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Hanmari last won the day on September 16 2018

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About Hanmari

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  1. Hanmari

    Admitted but never kissed a girl

    Fear not, medical education will beat this doubt and weakness out of you and turn you into a machine whose engine requires no frail warmth but only the nourishing oil of evaluations and indentured labor. Go forth fearlessly and melt the alloy of your youth into the white heat of servitude. Soon you shall not even recognize female faces, just like the 90-year old on your ward who swears to you the rhino on their MoCA test is a fucking hawk.
  2. I wish I'd picked a hobby and made it second nature. It's tough to develop new hobbies or broaden your horizons once you're a cog in the system. I'd have picked a single long-term interest and really delved into it, like take classes it in or something. To the point where it becomes effortless to do it in everyday life because that is the only way it won't shrivel up from the nuclear fallout of medicine. It's tough to spend any time on hobbies even when you're in med school, med school is time-consuming and difficult. So is every stage after this until retirement. There is never a good time to start. All you can do is start cutting out the tiniest bits of time you can find and throw it at something you care about in a meaningful way that will build up and make that hobby easier to do over time. If you already started in undergrad, good on you, keep it alive. And if you can't even find that little amount of time, that's alright. Lots of people can't. But pay attention to that fact. Really be aware each step of the way that you are giving up precious things for medicine and importantly, come to terms with that. You might still regret it but you will regret it less than if you had gunned obliviously. And god forbid if you get hit with a terminal illness before you reach whatever goal you've planned, at least you'll know what you gambled on was by choice and you might be able to go down laughing.
  3. I'd strongly advise against doing anything more than 2 weeks of vacation at a time even if you could. As Rorzo says you'll miss those weeks when you're going for months with no break. Vacation in residency is more of a sanity preserving exercise, although you can certainly make those short weeks count.
  4. I'm sure a lot of people have seen the first post of this series already. The third and final entry has recently been published, and I think overall it is a great read. First post now links to parts 2 and 3: https://in-housestaff.org/resident-wellness-is-a-lie-part-1-1319?fbclid=IwAR2N0Q7oNg_22fcEzcENvK1WmxdoRubSuJsL1CsyJzX0290Db4nWU3k_bwM
  5. I swear if I was allowed to bill even 10% of the dollar amount for the billing codes for each patient, I'd be a much more motivated worker...it's sometimes not even about the amount of money, it's about the feeling of knowing there is scalable reward for my effort.
  6. Agreed on increasing residency positions, who doesn't. Not sure what he means by "learn local". There's no concrete plan suggested for that one. Does he mean that residency programs would prioritize their own medical school students? I would only be in favour of delaying specialty choice if it does not prolong residency. And I would only be in favour of reinstating the rotating internship if they brought back the GP license with it. Not sure about what he means by reducing exam studying time either. Does he mean fewer exams in medical training? If so, then sure.
  7. Each to their own, but I have never derived any comfort from seeing those worse off; just because they shit melena doesn't mean I shit gold. It also doesn't do wonders for clerks who always feel mediocre to feel like even their suffering is nothing to write home about. I do agree with reminding ourselves that others have done the med ed path before us. A big crowd of people make it through this alive every year. We'll all get there someday.
  8. I mean, becoming staff is not the end, right? ;P I am just being a friendly reassuring resident for my students! Surely I get a good eval for that. In any case y'all staff staying resilient with no one above you to lift you to your feet are amazing. I am sure, amongst many other things picked up along the way, that it must take the same kind of focus on your true life goals that I encourage all my students to remember.
  9. Go into it with few expectations and you won't be disappointed. Hold on tight to your memory of true life and your humanity and don't let the scut eat into it, and always know that in the end you will be able to return to the life you deserve. Every time you hate your life in clerkship say to yourself that life is actually more than just this bullshit. Every day you go into hospital tell yourself you are one day closer to autonomy. You don't need to agree to or even rationalize the status quo to be resilient, you just need to show your staff that smile in that very moment they fuck up your day, and not let it shitstain your memory of happiness.
  10. I respectfully disagree. This seemingly popular belief of "resident pay is low because staff pay is high" or vice versa is a non sequitur. The pay staff physicians receive is representative of their skill and their contributions to society, and is fairly deserved. It does not retroactively render residency pay irrelevant, since staff pay is payment for work done as staff, not as residents. We have a professional degree which, as you said, is getting harder and harder to attain by the year, and work experience/set of skills that are really quite exclusive, in a field which is essential and relevant to people's lives in a constructive way. If we need to put ourselves further into debt to make ends meet after all that (and clearly, with all this credentials inflation you mentioned, many of our cohorts are now filled with non-trads with families and even more degrees), we are underpaid, period. You cannot justify this with a fair pay that comes only after years, no matter how high it is. I agree it's good to learn good financial habits. It's better if we can learn it while actually being able to save anything meaningful. I do agree with the limited supply idea as far as it applies to within medicine. Healthcare system is overburdened, residents are cheap labour and will unfortunately likely continue to be. If a raise at resident level means a cut at staff level, I'm sure most residents would opt to endure the status quo. That being said, there should always be an effort to draw the resources from outside so that staff physicians are not hurt by resident raises. I could not care less about what happens to the pay in other industries. To stay still in a zero-sum game means your cut of the pie is eventually taken from you, as all current staff physicians must know so painfully well from their terrible negotiations with the government. I hope that the residency associations across the country realize this as our situation is essentially just a micro version of theirs. Definitely look at the staff pay down the line. Counting your blessings is a great way to stay sane. But I will not be told that what I am getting is fair when it isn't.
  11. Hanmari

    What to do during M1/M2?

    As polar opposite as these posts are, both are valid. First of all figure out what you want in life re: work/other priorities, which will help you decide what specialty you might be interested in; then look at the competitiveness of the specialty of your interest. You can take either of the above approaches or something in between depending on how competitive what you want is. While I respectfully disagree with Edict that their approach applies for all specialties, for ER I would definitely agree that you need to be the early bird.
  12. I've been told it doesn't really matter once you hit staff b/c it is a difference of maximum 1-2 years due to staff pay just being on a different scale. That being said, I've still been trying to save as much as possible and pay down what I can. Not with the goal of paying down everything before staff - I know I won't - but because I want to develop good financial sense and a frugal lifestyle that will let me hit the ground running when I turn staff. I think it's good to try and tighten belts a bit even during residency, with a "it can always get tougher" attitude.
  13. I'll be honest this kinda made me cringe because I still find myself doing this sometimes just to hide the fact that I'm dead inside ...right, this thread's about happy things like going home early. My bad. Sorry to be a party pooper.
  14. I would just add to the OP that not all residents find it annoying to have medical students around - I find them to be immensely helpful and, being in the early stages of residency, find myself working with students more or less as level colleagues, minus teaching them what I know when they're up for it and being there for them when shit hits the fan. I have no reason to have forgotten what it feels like to be a med student and when I suggest to my med students to go home it's honestly b/c I want them to get rest and have time to study for their million exams around every corner. I have yet to come across a med student who I wanted to send home b/c I was annoyed with them, although I guess there might be a first for that later. tl;dr don't get discouraged when residents tell you to go home thinking they're annoyed with you! chances are they mean well.
  15. Just wanted to get the forum's opinion on whether people generally take a week off before their LMCC2 exams to prepare. Is this necessary / recommended? Thanks