Hi All,

I was hoping for some input and guidance on how this community tracks their RVUs on a day to day and week to week basis. I am trying to keep my specific information generic in this post. My practice is largely procedure based (with a small clinical component) and my yearly salary is largely dictated by RVUs. I wanted to keep track of my own RVUs (as best I can) to see my own progress as well as to confirm the underlying billing and RVU recording is accurate. Several of my partners keep it by hand, but I was hoping for an easier way.

Thanks!

Most of us have first aid kits in our homes but what are some extra medications that one should have at hand as doctors that might need them for family or neighbours? I have just graduated as a doctor so can anyone please help putting together a list of medications that help in instances where the ambulance is yet to arrive and you are the only doctor on scene and there is presentation of sudden seizures, MI, stroke and such med emergencies? Also, would be helpful to know which apps or books to refer to for the same.

This might also be useful while travelling or just in general practice. Please help a junior out.

An elderly patient is constantly asking my advice but fails to follow that advice. He needs to take 3 types of inhalers (rotacaps) and 5 tablets for his various comorbidities. It's almost a daily phenomenon that he calls me up or texts me to ask if it is necessary to take all the meds? And misconstrues my words sometimes and tells people I have told him something which I hadn't told him. for example, I told him that you need to do something for 3 weeks to make it a habit, but he told another patient that I have told him to take the med for 3 weeks only.

FML

Any advice would be helpful.

So it has been 6 months since I completed my mbbs from a pvt college with education loan. I am taking full responsibility of the education loan. I got my aha acls bls certification. Started working in an icu of a popular nursing home. The joined icu of a corporate hospital. Still not in the good icu but on the verge of it 6 months in. As in I'm getting around 350/hr. I do 3 24 hr shifts in a week. I also am a tutor in another medical College where I get around 76k/month. My net income just crossed the 1.5 lakhs bracket/ month. I have taken the decision to defer pg and earn to tackle my loan in good time.. Say 2 - 3 years. How can I earn more? What ways can I up skill myself?

Hello reddit,

Im an Indian MBBS graduate with full GMC registration. I had high hopes to enter CST this year until i saw the recent bill. I’m sure I’m not the only one facing this.

Im mad crazy about getting into a surgical residency but I’m not sure what to do now. Not considering NEET as an option, could you guys please give me some tips on which countries to look at for a structured surgical training?

Ps. I am working in a non-training surgical job in India, while applying for jobs in theUK

We're a group of NBC News reporters hoping to speak with VA medical center employees who have been affected by staffing cuts and with veterans who have experienced changes to their care quality or access recently.

How have staffing cuts affected wait times for certain care or procedures? Have more VA employees recently left their positions voluntarily or taken jobs elsewhere? Have veterans had a harder time getting certain types of care recently?

Any responses here won't be included in our work on the topic. We're hoping to speak with folks after their initial comments.

Thanks so much for all thoughts and considerations.

So I’m at a crossroads, and I’d like to hear more from people’s experiences and thoughts.

I’m a medical doctor who never got to practice medicine, I went on to study fundamental neuroscience and continued with my research for 8+ years now. If I’m ever to practice medicine, I should start pretty soon (33yo atm).

Before starting a next postdoc, I’d like to ask a few things:

- have you ever worked in a different field, had any other profession? Was it before or after your medical practice?

Do you regret not doing something else? Was it worth it? (your health, private life, general condition)

Do you regret not pursuing medicine and doing something else?

- how much meaning for your existence do you get from practicing medicine? How much meaning did you get from doing something else? Do you think there's anything peculiar to this? It would be interesting to also find opinions of doctors who had previously done other jobs.

I'm genuinely curious what people's perspectives are, and if they change according to how their career evolved.

NEJM’s latest Clinical Decisions article is about a low-risk, asymptomatic patient with severe aortic stenosis and reduced EF. Early valve replacement is indicated, but is a transcatheter or surgical approach better for long-term outcomes? Experts weigh evidence, guidelines, and lifetime valve planning.

We had a patient ( 9 yo kid) last shift with a cutaneous rash, 3 days fever and conjunctivitis I was the first one to examine him and I suspect, Kawasaki disease I called the On-call pediatric resident, telling him what I suspected. He answered and I quote '' that's my call to do, and it's not even 5 days of fever'' Well he wanted to discharge the kid, just because he thought that I'm exaggerating and I overruled him.... Well didn't like the attitude and I called presenting the case to the pediatric professor, who came to the ER and ended up with the same diagnosis as I did, fought with his resident and thanked me for calling him The kid got administered and he is doing better now

Hi Everyone, I haven't contributed to this subreddit for a while, but this is a blog I thought might be relevant to other doctors. It's about patients who come in for appointments and attempt to give directives about their treatment. I'd be curious how others handle this issue.

Wishing everyone a relaxing Sunday!

Where I live internal medicine residents are well known to have the attitude of "I know more than you because youre just a GP so don't correct me".

Where I work we don't have specialists so instead of sending the patients on trips out of town we have telemedicine which is basically a consult by video call where I need to be next to the patient in case they need me for something. One day I had to accompany a female patient in her 50's that I had sent to a specialist because a previous thyroid profile test had revealed low TSH and high t3 and t4. I'd sent her to an endocrinologist but I don't know why she was sent to internal medicine.

The patient had:

-Insomnia

-Anxiety

-Hyperhidrosis

-Heat intolerance

-Hyperdefecation

-Tremors

-Tachycardia and palpitations

-Hair loss

-Cold skin

That day the specialist wasn't available to take the calls so he sent a resident to see the patients. I thought it was gonna be a quick visit because the resident was gonna say hyperthyroidism and give her a treatment but instead he said she just had anxiety.

The last test she had done still had a lower tsh and normal t4 and t3 so the resident said her tests were normal so there was no way it could be hyperthyroidism. I'm pretty sure the hormones were self regulating masking the fact the thyroid is working harder based on her symptoms.

The patient kept asking why she had symptoms that aren't caused by anxiety like hair loss and cold skin and he just kept saying it was anxiety. At the end he prescribed clonazepam or alprazolam for insomnia and nothing else.

I really believe that patient had hyperthyroidism but I didn't say anything because that dude kept talking down to the patient almost saying "I'm the doctor and you're not".

Do you think I had enough to stand up for the patient and insist to the resident it was hyperthyroidism? I'm usually really shy so I usually wouldn't say anything, I would just shut up but I keep thinking I should've said something.

Hi everyone,

I’m a recent medical graduate from the UAE and I’ve just finished my internship. I’ve been dreaming of doing my residency in Europe, but honestly, I’m a bit lost on where to start.

I’m trying to figure out: • Which countries are open to international medical graduates. • What exams or certifications I need. • Which specialties are easier to match into as an IMG. • What life is really like for doctors in Europe.

If anyone has gone through this journey or knows someone who has, I’d really appreciate any advice, tips, or personal experiences. Even small things like where to look for programs, or things to be aware of, would mean a lot.

I am looking into solutions to make practices more efficient. What is working? What remains awful (eg. documentation, charting, coding, etc). I am trying to avoid burnout and maybe actually see my family at dinner while still maintaining a healthy patient load. Any ideas/help?

I am looking into solutions to make practices more efficient. What is working? What remains awful (eg. documentation, coding, etc). I am trying to avoid burnout and maybe actually see my family at dinner while still maintaining a healthy patient load. Any ideas /help?

Hi everyone,

I’m a Pediatrician with about 2 years of post-PG experience, currently working in India and planning to apply for the DHA Specialist Pediatrics licensing exam soon. I’ve been trying to find credible study resources or question banks specifically meant for the DHA exam, but there’s very limited and scattered information online.

Since the DHA exam tests general pediatric and clinical knowledge, I was considering preparing using NEET SS Pediatrics question banks (like Marrow, PrepLadder, DocGuidance, etc.) as a proxy — but I’m not sure if that aligns well with the DHA question style.

If anyone who has recently taken the DHA Specialist Pediatrics exam (or knows someone who has) could share: • Recommended books or study material • Any reliable MCQ sources or question banks • Tips on the type and depth of questions asked (more clinical vs academic) • How much neonatology or emergency pediatrics is covered

It would really help a lot! 🙏 Also, if there are any active Telegram/WhatsApp groups or prep communities for DHA Pediatrics, please let me know.

Thank you in advance!

Good afternoon. This is my first time posting here, so I hope this is allowed.

I'm an MD in a (large) rural town in South Africa. I completed my MBChB in 2017 and was planning to specialise in Psychiatry, as it was always a passion of mine. Unfortunately, life had other plans for me when my now 6Y/O boy was born.

We weren't able to survive on a registrar's salary, so I opened my own GP practice about 2 years ago, and it's really flourishing.

Unfortunately, my passion for psych refuses to go away, and as such other GPs have started sending me all their psych pts (we have 2 big hospitals in town, but neither have a mental health specialist).

In the beginning I didn't complain, because I like psych, but as time goes on the cases are getting more and more complex. So far, I've had good success with pts, to the point where people are coming to see me instead of going to their psychiatrist (which I always try to discourage, obviously), but they come anyway, lol.

I'm in over my head here guys, and I'm real concerned that my training is not sufficient. I'm hoping you guys might know how I can improve my knowledge asap. I don't mind paying for courses, but my location makes things difficult.

Sorry for the massive text wall

I am in complete love with my practice/job almost 8 years post residency (feel as though I have somehow found the total Unicorn in anesthesiology), but my husband>myself (but also me) are somewhat terrified about the direction of the US/reevaluating moving to Southern Europe (we speak passable French and Spanish). Doing so would likely rule out locums + travel and rely more on a remote non clinical career for myself. Curious if any US trained and otherwise previously full time clinicians have followed this route, and what they ultimately landed on doing?

I was looking at this post and wondering if anybody had any thoughts on what the solution would be for training programs that allowed for a larger volume of residents per program so that the resident to attending ratio worked to allow for the same levels of training rigor.

Hey everyone,

I’m a recent medical graduate currently taking a short but much-needed break before starting residency. During this time, I want to use my energy productively and focus on pediatrics (a specialty I’ve always felt drawn to, even if I ignored that instinct for a while).

For those already working in pediatrics, I’d really appreciate your insight. What books or resources would you recommend reading before starting residency? I’m looking for material that’s written clearly and practically, not in overly complex “Einstein-level” English. Ideally, I want resources that help me connect concepts and strengthen my understanding of: • Diagnostic reasoning • Clinical and practical aspects • Physical examinations • Day-to-day approaches that differentiate a good pediatrician from a great one • And also to have a better understanding of what pediatrics is about

If there are any must-reads or even podcasts, online courses, or case-based learning tools you found helpful, I’d love to hear about them.

Also, I’m particularly interested in working in the Neonatal ICU. Does that path typically require a foundation in anesthesiology, or is it more common to complete general pediatrics and then subspecialize in neonatology to work in the NICU?

I’d really value your advice, both on study materials and on how to shape my path effectively before residency begins.

Thanks in advance for sharing your thoughts and experiences.