Medical Residents Quitting Bad Programs
41 posts across 9 communities in the last 30 days; 42% from r/Residency.
“How do you do the presentation as an intern? I am so stressed not about presenting but each preceptor has different expectations also the third year residents too have different expectations some prefer full fledged and some prefer only pertinent history. How to deal with this…”
“I’m sure I’ll get a lot of hate and push back from this. But I think it needs to be addressed. A pa fellowship is not equivalent to an MD/DO fellowship. I’m a surgical critical care fellow, I’m on my CVICU rotation. There is pa fellow here fresh out of school. Because we both…”
“M4 applying EM this cycle. Are there any lists/rankings available of programs that provide the best training? Or rankings of prestige in the EM world? Working on my program list now and cannot find anything like this.”
Medical residents, particularly those in internal medicine and combined medicine-pediatrics programs, express frustration with unequal program benefits, lack of support (retreats, vacation planning), and a mismatch between expectations and reality within academic settings. Many feel pressured to optimize their schedules for fellowship and exam preparation while managing burnout, and some experience disappointment with the academic environment compared to their prior experiences.
SOURCES (60)
“So discussion says it. I’m about three months into a med surg residency and thinking of switching. Maybe something either lower acuity or lower complexity (maybe day surgery pre op where you assess and stick folks). I’m curious what everyone thinks and if anyone’s done…”
“I was curious if anyone had information about switching programs for DR advanced position. I’m currently in my preliminary year but am interested in switching to a different location for my advanced program close to my family due to new family illness. Anyone have experience with this and can offer advice? How does one go about this. I haven’t spoke to my program yet as I haven’t officially made the decision to want to switch. The swap would all be within California (NorCal vs SoCal) submi”
“Hi, I’m currently a resident physician. Long story short, I realized I want to be a lawyer for medical malpractice. I’m unsure about how I can start this process, and if someone in a similar situation had left residency to be a lawyer. submitted by /u/IndirectPatho25 [link] [comments]”
“How do you do the presentation as an intern? I am so stressed not about presenting but each preceptor has different expectations also the third year residents too have different expectations some prefer full fledged and some prefer only pertinent history. How to deal with this. I am so tired of all this. Please help. submitted by /u/Ok-Situation5604 [link] [comments]”
“I am a family medicine intern and finished my first month of inpatient. Got a feedback that I am not quite there yet and not where they expect me to be at this point in time. I did a lot of outpatient family medicine clinics before this. not sure how to take this feedback. feedback was from 2 third years assigned to work with me. it looks like I am critiqued for minor things. One time I forgot to order morning labs. The other time I said I could do a Pap smear before watching a video and got cri”
“It’s time for us as residents to make a stand and be United. If this does not exist already, we need to start an excel sheet review on these programs. Including the true work environment, how faculty treat residents, is it a safe place to learn. There are way too many malignant programs in all specialties and we do not learn the truth until after we have moved our entire lives to start at the chosen program! We should be free to create this honest excel sheet in efforts to help us. Residency is”
“Me (internal med) and my wife (neuro) are pgy 1s in the same state but different programs. Due to the ongoing immigration/visa issues some IM pgy1s were unable to make it to the US in my wifes program ( the larger program ), which could mean potential vacancies for the upcoming pgy2 year. Is a transfer to her IM pgy2 possible next year for me? Is that something that can be done? submitted by /u/DistributionThat2407 [link] [comments]”
“Please give me hope or a slice of reality. Context: I’ve been working Family Med at an FQHC since graduation, my commitment will end in ~6 months. I feel I’ve built some fantasy in my mind that working in a specialty will be much better than Family Med and I’ll be able to heal my burnout, but is this a “grass is always greener” situation? I like medicine, I still like people (mostly), but I’m exhausted by the never-ending list of problems at each visit. Working on setting boundaries, but you can”
“$115k salary for first 18 months guaranteed Call is every 8 weeks. By call I mean it is like the nurse's line you can get ahold of during after hours and if they need something, they call you. Other APPs told me that it is rare they ever get called. If they do, it is something that is quick. New-grad expectations Starting in Nov I will be in an new grad APP role the hospital has created. I will be in this role until the end of January where I am not yet working as a full provider (due to cre”
“When a program offers international experience/global health, what does that entail? submitted by /u/Wilkins-Coffee [link] [comments]”
“Hey y’all, I just wanted your opinion on making this move. As the title suggests, I have the ultimate goal of getting into cardiac surgery however, as a new grad I’m running into the “I have no experience wall” with surgical opportunities in general. I have an opportunity to work in orthopedic surgery inpatient role at a big hospital system in Chicago which is taking new grads but I’m worried that will be too far removed from other surgical roles such as vascular or cardio if I try and make a mo”
“Hello everyone! I am a PGY-1 Internal Medicine resident at a community hospital and very interested in GI fellowship. I have little prior GI research experience, and my program has limited research infrastructure, so most available projects are systematic reviews and meta-analyses. I’ve been trying to find a novel GI meta-analysis topic, but almost every idea I come up with seems to have already been studied. I’m several months into intern year and honestly feel a bit lost about how people ident”
“Hey everyone, how are you? First at all, I’m not from the states. I’m from Argentina. Basically, just what the title says. I’m currently doing my residency at a hospital that I won’t name because I don’t want to dox myself, but I’m not really happy there. I was pretty disappointed that I didn’t get into Clínicas, Rivadavia, Lagleyze, or Santa Lucía. So I keep having this thought in the back of my mind that I’m training at a mediocre place instead of one of those hospitals. It really gets me down”
“I’ve only seen one other post about this from 3 years ago so looking for some perspectives if this is worth it. New grad in primary care starting in a few months, CME will cover cost but would have to pay out of pocket until official start to get reimbursed, not swimming in money rn obviously but very nervous about starting and want to review and cover knowledge from a comprehensive source and would like something to reference during first year of practice. Thoughts on how beneficial it was from”
“Had a conversation with a pulmonologist the other day about how traumatic COVID was for them. Had a similar conversation with a hospitalist about how every hospital-based IM subspecialist, regardless of subspecialty, became de facto Pulm/ID docs during COVID. Got me thinking about who would be the most worked/needed in the case of WW3. How does your opinion change based on if WW3 is based on bioweapons, weapons of mass destruction, etc? submitted by /u/heydoyouseethat [link] [c”
“I am an IM PGY2 in midwest. Our program has a huge turnover and serves as one of the major hospital in the city. That of course means that I am discharging half of my list everyday. The way it is set up at our program is: intern does the discharge note/instructions and the senior (me) does the med-rec. Then the attending verifies the med-rec ( a lot of them don't and simply sign it). A friend of mine who is doing his residency in the east coast mentioned that for their program, he does every”
“Hello everyone. I need someone's advice on what I should do. I recently completed my residency and I have been interviewing for jobs since then. I got my first job offer and since it is a VA facility the onboarding process is taking some time. The VA position I was offered is in another state from where I am currently living. Does anyone have any advice for Part time positions I can do in the meantime? I also was worried that they wont hire me since I may be leaving in a month so why would t”
“Hi everyone! Looking to stay in IL and wondering if we have any residents on here willing to share their honest feedback about their programs through DM. Really wondering if they recommend certain ones. Pls lmk! submitted by /u/Amazing_Mess_4422 [link] [comments]”
“Hi everyone! PGY2 EM resident who really enjoyed my NICU rotation so now considering a neurocrit fellow from EM. I was wondering if anyone had any experience or heard anything about this pathway? Ideally i would like to split my time in the ED but further down i honestly would enjoy strictly the ICU. Also wondering if i’d fair well in the job market as an ICU attending coming from EM? Thanks in advance submitted by /u/Relevant-Gold5722 [link] [comments]”
“I agree. I love being a preceptor and activity enjoy teaching/helping new grads. In fact if we end up behind or late (by a few minutes) on our med pass because they need more time to learn and do the job so be it. I work nights on a medsurg unit so if we are less than 20min late on a med pass on a rough assignment or anything so be it. Our work is 24/7. I help them nit only learn the job but also build confidence. I have precepted a few new grads lately that have all said how thankful they got t”
“Hello everyone, I'm interested in US FM residency and I have a few questions. How does usual day of FM resident look? How many hours do you work? Do you face harassment at work or bad behavior from colleagues? How does life as attending look like? submitted by /u/Numerous_Quarter4899 [link] [comments]”
“All things considered, just based on residency alone, which is more difficult in your opinion? submitted by /u/ad7426 [link] [comments]”
“I am a PGY-3 finishing up my final year of residency. Im single with no kids, so can really go anywhere. I like the idea of doing locums-type work for the first few years to get exposure to different hospital systems, EMR, etc - and also because im not a homebody and moving every so often to a different location sounds great. Would it be easiest do to this through a staffing group? If i try to do locums on my own (no group), how much of a hassel would it be? What other options do i not even know”
“I’m sure I’ll get a lot of hate and push back from this. But I think it needs to be addressed. A pa fellowship is not equivalent to an MD/DO fellowship. I’m a surgical critical care fellow, I’m on my CVICU rotation. There is pa fellow here fresh out of school. Because we both have “fellow” in our titles she feels we have the same roles and credentials. Despite me running rounds, guiding all care and the attending deferring to me saying it’s my unit. She will insist on grouping us together as “th”
“2023 grad here. I am planning to apply for residency this upcoming cycle and was wondering if anyone had any tips on how to make my application stronger. How to explain the gap between graduation and residency application? What to say when asked if I was able to keep/improve my clinical knowledge? (only did CEs and glanced over some guidelines here and there) Can i ask my previous PICs for letter of recs? Any other suggestions? Do I still have a chance? I know its an uphill battle but I really w”
“Hey everyone. As the title mentions, I am a PGY-2. I am debating between applying for fellowship (emergency medicine?) vs going into practice directly. I do have interest in teaching and some research but more as a side gig than a full-time role. So my question is this- those who made their respective choices, how are you making it work? Curious to hear trajectories going either way- leaving or joining academia, when or why. I have gotten strong recommendations from my department to potentially”
“Maybe i should consider a speciality with more procedural training considering the current state. submitted by /u/Horror-Negotiation24 [link] [comments]”
“Hi, I couldn’t find anything about Thomas Hospital Program Internal Medicine online. Any idea if this program is malignant/toxic or if it’s a good program? Thank you! submitted by /u/Beneficial_Cycle165 [link] [comments]”
“How is General Medicine at GMC Bhopal? Kindly help with a perspective. submitted by /u/Holiday-Ad-2546 [link] [comments]”
“I am almost halfway through my residency program and am starting to look into job opportunities. What were some things you looked for and prioritized when looking for attending jobs (ie bonuses, shift hours, coverage, etc.)? I know this will vary by person but am curious to see what benefits, salaries, and job specifics you thought about! submitted by /u/itsgoing-tibia-ok [link] [comments]”
“Hello, I am an Internal Medicine PGY2 and I’m strongly considering primary care as my future career. A bit nervous because no one from my residency program or my badge is going into PCP life. Everyone is choosing hospital medicine due to it being one week on one week off and no inbasket burden. I love my time when I am in the clinic with my Internal Medicine and family Medicine attendings. My scope of practice will be limited to adults but I am considering going into an academic center for pract”
“I'm an internal medicine intern, and I'm looking for recommendations for good flashcard decks for residency. submitted by /u/External_Board3883 [link] [comments]”
“I'm not picking on specialists per se, just saying that because of my schedule and my means I would love to have someone who is an expert to be able to advocate for me rather than me become an expert at medicine. Where might I find such a thing?”
“Hi everyone, Shameless PGY-1 looking for a job here. Some of my coresidents already managed to sign contracts with personal connections from their hometown. This made me think twice about looking into jobs. Should I start looking into this now or delay till my second year? I already knew which area and what settings I wanted. I don’t know if it’s wise to do it now and reach out to recruiters to let them know my intentions. I did a couple of cold emails on Practice Match and received no responses”
“Hello all! Would love to hear some similar stories out there. I fell in love with FM during medical school. I was originally thinking id be an OBGYN, but did not like the OR and place a lot of value on work-life balance and spending time with family. I still love womens health, so may consider FM-OB route. Just not sure yet. I am a pretty strong applicant- I have a publication and lots of extracurriculars, as well a being near the top of my class. Because of this everyone I know is shocked when”
Here's the thing, your first year as a new grad usually is under some sort of preceptor for gaining skills and confidence bedside or inpatient. Without this kind of background, getting hospital…
“Was wondering if there's any academic-im resident that's okay with taking a look at my expereinces list before i certify my app, would mean a lot! School doesn't really have anyone i could ask about this, nor do i really have a medical support network to ask for a review. submitted by /u/syrkish [link] [comments]”
“Internal medicine outpatient clinic offer as a new grad in Los Angeles, CA $110k salary, 32 hours a week (So comes out to $137,500 for full time, 40 hours, salary) 401(k) match Health insurance, vision, dental What do you think? Is this worth it? What should I negotiate? submitted by /u/Maleficent-Listen-87 [link] [comments]”
“What do you think about joining a PGY-1 year 3 months later than cohort? What are some pros/cons you can think about? Honest opinions appreciated. submitted by /u/reviserunrepeat [link] [comments]”
“After high school I was confident in my decision to pursue medicine and match into FM or IM (still am) and went to an international medical school in Asia. I am not from this country nor do i have any family/friends there (this information is important for later) After the first couple months Covid hit and the school and country shut down. I was already going a lil homesick not knowing anyone, but being stuck in my small apartment for months with only medical school lectures drove me crazy. So i”
“I’m an MS4 DO. Two months ago, I was supposed to do an internal medicine AI, but it fell through and was offered an EM rotation. Ended up loving it and fully applying EM now. I applied to 98 EM programs, but I’m a bottom tier applicant. Passed STEP 1 and COMLEX 1 on the first try, but got 224 on STEP 2 and 441 on COMLEX 2. Im getting my first eSLOE mid October, and I have a second EM AI that I plan to get a second eSLOE from a top 100 EM residency program. I also was offered an oSLOE from a top”
Hi everyone, I’m looking for an FM position. I completed PGY-1 in IM with full credit . I’m non-visa requiring and passed all three USMLE Steps on my first attempt. If anyone…
Hi everyone, I’m looking for an FM position. I completed PGY-1 in IM with full credit . I’m non-visa requiring and passed all three USMLE Steps on my first attempt. If anyone…
“For those of you who have been practicing FM/primary care for a few years: are you actually happy you chose primary care? I’m an IM resident considering outpatient primary care, and I’m trying to separate “residency clinic sucks” from what the actual long-term job is like, especially since I do like GIM. How much does the dysfunction of the healthcare system, insurance/prior auth, inbox work, paperwork, disability/FMLA forms, care coordination, etc. wear on you compared with the actual medicine”
“M2 here. Considering EM for many reasons, one of which is lifestyle. I don't mind working second/night shifts and I tend to work later into the night if I can. I'm sure this depends on the hospital but I figure my plan could work, something like preferentially scheduling myself for the 7A to 7P shifts over 7A to 7P. Thanks. submitted by /u/The_Forgotten_King [link] [comments]”
Can I please DM you or you DM me, as I have a lot of questions. Thank you! submitted by /u/bHLH-protein [link] [comments]
“Asking for a friend who is planning to apply next year. I trained at a bigger institution but wanted to know if there’s any thoughts on the program, Odessa/Midland, TX. Personally not a big fan of Texas except maybe Austin, TX but I heard it’s way far in rural west Texas. And what are your thoughts on doctors practicing in TX now? submitted by /u/Spirited_Writer6613 [link] [comments]”
“I went on one day with a guy who says he’s a yr 2 general surgeon resident. He said he went to medical school in Nigeria. I’ve tried looking up his NPI number but nothing came up. Is there any way to verify that he actually is a resident? The state we’re in doesn’t have a license number for residents. submitted by /u/Life_Ad_1266 [link] [comments]”
“Looking for ideal vacation ideas for interns with limited travel experience (in med school)- any suggestions for how to spend your first vacation during intern year? Mine is still a month away, but I’m brainstorming. It’ll be for my partner and me. I can afford a trip now, or should I opt for a staycation this year to save up or plan a bigger trip for PGY-2? What did you do for your first major (1-week) vacation during residency? Do you have any trips or staycation ideas you’d recommend? s”
“I'm a late 20s resident doctor in my 2nd year of IM residency. Over the past year or so I've come to the realization that, despite what people commonly say, my job is actually one of the more likely fields to be affected by AI. My post is more about the question in the title - I don't really want a long debate, so I'm just going to summarize why I think that here: Autonomous AI medicine is farther away, but AI actively replaces the only leverage I have in the job market as a doct”
“I am in my third (final) year of EM residency at a Midwest academic center. My wife is also a resident (not EM) who will be fellowship matching this fall (we don’t know where we will be going yet, but have a few top choices). We also have a child on the way (our first) who is due any day now. When looking at possible jobs in our top choices, there’s a lot of variability. Some require a ton of shifts (not ideal, I’d rather have slightly more time for child care given my spouse will continue to ha”
“I'm looking for any PGY2 positions in any western states. Currently in the northeast with limited diversity and honestly its been quite difficult having 0 support around me. For reference I am arab living in NH which basically means im alone. Have been searching for transfer options since last year. Any ideas?? Thanks submitted by /u/Ornery-Aardvark9872 [link] [comments]”
“Hey guys, IM resident faced with career choice AKA what will I specialize in. Would anyone be able to comment on the above in terms of realistic compensation ceiling, realistic capabilities in regards to work life balance? submitted by /u/TechnologyCurious969 [link] [comments]”
“Hi. New grad here. I’m doing IM outpatient which feels like FM with a little longer of visits. I’ve been doing this for 4 months and I’m so incredibly burnt out. I see around 10-15 people a day (this includes acute addons like UC) and I struggle staying on top of notes, timeframe, limiting patients to so many complaints, inbox, lab results needing to be addressed, insurance denying everything, etc. I had two weeks of “training” and then took on the full schedule of the PA I was replacing. I’ve s”