PGY-1

USMLE Step 3 Experience and Tips

I'm finally done with the series of United States Medical Licensing Exams (USMLE) - Step 1 ($530), Step 2 CK ($530), Step 2 CS ($1230), and as of 12:30pm yesterday, Step 3 ($800)! Assuming...

An Anesthesiology Resident’s First Day Of Anesthesia

Yesterday was more or less an orientation day spent in the simulation lab and doing pre-op evaluations on a few patients, but today was my first real day being an anesthesiologist-in-training. The first three...

What Do Categorical, Preliminary, Transitional and Advanced Years in Residency Mean?

For those looking to match into a U.S. residency, there's some lingo that should be understood about the first year of post-graduate training as a resident (the "intern year"). There are three internship possibilities: transitional year...

Halfway Done With Emergency Medicine

My stint of night shifts was front-loaded this month, and now I'm in the midst of my 5pm-1am critical care shifts. Needless to say, I'm looking forward to regaining my normal sleep-wake cycles in...

Finished With Internal Medicine Wards – Forever!

April 30th was my last day of internal medicine wards forever, and I can now see the proverbial light at the end of the intern year tunnel. The last day was topped off by a...

Stress Dose Steroids, Weaning, and ACTH Stimulation

Stress dose steroids are used in numerous scenarios including adrenal insufficiency, critical care, and the perioperative period. What's important to understand is that the peak physiologic production of steroid (cortisol) is roughly the equivalent of...

First 10 Days Of VA Medicine Wards

Ten days into this rotation, and the struggle is real! It's difficult to really spend as much time as I'd like with patients, teach medical students, or even teach myself when I'm balancing the plans...

April Is The Cruelest Month – Last Month Of Medicine Wards

At the end of every month, there's always some anxiety about starting the next rotation. Having to work out logistical issues, meeting new residents and attendings, and adjusting to a new schedule are all...

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