First Attending Shift - Thanks

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zinjanthropus

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  1. Attending Physician
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In 2003 I joined this site as I was preparing to leave a PhD program in social sciences and begin a long journey through MCAT scores, med school admissions, clerkships, intern year, and, finally, into emergency medicine.

Tomorrow, I will work my first shift as an attending at a beautiful hospital with a wonderful residency program. My schedule is awesome and I have recalculated the money they are paying me, asking myself each time if there might be an extra zero somewhere.

Life is good and I appreciate all the advice - apollo, keanu reaves look alike, in and out burger, etc. I don't post a lot but it has been a long 8 years and many of you helped me get here. Thanks.
 
In 2003 I joined this site as I was preparing to leave a PhD program in social sciences and begin a long journey through MCAT scores, med school admissions, clerkships, intern year, and, finally, into emergency medicine.

Tomorrow, I will work my first shift as an attending at a beautiful hospital with a wonderful residency program. My schedule is awesome and I have recalculated the money they are paying me, asking myself each time if there might be an extra zero somewhere.

Life is good and I appreciate all the advice - apollo, keanu reaves look alike, in and out burger, etc. I don't post a lot but it has been a long 8 years and many of you helped me get here. Thanks.

Congratulations!
 
Congrats. Enjoy!

Your most important lessons in your first year are unlikely to be medical, but political. Tread lightly on stiff egos.

And always over-call STEMIs.

Bah
 
Congrats. Enjoy!

Your most important lessons in your first year are unlikely to be medical, but political. Tread lightly on stiff egos.

And always over-call STEMIs.

Bah

Salient points!

Welcome to the club! I had my 1st shift on July 1st.
 
First shift is Aug 5. (I just wanted to see "Attending" next to my name.)
 
Mine is Monday. Getting a little nervous.
 
Where I am is great. First we do 3 shadow shifts where we precept residents and can chart but everything is hindered by the fact that we don't have passwords yet and aren't plugged in the system yet. Then our first two clinical shifts are buddy shifts where 2 new attendings are paired together. It's kinda nice. Especially since we all went through "new attending orientation" together. My first shift is Jul 13th.
 
Looking forward to my first shift as well. Still have a few weeks off.
 
It's been a year since I had my first attending shift.

I was supposed to be on a shadow shift with my medical director, but the second doc on my side of the ED called in sick, so they turned me loose into the wild.

About an hour into my shift, I had a 39 yo in severe sepsis and using the retrospectoscope, was probably in septic shock, in DIC. I remember her very well.....had her lined, labs resulted, and off to the MICU in rapid fashion.

Since then, I've remained a dark, stormy cloud. There isn't a shift that goes by where I don't intubate or line somebody.

Stay on your toes, everyone. And keep those vertebral artery dissections fresh in your minds. I've had 3 in a year...(and 2 ruptured AAA's, 5 aortic dissections, amongst other things....the wierdest lately being Guillian-Barre caused by a paraneoplastic syndrome).

Dark and stormy tends to stay dark and stormy.
 
Survived my first shift too. Funny how time flies by so quickly when you've done 12's in residency and then do less than that as an attending. Anyway, besides the usual logistical problems, spent most of my shift on the phone trying to arrange a stat MRI for a weird ass neuro case. Interesting, but frustrating!
 
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