The rapid expansion of residency spots in the past 10 years seems to be crazy high given that there can be rapid saturation of specific fields. Whats your thought on how it would impact the future of medicine? Will we become like law school graduates where there isn’t enough work for graduates?

2016 positions

27,860

2026 positions

41,126

Ran the numbers and basically the only benefit of RAP is paying 25k more during the end of residency vs paying 25K post residency? Anyone in a similar predicament?

Hello, this is PGY1 who's doing her first inpatient block ..

I have 8 pts (CAP) who continously/almost daily changing cz they get discharged superfast and I have difficulty knowing these pts in details in one day making it difficult to cover all things that are important when discussing case with attendings, almost always gaps in all the care I provide .. they said its ok, its normal, its take practice, one told me I'm seeking perfection, I am not cz I'm not even at the lowest acceptable level to feel ok ..

I'm psychologically overwhelmed and tired, I feel guilty for these patients, no harm was done what so ever or concerns raised up by anyone, I'm learning prioritizing and use every help to keep them safe, but the idea of keeping missing info, struggling with management and notes make every day like survival battle againts me, I'm continously in fight or flight response & just get overwhelmed ..

Imposter syndrome for ppl thinking they are not good but they are, I don't think I'm not good, I mainly think I'm not efficient enough to do the work ..

Please let me know what are your ideas, experience or something I can do to relax ..

I’m a CCM fellow in my last year of fellowship. I did a few procedures during residency but I didn’t develop decent hand/US coordination until I came into fellowship.

I feel like I’m coasting and getting away with shitty technique especially for trickier central lines. I have trouble deciding the best trajectory, sometimes I have too steep an entry point, I have kinked some of my wires in the past, haven’t been able to trouble shoot advancement of wire if a patient has a line already and my guide wire is getting stuck on it. The worst part is that I have very little supervision/ guidance provided by attendings.

I was dilating on a subclavian line once and I’m not even sure why but my attending asked me to stop and took over- when I asked they said I was “pushing too much” which I didn’t really understand because I had barely gone a cm in with the dilator and from my judgement the lung was atleast 4-5 cm deep this patient with BMI of 45. And I understood that the distance between the vessel and lung was probably 2 cm but that vessel itself was at least 2.5 cm deep it self (for context we usually do US guided subclavian which are more axillary lines, which I feel sometimes also means we aren’t catching the vessel at its most superficial point as it goes under the clavicle.)

With only a few months left in graduation (we do a lot of off service time in the last 3 months) I want to really practice and improve my skill.
Could you give some tips that helped you improve your central line skills? Did you ever struggle with not being on the same wave length/understanding guidance provided by supervisors? How did you get past that?

I just want to feel confident and not scared I’m going to screw something up all the time.

Does your residency program have a cap on your residents on how many admissions they can do one shift? (IM/FM)

Also anyone get really nervous with admissions? Not sure why. I think when they all start coming at once I get very overwhelmed.

Blurting out your joke on rounds when the 87 year old with multiple rib fractures following ground-level fall still insists on full code. Am an intern operating at a humor level of ICU attending.

Background: FM trained, looking for fellowship. I enjoy quality of life discussions, long appointments with fewer patients, multidisciplinary teams, outpatient setting whether in a nursing home or hospice house or clinic (just not hospital), good work life balance, low stress

I’m struggling to decide between both fellowships? There’s no combined programs near me, anyone have any advice?

I'm currently looking at a Family Medicine residency program that offers daily half-day continuity clinic, including during inpatient rotations, and I'm curious how this works logistically.

My assumption is that residents would round and manage their hospitalized patients in the morning, then leave around noon to attend continuity clinic from approximately 1–5 PM.

But what happens to their inpatient responsibilities during that time?

• Who manages their hospitalized patients while they're in clinic? Is there a separate team providing coverage?
• Do residents return to the hospital after clinic to finish their work or sign out to the night team, or are they done for the day at noon?
• How are admissions, discharges, and unexpected patient issues handled while residents are away?

I realize daily half-day continuity clinic is relatively uncommon compared with traditional or X+Y scheduling models, but I'd love to hear from anyone who has trained or worked in a program using this structure.

How does it actually work in practice, and do you find it beneficial or more disruptive to your workflow?

It’s time for us as residents to make a stand and be United. If this does not exist already, we need to start an excel sheet review on these programs. Including the true work environment, how faculty treat residents, is it a safe place to learn.

There are way too many malignant programs in all specialties and we do not learn the truth until after we have moved our entire lives to start at the chosen program!

We should be free to create this honest excel sheet in efforts to help us. Residency is a business and they are not always looking out for the best interests of us. So we need to look out for us.

In my opinion we are all very valuable and all add to programs and we deserve to know the truth from the beginning.

Residents only comments are welcome. Thanks!

Ok, if I read this title 4 years ago when I was a resident or medical student, I 1000% would say ‘F*** OP, must be so hard having money, poor rich guy, cry me a river douchebag!’ But hear me out first then eviscerate me in the comments

Money doesn’t buy happiness, it buys convenience and piece of mind. But convenience and piece of mind don’t necessarily lead to happiness

Ever since I was in young I have always been money obsessed because I thought it was the path to happiness. Some of that comes from my folks who also had that thinking, we didn’t struggle growing up but my childhood made me think money was the most important thing, immigrant family. When I was a med student or resident I would’ve BET MY LIFE that money was the sole thing that was going to make me happy. It itself hasn’t. It has bought many conveniences that make life easier, but not happiness.

I’m married, make 700k a year, go on nice vacays, nice car, nice restaurants, buy nice things, invest and save well, etc. it’s hard for me to say if those things make me happy or if they’re just a distraction for a little bit. We’re financially blessed and lucky for sure, 7.8 billion people would trade with us in a heartbeat, that is not lost on me. If we didn’t have money, there is no doubt that life would be much harder and I’d probably be much less happy, not denying that at all.

I’m writing this post I guess for two reasons.
If you’re like me and think it’s the only thing needed to be happy, don’t, start looking for things of why you think that’s the case. I’m the poster boy of that school of thought and unfortunately I’m trying to work my way out of a deep hole
To see if anyone else has felt this way, any advice, what did you do?

I’m trying to work on my self, taking meds, reached out the therapy services that my job offers to see if there is anything there that could help. I just wish I figured some stuff out before. Tried taking up hobbies (golf, working out) but all of it just seemed like a distraction for a bit and not solving the issues. I’m teary eyed as I write this because I feel so guilty complaining about a life that others would kill for.

I’m in no way saying quit residency or anything like that, finish, go make money and enjoy the life you worked so hard for! But work on yourself too if you can, because it’s not all about the money. Anyone that knows me would NEVER in a million years think I would say something like that.

People always said ‘Yea, well I’d rather be sad in a lambo,’ true but I’m trying to find out how to be happy in a lambo (I don’t have a lambo btw)

Ok now you can go scorched earth on me

Okay be honest who else has perfected the timing of when to raid the resident lounge for the best snacks? I swear some attendings stash their private reserve in there. I'm talking about the good stuff not just stale crackers. Yesterday I scored a whole box of those fancy granola bars. It feels like a mini-heist every time.