Residents, attendings, and the physicians who remember training writing on KevinMD about residency: intern year, duty hours, supervision and autonomy, pay and unions, having a family during training, mistreatment, the Match for international medical graduates, and what physicians say should change about how residents are trained. Many contributors write anonymously, and many write while still in training. For a maintained record of what residents and attendings have said about residency itself on KevinMD since 2004, from intern year through the end of training, attributed by author and date and organized by question, see Residency: what residents and attendings say, in their own words. For what international medical graduates have said about the Match, visas, and being foreign in American medicine, see Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words. Medical school itself is a separate record.
The query surrounding graduate medical education (GME) programs and their faculty revolves around whether they truly recognize the value of residents. Assessing their value can be subjective as well as objective. Here are some questions that programs, faculty, and residents should contemplate before drawing their own conclusions.
Do health care institutions incur financial losses when they have residents who cannot directly bill health care payers for their services, compared to institutions …
I remember it like it was yesterday. Orientation had concluded, and it was showtime. Officially July 1st. It felt like all the cramming from the last few weeks was sitting astutely in my upper chest. My breathing was fairly shallow, and my brain was in an emotional fog, resembling a salad. Internal neon flash signs were going off every few seconds.
Many of these thoughts went like, “This is where they …
“Say her name,” “She didn’t deserve this,” and “The system failed you” were the sentiments expressed on social media by resident physicians and trainees in medicine on the death of Dr. Nakita Mortimer, an advocate, mentor, physician trainee union organizer, and Black woman resident physician who tragically ended her life on May 26, 2023.
This narrative is all too common within medicine’s ivory tower, as suicide is the Read more…
Letters of recommendation help open gates to university admissions, jobs, and scholarships. Now that more colleges are ditching SAT/ACT requirements and medical schools are grading pass/fail, these letters will likely rise in importance. As a decision-maker myself, I rely on a letter writer’s personal judgment in vouching for (or not mentioning) an applicant’s work ethic, experience, and character.
At least I did—until the subject of one of my own letters …
The ABIM (American Board of Internal Medicine) Certification exam is not always about the assessment of your knowledge but also about knowing the right strategies, which are keys to success. I passed the ABIM Board Certification Exam without any review course. I had to sign up to work as an attending physician on July 1st due to my financial and visa limitations.
In this article, I will discuss effective preparation methods …
As a therapist and physician spouse who works with physicians and physician couples, I’ve seen the excitement and difficulty of exiting medical training and becoming an attending. The shift is a celebratory culmination of the physician’s hard work and a jarring transition with its unique challenges. Here are six things a new attending can do to recover from their residency experience and build a thriving next chapter.
I was unsettled by an email that our graduate medical education (GME) office recently sent out to all residents at my institution “sharing a friendly reminder that parking spaces identified as ‘physician parking’ are for attending physicians only” and “residents and fellows who park in ‘physician parking spaces’ will receive a parking ticket.” I have parked next to only non-physician (including non-resident physician) staff in those spaces every day for …
In the United States, work hours are traditionally recorded on a weekly basis, and salaries are paid every two weeks. However, full-time employees (FTEs) work for a full year and receive a W-2 annually. FTEs are usually hired based on an annual wage divided into 26 bi-weekly paychecks. Tracking weekly work hours can lead to inconsistencies in time recording, so it might be better for both employers and FTEs to …
Getting into medical school is arguably the largest barrier to entry into the physician profession, but it is not the only one. Previously, I covered who gets to succeed in medical school and who gets to graduate. In this article, I look at who gets to be a resident.
After completing medical school, the next step for a graduate is residency—the post-graduate training that every new physician goes through to practice in …
Every year, thousands of applicants in the United States register for the Electronic Residency Application Service (ERAS). Many graduate medical education (GME) programs receive thousands of applications that are reviewed by recruitment teams with fewer than ten faculty members. In recent years, there has been an increase in the number of applications for GME programs and an overwhelming number of interviews for ERAS applicants, even though only a few hundred …
My friend texted me the other day that she was thinking of quitting her training program.
Some schedule changes earlier in the year led to her being scheduled for back-to-back month-long night float rotations. She was in the middle of her second straight month of nights and was feeling tired, depressed, and burned out.
Now, this might be a unique situation since night float rotations, on average, are only one to two …
I heard the amazing news that each of you matched today. Congratulations! That is huge. You will be outstanding subspecialists!
The best part is that now you can take a deep breath and relax. The stress is over. Hopefully, you matched at your first choice, but please know that if you didn’t, it will be OK. I know the feeling. Although I was lucky to get my first choice for …
When I married my husband, I had no idea there would be a mistress one day.
When I met the man who would become my husband, he was not yet a doctor. He was 22, a black belt, a waiter in a fancy restaurant, and very handsome. He knew all kinds of things about champagne and paté, cocktails, and sushi.
We met in our college martial arts club. I was 19 and …
I came out as transgender in my post-baccalaureate years. I grew up in California and was enjoying my time in college at Boulder. Although I had been severely bullied in middle school, there were never any problems for me in the adult world.
Discrimination was not something I thought really existed because I had not seen it.
Blissfully discovering my new self, I began my social transition. I was finally coming into …
There are no clear statistics, polls, or studies to know exactly how many physicians each year, or within their working lifetime, switch specialties. But with physician dissatisfaction scores steadily rising, this is becoming a very common sentiment.
First, I want to normalize and encourage everyone to practice self-compassion during this process.
I personally changed specialties early in my career and have numerous colleagues who also changed. We all profess immense happiness in …
“New resident physicians who have earned their MD degrees will be heading to hospitals to start their residencies during the last two week in June and the first week in July. What can a beginning doctor do …
In my self-righteous youth, I bristled at the thought of physicians unionizing. Certain our collective altruism and professionalism would prevail. Unions were for oppressed laborers, not well-regarded, well-paid professionals. Reading the recent paper in JAMA and 30-plus years in the field have caused me to think again. That, and recently having provided support to a young physician couple with a newborn.
There is nothing quite as messy, all-consuming, and awe-inspiring as …
For years, residents have tried valiantly to extract themselves from the hospital by physically moving out of the premises or reducing duty hours. Now it may be time to return.
International medical school graduates (IMGs) play an integral role in the health care system of the United States and constitute approximately one-quarter of the physician workforce. In 2022, fewer IMGs registered for Match than in 2021, with a match rate of 58.1 percent. The transition to USMLE Step 1 pass/fail, elimination of Step 2 Clinical Science, and implementation of secondary application will likely impact IMGs in their 2023 Match. Here …
We’re again approaching that time of year for medical students: ERAS application season. As students whimper and wonder if they’re making the right career choice, as they set their dreams on a specialty but have been told they need a “backup,” while determining their geographical boundaries of where they can possibly think of living for the next three to who-knows-how-many-years. With all this chaos, they must …
