Recent content by Elixir6

I am at academic, so I don't get many calls except for transfer, since fellows take calls. There are very few reasons to go into the hospital at night, and except for ALF they are all due to endoscopy need. You may get called frequently depending on your institutional culture, but rarely have to...

I have small hands. It sucks. The ergonomics are bad for any hand size. There used to be a small knob adapter, but it's off the market. But what are you going to do. If that deters you from GI you should not be going into GI anyways

This sounds unusual. GI call is really not that bad. As a fellow I would cover 3 hospitals at night, (one over 1000s beds, 400 beds and another was a VA, so like 80 beds) and I didn't get called this much. Many annoying calls from outpatients about bowel prep. You rarely have to go in as most...

You need to get the head partner to do something about it. Otherwise can always say you'll leave because you'll lose your own skills this way

Yikes... Necrobump, but goes to show Middle Easterners can hold those grudges for a long time. Her grandchildren will remember how you insulted her on SDN.

... Neither said nor implied by my post. In fact, the opposite. I too definitely don't want an over confident intern. All I'm saying is *attempt* MDM. That doesn't mean do something wreckless.

Yeah... I mean, there is obviously a balance. And I agree with a lot of your advice. I'm not recommending perseverating over esoteric diagnoses. I'm just pushing back against this notion of passive learning. You mentioned "you do not need to make any independent decisions yourself" and "get the...

You can use Pocket Medicine (or Pocket Outpatient Medicine). Also there is UCSF Hospitalist handbook if you really must read more "practical" books. OnlineMedEd Intern videos look helpful. I agree with prior long post about being organized, efficient and not sweating notes so much, but I...

... GIF wasn't working earlier....

As a Gastroenterologist, please don't prescribe olmesartan if some other ACE/ARB will do. It causes olmesartan enteropathy, and while uncommon, it's probably under diagnosed and can cause substantial morbidity. I did recently have a patient with ACE-I induced small bowel angioedema that took a...

Only you and the PD see the score. It's supposed to give you an idea of where your medical knowledge is standing. If you don't do well, programs should have a remediation program to help you fill in the knowledge gap. It also gives you breakdown of what part of GI you have weaknesses in. I used...

You don't write how much the pension is that you get for this service.

Maybe I'm in some sort of academic bubble. I never looked at private practice jobs, but is this real. How could you see 15 patients in 3 hrs... That's a patient every 12 minutes. Ok if you need to see people to determine if they need CRC screening/polyp surveillance and appropriate for sedation...

You got ref slapped. Cold. ... Granted, it's not a guideline, and "Expert Review" on "Clinical Practice Update" but they did name a needle after one of the experts.

Not