MD co ‘20 Residency Panic Thread

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samac said:
What’s the duty hour regulations for post nights?
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You have to have at least 8 hours off between shifts. Shifts cannot be longer than 24 hours, with 4 additional hours allotted to tie up loose ends.
 
Dr. Death said:
You have to have at least 8 hours off between shifts. Shifts cannot be longer than 24 hours, with 4 additional hours allotted to tie up loose ends.
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I think it’s 10 hours off between. At least that is what my program tells me and holds me to.

At least 14 off after a 24
 
Not sure if this has been asked, but I'm considering changing my experiences section from paragraph to the dashes or simply line breaks. What's everyone doing?
 
popopopop said:
Not sure if this has been asked, but I'm considering changing my experiences section from paragraph to the dashes or simply line breaks. What's everyone doing?
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sunshinefl said:
I’m doing dashes. FYI you posted this in 2020. (Which is fine but the other 2021’ers might not see it)
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I can move it if you meant to ask in the 2021 thread.
 
Matthew9Thirtyfive said:
Probably not you.
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Haha I got feedback from faculty saying they think I’m unapproachable. I just think as a woman there is an expectation for us to be overly friendly and if you’re just business like/efficient people think you’re mean. But like I don’t know how you can judge someone over a 15 second interaction daily. Idk. You can’t please everyone I guess.
 
MerYangBey said:
Haha I got feedback from faculty saying they think I’m unapproachable. I just think as a woman there is an expectation for us to be overly friendly and if you’re just business like/efficient people think you’re mean. But like I don’t know how you can judge someone over a 15 second interaction daily. Idk. You can’t please everyone I guess.
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I think this assessment is spot on
 
MerYangBey said:
Haha I got feedback from faculty saying they think I’m unapproachable. I just think as a woman there is an expectation for us to be overly friendly and if you’re just business like/efficient people think you’re mean. But like I don’t know how you can judge someone over a 15 second interaction daily. Idk. You can’t please everyone I guess.
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Were these faculty men?
 
Matthew9Thirtyfive said:
Were these faculty men?
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No actually, it was someone I think I have good relationship with too. They ask nursing staff to evaluate the residents. So it wasn’t a negative vibe on her part. Oh well, l might have to get a mask that is clear so I can keep smiling so people don’t find me intimidating. #womenprobs
 
Just a reminder, ya'll posting in the '19 ERAS panic thread that I accidentally bumped 😀.
 
MerYangBey said:
No actually, it was someone I think I have good relationship with too. They ask nursing staff to evaluate the residents. So it wasn’t a negative vibe on her part. Oh well, l might have to get a mask that is clear so I can keep smiling so people don’t find me intimidating. #womenprobs
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Were the nurses women? Some of the female docs I know have had issues with female nurses judging them more harshly.
 
MerYangBey said:
So you guys apparently the nurses in the clinic don’t like me. Not sure what exactly I did to offend them. Like our interactions are so minimal...
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Staff interactions are so hit or miss. I get along with some people so well and then other people seem to willfully misinterpret everything I do as some grand intentional plan to offend them or something. I lean towards the friendly end of the spectrum and there are people who still seem to find fault in that. It's part of why I'm starting to wonder about how people successfully transition from resident to attending at their institutions.

popopopop said:
Just a reminder, ya'll posting in the '19 ERAS panic thread that I accidentally bumped 😀.
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We know, we just miss us. <3
 
MerYangBey said:
Haha I got feedback from faculty saying they think I’m unapproachable. I just think as a woman there is an expectation for us to be overly friendly and if you’re just business like/efficient people think you’re mean. But like I don’t know how you can judge someone over a 15 second interaction daily. Idk. You can’t please everyone I guess.
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I had a 4th year resident tell me I’m too confident.
 
Matthew9Thirtyfive said:
Oh no. You’re the scariest type of intern.
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The funny part to me is I wasn’t confident tho.
I had asked for her help with a patient just a couple hours before.

She said when I present my plans I just present them too confidentially and it makes it seem like I’m not open to change in the plan.

The attending just asked us to try to formulate a plan when we present every time. So I do try, attending recommends something else I say “Ok that makes sense thank you!” As a consulting psych resident I’m not sure what to do differently while still trying. I won’t put in any recs until it’s staffed because I don’t feel like I’m good enough to formulate my own plan.
 
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samac said:
The funny part to me is I wasn’t confident tho.
I had asked for her help with a patient just a couple hours before.

She said when I present my plans I just present them too confidentially and it makes it seem like I’m not open to change in the plan.

The attending just asked us to try to formulate a plan when we present every time. So I do try, attending recommends something else I say “Ok that makes sense thank you!”
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This is so silly to me. What attending is going to be like "oh no, the intern is confident in their plan and it's wrong, I can't correct or change it!"?? I have come up with plenty of things that I felt strongly about that the attending felt equally strongly about in the opposite direction and they sure told me as much. 😆
 
samac said:
The funny part to me is I wasn’t confident tho.
I had asked for her help with a patient just a couple hours before.

She said when I present my plans I just present them too confidentially and it makes it seem like I’m not open to change in the plan.

The attending just asked us to try to formulate a plan when we present every time. So I do try, attending recommends something else I say “Ok that makes sense thank you!” As a consulting psych resident I’m not sure what to do differently while still trying. I won’t put in any recs until it’s staffed because I don’t feel like I’m good enough to formulate my own plan.
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Lol that seems so dumb.
 
samac said:
The funny part to me is I wasn’t confident tho.
I had asked for her help with a patient just a couple hours before.

She said when I present my plans I just present them too confidentially and it makes it seem like I’m not open to change in the plan.

The attending just asked us to try to formulate a plan when we present every time. So I do try, attending recommends something else I say “Ok that makes sense thank you!” As a consulting psych resident I’m not sure what to do differently while still trying. I won’t put in any recs until it’s staffed because I don’t feel like I’m good enough to formulate my own plan.
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This makes absolutely no sense. Imagine being penalized for confidence.... yikes
 
And I still read this thread, despite not posting much. This needs to stay alive throughout residency! There’s nowhere else on SDN for us to commiserate. Initially I was keeping quiet because I absolutely loved my first two rotations and didn’t want to be *that guy* saying intern year rocked. Now I’m drowning in an absolutely miserable rotation and counting down the minutes til vacation. Man, those highs are great, but those lows are looooow.
 
njtrimed said:
And I still read this thread, despite not posting much. This needs to stay alive throughout residency! There’s nowhere else on SDN for us to commiserate. Initially I was keeping quiet because I absolutely loved my first two rotations and didn’t want to be *that guy* saying intern year rocked. Now I’m drowning in an absolutely miserable rotation and counting down the minutes til vacation. Man, those highs are great, but those lows are looooow.
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They indeed are, but we’re all going through it!
 
njtrimed said:
And I still read this thread, despite not posting much. This needs to stay alive throughout residency! There’s nowhere else on SDN for us to commiserate. Initially I was keeping quiet because I absolutely loved my first two rotations and didn’t want to be *that guy* saying intern year rocked. Now I’m drowning in an absolutely miserable rotation and counting down the minutes til vacation. Man, those highs are great, but those lows are looooow.
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The saving grace though is knowing we get paid. Even if it’s low. It’s still so nice to be able to at least know that I’m getting paid to work long hours and be in tough circumstances. It is SUCH an improvement from medical school.
 
Oedipa Maas said:
The saving grace though is knowing we get paid. Even if it’s low. It’s still so nice to be able to at least know that I’m getting paid to work long hours and be in tough circumstances. It is SUCH an improvement from medical school.
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For real. The med students on my last two rotations had similar hours to me. I get paid at least.
 
Y’all I have ED next. I’m not excited
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I think waiting for election results has almost been more anxiety inducing than waiting on match results.

....Also really hoping PPE adequately protects against covid in the ED.
 
MerYangBey said:
I think waiting for election results has almost been more anxiety inducing than waiting on match results.

....Also really hoping PPE adequately protects against covid in the ED.
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I have co residents who are now positive. Because we were wearing our surgical masks I’m told I’m fine so proper PPE you should be golden 😀
 
samac said:
I have co residents who are now positive. Because we were wearing our surgical masks I’m told I’m fine so proper PPE you should be golden 😀
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Lol so surgical mask with face shield is proper right? Because we’re not wearing N95s.
 
MerYangBey said:
I think waiting for election results has almost been more anxiety inducing than waiting on match results.

....Also really hoping PPE adequately protects against covid in the ED.
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For real. We have 8 COVID patients in the hospital and half are on my service. Was in a COVID room three times yesterday. Here’s hoping...

Also, i was told COVID was going to disappear on 11/4, what gives?
 
ciestar said:
For real. We have 8 COVID patients in the hospital and half are on my service. Was in a COVID room three times yesterday. Here’s hoping...

Also, i was told COVID was going to disappear on 11/4, what gives?
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Lol I think we’re gonna be in for a real fun time in the next few months.
 
In the ED I always wear N95 when seeing patients. Otherwise, surgical mask. If it's a covid positive patient on the medicine floor, I wear n95 when first meeting them, and then try my best to never go into their room again. I will call, talk to nursing, etc. Not always (rarely in fact) feasible, but sometimes I can go a day without physically touching them.
 
ciestar said:
I think it’s 10 hours off between. At least that is what my program tells me and holds me to.
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Its actually 8 hrs required, 10 hrs recommended from what I remember.

MerYangBey said:
So you guys apparently the nurses in the clinic don’t like me. Not sure what exactly I did to offend them. Like our interactions are so minimal...
...
Haha I got feedback from faculty saying they think I’m unapproachable. I just think as a woman there is an expectation for us to be overly friendly and if you’re just business like/efficient people think you’re mean. But like I don’t know how you can judge someone over a 15 second interaction daily. Idk. You can’t please everyone I guess.
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Not gonna lie, female doctors get the short end of the stick in many areas, including weird dynamic interactions. You have to go out of your way to chitchat or its like you hate them. Don't get me wrong, we have to chitchat too, but not nearly to the same degree as our female counterparts.

samac said:
The attending just asked us to try to formulate a plan when we present every time. So I do try, attending recommends something else I say “Ok that makes sense thank you!” As a consulting psych resident I’m not sure what to do differently while still trying. I won’t put in any recs until it’s staffed because I don’t feel like I’m good enough to formulate my own plan.
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Pretty sure this is another one of those weird female dynamic things. No male intern would be called "too confident" for making a plan, unless they fought with the attending or senior to push their plan.

MerYangBey said:
I think waiting for election results has almost been more anxiety inducing than waiting on match results.

....Also really hoping PPE adequately protects against covid in the ED.
Click to expand...

Haha in 4 weeks in the ED, saw so many COVID patients in the summer that had no idea they had COVID and would answer negative one screening questions until they get in the room and mention how they've been coughing for the last week and their brother tested positive for COVID a few days ago. Wear your PPE and try not to stay in the room super long.

MerYangBey said:
Lol so surgical mask with face shield is proper right? Because we’re not wearing N95s.
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Yeah, no N95 here unless its a confirmed positive case with an aerosolizing procedure.
 
Meanwhile im supposed to wear an N95 and Eye protection with all inpatient patient encounters.
 
ciestar said:
Meanwhile im supposed to wear an N95 and Eye protection with all inpatient patient encounters.
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Lol it’s funny we’re in the ED seeing covid left and right with a surgical mask. Then consulting residents roll in with N95s... the discrepancies seem silly.
 
MerYangBey said:
Lol it’s funny we’re in the ED seeing covid left and right with a surgical mask. Then consulting residents roll in with N95s... the discrepancies seem silly.
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Yeah it does. However, where we rotate on OB they didnt always wear N95’s and then a bunch of people ended up with COVID (including to med students), so now that’s their rule.
 
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