#medicine residency

[conceptualmedicine]

Interactive Case Studies: Developing Clinical Skills

Practical know-how is required by internal medicine residency programs. Case studies of Conceptual Medicine are interactive, and concepts learnt on paper are applied to clinical situations. The case developed here is a real-life case scenario that can guide the work of a resident in internal medicine in developing diagnostic skills with critical thinking to do good work with patients as well as in the field of medicine.

[courtofparrots]

Maybe my favorite thing about re4 remake is all the moments that feel distinctly human, in a really heartbreaking way. Like when the game makes me go ‘oh my god that’s just Some Guy in a horrific situation’

All of the Ashley moments count as this for me but I wanted to post my top 3 Leon/Luis moments because they’ve been replaying in my head for days:

1. Luis turning his head away when he thinks he’s about to witness Leon being murdered by Mendez:

This one took me a little while to notice but it feels so sad because it’s like, to me he obviously just doesn’t want to have to watch another person die for what he perceives to be a direct consequence of his actions 😭

2. The way Leon’s voice cracks on the word ‘up’ when you look at this human sacrifice situation:

It reminds me of 21 year old Leon tbh.

3. Leon’s little stumble when he tries to get up and rush to Luis when he collapses after saving Leon from Krauser (this one is so owie to me)

[nerdgirlnarrates]

Even though it's been months since I switched from neurosurgery to internal medicine, I still have a hard time not being angry about the training culture and particularly the sexism of neurosurgery. It wasn't the whole reason I switched, but truthfully it was a significant part of my decision.

I quickly got worn out by constantly being questioned over my family plans. Within minutes of meeting me, attendings and residents felt comfortable lecturing me on the difficulties of having children as a neurosurgeon. One attending even suggested I should ask my co-residents' permission before getting pregnant so as not to inconvenience them. I do not have children and have never indicated if I plan to have any. Truthfully, I do want children, but I would absolutely have foregone that to be a neurosurgeon. I wanted to be a neurosurgeon more than anything. But I was never asked: it was simply assumed that I would want to be a mother first. Purely because I'm a woman, my ambitions were constantly undermined, assumed to be lesser than those of my male peers. Women must want families, therefore women must be less committed. It was inconceivable that I might put my career first. It was impossible to disprove this assumption: what could I have done to demonstrate my commitment more than what I had already done by leading the interest group, taking a research year, doing a sub-I? My interest in neurosurgery would never be viewed the same way my male peers' was, no matter what I did. I would never be viewed as a neurosurgeon in the same way my male peers would be, because I, first and foremost, would be a mother. It turns out women don't even need to have children to be a mother: it is what you essentially are. You can't be allowed to pursue things that might interfere with your potential motherhood.

Furthermore, you are not trusted to know your own ambitions or what might interfere with your motherhood. I am an adult woman who has gone to medical school: I am well aware of what is required in reproduction, pregnancy, and residency, as much as one can be without experiencing it firsthand. And yet, it was always assumed that I had somehow shown up to a neurosurgery sub-I totally ignorant of the demands of the career and of pregnancy. I needed to be enlightened: always by men, often by childless men. Apparently, it was implausible that I could evaluate the situation on my own and come to a decision. I also couldn't be trusted to know what I wanted: if I said I wanted to be a neurosurgeon more than a mother, I was immediately reassured I could still have a family (an interesting flip from the dire warnings issued not five minutes earlier in the conversation). People could not understand my point, which was that I didn't care. I couldn't mean that, because women are fundamentally mothers. I needed to be guided back to my true role.

Because everyone was so confident in their sexist assumptions that I was less committed, I was not offered the same training, guidance, or opportunities as the men. I didn't have projects thrown my way, I didn't get check-ins or advice on my application process, I didn't get opportunities in the OR that my male peers got, I didn't get taught. I once went two whole days on my sub-I without anyone saying a word to me. I would come to work, avoid the senior resident I was warned hated trainees, figure out which OR to go to on my own, scrub in, watch a surgery in complete silence without even the opportunity to cut a knot, then move to the next surgery. How could I possibly become a surgeon in that environment? And this is all to say nothing of the rape jokes, the advice that the best way for a woman to match is to be as hot as possible, listening to my attending advise the male med students on how to get laid, etc.

At a certain point, it became clear it would be incredibly difficult for me to become a neurosurgeon. I wouldn't get research or leadership opportunities, I wouldn't get teaching or feedback, I wouldn't get mentorship, and I wouldn't get respect. I would have to fight tooth and nail for every single piece of my training, and the prospect was just exhausting. Especially when I also really enjoyed internal medicine, where absolutely none of this was happening and I even had attendings telling me I would be good at it (something that didn't happen in neurosurgery until I quit).

I've been told I should get over this, but I don't know how to. I don't know how to stop being mad about how thoroughly sidelined I was for being female. I don't know how to stop being bitter that my intelligence, commitment, and work ethic meant so much less because I'm a woman. I know I made the right decision to switch to internal medicine, and it probably would have been the right decision even if there weren't all these issues with the culture of neurosurgery, but I'm still so angry about how it happened.

[machiattostudy]

Samedi 11 février 2023 

Hello there how are you doing ? 

4 months left until graduation. 4 months before becoming a doctor :)) Life is rough and exhausting. Everyone is so stressed out and suspicious since they aren’t enough places for all of the students. I might chose internal medicine. 

I try to stay out of this toxic environnement. I hate competition. 

I hope you guys are doing good. May we all be walking safely and peacefully towards our goals. 

Take care. 

[yuwuta]

peds surgeon yuuta??? u cant say things like that i need to jump. the cartoons, the glasses, of course his freaky ass would have a thing for u calling him doctor okkotsu i need to die id wanna tease him sm and be all over him but i cant think of anything if its in a hospital how did the greys anatomy ppl made it work?

the grey’s doctors were FREAKS LMFAOO bc there is not space to be doing all that in the on call rooms…. honestly yuuta is probably too busy to even try anything with you in the hospital 90% of the time… he’s either in surgery or buried in the research library or falling asleep standing up 😭 sometimes you two pass each other in an empty stairwell and have time for a kiss or two, but never more than that (also because yuuta has very little self-restraint when it comes to you… if he allowed himself more than that, then it would be much harder to stop…) 

sometimes the two of you will fall asleep in the same on call room. yuuta will page you there and by the time you arrive he’s already half asleep, it’s probably his only nap in the last 24 hours, so you do your best not to wake wake him when you cuddle up next to him. you get a few hours of bliss in his arms before his pager is waking the both of you up, and he’s got to scurry downstairs to the peds floor and in his hurry he doesn’t realize he’s snagged your lab coat instead of his own, and it’s only when he’s haphazardly slipped it on and the arms are too short and the shoulders are too tight that he figures it out. it’s too late by then, because gojo is the attending on this case which means he doesn’t miss anything, which means he’s the first to giggle and tease, poking at your name embroidered above the breast pocket, “oh? i didn’t know the two of you got married already! oh and you took her last name, how noble, yuuta!~” 

[stuckinapril]

reminding myself on this busy morning that i also have dreams of taking piano lessons & singing lessons & also honing my writing skills & absorbing as many books as i used to when i was a kid & at the very least taking up cute tennis dates & dabbling into art & just becoming an artistic generalist. also reminding myself that there are pre-meds out there who managed to pursue something they’re passionate in (some are even professional athletes) & still excelled in medicine & if they can do it so can I

[heardatmedschool]

Not pictured: the interns trying the best to help, but not being legally allowed to actually fo anything without the supervision of said R1.

[celestie0]

need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au need to write a hospital au

[indestinatus]

I MATCHED I MATCHED IN MY MEDICAL RESIDENCY PROGRAM IN MY TOP SCHOOL I PASSED I PASSED I CAN'T BREATHE 😭😭😭😭😭😭😭😭

[prince-liest]

The more comfortable I get with the inpatient workflow (knowing how to order things, how certain things work and are done, how to navigate the EMR, etc), the more happy I am to realize that inpatient rotations aren't actually all that bad in terms of the work of them. They suck specifically because they are exhausting 12-13 hour days, 6 days a week and you simply do not get to have a life while you're on this rotation but while I'm at the hospital, it's pretty much fine.

I wish I had the time and energy to work out and also not eat two out of my three meals every day of hospital food, and more time to rest, but I'm also relieved that I definitely do not actively dread or fear going to work every day like I was worried I might. Like, it sucks, but it's not active misery, yfm? My spirits are high. Definitely not super tenable, though.

Also, I have ED next and honestly fuck the emergency department. So glad there are people out there that enjoy emergency medicine, but I am simply not ADHD enough for that shit. I didn't have any bad shifts on my first ED rotation but I still disliked the whole workflow and baseline stress levels.

Anyway, things that did stress me out this week (CW dire hospital shit):

lady who kept threatening to leave the hospital against medical advice because she hated being there that much, even though she had an infection for which she needed an IV-only antibiotic or else she would almost certainly die. everything kept going wrong. she could go home with a central or midline cath; her line was peripheral; picc team couldn't put in a picc line because of her surgical history, so we had to go to interventional radiology and put in a Hickman line; we found this out on Friday and so she wasn't scheduled until Monday; on Monday she almost got moved to the next day because there was an emergency bleed during her time that IR was needed for and she said if we didn't get her scheduled in 45 minutes she was leaving the hospital. ended up discharging her at like 6pm on Monday and I ended up crying at work on Friday (the 13th! yay,,) in the resident library which surprised even me but apparently I'm not immune to "so WHAT if I die?? what do I have to live for? cancer and pain?" after three days of doing my best to juggle "doctor" with "therapist" every time I saw her. she likes me a lot which I think means I did a decent job but that really ran out my emotional energy.

the dude whose nurse called me three times in 45 minutes while I was trying to juggle discharging the above lady and doing my first admit. he was throwing things at the walls in his room because he wanted a cough drop and simply could NOT wait. what the fuck ever.

[conceptualmedicine]

Flexible Learning: Equilibrium Between Residency and Education

Designed strictly with the busy resident medicine in mind, Conceptual Medicine is a flexible learning system that can cope with your demanding schedule. While you are busy administering responsibilities of medicine residency or are getting ready to specialize, our platform gives you full 24/7 access to comprehensive study materials and expert-led sessions that fit right into your routine.

[dr-scarlette-witch]

27.09.2024

Rains are back, so are my mood to bake. Did very little studying over the past few days. My first year residency is coming to an end and it has begun to hit me about how little studying has been done. Clinically I have picked up a lot but I have so much to learn in terms of concepts and for theory.

[fauvester]

this rotation may be the worst most hateful poorly organized etc etc. but i am leaning like hell on my personal pan pizza sized Nights white cloud

[nerdgirlnarrates]

On the Value of Source Control:

ID Doc: what’s the best antibiotic?

Intern:……Meropenem?

ID Doc: wrong, it’s a good surgeon

[studzblr]

A girl's four years chronicle: days 251-260 | year 01

I could make some progress in studies lhamdoullah !

I actually finished the respiratory chapter ( that's a big yay ) and now I'm studying pharmacology which is pretty fun.

I went back home for the weekend. I missed my people here <3

[obakanosandoitchi]

internal medicine has been an uphill battle so far 😵‍💫

managed to catch some snow these past two weekends tho 🙌🏻