Londyn Robinson, MD
@londyloo
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Views are my own | She/Her | IM PGY3 Resident | Aspiring Rheumatologist | Passionate about SDOH, Rural health, Healthcare Access, Antibodies | Pro choice |
Call room writing an H&P.
Joined June 2010
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Oh my gosh! Duke made tuition free for anyone who’s parents make < $150K per year. If parents make < $50K they get free tuition AND free books and room & board!
This would have literally changed my life in undergrad.
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PSA you can wear masks for things like preventing spread of common cold, pollution, while mowing, etc.
Imo, masks need to be a more normalized part of our healthcare system in general.
Would love to see public health messaging geared towards proactive mask wearing.
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Diabetic patient: I don’t have access to insulin, or a fridge, or ability to watch my sugars.
Harvard med student: you should try a keto diet, I wrote a book about it. Did you know every 30 seconds a diabetic leg is amputated?!
THIS IS WHY PATIENTS HATE US.
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Things my mom, a grocery worker, endured 2020:
1) Being slapped for running out of TP 🧻
2) Called a B*tch almost daily
3) Spit on by anti-mask
4) Breaking up fist fights
5) Covid sanitation policies
Yet people still don’t think she should make $15 per hour.
PAY WORKERS.
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Okay if you read this description of Strawberry Açaí refresher, would you think there was caffeine in it?
B/c I drank these at work for like 6 months not knowing they have caffeine.
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Remember when people were making this argument about smoking inside restaurants? And then it was determined that like...second hand smoke kills.
That’s the same thing with covid. Second hand covid kills.
If folks want to wear a mask, they are free to do so. Those who don’t want to wear a mask shouldn’t be shamed into it, and govt should not mandate it. We need to respect each other’s decisions. In SD, we know a little common courtesy can go a long way.
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USMLE STEP 2 CS IS CANCELLED FOREVER!!!!!
No more USMLE Step 2 CS!!!
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Hello it’s me: still wearing masks in clinic, at the hospital, and on all flights.
Do y’all still wear masks?
I do because it prevents risk of getting one of the triple-demic illnesses: Covid, RSV, and influenza. And also prevents risk of me passing it to someone else.
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Just had a 20 min convo with patient about culture of McDonald's. How growing up in certain rural areas it was seen as an absolute treat. How I still go to McDonald's 1x per month bc it reminds me of my grandparents.
A classmate looked at me w/ disdain.
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Things u need in residency:
1) blackout curtains
2) good pillows
3) at least 5 pairs of scrubs
4) *some type of fleece zip up
5) I use my cellphone more than laptop
6) the most comfortable sneakers + buy another pair for backup
7) 2 dozen socks + underwear
1/2
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I lost my mentor. Pat Carlson, who as a rheum study coordinator hired me at 17 yo when I came from rural small town, who signed me up for mcat, who gave me $ for apps when I couldn’t afford secondaries, cried on my wedding and divorce day. 1/2
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I HAVE A JOB!
I am going to be an internal medicine physician! 😭🙌❤️ (then eventually apply for rheum fellowship in 3 years)
Thank you to everyone who has supported me.
#Match2021
#IM
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MED SCHOOL APPLICANTS:
A student who applied to Tulane is withdrawing their application. This is a template they want amplified.
Feel free to use it.
#dnrTulane
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I matched IM at DUKE! 💙
I am going to be heading to North Carolina where my aunt and a few cousins live.
After growing up in rural Minnesota (town of 600 people) I never thought this could be me or be possible. 😭
#MatchDay2021
#Match2021
#IMProud
@DukeIMResidency
@AimeeZaas
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To the Tulane resident who reported my tweets to my school: I hope that you spend more time supporting your co-residents than you do reporting tweets about your program's racism.
I won't be quiet. But thanks for trying.
#DNRtulane
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Covid fatigue is real.
I have covid.
Yea I am triple vaccinated.
Yes I wore n95 to see all patients.
No I don’t go to bars or clubs.
It just happens. It’s so contagious.
But how long does the fatigue part last?
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IUD insertion pain is real.
Counsel and treat patients accordingly.
Thank you for coming to this Ted talk.
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There’s no amount of medical school rotations that prepare you for the depths of tiredness in residency. And we should not encourage med students to have to mimic resident hours just to practice what it is like.
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So truly telling a diabetic patient to just “eat a keto diet and take insulin” is kind of like saying “just pay cash for med school upfront”.
Unless you’re wealthy, it’s not gonna happen.
Stop blaming patients for access to healthcare problems.
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Hot take: parking for patients should be free at any medical center. If you live in a big city then the facility should reimburse bus and subway fares up to certain amount.
Patients should not miss appointments because of parking fee barriers or subway/transit expenses.
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Serious question: why are medical conferences happening in person right now?
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Med students need to understand this. Saying "cut back on the sodium, limit fast food, eat smarter meal choices" while wearing $250 outfit and shopping exclusively at Trader Joes is just not going to cut it.
Peer brought up organic peaches as an option. REALLY Organic peaches?!
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CW: suicide
I know of two confirmed med students or interns who died by suicide last week when they did not match.
Their classmates and acquaintances have reached out.
This match is quite literally abusive and lethal for some.
#Match2021
#Soap2021
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Matched at Seattle 🥹. I will be focusing on rural access to care and completing a MPH and apply NIH T32. Very excited to be able to learn from patients at Harborview, the VA, and UW. Will spend time in Alaska 3rd year as well.
I AM GONNA BE A RHEUMATOLOGIST! 🥹🥹🥹🥹
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Patient interview ended with me showing them how to get healthier options (Like milk, juices, apples, etc.) for free on McDonald's app making it same price or cheaper than their fries & Soda.
Guess what? They were elated to know that. Also went over menu choices to limit GERD.
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Today I want to give a shout-out to all those lab techs and lab people running the thousands of covid testing swabs.
I can’t imagine the organization that must take all the while in PPE.
Thank you for helping us get test results for our patients.
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CW: suicide
Match day is on Friday. Every year I remember a classmate who died soon after not matching.
Your life is worth so much more than medicine.
Please: reach out to your colleagues. Check on them frequently.
Medicine is not your life.
Mentors, check in w mentees.
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FYI it is a MAJOR HIPAA violation to view colleagues medical records. A student DM’d me saying they were informed a classmate viewed their medical record - including psych notes. Hospital sent letter to patient (med student) that classmate did this.
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I have confirmed that
#MedBikini
has already resulted in people’s schools and residency programs being contacted.
It’s not irony that someone posting in swimwear to protest of one of the most misogynistic & unethical articles is scoffed at. It is peak patriarchy.
A THREAD.
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THERE WAS A CANCELLATION AND MY MOM IS GETTING HER COVID VACCINE TODAY. 😭😭😭😭😭 she works in a grocery store and is high risk for other health reasons. I am so happy. 🍀🙌
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CW suicide:
-In medical school we lost four classmates in span of 18 months.
-In residency we attend workshops due to loss of resident alumnus shortly after graduation yrs ago.
-we learn about residents at institutions being fired after detailing mental health battles.
1/5
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Today’s shoutout goes to my 94 y/o grandma’s RURAL fam med doc who had telehealth visit where they asked her to show them how accessible her home is.
They checked:
1) rug in hall = fall risk
2) bath railings
3) food in fridge, if not they send meals on wheels
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My grandma died on Monday. Her socially distanced funeral is tomorrow. I take step 2 ck tomorrow. After rescheduling it 6x in 5 states, I am choosing to take Step 2 instead of going to the funeral.
I drove to Madison today to take it tm.
It’s been a REALLY tough week.
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Michael Phelps is the most decorated Olympian of all time. He has won 23 gold medals. He has 66 total world championship wins.
Simone biles holds 27 world champion medals (including 4 Olympic golds)
Serena Williams has 39 grand slam titles. (4 Olympic golds).
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It’s never good when the HgA1c is higher than the ejection fraction.
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FYI if a med student tells you they are going through a death in the family, please don’t write them up for a “professionalism” violation.
Don’t make your definition of professionalism someone’s grief.
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A member of my medical school at the U of Minnesota defaced the George Floyd memorial.
When we say we have work to do, we mean within our own class. We mean med students are JUST as harmful & racist as the rest of medicine.
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You won’t be shocked to know those with low income are 10x more likely to have diabetic amputation than higher income brackets.
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A Kansas City Nurse Who Raised Concerns About A Lack of PPE Dies of COVID-19
Banago died on Tues evening. She was scheduled to retire next week.
@choo_ek
@arghavan_salles
@darakass
@meganranney
@laxswamy
#GetMePPE
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Also won’t be shocked to know that when given healthcare access, through Medicaid expansion (I.e. better access to insulin), there are fewer amputations and less overall healthcare cost.
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@HofkampMichael
It’s still something! It’s already going to affect over 200 students this year.
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When you think of South Dakota, what do you think of?
Many liberals cast ugly shadow on the state. SD lacks access to large hospitals, to research institutions. They are farmers. They are conservative.
They will also die in this pandemic in likely greater numbers.
THREAD 1/
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My point is it was not just one tweet but a stigma associated with not meeting patients with where they are at. And stigmatizing fast food and free options.
You want better diabetes control: get Medicare for all, reduced insulin prices and access to wound care.
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I am sitting in tears in my kitchen as I watch my sister’s photo on screen. She is graduating from med school, is a DO.
We worked full time in undergrad, took night classes to afford to apply.
My single mom has a chemical engineer (bro), a DO (sis), and an MD student (me).
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Imagine knowing EVERY single one of your patients outside of work. EVERY single one’s spouses. Cousins. Where they live. What they do. Who they are friends with.
Then imagine watching them die of a fairly preventable covid disease.
That’s rural covid care.
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Do you know how long New Yorkers and NJ covid+ people waited to be taken to hospitals during covid peak? Do you know people died waiting? And now ‘VIP’ patients can just ‘check themselves in’?!
#BREAKING
: Chris Christie is in the hospital after testing positive for
#COVID19
.
@DanaBashCNN
reports he checked himself into hospital as a precautionary measure.
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Everyone is entitled to their opinion.
My opinion is that I would not want to go to residency with a PD that has sent multiple explicit messages and photos to med students and residents. 🤷🏻♀️
people’s silence on the timeline about this speaks volumes.
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the single tweet caught some by surprise.
In the past 3 months, I got divorced, moved out of my ex husband’s house, moved out of my Mpls house and moved to Durham to start intern year at Duke.
I am doing okay, have a great support system. Being single is new. Thx for love.
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President Joan Gabel's message to the University of Minnesota in response to
#GeorgeFloydWasMurdered
is the leadership we all need right now.
This is long-overdue and I am so glad she is at our University.
Women leaders = strong leaders.
Ended Uni's affiliation w/ Mpls PD.
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So, 40 years apart we shared an apartment and didn’t realize it.
It was truly incredibly baffling.
She was a miracle to me. She cried in my apartment (her former one). So in many ways I guess our connection was formed in ways we can’t describe.
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Friendly reminder that over 1/2 of medical student’s parents make at or above 80% of American income bracket.
1 in 4 med student’s parents are >95%ile for income. (>225,000 annually)
Only 5% of med student’s parents make the lowest income quintile.
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Holding the MEDICAL STUDENT accountable for spray painting George Floyd’s memorial is not ‘cancelling them’. Daniel Michelson cancelled himself when he did the hate crime.
If we don’t have outrage he would not be disciplined because medicine literally perpetuates racism.
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Anyone else think it is sketchy that a pgy1 at Jackson Park Hospital in Chicago is claiming to work at Mount Sinai on instagram and also running a grifter company charging $150 to write fake LOR for ERAS or is it just me?
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Friendly reminder:
〰healthcare is political.
〰institutions will never love you back.
〰being a physician is a job, not your entire life; your life means more than your job.
〰we are working in a failing system
〰I am proud of you
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@tiredicunurse
I don’t think parents know. I didn’t until I got one for my 6 y/o niece and she said “I can’t have that. It has caffeine.”
Me: it’s lemonade
Her: look it up.
Me: looks it up and learns why I got a headache on days I didn’t drink one lol.
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Would be awesome if in medical school they taught you about how to fill out medical disability paperwork.
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If you honestly can think of a place that has more affordable food, conveniently located in rural areas, and hires individuals with disabilities, veterans, and homeless please let me know.
McDonald's provides a LOTTTTTT of jobs in rural communities.
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whenever a nurse pages they are really worried about a patient, esp w/ vital sign changes, I rush to see them.
Right now, 15,000 nurses went on strike stating they are worried about patients in Twin Cities.
@mnnurses
.
I hope that hosp admin have their Pagers on.
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Recently on Twitter we saw:
-Someone giving a baby rabbit CPR w/ tularemia
-a huge woodtick taken off by a GI doc prior to a colonoscopy
-a post op surgery pt take bath with raccoon and chaos.
Humans will forever be fascinating.
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Sharing with permission.
A now physician included in their personal statement that they were homeless for a while during their childhood.
Interviewer asked if they were “truly living in the streets homeless or just poor.”
Don’t. Do. This.
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I am 3 months into residency.
Have yet to provide my step 1 score, Step 2 score, MCAT score, or even where I went to med school to a patient.
Shocking, I know.
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Oh my gosh! i just realized when I walk into the VA I will no longer see a huge portrait of Trump.
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My take: if you are a physician, NP, PA, Nurse, etc. I believe it is part of your job to help advocate for social justice, advocate for patients, and to improve care.
Your voice is a privilege. This is PART of your job. Doesn’t matter which letters are after your name.
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Physicians are not robots. They make mistakes. They are human. They need sleep. They have relationship problems and traverse complex family situations just like their patients. We do not walk on water. We are human. Yet we judge each other like we do.
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Then I reminded them that McDonald's has free wifi, rarely kicks out homeless individuals, and the one near my place allows people to freshen up in their bathroom in the AM.
They also have a path to employment.
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My new go to for when patients tell me I look way too young to be a physician is to tell them my husband is a plastic surgeon and I am actually 45 yo.
Typically that is followed by silence.
🤣
Of course I tell them I am kidding…
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Finally: friendly plug to actually ask pharmacists, RD (dietitians), and social work about options.
Example: there is a lot of resources in Minnesota, including fresh produce at reduced cost for diabetics, free insulin programs, etc.
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Is there evidence that shows forcing patients to eat “cardiac” or “renal diet” during their hospitalization improves outcomes?
I am trying to find data on this. often hospital food choices are limited as diets are more restricted, often causing ⬇️ po intake.
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My mom works a blue collar job as a manager at a large box store.
A CUSTOMER SLAPPED HER.
A customer, looking for toilet paper, physically accosted my mother.
My mother works to keep groceries in homes during this pandemic. Exposes herself to COVID daily.
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She was a second mom to me, taught me the hidden curriculum my mom couldn’t teach me. Mentored me. Brought me to my first rheumatology ACR meeting. She made me applesauce before every exam.
She had the most vivacious smile.
She changed my life.
And now there is a hole.
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It is not possible to transport hundreds of sick people from 600+ bed hospital across an area of land twice the size of Wash D.C. while maneuvering rubble and dodging missiles in an area currently without electricity or water.
Many
#MedTwitter
members are in Gaza hospitals.
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As an MS4, I literally cannot imagine writing Trump's H&P.
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Y’all. Giving rocks and chapsticks to nurses while physicians get free lunches and physician lounges is not fair treatment.
Like at least acknowledge that we as physicians have tremendous privilege.
Stop bemoaning nurses week.
Thanks. I’m crabby about this elitism.
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This post is messed up.
And it will have few repercussions because of the privilege afforded to the two posters as white men.
You have an intern bemoaning being checked on an order followed with an attending doubling down, worsening a bad take and attempting to normalize it.
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Med student: please call me by my name
Attending: HOW DARE YOU. You must be a nightmare to work with.
Literally gtfo. And on your way out, please drop names of the “many others” you are referring to.
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My atding asked me how I can communicate so well with patients. How I got to be so comfortable?
Stated that 3 rotations in MS3 I am at a level of comfortability speaking with people that most PGY2 struggle with.
My atding asked me where I learned to talk to homeless pt
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Gonna say it: I am an intern.
I am not baby doctor.
I am not a child.
Please stop infantilizing us. Especially women get it enough from patients already, always deferring to our taller male colleagues.
We are first year resident interns. But babies we are not.
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One of my biggest pet peeves is watching people - particularly on Medtwitter - invoke the fact they went to an Ivy to make it seem like their words mean more than the patient or person behind screen.
You’re not a better person because you go to Harvard.
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within the article there is a disdain for krispy kreme free donut campaign for vaccinated people.
The way in which fast food is stigmatized compared to rich people food is astounding, especially when same nutrition.
Just say y’all hate poor people.
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So I have now gotten 4 DM’s from med students saying their hospital systems are asking them to volunteer to fulfill CNA-like roles due to nursing shortages.
Right now almost every facet of meded has been altered. Please stop asking students to do more.
1/3
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Serious question:
Why doesn’t PPE fit more body sizes?
Women are 75% of healthcare workers. Yet PPE designed for 6-foot male body type.
A friend was told she can’t see covid patients because “no mask fits her face shape.”
We need PPE for ALLLLL shapes and sizes of HCWs.
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Dear residency interviewers and applicants. I have been hearing that many residency interviews are asking
“what’s the worst thing that’s ever happened to you & how did you handle it?”
Please don’t ask this. It’s not relevant for the job interview. It’s not relevant.
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Quest to replace miralax with Taco Bell in hospital.
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Idea for med school interview question:
__
if you were given $20 to buy groceries, how many meals do you think you could have and what would you buy?
__
Why I ask?
Bc $20-30 was grocery budget for 1 week for our family growing up. And it’s reality many (most) patients.
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Popular opinion: we need more sex education in medical school.
Very few ...any? Courses talk about sexual wellness/wellbeing let alone sexual dysfunction: ED, decreased libido, etc.
It actually is a major aspect of patient’s lives.
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PgY3: opens email from most widely read med journal in the world.
NEJM: residents these days don’t stay late for patient care time, want wellness days, and have cognitive dissonance between work and wellbeing. Nothing we do makes them happy.
PgY3: closes laptop.
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