Renin

There's a difference between cutting off someone because they're just being irrelevant vs. redirection - and this is part of the "art" of medicine. There are definitely days where I feel more jaded than some of my junior days, but I care about my patients. I think it takes someone in my specialty to understand that sometimes you look like you don't care to outsiders, but the "best" thing for the patient is tough. Short term fixes can lead to long term problems.

You might be in the wrong province.

Shrinks can make more than that - I have been told it's all in the billing.

I guess one way to take it is if the off services can do it, then the IM residents should have no problem Now I need to drown my sorrows in some wine. Yes. It is before noon.

I am supposing you mean on CTU teams? In my experience, the internal medicine residents are NEVER placed on the scut teams - it is always two off service residents with no senior resident and no medical students. The internal medicine residents are on teaching teams (one senior, one internal med junior, one off service junior, two med students). Just based on my experience, I feel the IM program treats their residents better than they treat the off-service residents.

Don't worry, the hospital is temperature controlled, there are no mosquitos inside, you won't have time to walk through trendy neighbourhoods, you can take transit to the airport - if you have time to leave said hospital. It is IM residency after all

Our location is not poor. Edmonton is a lovely city and I find the people very welcoming and there's always something to do around here. As far as hospitals, as I can recall we have - the University, the Royal Alex, the Mis, the Grey Nuns and the Sturgeon (St Albert) - the IM experience is a little bit different at every one, but I suppose as an IM resident you would rotate through different rotations at different sites. As an off-service resident, I felt that the IM program here at U of A looks after their own well. They also listen to the concerns of the off-service residents and there have been changes to the program since I went through as a junior last year. I felt well-supported 95% of the time (there was one night from hell) - and the staff are incredibly supportive. The for-service rotations generally IM residents don't rotate on, so I wouldn't worry about that. You guys use us for that - and we provide you the service. I think IM prepared me well for the LMCC this year; and the teaching from the senior residents was good, both at bed-side and formal teaching. The grand rounds were actually kind of interesting. The IM subspecialties that I rotated through were also quite excellent - I highly recommend cardiology - and once again, staff and residents and the fellows were great. Their IM residents are generally happy - and their senior shifts are split into 12 hours.

I am not afraid of being outed for who I am - if you came found me at the hospital, I'd tell you the exact same thing in real life. I don't have a "evil online persona" that I use on pm101. I've had the same conversation I've been having with you guys in cafeterias and with colleagues out in public places. Regardless, I think it's wonderful to have a supportive team (be that a couple or a family), I would be very willing to pool resources in the future, whether that be a fund that housekeeping would be running off of, or it means private school for the kids. I haven't had the luxury of a supportive partner during medical school, or during R1. Part of me feels that this is a good thing - I wouldn't have had any extra time to try and spend with someone else - and also, I feel I don't have anything to contribute. My entire world/life is centered around medicine, and trying to find a conversation topic that isn't medicine/mental illness is hard. I'm not saying I'm perfect. I know I'm far from it - but hey, I don't expect a perfect partner either. I just don't want to be taken advantage of. And I don't think that's unreasonable.

Well, I dont' need someone to take care of me. I just don't want to have to take care of someone else when they are no longer in a relationship with me.

I don't judge my patients based on their income. When my patients decide to leave my clinical practice, I don't have to pay them support. We are talking about a life partner ...

When I struggled through med school, I don't see my husband there supporting me. If he was with me when I had my struggles, then yes, I would say he's crucial in helping me achieve success and yes, he would be part of my success. All the guys I know have not been helpful to me at all. ETA: There was a guy I was in love with. We've been through a lot together. When my fiance told me to give up on my dream of medicine, he urged me to try again. He doesn't make six figures, but I trust him. He's been honest with me. He will tell me when I'm being a **** face, and I can tell him when he's being a **** head. He doesn't share my feelings though. One of our mutual friends told me it's because he doesn't like the fact that I'd make six figures.

Oh; the problem is expecting to live a 500K lifestyle when you pull in 50K. If he is happy living a 50K lifestyle, then that is fine. If his earning potential is 50K and he loves his job so much, then when we separate, he should be happy living with his 50K. He shouldn't have a piece of my 500K.

Very small, and quite dry.

Maybe I"ll draft one of those pre-nups that are sort of crazy and stipulate how much money you can take away

Which is not cool. I dunno, I know a lot of nice EMS guys, but how many of them are like, "Yup, my wife's a doc."