Articles matching the ‘About Residency’ Category

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June 24th, 2016

The Scam of Medicine

“Oh no, she’s calling again.” I look at the caller ID in the Chiefs’ office where I sit with one of my co-Chiefs.  It is the Documentation Lady. Her call is as regular as BMs with C. diff: Profuse, excessive, associated with a lot of hot air and a bunch of crap, but inevitable. We play […]


May 20th, 2016

Traveling Can Be Frustrating

Note from the NEJM Journal Watch staff — Ahmad Yousaf is currently on a trip to help care for refugees in Greece. He is sending daily updates to share his thoughts; we will be posting them here daily.   The discomforts of travel are real. Stress, related to the unknown: flight times, traffic to the airport, crying babies, […]


May 13th, 2016

“Be Careful. He’s Violent.”

“Be careful. He’s violent.” That was the way sign out began for Mr. T. The intern continued, “He has been in the hospital forever because he was kicked out of his nursing home. Good luck. And, oh yeah… he’s blind.” Puzzled, I looked at my list of patients and, not sure whether I should write […]


May 6th, 2016

Declaration of Death

“Is he dead?” I stepped up closer. He was yellow. Bright yellow. Steve had been admitted to the hospital for altered mental status when his last PET Scan revealed that the pancreatic cancer had spread from the tail of his pancreas into his liver where it now blocked the ducts that carried the bile out of […]


April 27th, 2016

The Dark Side of Medicine

The following is paraphrased documentation, authored by a physician I know, regarding an intoxicated patient in the ER: 1AM: Patient is telling nurse, “Before I leave, I need everyone’s name for my lawsuit. Tell the phlebotomist that if he’s good, he’ll  get a cut.” 1:40AM: Patient is making inappropriate sexual comments and is verbally aggressive with medical staff. He […]


April 8th, 2016

The Costs of Being a Doctor

I start this article with a disclaimer: I am not here to comment on the decreasing salaries of physicians or the knowledge that I will never get paid the way the prior generation of doctors got paid. It is hard for me (and the American public) to feel bad for anybody making more than $200K […]


March 14th, 2016

The Era of the Ill-Prepared Medical Student

What is wrong with medical students nowadays? This question has been circulating in the academic medical world for years. As an intern and resident, I would hear complaints about how ‘unready’ they seemed. The grievances often include adjectives like ill-prepared, lazy,  or uninterested.  The complaints have burgeoned over time, and the examples are numerous in my institution: Students show […]


February 26th, 2016

Caring For Today’s Veterans

For most of residency, I missed the opportunity to care for veterans — mainly for selfish reasons, including my unwillingness to learn a new EMR and hospital. Once I became a chief resident, I realized that I would be spending 4 months at our local VA hospital. When I first came to the VA as a chief, my […]


February 12th, 2016

What Have I Learned as a Chief Resident?

At my institution, next academic year’s chief residency application email was sent out last week. The APDIM spring meeting for chief residents and program administrator is going to be held in Las Vegas in April 2016. The 2016 chief residents need to be selected before that meeting. That e-mail brought a flashback memory for me. I met Charleen […]


February 5th, 2016

Don’t Give Up!

There comes a time in most people’s training when adversity threatens to become overwhelming and swallow them whole. It could be as a medical student, while spending countless hours in the library or when on demanding rotations. Or, it could be during residency, from the 80-hour work weeks or the stressful patient care situations. It […]


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