You’re always welcome!
Open crowd and made great friends. They’ve welcome me with open arms when Blind Pig fell apart and welcomed be back when I was gone working hard during COVID pandemic. Now it’s a home away from home and I know it is for many other fans!

Let’s us know how it sounds!

Love a fat strat. That was my first guitar. Beautiful, burgandy. Played the hell out of her in bands in the 00s.

My dad then claimed it when he started learning when I didn’t have enough space in my closet apartment during med school. 😅

Agreed. Even in urban centers I’ve seen, I’m not sure if it helps and doesn’t seem to improve efficiency. It often creates lowest denominator work ups that aren’t focused on the patient’s problem/CC and leads to additional testing.

And lower resourced, as you mentioned, is it feasible?

That was atrocious. The classic first half feckless domination while still conceding a goal and then no platform to threaten given the lack of January moves you’ve mentioned.

Such an innocent time!

Amen! We had a Saturday celebration as well. Cheers to you and yours.

Brand New World
Figure all these dystopian novels bring a certain perspective and insight in our current state of affairs

Key being that the fourth year has to be something meaningful. Not just cheap labor at an essentially newly minted attending productivity just to bump department metrics/throughput. It has to bring tangible educational benefit to the resident.

Competency based makes the most sense. 3.5 seems like the sweet spot but the half year mark isn’t realistic for a work calendar.

3 year required. If meeting certain competencies then graduate.
4th for those who need the extra year or desire it as part of a 3+1 model for academics.

I’ll be deleting my account soon. Almost never check it. Was hoping to bring some followers over or find previous mutual connections before closing it. But it’s time to discard.

They talk about it at Montefiore’s CV ICU boot camp they run for new CT ICU RNs, fellows, and intensivists (for CME). Seen it once in fellowship there. I’ve wanted to try it subsequently at multiple places and had difficulty getting it from pharmacy. CCU colleagues use it occasionally.

Was there ever any surprise? These are sycophants who want oligarchy and absolutism.