Hey all, hope this doesn’t count as a personal
agenda, if so obviously delete.

I am now an attending but found a job that gives me great work-life balance and job satisfaction that I would have never thought about had someone not told me, so I am telling you.

If you are FM or IM and want to practice outpatient but not get burnt out with 97,309 patients on your panel, consider providing non-psychiatric medical care at a state psychiatric hospital. These patients are usually there quite long-term, sometimes for years, so you end up functioning as their PCP while they are admitted.

I am in the midwest and work for one such hospital. I work M-F 8-4:30, never have to take call or work weekends, and get lots of paid holidays and great benefits. I also find it incredibly fulfilling, although I realize it is not for everyone.

Feel free to DM me if you want more info.

I love it when my paycheck gets wiped out by car trouble and pet expenses despite working 13-14 hours six days a week

With due respect to both specialties, I’m trying to decide between MD Emergency Medicine and MD Anaesthesia. I’d really appreciate honest opinions from doctors in these fields about job satisfaction, work-life balance, stress levels and long-term career fulfilment. If you could choose again, would you still choose the same specialty? Thank you!

Hi everyone, I’m a medical student interested in neurointerventional medicine and trying to understand how the neurology, neurosurgery, and radiology pathways compare in practice.
I’m particularly interested in pursuing it through neurology and would appreciate insight into a few questions:
Job market: How is demand currently for interventional neurologists compared with neurosurgery- or radiology-trained neurointerventionalists? Does residency background affect hiring, practice opportunities, or geographic flexibility?
Compensation: For similar procedural workloads and call responsibilities, are there meaningful salary differences based on training background?
Call and lifestyle: How do call frequency, overnight procedures, work hours, and schedule predictability compare? How much depends on specialty versus group size and practice setting?
Practice mix: Outside of procedures, what does each pathway’s typical week look like? For those trained in neurology, how much time goes toward stroke service, general neurology, or clinic?
Future outlook: Over the next 5–10 years, do you expect demand to grow, or are there concerns about saturation and competition among the different pathways?

Lastly, For someone who enjoys neurology and endovascular procedures, is this still a worthwhile route? Are there limitations or tradeoffs you wish you had understood before committing?b

I already bought a board review course last year and now I’m struggling to find ways to spend the rest of my CME money. There’s only so much study material a person can buy!

Any underrated purchases or things where I can use this money? I am not going for any conference.

I need to use this money before it mysteriously disappears into the hospital’s general fund. 😂💀

I start in a week and I'm so scared. I don't know what essentials to buy and also scared for the hectic work. I prayed for this but now I'm scared 😭😭😭

If you have a chance to do an administrative duties in addition to patient care as a physician. What’s the pros and cons?

How are you guys managing the cost of living as residents

Hi, I just submitted my application for my Illinois Medical License. Some people suggested driving down to Springfield to get it. How soon can one go? I submitted by application last week and my understanding is it takes some time for the fingerprints/criminal background to process as well. When is it recommended to drive to Springfield?

I know what the outpatient diabetes management looks like but curious about inpatient as I know they often have an inpatient diabates team they reach out to for consults.

Hi guys, first off, this is jot a medical question, I would like to try ans dee if any of you have had any issues working surgical specialties with any joint issues present. Ill provide context for you, but I dont yet have a definitive diagnosis.

Ive been suffering from joint pain and swelling the past year, while dealing with rheumatologists. My diagnosis is still somewhat unclear, but it's literally the deadline to choose a specialty, which is forcing me to ask here. My hopes are, Ill get a definitive diagnosis this week.

A little backstory: A year ago, while still working as a physician aide in a pediatric ward (during medical school), my last year I developed pain in my wrists after a prolonged pneumonia, which at some point ( I decided to push through it) led to weakness and loss of coordination.I became unable to put IVs in - I could get the vein, but not remove the needle.

So, a pediatric rheumatologist did an ultrasound unofficially and purposed a Dx of rheumatoid arthritis. I went to an adult rheumatologist and it was a shitshow - since I was a 24F, I spent a year testing for everything from brucellosis to leukemia, I went to three different haematologists. Anyway, I finally got an MRI. There were enhanced signals all along my ligaments and a small intraosseus cyst.

I was put on a monotherapy of sulfasalazine. A year later, the pain is not as much, but squeezing things as hard as I can becomes impossible after 2-4 minutes, and standing upright for more than 3 hours without moving brings me pain.

Im going to a different rheumatologist to try and figure out what exactly is going on, what the prognosis might be and what to do.

I'm here to ask you - are you someone (or do you know someone) who did surgery/or just OBY/GYN while suffering similar issues? Worst case scenario is rheumatoid arthritis - does anyone have any experience with it while working any type of surgery?

Oby/Gyn is my dream specialty and Ive been accepted, however, Im also accepted for an Infectious disease specialty.

Hi all,

I'm a final-year medical student in Europe and I've been yo-yoing about my specialty for weeks. My judgment feels clouded: I'm fairly sure I have ADHD, I'm burnt out, and I'm about to start SSRIs, mainly for anxiety.

I was/am torn between certain specialities:

\-Ophthalmology: the only specialty where I genuinely find the anatomy, pathophysiology and the physics/optics interesting. I've always loved the eye. But I'm unsure about surgery, and about whether I have the energy for a tough residency (late finishes, lots of studying, steep learning curve). People call it easy, but it isn't.

\-Occupational medicine (médecin du travail): I haven't done a placement yet, but the residency and lifestyle seem much better suited to me.

\-PM&R: I spent one day with a doctor who didn't seem passionate, and it put me off.

\-Dentistry: I've even thought about finishing this year and then doing 5 years of dentistry.

What I want: a 9-to-5 but also feel passionate about what I do, and feel like I'm making differences in people's lives (ophthalmology does certainly provide that) and some relaxation, at least for now.

I genuinely love people, talking to them and I find I truly do have a strong capacity to make a patient feel heard and reassured which is already part of the healing process in my options ... I'm a type B person, not a gunner. I've already struggled too much in med school as a last minute studier/heavy procrastinator, I'm not passionate about much else in medicine, and I don't want the responsibility of vast medical knowledge. At 26, I want to get on with life instead of staying in the rat race.

My questions are:

\-is my hesitation about ophthalmology just burnout, or should I genuinely avoid this specialty...Is my personality (type B) just not made for Opthalmology ? I genuinely don't care about making tons of money, I want to be passionate and fulfilled with my job whilst feeling like I'm making genuine differences in people's lives, all whilst the job not being my entire life (I want a family, to reconnect with friends to live)...

Can I realistically handle a demanding residency for several years while burnt out, has anyone managed?

Does attending life get much better, and is it worth it? Or will I be surrounded by type A people forever?

Would love to hear from anyone who's been through something similar.

In that case should I just go for the safer, more 'boring' option which is occupational health medicine, which is stable, 9-5 even in residency, no calls etc.

Thank you guys for your suggestions and time,

Have a nice day!