Articles matching the ‘About Residency’ Category

RSS

August 22nd, 2016

First Week On Service

“Medicine Purple is now rounding at Room 202.” The announcement rang throughout the hallways on the lower pavilion. It was an announcement I had heard many times before, but this time it was quite different. As I glanced in the upper right hand corner of the electronic medical record of my first patient, the following glared […]


August 8th, 2016

Smart Phones, Laptops, and Their Effect on Your Smartness

“Please don’t spoil the movie with your own soundtrack.” Remember hearing this message before the beginning of a movie in a theater and how most people turn their devices on silent to watch the movie? The cost of the movie ticket is considerably less than the cost of medical education, but I wonder if learners […]


August 1st, 2016

Four-Oh-Wunk

I’m April, and I’m the incoming PGY-5 Chief for the Internal Medicine and Pediatrics Residency in Chapel Hill, North Carolina. Just last month, I had my 4th graduation from something since I finished high school. Residency, it turns out, is long and hard. I’ve spent tons of hours practicing the art of sphincter control each time that […]


July 15th, 2016

What Is Resilience?

NEJM Journal Watch is happy to welcome a new panel of Chief Resident bloggers for the 2016-2017 academic year. Here’s a sample of what our new bloggers will be discussing, starting on August 1! “Resilience” is defined as the capability of a strained body to recover its size and shape after deformation caused especially by compressive stress. […]


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 […]


Resident Bloggers

2016-2017 Chief Resident Panel

Amanda Breviu, MD
Joseph Cooper, MD
April Edwards, MD
Jamie Riches, DO
Kashif Shaikh, MD

Resident chiefs in hospital, internal, and family medicine

Learn more about Insights on Residency Training.