Please fill it out as follows:

Year: PGY-
Percentage:
Percentile:
Percentile trend compared with last year and what I did if there is improvement:

He hits his vape pen usually when typing at the computer, but lately he’s just lost all fucks and blows through a pack or ciggs in the break room like a train. Is there a way to show support over this kind of audacity?

Pretty much what the title says, and honestly I know it will go no where, this post is just to vent,

I am a junior resident (F) and I have a crush on one of the senior residents I work with (F), shes drop dead gorgeous so no wonder I'm crushing on her, but this resident is happily married to a man, and she's clearly straight af, I'm just venting because it just feels so high school to crush on someone at work lol, especially that the crush has gone for around a year now???? I do not plan on acting on it and honestly it doesn't effect my life much and I am keeping a strictly professional and friendly relationship with her, I just really wonder why do I still feel so attracted to her still -.-

Can someone tell me percentile scores for pgy3. We will have to wait for a week before we can get access to our results.

Intern year feels bad man

I failed the final written exam of my residency.. 5 years of brutal work, ended with failure. I'm lost.. i made plans for such scenario.. but the fact it happened made me uncertain, angry and jaded..

I dont know what to do anymore...

I wanna cry but I'm too old for that.. I wanna grief my youth but I don't feel like I even respect myself if I acted like a victim..

All I am now is a body on autopilot mode..

For context I’m a PGY-2 FM resident in an unopposed program. I love a lot of what I can offer patients and am happy with my training thus far. But the classic debate regarding pursuing fellowship to have a “niche” and have a more narrow scope keeps popping into my head. I can’t tell whether it’s because primary care is so broad and challenging vs me wanting more specific “expertise” in a field. I’m considering addiction medicine fellowship as I find it incredibly interesting and rewarding. Was curious if anyone else in FM/IM feel like this and any advice would be appreciated regarding specialization vs broad practice. Thanks!

I am a fresh IM doc and so far I love IM, except the part that we get to engage with literally all types of bodily fluids of the patients on a daily basis. Seeing fecal residues left on the intestinal folds during a colonoscopy gives me nausea (I mean it), seeing feces on my double gloved finger after a rectal exam is even worse. Abscesses, diabetic feet, fourniers, patients with poor hygiene and the list goes on... I understand that each of these secretions are biological and we were trained to help poor patients regardless of how bad it looks/smells. I just want to come into terms with dealing with such stuff. I appreciate any recommendation 😔

Are there pediatric residents of this program here? I’d like to ask them few questions

There’s a guy who’s in the NFL who plays football. Apparently his team traveled to London and they found he had a SVT. They thought it was low risk and they let him play. However, afterwards they found he had DVT and bilateral PE.

I was wondering how they missed it? Were the ultrasound tech bad? Woudnt they have done the full work up as well just cause he’s a high stake athlete (d dimer, CTPE, contrast venography, ect).

Also, for the hematologists and vascular peeps, is his career over?

Why is it that every ward floor in this hospital has like 15 empty rooms but only one working printer. And that printer is always on the other side of the planet. I just need one sheet for a script why is this my life.

Hey everyone, after 2 days I have to make a life changing decision, which is choosing my speciality for residency.

I really like ophthalmo, but I'm someone who has essential tremors and I'm afraid this could be a problem, especially when it comes to surgery. Sometimes my tremors are very bad , other times they're very slight.

My father also has these tremors, but his got much worse as he got older, and that's something that worries me too.

Is there anyone here with essential tremors who chose ophthalmo? Or anyone who knows someone in this situation? I'd really appreciate it if you could share your experience.

ty 🙏

Hello, i have a question.
I have an opportunity or offer from two places for a residency. First one, big state hospital with smaller pay where i can learn a lot, second one is from a smaller private hospital with more pay(300 euro more) where i can learn less than the state hospital, but it is less stressful due to less surgical departments. What do you think?
What is more important at the beginning of the residency? To learn more or to earn more?
Thank you in advance!

Sign out has become so efficient 4 months in.

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

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?

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!

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

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?

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.

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

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?

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

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.