INVISTA NO SEU SUCESSO:
Medical school poses unique obstacles, from burnout during rotations (Post 2) to anxiety over competitive specialties (Post 84). Students often rely on resources like UWorld, Anki, and YouTube tutorials (Post 79) while employing study techniques such as spaced repetition or Pomodoro (Post 54). Supportive communities emphasize hobbies, resilience, and adaptability to maintain balance, as illustrated in posts about burnout recovery (Post 83) and ADHD management (Post 67).
Posts highlight strategies to excel in residency applications, such as prioritizing Step 2 (Post 12), choosing specialty-specific rotations (Post 21), and leveraging impactful volunteering experiences (Post 11). Networking, electives, and clear explanations for any gap years (Post 90) also stand out as crucial for competitiveness. Unique tools like the Residency Wiki (Post 39) provide applicants with additional guidance.
The community fosters camaraderie through humor and empathy. OSCE frustrations (Post 92), embarrassing third-year stories (Post 40), and fictional specialty advice (Post 41) provide levity. Posts like "Guess the Specialty" (Post 78) and discussions about vintage textbooks (Post 13) underscore the community's shared quirks, balancing professional discourse with moments of humor.
Resources:
Medical study tools: UWorld, Anki decks (e.g., Janki Step 2), AMBOSS, Boards and Beyond, Emma Holliday, Chubbyemu, Dr. High Yield.
YouTube channels: MedlifeCrisis, Chubbyemu, Ninja Nerd, Dr. High Yield.
Platforms: Google Scholar, ResidencyMatch.net, AAMC CV guidelines.
Books: Guyton, Costanzo, Man’s Search for Meaning.
Software: TextSniper, OCR tools.
Scores and Competitiveness:
Match competitiveness: 80% match into top-four choices for IM; Derm and Plastics flagged as highly competitive.
Step 2 preparation: UWorld questions and CMS forms.
Board pass rates: 87% is average for IM; 80% seen as a low benchmark.
Methods:
Study techniques: OPQRST frameworks, Pomodoro, spaced repetition with Anki.
Gap year strategies: Research, master’s programs, impactful activities.
Ranking strategies: Honest program rankings based on fit rather than gaming the algorithm.
Clinical rotations: Specialty-focused rotations like ortho over general surgery if aligned with career goals.
Opportunities:
Volunteering: No Patient Dies Alone program, hospice care.
Electives: Research or low-stress options like clinical electives.
Specialty exploration: Shadowing and attending conferences for networking.
Tips and Tricks:
Preparation for interviews: Behavioral scenarios, social interaction focus.
Dealing with burnout: Incremental goal setting, hobbies, exercise.
Handling OSCEs: Practice empathy and clear communication.
Miscellaneous:
Avoiding match violations: Document inappropriate questions, maintain anonymity if reporting.
Financial strategies: Prioritize Stafford loans, frugal budgeting.
Specialty pathways: Sports Medicine via FM, IM; Pain Management via Anesthesia, PM&R.
ADHD management: Medication, structured schedules, study groups.
Post 1: Systematic review and low study count
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A medical student explores the feasibility of conducting a systematic review despite identifying fewer than 15 relevant studies in their preliminary search. The student seeks advice on whether this endeavor would be worthwhile given their limited experience and the potentially small dataset, worrying about wasted effort.
The responses highlight the critical role of mentorship and collaboration in systematic reviews, especially for students. Users emphasize involving a medical librarian for assistance with search strategies, protocol registration (e.g., PROSPERO), and risk of bias assessments. Others share experiences of publishing systematic reviews with small datasets, stressing challenges in presenting results and variability across studies. A consistent theme is the importance of structured support to navigate the intricate process of systematic reviews effectively.
Post 2: How to survive year 3?
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A medical student expresses exhaustion during their third year of medical school. Responses vary from humorous anecdotes to practical advice, reflecting a mix of coping mechanisms and survival tips.
Most agree that third year is uniquely grueling due to long hours, emotional toll, and shelf exams. Users suggest embracing a balanced approach, including maintaining hobbies, setting short-term goals, and exercising (though some push back on unrealistic expectations during tough rotations). Others argue for maintaining effort and professionalism despite fatigue, noting how diligence impacts learning and evaluations. Lighter comments mockingly highlight the transition to the easier fourth year, with the contrast serving as a motivator to endure.
Post 3: What is your budget?
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The OP asks medical students about their monthly budgets. Responses vary based on location, cost of living (COL), and personal choices, with budgets ranging from $700 to $3,000+.
Key factors influencing budgets include living arrangements (roommates or living at home), parental support, and whether students use loans to cover expenses. Users in low-cost-of-living (LCOL) areas report managing on under $1,000/month through strict budgeting and Medicaid, while those in high-cost-of-living (HCOL) cities cite expenses as high as $3,000/month. Skepticism arises over extremely low budgets, with discussions about additional hidden costs like insurance or food stamps. The thread underscores the wide disparity in financial pressures faced by medical students.
Post 4: What video games do you guys play?
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A student in clinical rotations asks for video game recommendations, leading to a lively discussion about gaming preferences. Popular suggestions include Elden Ring, Baldur’s Gate 3, Stardew Valley, and Destiny 2.
Gamers prioritize relaxing or pick-up-and-play options due to their limited free time. Multiplayer games like Fortnite and League of Legends provide social outlets, while single-player RPGs like The Witcher 3 cater to immersive escapism. Others humorously admit to only staring at the screen or reloading old favorites due to fatigue. A recurring theme is finding games that balance entertainment with time constraints, reflecting the busy lives of medical students.
Post 5: Did anyone else get super health conscious once they started med school? Does it go away?
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A student shares their heightened health consciousness after encountering medical conditions during school, asking if the tendency fades with time.
Responses normalize the initial hypochondria many students experience, with anecdotes about misinterpreting symptoms and adopting healthier lifestyles. Some describe using this anxiety as motivation for fitness or diet improvements, while others lament losing focus on personal health due to time constraints. A common view is that over time, exposure reduces the emotional impact, although awareness of preventable conditions often persists.
Post 6: YouTube medical channels that have merit as standalone entertainment
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Seeking casual but accurate medical or science content, the OP requests recommendations for YouTube channels that balance entertainment and intellectual stimulation.
Suggestions include Chubbyemu, MedlifeCrisis, and other niche channels blending humor and depth. Users recommend avoiding overly curriculum-oriented content to maintain enjoyment. The thread illustrates a broader search for accessible yet informative media, resonating with students looking to decompress while still engaging intellectually.
Post 7: What years of medical school were the worst for you?
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OP asks which years of medical school are the most challenging, prompting widespread agreement that third year is the hardest due to clinical demands.
Many cite Step 1 prep (second year) or the adjustment to medical school (first year) as close contenders for the hardest periods. Fourth year, with its lighter schedule, is widely regarded as the most enjoyable. Variations arise from school structure, personal resilience, and specialty goals, but the consensus is that third-year rotations are uniquely draining.
Post 8: Online medical degree
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A skeptical discussion unfolds about an Instagram ad promoting an online medical degree, with concerns about legitimacy.
Users highlight the accreditation requirements for medical licensure, noting that degrees from unaccredited institutions lack credibility. The ad sparks criticism of predatory programs, especially unregulated online schools. While some joke about the flexibility of online preclinical studies, the thread underscores the importance of vetting programs for professional recognition.
Post 9: Lost on what to do
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A first-year student expresses feelings of isolation and lack of purpose, struggling to find hobbies or relationships.
Supportive advice emphasizes stepping outside comfort zones and gradually exploring interests. Respondents encourage self-reflection to identify stress triggers when trying new activities. The consensus is that meaningful connections and hobbies require intentional effort, though the journey can be uncomfortable.
Post 10: Taking a week off to go to a conference or something similar
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The OP inquires about the feasibility of taking a week off for a conference, sparking discussion about time-off policies in medical school.
Responses vary by school policies and rotation requirements. Preclinical students often have more flexibility, while clinical students face stricter constraints, typically limited to short absences for presentations or travel. The thread emphasizes advance planning and clear communication to navigate attendance.
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Post 11: No Patient Dies Alone
The OP has recently signed up for training in the No Patient Dies Alone program, expressing enthusiasm for the opportunity to support terminally ill patients in their final moments. While excited, they are concerned about whether residency programs might view this as less impressive compared to other medical school extracurriculars, such as free clinics. They note that the program seems akin to pre-med volunteering, sparking their curiosity about its perceived value.
The comments overwhelmingly affirm the program’s worth, with many users emphasizing how such compassionate activities stand out positively during residency interviews. One commenter recounts their own hesitation to list the program on their ERAS application, only to find that every residency interview highlighted it as a point of admiration. Several comments note the rarity of direct, empathetic patient outreach in medical training and how it demonstrates a deeper care for people beyond clinical proficiency. Others suggest this experience would be particularly valued in fields like palliative care. Practical advice is also offered, such as contacting local hospices or hospital systems for similar opportunities. The consensus is clear: this program is impactful, memorable, and well-regarded.
Post 12: Question About How to Plan End of Third Year
The OP is debating between using two flex months at the end of their third year to either prepare for Step 2 or undertake a two-week rotation in their desired specialty, which could help build experience before sub-internships. They’re unsure how much time they’ll need for Step 2 preparation, having heard that it often requires less time than Step 1.
Comments stress the importance of Step 2 scores, particularly as the exam is reportedly becoming more challenging every year. Some suggest prioritizing the study time unless the OP is excelling in shelf exams, while others note that the decision should depend on the intensity of the rotation preceding the dedicated study period. For example, users suggest that demanding rotations like surgery might necessitate mental rest, while lighter rotations like psychiatry could allow for an immediate focus on studying. Other advice includes refining study strategies, such as leveraging UWorld and Anki decks tailored to specific shelves. The general consensus leans toward ensuring adequate preparation for Step 2 to maximize competitiveness, with specialty exploration as a secondary consideration.
Post 13: Where Can I Buy Vintage Medical Textbooks?
A Reddit user seeks recommendations for buying vintage medical textbooks as a Christmas gift for their partner, particularly those reflecting older medical practices, such as prescribing hard drugs.
The post received limited responses, with the top suggestion being Etsy, which is known for offering vintage and niche items. Despite the brevity of replies, the concept was well-received, with users appreciating the unique and thoughtful gift idea.
Post 14: Interview Agreement Forms
The OP asks about the inconsistency in receiving interview agreement forms from residency programs, noting that only about one-third of their interviews have required these forms. This disparity has triggered some anxiety about whether they might be missing essential documentation.
Commenters confirm that such inconsistency is normal. Forms range from confidentiality agreements to confirmations of receiving program documents, with no standardization across institutions. Some users highlight that these forms may appear as attachments in emails or via ERAS, cautioning the OP to thoroughly check all communication. Others cite NRMP guidelines as a possible reason for some programs implementing the practice. Overall, the advice is to not stress too much and to rely on email communication to clarify any doubts.
Post 15: How Would You Evaluate Green/Red Flags in Applying to a Newly Opening Residency Program?
The OP seeks advice on how to assess the quality of a new residency program when limited to information from a PowerPoint presentation or website. They’re looking for specific indicators of potential issues or benefits.
Comments provide actionable advice, with suggestions such as reviewing the program’s vacation policy, conference perks (e.g., catered lunches), and rotation schedules. Red flags include limited transparency about mentorship, low case diversity, or an unclear academic structure. While the thread has minimal input, the feedback highlights the importance of asking direct questions about the program’s board pass rates and faculty involvement during interviews.
Post 16: Imagine Working as a Physician for Seven Years and Not Even Hitting $70K
The OP expresses frustration over University at Buffalo’s low residency salaries, noting the shocking reality that a PGY-7 physician earns less than $70K annually.
The comments delve into the systemic underpayment of residents, with many highlighting stark salary disparities between programs. Some residents report similar struggles, while others cite better pay at institutions nearby, such as Rochester. Discussions touch on broader issues, including cost of living (COL), moonlighting opportunities, and the exploitative nature of residency pay structures. Unionization and collective bargaining are suggested as potential remedies, while others lament the lack of action by organizations like the AMA. Amid the outrage, humor and anecdotes about food, local culture, and regional quirks lighten the thread, yet the overarching tone underscores widespread dissatisfaction with resident compensation.
Post 17: Match Violation?
The OP describes an incident where both the program director (PD) and assistant program director (APD) questioned their dual specialty applications during an interview. This led the OP to wonder whether this constituted a match violation, as NRMP rules prohibit such inquiries.
Comments confirm that this behavior is indeed a match violation, referencing NRMP policies that forbid programs from asking about other applications or specialty preferences. While users encourage reporting the incident, they acknowledge the challenges of anonymity in small fields and suggest waiting until after the Match to avoid jeopardizing opportunities. Strategies for handling similar questions in the future include vague or deflective responses, though opinions vary on whether honesty or deception is preferable. The thread reflects widespread frustration over the persistence of "illegal questions" during interviews and the ethical dilemmas they create for applicants.
Post 18: How Can I Find an Answer?
The OP has been tasked with researching nucleus-related diseases, excluding laminopathies, and is struggling to find relevant articles.
Commenters provide straightforward solutions, directing the OP to Google Scholar as a primary resource. Another user shares a link to an article repository, though the discussion is minimal, reflecting the specificity of the query.
Post 19: General Surgery Rotation Advice
The OP, a 3rd-year DO student, is weighing whether to skip their general surgery rotation in favor of counting an orthopedic surgery elective as a substitute. This would allow them to free up time for an additional elective but raises concerns about missing valuable learning experiences.
Comments overwhelmingly advise skipping the general surgery rotation unless the OP has a strong interest in the field. Users suggest focusing on orthopedic surgery if that aligns better with their career goals and using independent study resources like UWorld to fill in any gaps in general surgery knowledge. The advice reflects a pragmatic approach to maximizing the utility of rotations while minimizing unnecessary stress or redundant experiences.
Post 20: Hierarchy of Research From a PD’s Perspective
The OP asks about the hierarchy of research in residency applications, particularly whether meta-analyses or systematic reviews hold more weight than basic or prospective studies in research-heavy specialties.
Comments clarify that while meta-analyses are valuable forms of evidence, they are often less impressive than original research, particularly basic or translational science studies published in high-impact journals. Author placement also plays a crucial role, with first-author positions significantly boosting an applicant's credibility. Experienced users stress the importance of sustained engagement in research rather than focusing solely on the study type. The thread provides a comprehensive guide to prioritizing research activities based on residency competitiveness.
Post 21: FM vs. IM AI
The OP is considering whether an AI (Acting Internship) in Family Medicine (FM) could suffice for applying to Internal Medicine (IM) residency programs, as completing an FM AI is more feasible before the August deadline. They’re unsure if IM programs might prefer a specialty-specific AI to evaluate their candidacy more thoroughly.
Commenters emphasize that while an FM AI might not be a complete dealbreaker, most IM programs would prefer an IM-specific AI to gauge the applicant’s potential within the field. It’s suggested that completing AIs in both specialties would improve the chances of success, particularly if the OP is undecided about their ultimate preference. Some humorously critique the use of "AI" instead of "sub-I," reflecting the importance of clarity in professional communication.
Post 22: No Reply to Thank-You Emails?
The OP is concerned about receiving only one reply out of ten thank-you emails sent to interviewers and wonders if this reflects negatively on their application.
Responses reassure the OP that a lack of replies is entirely normal and unrelated to how programs view applicants. Many comments highlight the busy schedules of program faculty and the increasing discouragement of thank-you emails due to potential ethical concerns, such as favoritism or perceived conflict of interest. Some commenters advocate against sending thank-you emails altogether, viewing them as unnecessary and unlikely to influence rankings. A few users note that emails sent with genuine personal touches might occasionally leave a positive impression but stress that they are generally not required.
Post 23: What's the Purpose of a Second Look (Especially After Rank Lists Are Submitted)?
The OP is curious about the rationale behind second-look visits, particularly when conducted after rank lists are submitted. They question their relevance if programs have already finalized their lists.
Commenters clarify that second looks are typically scheduled after programs submit their rank lists but before applicants finalize theirs. This timing ensures applicants can visit facilities, meet residents, and address any lingering questions without affecting program rankings. It’s described as a low-stakes opportunity for candidates to refine their rank lists. Some comments mention that programs lock their lists early to minimize pressure on applicants to attend, while others advise against overestimating the influence of these visits on the decision-making process.
Post 24: Are You Guys Sending Thank-You Emails After Interviews?
The OP admits they forgot to send thank-you emails after interviews and is wondering if others are skipping the practice as well.
Commenters are divided. Many argue that thank-you emails are unnecessary and rarely influence ranking decisions. Some programs explicitly discourage them, citing ethical concerns and interviewer workload. Others suggest sending brief, personalized notes only if there was a meaningful interaction. A few highlight exceptions where smaller or more personable programs might appreciate such gestures, especially in fields like Family Medicine. The consensus leans toward thank-you emails being optional, with minimal or no impact on outcomes.
Post 25: Pop Quiz: Does Medical School Create Mental Health Issues or Attract Those Likely to Develop Them?
The OP poses a thought-provoking question about whether medical school causes mental health problems or simply attracts individuals predisposed to them.
Comments suggest it’s a mix of both. Many note that the high-achieving, neurotic personalities drawn to medicine are inherently at greater risk of anxiety and burnout. However, the overwhelming workload, hierarchical environment, and emotional strain of medical school often exacerbate existing vulnerabilities. Others compare medical training to military environments, citing similar stressors. Some comments humorously reflect on med students’ quirky coping mechanisms, while others emphasize the need for systemic changes in medical education to reduce unnecessary stress.
Post 26: Relationship Hopelessness
The OP, a med student in Europe nearing graduation, expresses feelings of despair about their single status, noting that studying has left little time for relationships. They seek advice on whether residency offers opportunities for dating and whether a doctor or non-doctor partner is preferable.
Comments highlight the importance of prioritizing relationships and making time for personal life despite busy schedules. Some liken building relationship skills to leveling up in a video game—requiring consistent effort and investment. Others share their preference for non-medical partners, citing the value of leaving work-related stress behind. The general tone is encouraging, emphasizing that opportunities for meaningful connections can still arise during residency if the OP is proactive.
Post 27: 3rd Year Evaluation Question
The OP, frustrated by subjective evaluations that cost them an Honors grade, is contemplating emailing evaluators or the department head to request feedback or reconsideration of their evaluation points. They wonder if others have successfully improved their scores through similar efforts.
Responses largely empathize with the OP’s situation but caution against grade grubbing. Many recommend requesting a feedback meeting with the clerkship director to better understand the evaluation process and identify areas for improvement. Subjectivity in clinical evaluations is a common frustration among students, and commenters stress the importance of focusing on actionable feedback rather than retroactive grade changes.
Post 28: 2-Hour Informational Sessions During Interviews
The OP expresses fatigue with lengthy informational sessions during residency interviews, wishing for shorter breaks or emailed video summaries instead.
Comments acknowledge the exhaustion but encourage reframing these sessions as opportunities to gauge a program’s culture and values. Several users highlight that resident talks and presentations often provide critical insights into programs beyond the standard itinerary or website descriptions. Practical suggestions include turning off the camera briefly during virtual sessions to recharge. While tiring, these sessions are viewed as valuable for forming impressions of programs.
Post 29: Any Office Fans Watching This Show?
The OP invites discussion about a new TV show they liken to The Office, asking if fellow fans are watching.
Comments feature mixed reviews. Some enjoy the show’s humor and character dynamics, while others criticize its attempt to emulate The Office without the same level of originality or charm. Comparisons to other medical comedies like Scrubs and Superstore highlight its strengths and shortcomings. The debate about the portrayal of healthcare professionals, particularly nurses versus doctors, adds a layer of intrigue. Overall, reactions suggest cautious optimism but note that the show has room for improvement.
Post 30: My Study Method Might Be Inefficient, What Do You Advise?
The OP describes a meticulous study method involving detailed note-writing and constant review but finds it excessively time-consuming. They are hesitant to try faster alternatives, fearing a loss of effectiveness.
Comments validate the OP’s concern about time efficiency while acknowledging the strengths of their approach. Many suggest adopting active learning techniques like practice questions, Anki flashcards, or focusing on high-yield material to save time. The thread includes humorous analogies to historical strategies, with users encouraging experimentation to balance effectiveness and efficiency. The consensus is that tweaking methods, rather than a complete overhaul, might help the OP manage their workload.
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Post 31: Neuro Shelf: Need Quick Tips
The OP is seeking advice on efficiently preparing for the Neuro Shelf exam during a short 3-4 week neurology rotation. They aim to honor the shelf with an 87% score and are already planning to complete UWorld, CMS forms, and possibly AMBOSS articles/questions, alongside reviewing incorrects and considering Anki. They express concerns about the limited preparation time and hope to be strategic with their study approach.
Commenters recommend focusing on UWorld, emphasizing its sufficiency for the Neuro Shelf. Some suggest adding the AAN NeuroSAE medical student edition questions, which are often free through institutional access. One user describes the Neuro Shelf as "easy," sparking lighthearted skepticism about whether any shelf can be considered easy. The advice generally revolves around maintaining focus on high-yield questions and concise resources due to time constraints.
Post 32: “How Many Hours on Average Do Residents at Your Program Work Per Week?”
The OP asks whether it’s appropriate to inquire about work hours during residency interviews, expressing concerns about exceeding the ACGME work hour limits.
Comments suggest rephrasing the question as "What’s your typical day like?" or saving such questions for resident socials to avoid appearing overly fixated on work-life balance. Many note that social events are ideal for candid responses, as residents are likely to be more honest in informal settings. Surgical specialties are highlighted as more sensitive to questions about hours, given the demanding schedules often exceeding 80 hours. Some users humorously reference work-hour policy circumventions, such as averaging hard weeks with lighter ones.
Post 33: UWorld Won't Let You Copy and Paste From the Question/Explanation
The OP notes that UWorld prevents copying and pasting from questions or explanations but allows copying from flashcards, indirectly hinting at workarounds.
Comments humorously caution against sharing study "secrets" online. Users recommend tools like TextSniper and other OCR (optical character recognition) software to extract text from screenshots. Multiple browser extensions and workarounds, such as inspect element and using Microsoft Word's snipping tool, are shared. Many stress the importance of discretion when discussing such methods publicly to avoid potential enforcement crackdowns by UWorld.
Post 34: VSLO CV/Resume Edit Service?
The OP, an MS3 applying for away rotations through VSLO, seeks advice on structuring their CV and finding affordable editing services. They’re uncertain whether to use bullet points or paragraphs and welcome assistance, even offering coffee money in exchange.
Commenters advocate for bullet-point formatting, emphasizing specificity in describing accomplishments rather than generic responsibilities. Resources like the AAMC CV guidelines are recommended for structuring applications. A current MS4 offers to review the CV for free, reflecting the community’s supportive nature. The consensus encourages concise, detailed CVs tailored to away rotation requirements.
Post 35: High-Yield Step 2 Deck aka "Dukes Deck" Equivalent
The OP is searching for a consolidated high-yield Anki deck for Step 2 preparation, hoping for something akin to the Dukes Pathoma deck for Step 1 but manageable in size. They’re particularly interested in feedback on the UWorld Step 2 deck and strategies for using it effectively.
Commenters recommend the Janki Step 2 deck, which is directly derived from UWorld and contains 6-7k cards. Users debate optimal workflows, with some suggesting unsuspending cards as questions are completed to ensure alignment with study progress. Others highlight the importance of integrating practice questions with flashcards for knowledge retention.
Post 36: I Had a Residency Program Reach Out to Me That They Needed My College Transcript
The OP received an unusual request from a residency program for their undergraduate transcript and finds it suspicious. They’re unsure whether this is standard practice and express discomfort about the rationale behind the request.
Comments range from humor (e.g., sending APGAR scores) to serious discussions about the red flags of such requests. Some users point out that certain specialties like ophthalmology or neurosurgery might occasionally request undergraduate transcripts to assess academic consistency. Others criticize this practice as irrelevant to residency success. A few suggest complying but reconsidering the program's appeal if such requests feel invasive or unnecessary.
Post 37: When the Peds Vignette Mentions Head Circumference 99th Percentile
A humorous thread about large head circumferences in pediatric vignettes.
Comments jokingly reference movie lines like Sputnik or pumpkin on a toothpick to describe exaggerated imagery of a large head. The playful banter reflects the relatable frustration of recognizing red flags in exam scenarios.
Post 38: Any Tips on Dealing With Anxiety of Not Matching?
The OP, who has received an adequate number of interviews in PM&R, feels anxious about not matching, doubting their performance and credentials despite connections noted in their letters of recommendation. They also worry about post-Match rotations cutting into recovery time if unmatched.
Comments recommend focusing on controllable factors and letting go of what’s beyond the OP’s influence. Statistical reassurances (e.g., high match rates with 13 ranked programs) are shared to ease their concerns. Fellow applicants empathize, sharing similar fears about the increasing competitiveness of PM&R. Positive encouragement and actionable advice, such as optimizing late ERAS applications, dominate the thread.
Post 39: The Residency Wiki (For IM)
The OP introduces ResidencyMatch.net and its new Residency Wiki, a community-driven knowledge base for internal medicine programs. The wiki aims to consolidate details about scheduling, research, food, and other relevant topics.
Comments express gratitude for the resource and ask about expansion to other specialties. The OP explains that while the wiki is editable by anyone, they plan to set up additional specialty templates in the future. The initiative is praised as an invaluable contribution to residency applicants.
Post 40: Most Embarrassing 3rd Year Stories
The OP requests embarrassing third-year anecdotes to lighten their mood after a bad day.
Comments overflow with hilarious mishaps, including mistaking brain-death reflexes for tears, falling asleep during robotic surgeries, and congratulating elderly fathers as grandfathers. Some share moments of awkward learning, like mistaking the appendix for an inguinal canal or asking dialysis patients if they’re peeing okay. The lighthearted tone showcases the camaraderie among med students in navigating clinical blunders.
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Post 41: What Specialty Should I Gun For If I Want to Attach Bionic Arms?
The OP humorously asks which specialty to pursue if they aim to work in bionic limb attachment and plasma-blaster conversions, mixing futuristic sci-fi dreams with real medical aspirations.
Commenters match the playful tone, with suggestions ranging from naturopathy and wizardry fellowships to legitimate paths like PM&R, orthopedics, plastics, and neurosurgery. A detailed comment breaks down the potential training pathways, mentioning peripheral nerve surgery and osseointegration for ortho, while plastics/neuro can focus on TMR (targeted muscle reinnervation). PM&R, however, is presented as the most balanced option for integrating clinical and experimental work. Other users embrace the lightheartedness, with comments about Neuralink, Lego practice, and a “Ripperdoc” specialty inspired by sci-fi tropes.
Post 42: HCA IM Residency Program Quality and ABIM Board Exam Pass Rate
The OP is concerned about the reputation of HCA Internal Medicine programs but wonders if a pass rate above 80% on the ABIM board exam is indicative of quality training.
Comments note that an 80% pass rate is not particularly impressive, with some stating it’s the bare minimum and not a sign of excellence. Users highlight that the national first-time pass rate is 87% (2023), suggesting a "good" program would have above-average pass rates in the high 80s or 90s. The general sentiment is that while pass rates matter, other factors like training environment and support should be considered when evaluating a residency program.
Post 43: Confused by My Interview List
The OP expresses gratitude for their interviews but feels conflicted by the stark contrast in their list. It includes highly competitive programs, mid-tier options, and programs that don’t align with their preferences (e.g., rural settings, limited research opportunities). They also feel uneasy about their total number of interviews, questioning their chances of matching.
Commenters share similar frustrations with the randomness of the process, emphasizing that even programs perceived as "lower tier" likely saw potential in the OP. One detailed response explains how programs might still offer interviews to competitive applicants, believing such candidates could succeed anywhere. Others recommend ranking all interviews to maximize matching chances and remind the OP that self-doubt is normal, especially with programs from different tiers.
Post 44: Resident Access to Reserved Parking/Physician Lounge
The OP is surprised that some hospitals restrict residents from using physician parking or lounges, finding the practice off-putting and wondering if it’s a red flag.
Comments clarify that while such restrictions are common in hospitals due to space limitations, they’re not necessarily indicative of program quality. Several users express frustration over inequities, especially when midlevels are allowed access but residents are not, with calls to “name and shame” such practices. The thread also touches on systemic challenges for residents, like low pay relative to workload, and the need for advocacy and unionization.
Post 45: How Is Mutualism a Host-Parasite Relationship?
The OP questions why some textbooks describe mutualism as a type of host-parasite relationship, given that parasites harm their hosts, whereas mutualism is beneficial to both.
Commenters offer plausible explanations:
Mutualistic relationships often evolve from parasitism, which might justify grouping them together.
Some mutualistic relationships can become parasitic if the balance shifts (e.g., gut microbiota causing disease).
Others agree that the terminology may reflect poor textbook semantics, emphasizing that mutualism is distinct from parasitism in biological definitions.
Post 46: Just Got a Surprise Interview
The OP received a last-minute interview invite but feels unprepared, as their other interviews are scheduled for January. They’re seeking tips to quickly prepare.
Comments reassure the OP, emphasizing that their years of training have already prepared them for interviews. Suggestions include:
Practicing with friends or mentors, especially physicians who can simulate real scenarios.
Reviewing common questions and focusing on giving complete answers, addressing all aspects of multi-part questions.
One humorous exchange involves a user being chastised for mentioning their physician parent, prompting a deeper discussion about privilege and perseverance.
Post 47: Rant: Cheating
The OP vents about a classmate caught cheating on a shelf exam, expressing frustration over the dishonesty in a profession requiring integrity.
Comments are divided:
Some condemn cheating as a slippery slope, emphasizing the patient safety risks of poor foundational knowledge.
Others argue that cheating is often a sign of stress or desperation, rather than lack of morality, urging empathy while acknowledging consequences.
Several users share anecdotes about creative cheating methods or speculate on the long-term consequences, such as struggling during Step exams or residency. A few highlight the broader systemic issues, like the stigma around seeking help and the pressures of medical school.
Post 48: Texas Medical School Ordered to Stop Liquefying Bodies After Training
The OP shares a sensationalist headline about a Texas medical school using alkaline hydrolysis to dispose of cadavers, which has raised concerns about treating bodies with dignity.
Comments largely defend alkaline hydrolysis as a safe and environmentally friendly alternative to cremation or burial. Many criticize the dramatic tone of the headline, with humorous takes comparing the process to smoothies or forbidden food. Others note that traditional methods like embalming or cremation are equally "undignified" in their mechanics. A few discuss systemic resistance to cost-effective methods that don't generate revenue for industries like cremation or burial services.
Post 49: Just Destroyed the Bathroom Right Before the PD Walked In… Am I Cooked?
The OP humorously recounts a mortifying situation in which they “destroyed” the bathroom just before their program director (PD) walked in, fearing it might ruin their chances during an away rotation.
Comments fully embrace the comedic tone, with users joking about:
“Sigma-oid colon dominance” and asserting authority via methane.
“Packing for North Dakota” as a worst-case scenario.
Some share similar stories of embarrassing incidents with attendings, while others assure the OP that it’s unlikely to impact their evaluation seriously.
Post 50: Do Other People Ranking Your #1 Residency Choice as Their #1 Make It Harder to Match?
The OP worries that seeing many people rank their top residency choice highly will reduce their chances of matching there.
Comments explain that this depends on how the program ranks the applicant, as the match algorithm favors applicant preferences but is ultimately limited by program rankings. A well-liked analogy compares the process to NBA draft picks, where program rankings determine selection. The thread advises applicants to focus on ranking by genuine preference rather than trying to "game" the system, as the algorithm ensures fair chances regardless of ranking order.
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Post 51: Exam Session Burnout
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The OP shares their frustration about university finals coinciding with their favorite season, winter, highlighting the emotional toll and academic burnout associated with the timing of exams. Their post humorously combines their personal sentiments with the rigors of medical school study culture.
The comments thread offers a mix of light-hearted banter and serious discussions. Popular resources like Boards and Beyond (BnB), Anki, and UWorld are frequently recommended. Comparisons are made between different study cultures, emphasizing how American medical education often relies on third-party resources while other countries emphasize rote memorization. A separate debate on textbook choices like Guyton and Costanzo underlines diverse study preferences. Many users sympathized with OP’s burnout, offering advice on mental health, resilience, and practical study techniques.
Post 52: OSCE
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A fourth-year medical student expresses anxiety over their upcoming OSCEs and seeks advice on memorization techniques and managing stress.
The responses are filled with practical tips such as practicing OPQRST frameworks, engaging in mock sessions, and maintaining empathy during patient interactions. Encouragement is a recurring theme, with users sharing personal anecdotes to reassure OP of their capability to excel despite nerves.
Post 53: NK Cells Talking About Chemotherapy
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While no direct content from the post is provided, the comments suggest it likely includes a humorous or creative portrayal of natural killer cells in the context of chemotherapy.
Commenters engage in light-hearted banter and analogies comparing NK cells' functionality to training montages and fighting scenarios. There's also some discussion about fake boxing events, showcasing a mix of medical humor and off-topic camaraderie.
Post 54: Study Advice for a Sad M1
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A first-year medical student seeks advice on efficient studying while managing burnout and maintaining a balance between academics and personal life.
Suggestions include leveraging Anki decks tailored to in-house exams, focusing on high-yield content, and avoiding overloading with unnecessary material. Commenters also emphasize the relative importance of class rank and suggest mental strategies for maintaining motivation during the grueling study process.
Post 55: Ranking Question
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The OP debates ranking a new residency program in a desirable location versus an established one in a less appealing area. They request advice on weighing these factors.
Opinions are divided. Some highlight the potential instability of new programs, while others emphasize the chance to shape a budding program’s culture. Residents with experience in new programs cite faculty enthusiasm and resident input as positives but advise asking about long-term goals like fellowship opportunities.
Post 56: Realizing How Bad Your PCP Is
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The OP critiques their PCP’s lack of thoroughness during an annual physical, contrasting it with their own meticulous training in medical school. They also question the absence of a chaperone during a pelvic exam.
Discussions highlight the disconnect between academic and real-world medicine, including time constraints and patient expectations. Opinions are split: some argue for thoroughness in exams, while others defend minimalism for asymptomatic patients. The chaperone issue draws mixed responses, reflecting cultural and logistical variations in clinical settings.
Post 57: Age Questions in Residency Interviews
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A medical student in their early 30s worries about inappropriate age-related questions during interviews, concerned about bias affecting their residency match.
Users agree these questions are match violations but note that addressing them requires tact. Advice includes framing age as a strength and emphasizing maturity and professional experience. Others note a regional or specialty-specific bias and encourage OP to document occurrences for potential reporting.
Post 58: Guess the Specialty: Round 1
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An interactive post inviting users to guess a specialty based on a humorous description of high-stress and low-stress scenarios.
The most common guesses include anesthesia, EM, and trauma surgery, sparking debates about workload variability and high-acuity moments. Users also reflect on the misconceptions of “chill” specialties like anesthesia while sharing anecdotes of their own specialties’ intensity.
Post 59: Resident Socials and Program Toxicity
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OP wonders whether positive resident feedback at socials is a reliable indicator of a program’s non-toxic culture.
While positive feedback is generally reassuring, users note that socials may be biased, as residents who volunteer often have favorable opinions. Advice includes paying attention to specific critiques, resident dynamics, and asking about daily schedules for red flags like overwork.
Post 60: Psych or EM?
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A third-year medical student is torn between psychiatry and emergency medicine, reflecting on the appeal and drawbacks of both specialties. They seek advice on making a decision.
Suggestions include exploring fellowships (e.g., addiction medicine) that bridge both specialties and reflecting on personal values like lifestyle, job flexibility, and teaching opportunities. Users stress the importance of clinical exposure—recommending an EM rotation early in the fourth year—and introspection about long-term satisfaction.
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Post 61: How Reliable is ChatGPT Counseling on Choosing Specialty?
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A medical student recounts using ChatGPT to recommend specialties based on personal details such as achievements, values, and lifestyle preferences. Surprisingly, the AI-generated list aligned perfectly with their own preferences, sparking curiosity about its reliability for others. The post highlights ChatGPT’s apparent accuracy, though some commenters attribute this to confirmation bias.
The comments stress skepticism, emphasizing that AI tools like ChatGPT may base recommendations on generalized stereotypes or trends from internet data. Users argue that self-reflection or formal tools like the AAMC MSPI are better options. Others humorously frame their own inputs to ChatGPT in stereotypical terms to test the AI’s reliability, while one user points out that long-term goals and shifting values should heavily influence specialty choice.
Post 62: “Group Chats” on Zoom Interviews
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A PGY4 resident tasked with hosting group chat interviews on Zoom seeks advice on making the experience less awkward for applicants. Suggestions range from avoiding typical icebreakers to discussing local highlights, hospital culture, and clinical schedules.
Popular advice focuses on creating a welcoming, natural dynamic. Suggestions include using relatable topics like favorite foods or showcasing hospital/neighborhood highlights with slideshows. Avoiding forced icebreakers like "fun facts" was a repeated caution. Resident interaction was noted as a key observation point, with some valuing chats for cultural fit rather than information. A few commenters suggested that Zoom socials inherently struggle and encouraged keeping things casual.
Post 63: How Do They Rank Based Off Interviews?
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A user wonders how medical residency programs rank candidates based on brief interviews. Responses illuminate how ranking systems vary by program, with some weighing interviews heavily and others relying on pre-interview scores or holistic discussions.
Commenters explained that interviews can “make or break” a candidate, but pre-interview evaluations based on application materials often hold significant weight. Specific anecdotes, like scoring systems in ENT and surgery, reveal structured but subjective processes. Many emphasized that perceived professionalism, interpersonal skills, and cultural fit during interviews are critical. Pre-interview socials and quirks like unusual phrases (“mad sus”) or flustered moments could also sway rankings.
Post 64: What Percent of Applicants Match Into Their Top 3 Rank Positions for Internal Medicine?
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The post examines match data, specifically asking how often applicants secure a top-three choice in internal medicine. Broad NRMP data shows about 80% match within their top four programs, though specialty-specific insights remain elusive.
Comments underline the lack of specialty-specific match statistics. Users suggested using surrogate metrics like the average ranks per position or interviews per spot to estimate competitiveness. For instance, dermatology programs often fall higher on their rank lists due to intense competition. The consensus was to focus less on stats and more on strategic preparation, as over-analyzing could add unnecessary anxiety.
Post 65: Rising MS1: Best Loan Strategy?
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A relative of a newly admitted medical student seeks advice on financing their education, debating whether to exhaust a $70k 529 account first or strategically combine it with loans. Concerns arise over the potential elimination of the SAVE plan for student loans.
Commenters advocated for prioritizing Stafford loans due to lower interest rates while using 529 funds strategically to avoid Grad PLUS loans’ higher fees. A rollover to a Roth IRA was noted as a viable option for unused 529 funds. Financial aid policies were a highlighted factor, urging the student to verify how the 529 might impact need-based aid. Emphasis was placed on budgeting and living frugally to minimize debt while maximizing financial flexibility.
Post 66: IM > Sports Med Fellowship
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The post inquires about the path from internal medicine (IM) to sports medicine fellowship and its competitiveness. Pay disparities and the influence of family medicine (FM) dominance in sports medicine were key discussion points.
FM is the most common pathway, but IM and PM&R doctors also enter sports medicine. FM’s dominance was attributed to their early exposure and networking within the field. Salary estimates ranged from $200k to $450k, heavily depending on practice settings and patient volume. Many users encouraged diverse sideline experiences and attending sports medicine conferences to bolster applications, especially for IM candidates competing against more FM-heavy applicant pools.
Post 67: Managing ADHD in Medical School
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A medical student with ADHD seeks non-medication strategies for managing symptoms during medical school. Commenters shared advice about routine, accountability, and structured study environments, while discussing the pros and cons of medication like Adderall or Vyvanse.
Comments strongly supported medication as a tool, emphasizing that properly managed stimulants are not inherently addictive and can vastly improve focus and outcomes. Non-medication strategies included attending live lectures, creating rigid schedules, and using apps like Anki for spaced repetition. Some shared personal experiences of burnout without medication and described medication vacations to minimize tolerance buildup. Encouragement and normalization of ADHD challenges resonated across the thread.
Post 68: Electives in Residency
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The post questions whether residents must complete electives or can opt to relax during designated time.
Electives are mandatory due to ACGME requirements for clinical time, limiting the ability to “do nothing.” Commenters suggested non-clinical or research electives as low-stress alternatives. ACGME’s clinical time rules (e.g., 30 months over three years) ensure that residents remain engaged, although institutions may enforce stricter policies.
Post 69: How Do I Self-Learn Anatomy and Physiology?
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A high school student seeks guidance on self-studying anatomy and physiology to prepare for future medical entrance exams.
Popular resources included textbooks, YouTube channels (e.g., Ninja Nerd), and Anki flashcards. Users stressed starting with basic biology and biochemistry before diving into advanced anatomy. Recommendations also highlighted structured learning by organ system to avoid overwhelm. A supportive tone dominated the discussion, with commenters encouraging persistence and curiosity.
Post 70: Help Me Choose My Specialty
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A medical student weighing specialties like ophthalmology, plastics, CT surgery, and trauma surgery seeks advice on lifestyle and career goals.
Ophthalmology and interventional radiology emerged as strong recommendations for balancing work-life harmony, income potential, and impactful procedures. Commenters cautioned against plastics and CT surgery due to demanding hours. Trauma surgery’s non-operative workload was a noted drawback. Many advised shadowing underrepresented specialties like ENT, IR, or urology to refine preferences. Personal anecdotes about choosing based on personality fit and long-term goals added depth to the discussion.
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Post 71: Advice
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An M3 at a Caribbean medical school seeks guidance on how to optimize their fourth year for matching into neurology, given rigid rotation requirements. Two options are presented: graduating on schedule and applying post-graduation (2026) or extending fourth year to apply as a student (2027). The user is unsure how off-timeline auditions would be viewed.
Commenters unanimously prefer Option 2, emphasizing that applying while still a student avoids the stigma sometimes associated with post-graduation applications. Suggestions include reworking the schedule to include neurology experiences or leveraging summer auditions to leave a strong impression. Several users advised sending follow-up letters post-rotation to maintain visibility, even if audition timing is nontraditional.
Post 72: Professor Said That Interleukins Weren’t a Thing When He Was in Med School
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A humorous thread reflects on how rapidly medical knowledge evolves, with a professor reminiscing about learning before interleukins were identified. This prompts comparisons of older diagnostic methods and amusing anecdotes about outdated practices.
The thread is filled with anecdotes celebrating medical advancements, like gamma knife surgery and PCR, and marvels at how much has changed in recent decades. The importance of continuous learning is a recurring theme, with comments emphasizing that staying updated is vital to avoid obsolescence. Humorous quips about “vibes-based medicine” and archaic procedures like pneumoencephalography inject levity into the discussion.
Post 73: Best iPad for Med School
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An M1 student asks which iPad model is best for medical school, considering functionality during pre-clinical and clinical years. They list models such as the iPad 10th Gen, Air, and Mini for comparison.
Users recommend the iPad Mini for clinical rotations due to portability and its ability to fit in white coat pockets. For pre-clinical years, the iPad Air is favored for note-taking and its balance of power and cost. Some users argue that iPads become less useful in clinical settings, favoring laptops or pen-and-paper methods. Longevity, compatibility with hospital systems, and personal preferences guide most recommendations.
Post 74: Resume Length
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The user asks whether resumes for medical scholarships should follow industry standards (one page) or if a longer format, similar to a CV, is acceptable.
Commenters clarify the distinction between a resume and a CV, explaining that resumes are concise (one page) while CVs are comprehensive and tailored for academic settings. For scholarship applications, users suggest asking for clarification but note that a one-page resume is often the norm unless specified otherwise.
Post 75: MGH IM Residency Program
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A user with an upcoming MGH internal medicine residency interview asks about the nature of the program’s panel interviews—whether they focus on behavioral or scenario-based questions.
The panel interview is described as a mix of styles. Most commenters report the process as "chill," with standard questions like career goals and reasons for choosing IM. However, 1–2 interviewers may pose challenging or probing questions to assess critical thinking. Advice includes preparing for both behavioral and medical scenarios and staying adaptable.
Post 76: What Medical Career Uses Spectroscopy?
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A user interested in spectroscopy asks which medical specialties incorporate this skill.
Pathology and radiology emerge as the best fits, particularly in areas like pediatric radiology and nuclear medicine. Some suggest medical physics or clinical chemistry for non-MD roles. Spectroscopy’s niche use in diagnostics and research was acknowledged, with commenters recommending specialties that align with its analytical and problem-solving aspects.
Post 77: Who Reads From Textbooks?
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The poster questions the declining use of textbooks among medical students, noting that their school rewards textbook-based learning. They ask for efficient alternatives and study strategies.
Anki and online resources like Sketchy, Amboss, and Boards and Beyond dominate the recommendations, with users citing efficiency and integration with clinical practice. Textbooks are generally reserved for deep dives into complex topics like physiology and pathology. Many stressed balancing traditional methods with newer tools, using textbooks as a secondary resource for clarity or foundational knowledge.
Post 78: Guess the Specialty: Round 2
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A lighthearted guessing game invites users to identify medical specialties based on clues, sparking humorous and insightful commentary.
The discussion celebrates the unique tools and techniques of specialties like orthopedics and urology. Jokes about orthopedics being akin to woodworking and PM&R’s minimalism pepper the thread. These lighthearted exchanges highlight the quirks that define specialties while fostering camaraderie.
Post 79: Best YouTube Resources for Clinical Subjects?
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The poster seeks recommendations for high-yield YouTube playlists covering clinical subjects for USMLE and other international exams.
Chubbyemu, Dr. High Yield, and Emma Holliday were frequently endorsed for engaging, concise content. Users also suggested using playlists tailored to specific specialties like internal medicine or dermatology. The thread demonstrates the growing reliance on multimedia resources for clinical preparation, supplementing traditional study tools.
Post 80: Tragic
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A satirical post mocks the dramatic personal statements often written by medical students to explain their specialty choices, emphasizing privilege among applicants.
Commenters lampoon clichéd narratives in personal statements, often pointing to the disconnect between students’ privileged backgrounds and their exaggerated stories. The thread critiques the performative struggle narratives encouraged by admissions processes while highlighting the importance of authenticity. Users share their own experiences of navigating privilege honestly during applications, with some acknowledging their goal to create a better future for their children.
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Post 81: Anyone Else Here with ADHD? Help
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The poster struggles with maintaining effective study habits due to ADHD. They share challenges such as inconsistent use of Anki, difficulty maintaining focus, and losing study materials. They seek advice on how to study better and manage their ADHD.
Medication is a recurring suggestion, with commenters emphasizing its transformative effects. Alternative strategies include active learning (e.g., group study, teaching-back concepts), focusing on pre-made resources like Anking, and employing structured methods such as the Pomodoro technique. Some shared that traditional tools like Anki didn’t work for them, advocating for alternatives like textbooks, whiteboards, or mnemonics. Overall, the thread highlights the importance of trial and error to find personalized study methods for ADHD students.
Post 82: Questions About Preliminary Year and USCE Requirements
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The user seeks clarification on applying to preliminary versus categorical programs, particularly for specialties like radiology and anesthesia. They also ask about USCE requirements and how they apply to different specialties.
Advice centers on strategizing application plans, particularly for international medical graduates (IMGs). Commenters note that dual applying (e.g., categorical IM + prelim) may cause conflicts, as programs may view dual applicants as non-committed. Transitional years are flagged as competitive, with surgery prelims often being the most accessible fallback. Regarding USCE, it’s emphasized that general experience suffices for most programs, though having specialty-specific USCE strengthens an application. IMGs are advised to focus on programs with a history of IMG acceptance.
Post 83: What Do You Guys Do During Burnouts?
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After an exhausting week, the user asks for ways to recharge and recover from burnout, sharing that they overslept but still feel unmotivated.
Popular responses include sleep, light exercise, and engaging in hobbies such as gaming, cooking, or watching TV. Others suggest gradual re-entry into routines by setting small, achievable goals to regain momentum. For extreme cases, some lean on humor, recommending indulgent activities like "sex, drugs, and alcohol." The thread reflects the importance of rest and self-compassion in combating burnout, with a focus on finding joy in small, manageable activities.
Post 84: Specialty? Not Sure if I Can Be Competitive
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A student is torn between pursuing dermatology or plastic surgery after scoring 240 on Step 2. They have a research background in plastics but are drawn to derm due to personal experiences.
Dual applying is recommended to maximize chances, with many advising backup plans in IM or FM. Plastics is seen as marginally more achievable due to the research year, though both specialties are flagged as highly competitive with a 240 Step 2. For derm, holistic programs are highlighted as key targets, and strong letters of recommendation are stressed as essential for either path. The thread underscores the value of strategic planning and embracing flexibility when navigating competitive fields.
Post 85: Book Recommendations—Not Medical in Nature but Helpful/Encouraging for an MS1
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The user seeks book recommendations for an incoming medical student, focusing on inspirational or comforting reads outside of medicine.
Suggestions range from fictional inspiration like The Way of Kings by Brandon Sanderson to non-fiction classics such as Viktor Frankl’s Man’s Search for Meaning. Memoirs like Internal Medicine by Terrence Holt are praised for their relatable portrayal of residency. Many commenters stress the value of escapist fiction, emphasizing that leisure reading can offer a much-needed mental break from the rigors of medical school.
Post 86: Is the EKG Guy Too Detailed for Med School?
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A user asks whether in-depth EKG tutorials are necessary for medical school or if focusing on pattern recognition is sufficient.
Consensus favors simplicity, recommending a focus on foundational knowledge such as rate, rhythm, axis, and key arrhythmias (e.g., STEMI, A-fib, torsades). Advanced concepts are deemed more relevant for specialized fields like cardiology or emergency medicine. Commenters advise against overly detailed resources, suggesting pre-made Anki decks or concise tutorials for efficient learning. The thread emphasizes balancing depth with practicality to avoid overwhelm.
Post 87: Do Residency Programs Consider Candidates’ Interest in the Program When Ranking Them?
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The user wonders if expressing interest in a program affects how residency directors rank applicants.
Interest is a significant factor, especially for competitive or geographically specific programs. Personal connections, ties to the area, and strong answers to "Why us?" questions can elevate an applicant’s rank. However, commenters note that true preference strategies remain optimal for applicants. A nuanced discussion highlights how signaling and perceived enthusiasm can create biases, potentially tipping the scales when candidates are otherwise comparable.
Post 88: Subspecialty if Ultimately Interested in Interventional Pain?
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The poster is exploring pathways to interventional pain, comparing the pros and cons of residencies in anesthesia, PM&R, EM, and psychiatry.
Anesthesia and PM&R are the most common pathways, with anesthesia offering the most direct route. EM and psychiatry are flagged as less conventional but possible with extra effort. Commenters suggest choosing a base specialty that aligns with personal interests and skills, as pain management is becoming increasingly competitive and reimbursement-focused. The discussion reflects the importance of long-term career vision when selecting a residency.
Post 89: At the End of M4, I’ve Finally Figured Out Exactly What Makes Med School So Atrocious for Our Mental Health
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The poster articulates how medical school fosters mental health challenges, citing high stakes, constant evaluation, and a lack of support as key stressors.
The post resonates widely, with shared frustrations over the relentless pressure of medical school, from clerkship grading inconsistencies to residency interviews that hinge on fleeting impressions. Commenters highlight the arbitrary nature of evaluations and the toll of perfectionism in a system designed to weed out candidates. While many echo the poster’s sentiments, others point to systemic reforms like P/F grading as double-edged, shifting pressure to later stages. The thread underscores a collective need for systemic change and increased mental health support in medical education.
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Post 90: Is Taking a Gap Year Bad?
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A second-year medical student asks whether taking a gap year could negatively impact their chances of securing a residency. They express concern about how gap years are perceived during the application process.
Commenters emphasize that productivity during the gap year is key. Pursuing research, a master’s degree, or another meaningful activity can frame the gap year positively. Conversely, an unproductive or poorly explained gap year may lead to negative assumptions, such as academic struggles or burnout. Updates to the ERAS application system now allow applicants to specify their reason for taking a year off, helping differentiate between medical leave, research, or remediation. The overall takeaway is that proactive planning and clear justification can mitigate any potential negative impact of a gap year.
Post 91: Fine, Talk to Me…
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The OP posts a humorous vent, warning against discussing medical topics like shelves, NBMEs, or specialties.
This brief post reflects burnout and frustration common in medical school. The single comment humorously counters OP’s instructions by immediately mentioning "shelf." The post captures a shared sentiment in the community, where humor is often used as a coping mechanism for stress and exhaustion.
Post 92: Welcome to Your OSCE, Comment What You're Doing and I’ll Ensure a 74%
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The post humorously critiques the seemingly arbitrary grading of Objective Structured Clinical Examinations (OSCEs), where even small missteps can result in a poor score.
Comments explore the absurdity and nitpicking of OSCE evaluations, with users joking about bizarre reasons for failing, such as sanitizing hands “too vigorously” or forgetting to specify breathing instructions. Some share anecdotes of unjust grading or feedback, reflecting frustrations with the subjectivity of clinical evaluations. The thread highlights the general perception of OSCEs as overly pedantic and disconnected from real-world clinical practice, while humor provides a cathartic outlet for students' shared grievances.