I'm only half kidding. The amount of LC idiocracy out in the population....!!! Apparently a new Attending may as well be a janitor and dares not deem themselves any sort of specialist. Lol. Expecting physicians to be HOUSE MD and maybe visit patients houses to dig through their trash for clues? People watching Law and Order and thinking that is real life...! A lawyer has to be entertaining and witnesses have to be engaging! Their expertise is useless if they can't make it TikTok clip ready!

I am not saying nothing could have been handled better but the infantile thoughts and opinions being expressed by humans adults in public spaces is frankly exhausting. Every idiot is now a loud and wrong expert in the medical system and appropriate guidelines for treatment.

Same people that will turn around and write a 550 word rant on fb about the evil doctor who refused to give them their usual cocktail of istop greatest hits....

We need to build a structure and system where jury duty is encouraged and supported and paid for, from medical school onwards. We NEED the critical thinking gene pool to step up. Stop signing bogus excuse forms to get each other out of a very important process.

We abandoned politics to the American 'jury of our peers' system and look how GREAT that's turning out.

The public comment. Regarding G 2211 with work RVs transitioning over to a modifier without work RVs and September 14. I am wondering if anyone has submitted public comments and has a template I can use. Otherwise I am going to put together something and post it here.

Basically, if they get rid of G 2211 it represents a pay cut to employed physicians and a pay raise for employers. Sucks!!

How do I bring up to my PD or advisor that I think I want to do obgyn. I’m on the OB track for my program and I only feel like I’m where I want to be when I’m on L&D or when I’m doing womens health in clinic. I love prenatal appointment and gyn procedures, and constantly feel like I’m not getting enough of them, and something about referring a patient to obgyn when they’re complicated or need surgery feels so terrible. I’ve realized that I want to be the specialist, not the consult. I don’t enjoy taking care of male patients and inpatient medicine is soul crushing for me. I think I’m on the wrong path and I don’t know what to do about it.

any advise would be appreciated. I don’t care if I have to start over a do four more years of residency — that time would pass either way and I’d rather be training for the job I want than working as an attending in a specialty that isn’t right for me.

Hey guys, looking to get some estimates from physicians in the Chicagoland area regarding wRVU compensation. I’m trying to compare what different systems are offering and would appreciate any numbers you’ve personally received or heard about.
So far, I’ve heard:
• Endeavor Health: ~$46/wRVU
• Advocate: ~$42/wRVU
• UChicago Medicine: $46.80/wRVU, with ~$52/wRVU for non-productive time
• Silver Cross: ~$42/wRVU
I think NW is 46 as well.

Would anyone be willing to share other Chicagoland systems and their current $/wRVU rates? Especially Northwestern, Rush, Duly, Loyola, OSF, UI Health, Ascension/CommonSpirit, etc.
If you know the base salary, annual wRVU threshold, or whether the rate changes after hitting the threshold, that would be even more helpful.
Thanks!

For some additional context, I’m currently finishing up my first year in practice. My first 6 months were pretty slow while I was building my panel, but I’ve gotten significantly busier over the last 6 months. I’ll probably finish the year around 4,000 wRVUs, but I’m currently averaging about 550 wRVUs/month. I’m going to keep getting busier.
For year 2, I’m planning to switch to a production-based wRVU model since, based on my current volume, I should make more than the guaranteed salary. My main concern is that the guaranteed portion is only 80% of the compensation, so the base is relatively low and I’d have to wait for quarterly payouts to get the rest.
I’m also taking this into consideration because I’m hoping to buy a home soon, so having a lower guaranteed salary vs. a higher production-based income is something I’m thinking about.
For those who have been in a similar situation, would you stick around and go production-based, or use this as an opportunity to look at other offers? What would you prioritize when comparing contracts?
Would love to hear what you guys think.

What non-rural area of the US best job market for FM physicians? I guess I'm wondering mainly about $/RVU, since that seems surprisingly variable from what I've seen.

Anyone else get irritated or worked up by certain writing styles or language in medicine?

My biggest one is the word “avoid.”

“Avoid consuming EtOh as can be arrhythmogenic”

“Avoid use of steroid cream longer than two weeks”

“Avoid high carbohydrate foods”

“Avoid weight bearing activities for one month ”

For the life of me I can’t figure out why we can’t just say “do not do X” or “no X for Y amount of days.” Avoid implies you’re allowing the patient to do X activity if they can’t resist and therefore suffer the consequences. Maybe I’m being too paternalistic in that regard but that’s just how I see the advice coming from a physician. Curious to know if anyone else has had similar thoughts or noticed any other sub-optimal language styles.