelearn.

Could use some advice, i need to purchase comlex before the 2026 deadline this week LOL

trying to find the one

...you wish you could say to your residents, but can't?

Or generally tips that are more "real life" / experience-based tips that you have to hold back on?

For example, I had an experience recently where I (despite having pretty good instincts/street smarts) got taken a little bit for a ride by a possible (malingering? psychosomatic?) patient. Looking back my attending (& consultant) likely knew what was going on the whole time, but let me get in the weeds with it rather than grabbing me by the collar and laying down the situation like I wish they had - perhaps because they didn't want to bias me or crush my spirit or something, but I'm not sure. I have a couple docs that will speak freely and I really wish they all would, because I'm not great at reading between lines.

So, what are some things you have held back on, but wish you could say to residents?

Thanks!

Hey’all
Background: Been waiting for a residency spot for almost 4 years now, got fed up with waiting for a spot and being repeatedly unemployed, so i decided to self-sponsor my way into a residency program in a neighboring country.

I got accepted into a program in a private hospital (IM), from what the colleagues say, each have like 4 patients in the general wards, and their on calls are only once per week, and only until 8pm, no 24h calls, with few exceptions where they had to go with 5 calls per month, that’s obviously amazing especially with a kid at home waiting for me to come back from a 1h commute, so a total of 10h per day residency with light calls, fixed weekend ( except when i have a weekend call ), however the issue is, i’m afraid the exposure ( or the lack of) could impact the quality of a doctor i’ll be, especially with a 4 years gap, let alone being completely on my own to improve rather than having a mentor.

On the other hand, a university hospital ( that i came to know they have shortage ) reached out to check if i have secured a seat or not, and potentially open their door to have me there, this hospital is know to be quality doctor’s factory, i went there few years ago for a 2 months IM rotations and i gained a-lot out of their hospital, + i might get offered a fellowship after doing my program there.

However they are also known for their strict environment( and sometimes toxic environment), with like 8-9 24h calls per month, and around 8 patients per resident, however their timing is 7h instead of 8hrs per day, 1h commute one way, ie total of 9h per day.

Keep in mind, both are only willing to take me on self-sponsored basis, the mental load of being basically broke for 4 years is intense already but i know i wanna be a good doctor, what should i choose? What would you choose

I am graduating residency this summer and really interested in a job that's 40 miles from where I currently live- specifically 40 miles outside of NYC. it would take me about 1h 15 min on most days to get there and I am in a specialty where I take call at night/weekends (but have in house coverage in case I can't make it, can also sleep in the hospital call room if I'm anticipating a busy night/wekend). Is that such a dreadful drive? the job pays above the normal rate for my specialty, and is at a pretty good hospital with lots of support. Importantly I'm on a J1 visa so my options for jobs around me that would be more convenient are limited and every job has its cons. Would I really hate this commute for 3 years? I am so used to being close to the hospital (10 min walk now lol). I know I can move, but I love where I live and don't love the area the hospital is in.

Sign out has become so efficient 4 months in.

I’m 30 years old and a pathology resident. I’m currently preparing a presentation on two projects I’ve worked on to present to my department and I’m completely stressed out.
I honestly don’t have the time or energy for this. I feel like I’m going to be torn apart tomorrow with endless questions and drama…
In moments like these, I feel like I’m back in 9th grade, terrified that my teachers are going to scold me and punish me.
I’m a grown woman. I just want a little peace in my life, especially when I already have so much on my plate.
It’s absolutely exhausting. And ridiculous.