MD co ‘20 Residency Panic Thread

[Oedipa Maas]

@Oedipa Maas did your loan consolidation stuff go through. I’m considering doing it this week. I’m realizing that 300-400 a month is a lot of money for me right now. So I’m thinking zero payment (if I can still get it) will be nice.

Unfortunately I am having issues with this because I submitted a request that was denied due to still being in “in school” status. My fault for not checking that first but I thought it would be automatic upon graduation. Now that my loans have changed status to grace period, when I try to fill out the consolidation request, it tells me I have already applied. I know some of my co-residents have done it successfully though.

300-400 is so much, I just set up retirement fund stuff and it’s only 200 a month but thinking about that and loan payments is making me sweat.

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[Oedipa Maas]

Didn’t you apply like a month after graduation? How would you even check that?

Sorry to hear this happened to you, though. I’m sure if you called the loan servicer and explained they’d let you reapply?

Yeah it was like a month to the day. I’m annoyed that my school was not faster with updating the status but you can actually check the status on the federal loan website, when you look at loan details. Getting that rejection and then checking the website made me feel so dumb. So part of it is on me too. Contacting the loan servicer is definitely on my agenda this week! Hopefully they are helpful.

 

[samac]

I consolidated mine, chose Great Lakes as my servicer and then the news just hit that they're not going to be a servicer anymore. Arghhh.

 

[MerYangBey]

Unfortunately I am having issues with this because I submitted a request that was denied due to still being in “in school” status. My fault for not checking that first but I thought it would be automatic upon graduation. Now that my loans have changed status to grace period, when I try to fill out the consolidation request, it tells me I have already applied. I know some of my co-residents have done it successfully though.

300-400 is so much, I just set up retirement fund stuff and it’s only 200 a month but thinking about that and loan payments is making me sweat.

Sorry you’re dealing with that!
I’m wondering if I’ll have issues since we technically started working. If they’ll ask for pay stubs and what not.

 

[throwaway199]

300-400 is so much, I just set up retirement fund stuff and it’s only 200 a month but thinking about that and loan payments is making me sweat.

You did the right thing. At minimum you should be putting down at least whatever match that your program is giving (may it be 6% or whatever). Compounding interest especially if your window of retirement is 40+ years will make a hella difference if you start now.

 

[MerYangBey]

You did the right thing. At minimum you should be putting down at least whatever match that your program is giving (may it be 6% or whatever). Compounding interest especially if your window of retirement is 40+ years will make a hella difference if you start now.

Our program isn’t matching anything. Not sure about other people.

 

[throwaway199]

Our program isn’t matching anything. Not sure about other people.

Then don't need to contribute to 401k because their servicers usually have wack expense ratios/limited index funds. In that case I would suggest opening Trad IRA (personally I would recommend to put it into Roth IRA since your tax bracket as a resident is pretty low compare to when you become attending) at something like Vanguard and pump in 5500 per year...now if you have more left over than you can dump into 401k if you want.

 

[Oedipa Maas]

You did the right thing. At minimum you should be putting down at least whatever match that your program is giving (may it be 6% or whatever). Compounding interest especially if your window of retirement is 40+ years will make a hella difference if you start now.

They match 50% of our contribution up to 4% so I’m starting at 4% and increasing by 1% annually even though they won’t be matching more. I initially had it at 6% and then balked because I will have some additional start up costs this year (my computer is circling the drain and the program is not paying for uworld).

 

[throwaway199]

They match 50% of our contribution up to 4% so I’m starting at 4% and increasing by 1% annually even though they won’t be matching more. I initially had it at 6% and then balked because I will have some additional start up costs this year (my computer is circling the drain and the program is not paying for uworld).

That is perfect! You put in 4% and end up with 6% (since they give you 2%). Now lets say at the end of the year you have left over $$$ that you wanna invest then you can just dump it into Roth IRA at Vanguard and it would workout much better. No need to do 6% from your end rn. Personally I would do this instead of increasing 1% annually since doing that doesn't net you any extra match from the program. Instead just put that 1% into Roth IRA.

 

[ciestar]

Well, feeling less bad about not getting my top choice. Looking at the intern bios, 6/7 are DOs. It isnt even a former AOA program.

 

[samac]

Well, feeling less bad about not getting my top choice. Looking at the intern bios, 6/7 are DOs. It isnt even a former AOA program.

Heyyyyyyyyyy. Nothing wrong with that. It might have just been a group with significant ties.

 

[ciestar]

Heyyyyyyyyyy. Nothing wrong with that. It might have just been a group with significant ties.

No, this is normal for this program actually. And they almost all come from one school.

I wasnt hating on DOs, btw. Apparently my MD wasnt what they were looking for

 

[samac]

No, this is normal for this program actually. And they almost all come from one school.

I wasnt hating on DOs, btw. Apparently my MD wasnt what they were looking for

Got ya. I thought you were saying "Ewww its gross cause they're all DO" That makes more sense. They have a feeder school. There's a program where I'm from that is ACGME but my med school rotates through there and they have a high percentage of DOs, usually a lot of local people who want to stay in the area. Could be a similar situation.

 

[Matthew9Thirtyfive]

Got ya. I thought you were saying "Ewww its gross cause they're all DO" That makes more sense. They have a feeder school. There's a program where I'm from that is ACGME but my med school rotates through there and they have a high percentage of DOs, usually a lot of local people who want to stay in the area. Could be a similar situation.

Bone wizards are gross.

 

[ciestar]

Got ya. I thought you were saying "Ewww its gross cause they're all DO" That makes more sense. They have a feeder school. There's a program where I'm from that is ACGME but my med school rotates through there and they have a high percentage of DOs, usually a lot of local people who want to stay in the area. Could be a similar situation.

Oh absolutely not! Lol my best friend is a DO and she kicked my butt. DOs just have an extra skill set.

My school also rotates through this program. Still stings i guess lol
Oh well. Wasnt meant to be.

 

[Matthew9Thirtyfive]

DOs just have an extra skill set.

A DO really helped my ankle feel better when I ****ed it up during a training.

 

[tunicaexterna]

Bone wizards are gross.

We are disgusting

 

[Matthew9Thirtyfive]

We are disgusting

The first step is admitting it.

 

[Giovanotto]

Guys, I'm freaking out. Tomorrow is my first day, and I was just signed out 3+ new patients, in a freaking sub-specialty ICU that I have zero knowledge in. Takes me a ton of time having to google all of these new acronyms. I'm toast!

 

[ciestar]

Guys, I'm freaking out. Tomorrow is my first day, and I was just signed out 3+ new patients, in a freaking sub-specialty ICU that I have zero knowledge in. Takes me a ton of time having to google all of these new acronyms. I'm toast!

You got this!

 

[Oedipa Maas]

Guys, I'm freaking out. Tomorrow is my first day, and I was just signed out 3+ new patients, in a freaking sub-specialty ICU that I have zero knowledge in. Takes me a ton of time having to google all of these new acronyms. I'm toast!

You can do it! I haven’t done adult ICU but I have done NICU. Do not be disheartened, but know that your first week is going to suck. The learning curve is going to be huge. And then after the first week you are going to know what you need to know to do normal management of each type of case. Vent settings and TPN will be demystified. And you are going to realize there is only so much you need to know, and the rest is knowing when to consult a specialist.

 

[Oedipa Maas]

@Matthew9Thirtyfive i just realized I forgot to tell you. The owl didn’t come for me July 1, I came for it!

 

[Matthew9Thirtyfive]

@Matthew9Thirtyfive i just realized I forgot to tell you. The owl didn’t come for me July 1, I came for it!

View attachment 312394

The best defense is a good offense!

 

[Giovanotto]

You can do it! I haven’t done adult ICU but I have done NICU. Do not be disheartened, but know that your first week is going to suck. The learning curve is going to be huge. And then after the first week you are going to know what you need to know to do normal management of each type of case. Vent settings and TPN will be demystified. And you are going to realize there is only so much you need to know, and the rest is knowing when to consult a specialist.

It really didn't go well. I meant wtf were they thinking. Horrible day today, I can already tell I'm going to hate intern year (x2 -_-). I don't know jack!
Also, it's a 2 week rotation; what do they expect I learn in two weeks? This is seriously dumber than my medical school's curriculum.

 

[MerYangBey]

It really didn't go well. I meant wtf were they thinking. Horrible day today, I can already tell I'm going to hate intern year (x2 -_-). I don't know jack!
Also, it's a 2 week rotation; what do they expect I learn in two weeks? This is seriously dumber than my medical school's curriculum.

I can’t imagine being thrown in the ICU right away. That sucks. Are you IM?

 

[MerYangBey]

When you find out you have an in training exam coming up soon... not sure what knowledge I have in my brain for them to test right now.

 

[ciestar]

When you find out you have an in training exam coming up soon... not sure what knowledge I have in my brain for them to test right now.

I had an ITE during orientation and will take the real one in October. Got a 68% and idk if that is good or bad lol

 

[HowAreYaNow]

I had an ITE during orientation and will take the real one in October. Got a 68% and idk if that is good or bad lol

My PD is OBSESSED with our ITEs lol. Like the majority of our didactics are centered on preparing for it.

 

[samac]

My PD is like whatever, if you fall below a certain percentile you have to do so many remediations and as long as you do them we don’t care.

 

[MerYangBey]

I had an ITE during orientation and will take the real one in October. Got a 68% and idk if that is good or bad lol

I have no idea what I could do to attempt to “prepare” slightly. I thought maybe I would take the test after having an actual inpatient medicine rotation but nah it’s before of course.

 

[Oedipa Maas]

Not sweating our ITE. Am sweating the news that there will be more OSCES. I thought I was leaving that behind in med school!!!

 

[samac]

I angered the intake nurses today.
Admitting 2 patients. Tried to call intake 3 times and paged them. Weren’t answering, didn’t respond to page. They call me 10 minutes later.
“Are you new?! There’s 2 patients in the ED that’s being admitted that I’ve been told nothing about”

Dude. I’ve been trying.

 

[ciestar]

Not sweating our ITE. Am sweating the news that there will be more OSCES. I thought I was leaving that behind in med school!!!

Thats terrible!

 

[ciestar]

I have no idea what I could do to attempt to “prepare” slightly. I thought maybe I would take the test after having an actual inpatient medicine rotation but nah it’s before of course.

Yeah the ITEs for me are before i start two straight months of inpatient medicine lol

 

[rukia013]

When you find out you have an in training exam coming up soon... not sure what knowledge I have in my brain for them to test right now.

I had my peds ITE this past week but my program urged us to NOT study since it's just for a baseline. I figure if I get a score of zero then for sure I'll show improvement next year!

My medicine ITE is in September but I don't switch over to IM until late October so I'll be scoring woefully lower than the IM residents who will have already had a few months of IM experience..

You got this!

 

[MerYangBey]

Has anyone bought uworld? Wondering if it will be helpful to do a few questions everyday for general learning? Or nah?

 

[bananafish94]

My hairline has receded approximately 18 inches in the last week.

 

[Oedipa Maas]

Trying to stay up into the morning hours so I can sleep tomorrow and be awake for my night shift. It’s not even midnight yet and I’m tired. Who am I?? Can you page undergrad me who used to pull all nighters on a whim and ask her for some tips?

Update: It's past 2 AM. I'm doing it!

 

[ciestar]

My 2 week quarantine is over and i realllly dont want to go back. I like laying in bed watching tv all day.

 

[MerYangBey]

My 2 week quarantine is over and i realllly dont want to go back. I like laying in bed watching tv all day.

Lol if only we could get paid for that

 

[ciestar]

Lol if only we could get paid for that

Sick daysss
Paid for it all lol

hopefully i dont need them later though. I still have five days left

edit: meanwhile my best friend is going to miss >3 weeks to the start of residency

 

[MerYangBey]

Realizing clinic is hard. Like not only do I really not know what I’m doing exactly but I also don’t know how to deal with outpatient Epic.

 

[Oedipa Maas]

Realizing clinic is hard. Like not only do I really not know what I’m doing exactly but I also don’t know how to deal with outpatient Epic.

I’m in a psych ER rn and am realizing that my clinical “gut” for recognizing who needs care but who has a history that suggests inpatient doesn’t help vs who is being deceitful vs who, though being deceitful right now might escalate if we discharge them to an act that would indicate admittance vs who is being deceitful OR just won’t benefit from inpatient but will respectfully de-escalate when told that we think discharge is appropriate is WOEFULLY underdeveloped.

 

[MerYangBey]

I’m in a psych ER rn and am realizing that my clinical “gut” for recognizing who needs care but who has a history that suggests inpatient doesn’t help vs who is being deceitful vs who, though being deceitful right now might escalate if we discharge them to an act that would indicate admittance vs who is being deceitful OR just won’t benefit from inpatient but will respectfully de-escalate when told that we think discharge is appropriate is WOEFULLY underdeveloped.

Haha I feel like that’s something you develop 3 years from now. Most of us don’t have that gut sense yet!

 

[HowAreYaNow]

Realizing clinic is hard. Like not only do I really not know what I’m doing exactly but I also don’t know how to deal with outpatient Epic.

I always did poorly with the time management aspect of outpatient, I hated the 15 minute appointments

 

[ciestar]

Realizing clinic is hard. Like not only do I really not know what I’m doing exactly but I also don’t know how to deal with outpatient Epic.

Outpatient Epic is rough.
it doesnt help every patient ive seen so far in clinic was there for a comprehensive physical exam. Problem? They switched EMRs in the last year... and a lot of records didnt transfer so i have to get the full history on every person and it just takes forever when you have three scheduled in one day

 

[ciestar]

Had to convince someone today that diet alone isnt fixing their ASCVD risk of 10%. Did NOT want to do a statin.

 

[Oedipa Maas]

Realizing clinic is hard. Like not only do I really not know what I’m doing exactly but I also don’t know how to deal with outpatient Epic.

Outpatient Epic is rough.
it doesnt help every patient ive seen so far in clinic was there for a comprehensive physical exam. Problem? They switched EMRs in the last year... and a lot of records didnt transfer so i have to get the full history on every person and it just takes forever when you have three scheduled in one day

We will be using Epic for outpatient. Which I don’t have to worry about yet. But y’all are scaring me! What are some of the issues with it??

 

[ciestar]

We will be using Epic for outpatient. Which I don’t have to worry about yet. But y’all are scaring me! What are some of the issues with it??

Navigating it lol
There are so many things to click and do. Like health maintenance and ive been having to reconcile legit everything. And then billing lol

 

[MerYangBey]

I tried my best to prep for clinic the night before. Then one patient gets switched on me the next day which was fine because I had time to prep. I think things are going well with the day until it’s realized that I kinda missed something pretty basic yet really important... Feels kinda terrible