Interestingly North Dakota has about as many residency spots as you might guess (from last year's data, 18 Family Medicine, 4 Internal Med, 4 Psych, 3 General Surgery, 8 Transitional Years and 2 Prelim Surgery) so really I think we've found the one flaw in Todd Buchholz's theory, potentially, IF Todd Buchholz's theory has any flaws.
I guess we could advise the unmatched people that a career in fracking could be theirs.
― C-L, Tuesday, 13 March 2012 00:09 (twelve years ago) link
yay C-L!
― horseshoe, Tuesday, 13 March 2012 00:10 (twelve years ago) link
my dude
― catbus otm (gbx), Friday, 16 March 2012 17:12 (twelve years ago) link
u r killin me smalls
― catbus otm (gbx), Friday, 16 March 2012 18:58 (twelve years ago) link
c'mon, man! inquiring minds NEED TO KNOW
― quincie, Friday, 16 March 2012 19:26 (twelve years ago) link
haha either way he has to be blind drunk by now, right?
― Lamp, Friday, 16 March 2012 19:30 (twelve years ago) link
haha mabes
apparently there is a mixer tonight at the TOP OF MPLS's TALLEST BUILDING
one of the more stellar/qualified bros i know got his fifth pick :-/
― catbus otm (gbx), Friday, 16 March 2012 19:36 (twelve years ago) link
I am relatively sober! (For now)
I got my #1 Neurology and #3 Prelim! (UCLA and Maryland, respectively)
Several of my friends are featured in this: http://www.wjla.com/articles/2012/03/matching-day-for-medical-school-students---what-about-romance--73861.html(But I do not think I can see me anywhere)
Partyin, partyin' yeah!
― C-L, Friday, 16 March 2012 23:08 (twelve years ago) link
MY MAN
― catbus otm (gbx), Friday, 16 March 2012 23:35 (twelve years ago) link
gettin down on fri-day
fri-day fri-day
― flagp∞st (dayo), Friday, 16 March 2012 23:37 (twelve years ago) link
Seven a.m. its 0445 oh god why, waking up in the morningGotta be fresh, gotta go downstairsGotta have my bowl coffee, gotta have cereal NOTHING ELSESeein' everything, the time is goin'Tickin' on and on, everybody's rushin'Gotta get down to the bus stop lol there is no bus now but w/eGotta catch my bus, I see my friends (My friends) schedule and realize its a call night and i forgot contact lens solution god DAMMit
― catbus otm (gbx), Friday, 16 March 2012 23:43 (twelve years ago) link
yay again C-L!
― horseshoe, Friday, 16 March 2012 23:44 (twelve years ago) link
niiiiice
― been to lots of college and twitter (k3vin k.), Saturday, 17 March 2012 00:28 (twelve years ago) link
Oh wow congrats that is so awesome!!!!!
― quincie, Saturday, 17 March 2012 02:15 (twelve years ago) link
Strong work, Dr C-L. Well deserved, I'm sure.
― misty sensorium (Plasmon), Saturday, 17 March 2012 19:21 (twelve years ago) link
otm. those were some great posts. and congrats on the picks too i guess?
― caek, Saturday, 17 March 2012 19:41 (twelve years ago) link
I started today by finding out that one of my patients died overnight. But everyone else was either stable or improving, and one lady in particular seemed about as happy as I've ever seen her. So on balance, it was a pretty good day to have my last day of clinical rotations in the hospital as a medical student.
The suddenness of the end of medical school is really quite remarkable. There were some days in there where it seemed like it was never gonna end and now it has pretty much ended. USA! USA! USA!etc
― C-L, Friday, 20 April 2012 20:36 (twelve years ago) link
v sorry to hear about yr patient, man, i've definitely had that a few times (esp jarring is the "come back on monday, ask about X, who looked well on friday")
congrats, though! now gimme all the answers to the shelf
― catbus otm (gbx), Friday, 20 April 2012 20:41 (twelve years ago) link
Any situation where patient is dry with BP like 80/40 = give IV NS before doing anything. Even if their sodium is like 120 or 150. That is my primary lesson from studying for the Medicibe shelf with USMLE World.
― C-L, Friday, 20 April 2012 21:05 (twelve years ago) link
yeah i feel like 'push fluids' is kind of a safe go-to intervention
btw by 'shelf' i mean all the shelfs
― catbus otm (gbx), Friday, 20 April 2012 21:19 (twelve years ago) link
OK so how much of this can I remember:
Medicine shelf: U-World + MKSAP + everything you did to an actual patient (seriously this is the stuff you do not have to study, you're just like "Oh of course it is to begin HAART therapy, because we had that guy who had Cryptosporidium and all we did was give him HAART and some Immodium.")
Peds shelf: Pretest
Surgery shelf: there are really only maybe 15-20 sorts of scenarios where surgery is testable (appys, cholecystitis vs cholangitis vs choledocholithiasis, perforations, etc.). It is less daunting than it appears. Also it is generally best to select the most conservative option (although watchful waiting is not always actually the most conservative therapy).
Psych shelf: I forget.
OB shelf: I felt like this one sucked because the OB you are supposed to know as a 3rd year is a relatively finite batch of common issues, and thus pretty manageably knowable (preeclampsia and gestational diabetes and chorioamnionitis and such), but the actual exam tests almost none of this in favor of the things you may see like once a year.
Step 2 CK: Take after medicine if possible. Also there is some OB and a little Peds but medicine is where the action is.Step 2 CS: is stupid, and expensive. Do not fail it because my God it would suck to have to do it again.
― C-L, Saturday, 21 April 2012 04:28 (twelve years ago) link
Awwww yeah, it is officially official today.
― Dr. (C-L), Monday, 21 May 2012 02:56 (twelve years ago) link
ahhhh congrats!!!
― horseshoe, Monday, 21 May 2012 03:10 (twelve years ago) link
Hell yeah. Congratulations.
― misty sensorium (Plasmon), Monday, 21 May 2012 03:39 (twelve years ago) link
bigtime!!!!
― catbus otm (gbx), Monday, 21 May 2012 14:39 (twelve years ago) link
soooooo i think i'm going into psych
(you win, horseshoe)
― catbus otm (gbx), Tuesday, 4 September 2012 22:17 (twelve years ago) link
tell me more in a possibly emo fashion!
― horseshoe, Tuesday, 4 September 2012 22:22 (twelve years ago) link
feel free to use all caps!
also yay!
wow dude that's boss
― Newgod joins this board, and quickly he's some dude (goole), Tuesday, 4 September 2012 22:23 (twelve years ago) link
the brainsick of the world thank u gbx (though I've still never seen a proper psychiatrist)
― "Pffft" --buddha (silby), Tuesday, 4 September 2012 22:28 (twelve years ago) link
that's because psychiatrists just rx the drugs and leave the therapy to clinical psychologists, counselors, social workers, etc.
― kate78, Tuesday, 4 September 2012 22:30 (twelve years ago) link
um, hi...I'm here for the gbx livejournal? :)
― set the controls for the heart of the sun (VegemiteGrrl), Tuesday, 4 September 2012 22:32 (twelve years ago) link
(xp I have drugs, got them from my PCP though)
― "Pffft" --buddha (silby), Tuesday, 4 September 2012 22:32 (twelve years ago) link
PSYCHIATRY
CONS FIRST, ALWAYS START WITH THE CONS:- BASICALLY YOU JUST WASTED A FEW YEARS LEARNING SHIT YOU WILL NEVER EVER DO OR NEED AGAIN, EVEN IF YOU LIKED IT, LOL TOO BAD- CAN'T DELIVER BABIES- USELESS ON AN AIRPLANE - EVERYONE AND THEIR FUCKING PROBLEMS, GAWD- LOTS OF THINKING, NOT A LOT OF DOING- WILL ASSUME EVERYONE PUTS IN THEIR OWN AIRQUOTES WHEN YOU TELL THEM YOU'RE A PHYSICIAN- YOU'RE JUST A DRUG-DEALER, LET'S FACE IT
XP KATE78 GETS IT- WHILE WE'RE FACING IT: YOUR COLLEAGUES DO NOT RESPECT YOU AND YOUR FLIM-FLAMMERY- FRIENDS RELATIVES AND PPL AT PARTIES WILL ASSUME YOU'RE EVALUATING THEIR PSYCHE ALL THE TIME, AND WILL CERTAINLY BRING IT UP IN TIMES OF CONFLICT- YOUR KIDS ARE GOING TO BE FUCKED UP (SEE PRECEDING)
― catbus otm (gbx), Tuesday, 4 September 2012 22:34 (twelve years ago) link
you've just described... every job
― Newgod joins this board, and quickly he's some dude (goole), Tuesday, 4 September 2012 22:36 (twelve years ago) link
HEY MAN I'M JUST DOING WHAT THE LADY ASKED
― catbus otm (gbx), Tuesday, 4 September 2012 22:37 (twelve years ago) link
haha my parents are doctors and have said some asshole shit about psychiatrists in their time but i would have really appreciated it if one/both of them had seen a pscyhiatrist at some point in their lives if you catch my drift.
― horseshoe, Tuesday, 4 September 2012 22:37 (twelve years ago) link
why do you want to do it then? i read a book that convinced me drugs are bad
― horribl ecreature (harbl), Tuesday, 4 September 2012 22:37 (twelve years ago) link
also thank you evan!!!
let us just be real that lots of thinking in a job sounds awesome. or is that the caricature of psychiatrists? either way, it sounds awesome.
― horseshoe, Tuesday, 4 September 2012 22:38 (twelve years ago) link
bring on the PROS
― set the controls for the heart of the sun (VegemiteGrrl), Tuesday, 4 September 2012 22:38 (twelve years ago) link
A delightful choice! I was working with a 4th year student who is going into Psych and we discussed our mutual interest in chattin' with dudes and not doing procedures and wanting to give sad people hugs sometimes.
So how is your ERAS going?
― Dr. (C-L), Tuesday, 4 September 2012 22:39 (twelve years ago) link
FAMILY MEDICINE
CONS:- EVERYONE IS SICK ALL THE TIME, JUST CUT IT OUT- ALL DIABETES ALL DAY- NOTHING IS WRONG WITH YOUR KID- DID I SAY 'DIABETES'? I MEANT PAPERWORK- HOW AM I SUPPOSED TO AFFORD A BMW ON 150K A YEAR, THAT SHIT IS WHACK, I WENT TO MEDICAL SCHOOL, I AM A DOCTOR- PICK ONE: A) IT'S A VIRUS OR B) SEE A SPECIALIST- NO I DO NOT WANT TO SEE YOUR RASH, WE'RE ~SOCIALIZING~ FOR CHRIST'S SAKE
― catbus otm (gbx), Tuesday, 4 September 2012 22:42 (twelve years ago) link
my dad is a pediatrician and i think he is excellent at it and he loves kids but he has some *regrets* about not using the full range of his diagnostic skills. a lot of his day is: your kid has strep throat, here's a prescription, rinse repeat.
― horseshoe, Tuesday, 4 September 2012 22:43 (twelve years ago) link
i would never do family medicine! i hate families!
― horribl ecreature (harbl), Tuesday, 4 September 2012 22:44 (twelve years ago) link
interest in chattin' with dudes and not doing procedures and wanting to give sad people hugs sometimes.
C-L gets it. plus, behavior ("behavior") sits at an intersection of actual, real science-y science (BRANES!), sociocultural stuff, and hugging that i find v appealing
plus unlike neurologists, psychiatrists can prescribe stuff that at least ~seems~ like it makes people better
(i love procedures, though)
― catbus otm (gbx), Tuesday, 4 September 2012 22:44 (twelve years ago) link
sorry that was very first world problems of me, i guess. family medicine is amazing, but it burns you out, too.
― horseshoe, Tuesday, 4 September 2012 22:44 (twelve years ago) link
(i kid, obv)
― catbus otm (gbx), Tuesday, 4 September 2012 22:45 (twelve years ago) link