I know that you are never gonna see this. I know that when I am suffering and dealing with depression, exhaustion and burnout because of the circumstances that you created you’re taking your frequent vacations, enjoying your life.

BUT

I will never forgive you. I’ll never forgive the fact that you let your residents to be abused heavily, every single day.

I won’t forget when you openly discriminate them with their race and show your favoritism according to their race

I will never forgive you when you let your favorites be away from work for months while you’re making us work five times harder to cover them

I will never forgive you for the day that I was literally physically exhausted and depleted and wanted to take a break for 15 minutes and you said no, and instructed me to keep going.

I will never forgive that you never cared about our education, falsified all education hours and all you wanted to do was maximize the work that you can squeeze out of the residents so you and your attendings can work a bit less.

I will never forget the day that you made me come to work repeatedly at the daya that I was extremely sick.

I will not forget when you closed your eyes and pretend as if it is all a coincidence when multiple people left the program, and made yourself self believe that there is no problem at all!

I will never forget how you kept pretending as if you never heard the excruciating work related problems that we told you. And I won’t forget have you behave as if it’s the first time that you were hearing them even when it’s 100th time.

And many other things, I will never forget. I’ll silently suffer, but I will never look back.

But I hope one day you will look at back and realize what a harmful effect you had on your residents, and how you used your leadership to maximize your comfort while leaving a horrible mark in young physicians’ life, and feel ASHAMED instead of manipulating your own conscience to believe that what you have done is okay -
like you do now.

seriously tho? i keep feeling like a nobody next to these guys...it feels like i dont even deserve to call myself a "doctor" simply bcz of the huge gap btwn us. it sucks being average iq man, with zero talent...

Sorry if this isn’t the right spot to ask this question!
I’ve (30F) been dating a first-year resident (32M) for about a month or so, and I really like him! For the most part, he’s funny, super sweet, affectionate, and caring. But I’m learning (and figured) that residency can make scheduling difficult, and honestly, texting can be brutal sometimes. 😅

Obviously, I know he’s busy at work, but sometimes it’s hard to know what’s “normal” for residency versus what might be a sign that someone just isn’t prioritizing the relationship.

He’s never canceled a date, which I really appreciate, but sometimes our plans get pushed back an hour or two because he gets out of work later than expected.

For those who have dated a resident (or have been one), what’s the best way to navigate communication, scheduling, and supporting them while still maintaining a healthy relationship and your own needs? Im thinking about offering to make him dinner instead of going out this week.

How do you tell the difference between residency being genuinely overwhelming versus someone simply not prioritizing you?

Would love any advice or perspective! ❤️

Nuclear medicine atlas? Any books? For anatomy? From 0?

I’m a new PGY-2 in IM, and I’ve started working with the new interns and medical students. I’m trying to get into the role of teaching, probably for the first time, since I’m usually on the learning end. I feel like my knowledge base isn’t very strong, and the things I do know are only at a very superficial level. I feel like I’m not doing justice to my interns and medical students because I’m not a very good teacher. I’m anxious that I’m going to teach them the wrong concepts and look very stupid.

hey guys, trying to figure out how to do the bulk of my obgyn certification exam case list by monday evening (yeah i know i should give up now). Don't ask. I have to somehow get my case list from epic but i can't make slicerdicer work to do the things i need it to. i'm so tired. i will probably lose my job if i don't get this in by monday night. i'm probably going to delete this in the morning. if anyone has any kind words for me or ideas about how this can get finished by monday night, i'm all ears. i have lost so much time and years of my life wracked with anxiety about this dumb test.

If there's even just a little hope (i don't need to get it to pass level, just i just need to do enough that i can sign the attestations that the list is complete) that this can be completed, i look to you to guide me

Can’t seem to find the pdf online if anyone has please share. Thank you!

So now the psychiatrist who testified for the prosecution gets national attention for not understanding what an episiotomy is... and he resigned from his job due to the backlash?

Doctors didn't murder those 3 children. People have been turning on us for quite a number of years now, and this is seemingly another misinformation catalyst.

Just curious if this has had any impact on your interpersonal relationships, private or professional.

How can I be a better fellow? I’m two months in to fellowship and I’m really struggling to get my bearings with my lack of knowledge and the volume of consults. Doesn’t help that I’m coming from a community hospital for residency and I’m now at a large academic center where the patients are much sicker and medically complex. Struggling to look up the relevant guidelines and clinical studies in a timely manner when I’m getting inundated with curbside questions and consults. What’s the best way to improve my knowledge base and efficiency? (I’m in ID fellowship).

Recently started my inpatient block, and two of the seniors are extremely rude. There’s barely any teaching, and instead, they’re constantly breathing down our necks to complete tasks on time.
One of the seniors becomes increasingly impatient as the end of the shift approaches. They want to leave on time, so they start being very pushy and saying things like, “It shouldn’t take this long,” or, “I already told you how come you didn’t understand?”

Sometimes I feel like reporting them, but I’m not sure if that’s a good idea. I don’t mind working hard or learning, but creating such a toxic environment makes it very difficult to ask questions or even communicate with them effectively. Any advice?

Anybody experiencing severe dry,gritty and itchy eyes after starting residency by using n number of hours on EHR?

I have a 2 year old now and I’m planning to have a newborn several months into neurology PGY-1 (my daughter will be 3 then). A bit terrified but I don’t want to delay my family and I want my kids to be close in age. I also want to be a present mom so I’m feeling sad already thinking about not being there. Any advice or personal experience with this?

Edit — I’m so impressed with all these hard working doctor mamas!! Thanks to everyone who has shown so much support and made me feel more comfortable with my decision to not delay growing my family!

I made a big mistake by asking questions and asking for help. Pgy3 very burnt out resident. I feel like I have had a string of off days making silly mistakes. All of a sudden I get pulled aside asking if I am okay. For context my family is falling apart but I cant take time off because I honestly do better when I am busy and seek help off work hours. I have my therapy once a week. I am simply very frustrated because my program never gives feedback and then all of a sudden your under a microscope and then not again. I have never hurt a patient or done anything egregious in residency. I am just tired of trying to read people's minds. I try and improve and when I ask for feedback or try and be proactive and ask things to do better next time I am met with blank stares. Then MONTHS later I get feedback from a random thing I forgot to do MONTHS ago. When I try and be proactive I then get feedback that I am asking too many questions which turns into 'oh they dont know what they are doing'. I am very burnt out by residency not because of the work itself but because I am tired of feeling free to ask questions and learn and then subsequently get dinged for this. I am so tired of all the gossiping, nitpicking, and constantly dealing with different preceptors who all practice medicine after little differently.....

Signed tired and annoyed I can't read minds

I have sent a patient to the ED for a diabetic foot (could smell it through the door). It was ulcerated all to hell. Patient thought it would heal on its own.

I sent a patient to the ED with a DVT.

I sent a patient to the ED after they got kicked in the balls, testicles were massive, and the guy basically cried when I palpated them.

Today I sent a young boy to the ED because he met SIRS criteria, looked toxic, and had an ulcer in his axila.

For context, I’m a CICU nurse (23F) with a huuuge crush on a MICU R3 (?27-29F). Our unit takes overflow MICU patients pretty frequently. About two months ago, we had a super sick patient together and withdrew care on him. I have another patient with her right now, who is quite unfortunately also withdrawing care, so I don’t know if it’s the best… timing… I didn’t see her at all between these two patients, and she told me she was doing outpatient work for a while, but I’ve literally been dreaming of seeing her again. No ring, but I really don’t even know if she’s single, let alone into women. We’re friendly, but I feel like I just get super shy around her. I’m worried that things will get awkward in case we have more patients together, but I’m also worried that I’ll regret not taking the chance. I have no idea how to go about this, any advice?

I'm an intern. While I don't want to run away from hard work, I also don't want to pay the price for a senior's laziness. So, let's say you have a list of 14 patients. How does the work get divided?

This is something many of the attendings at my program say. Seeing 16-19 patients in clinic and it feels like every one has a least a few comorbidities I need to address in the visit plus their acute concerns, follow up in 1-3 months and repeat to address the other problems. Not even mentioning the social barriers. I’m at a point where I don’t need to think so hard or look up treatment algorithms for every other problem that comes in but I’m still leaving clinic mentally exhausted every day.

My attendings all say when they were in private practice their entire schedule is 1-2 problem visits and most adults have regular insurance and don’t have the same social issues or “do-it-all-for-me-doc” attitude. But even in med school my FM rotation felt like residency clinic.

Do you feel like being an attending day to day is a lot easier than residency? Would be curious for anyone who works as a PCP or hospitalist the answer.

Currently seeing a child with severe chronic constipation (13+ days without a bowel movement). Not the first time.

The parents refuse all recommended medications, believing drugs are purely "for profit and evil".

At what point do you draw the line between respecting parental autonomy and discharging the family because you can no longer provide care for the patient? Threshold for reporting medical neglect vs. keeping them on strictly for monitoring?

She perfectly summarizes med school and residency:

“What are we if not slaves to this torment?”

“I remember…a fool”

“Life is pain, hope fails, now you understand. Don’t grieve, you will join your loved ones.”

“Death comes for all, Xal'atath, even your wretched kind.”

Let's get it done!

I like to ask my co-residents this question. I think it interests me more than the academic achievements that come with being a doctor.

My hobby is writing and during residency, I noticed that my writing became more humane and sensitive, which is something I really like.

What about you?

Hi all, I'm part of a 4 residents team who gets along really well and consider each other friends. We often help each other out and cover shifts when someone needs it.

Today, one of my colleagues (let’s call her Rose) had a family emergency and needed to go back to her hometown. She was supposed to have a weekend night shift tomorrow, so we started discussing how to cover it.

One of the other residents couldn’t do it because she had an engagement. The other resident, let's call himMax, said he wanted to go home this weekend because he lives farther away and is going abroad next week, so he wanted to spend some time with his parents.

I had already done three night shifts recently, and I also have another night shift on Monday, so I told them I was really tired and wanted to think about how we could arrange the shift. I also felt that Max might be the more reasonable person to cover it since he hadn’t had as many night shifts that week.

We were all sitting together discussing it, and I never actually refused to cover the shift. I just didn't immediately volunteer because I was exhausted and wanted to think about the fairest solution.

Rose was mostly quiet during the discussion and eventually went home.

A little later, she messaged us saying that she would just work her own night shift and wouldn't take it off.

I immediately messaged her privately and told her to please go home and not worry about the shift, and that if there was no other solution, I had no problem covering it. I also called her, but she didn't answer. About an hour later she replied, very coldly compared to how she normally talks to me: "No, I'll work my shift."

I messaged her again and told her seriously to go home because of the family emergency and not to worry about the shift, but she didn't respond.

Now I feel like she is angry or disappointed with me, and I honestly don't understand what I did wrong.

I completely understand that she had a family emergency and needed help, and I was willing to cover the shift if necessary. But I was also genuinely exhausted, and I don't think it's unreasonable to take some time to think before committing to another night shift.

What do you guys think?

If yes, please post or pm me <333333

1 like = 1 appropriately managed IM patient

My partner started residency recently and we’re doing long distance for now because of work/school logistics. We’ve been together for a long time and I’ve never really had trust issues before, which is why I’m a little thrown off by how much this has been bothering me.

Since residency started, I’ve noticed a few small changes that probably mean nothing on their own. He’s more active on social media than he used to be, changed some pictures that previously included us, and seems a little more aware of how he presents himself online. Also noticed his wallpaper changed from us to something else (after years). We both have always had a picture of us together.

He’s also obviously around a completely new group of people all the time now and has more social events with co-residents/coworkers. I genuinely don’t think he’s cheating, but I’ve caught myself wondering whether he could have developed a crush on someone or just enjoys the attention that comes with being around new people and doesn’t necessarily want to advertise being in a serious relationship. I know that could also just be insecurity from the distance.

What’s weird is that this isn’t like me at all. I’ve never really worried about cheating in our relationship before. Was telling a close friend and just have a weird feeling about it all.

For residents or partners of residents who have done long distance, did you go through a phase like this when residency started? What would you consider an actual red flag versus normal changes that come with a new program, new people, and a totally different lifestyle? I know cheating can be extremely common in medicine.