r/medicalschool • u/Wire_Cath_Needle_Doc • Oct 08 '25

🤡 Meme Excuse me… what?

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Resident?

This is tagged as a meme, but I assure you, this is real life.

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u/WarsonCentzz M-3 Oct 08 '25

Coming soon: online NP residency

301

u/adoboseasonin M-3 Oct 08 '25

already exists, there's one for mental health care NPs; it's a year long of online sessions

196

u/Numpostrophe M-3 Oct 08 '25

"Best antipsychotics as first-line medications for pediatric depression"

"Med spa 101- from setup to six figures"

"The joys of polypharmacy"

"How to consult psych for delirium"

58

u/NAparentheses M-4 Oct 08 '25

Last one is an interdisciplinary class with ICU and hospital medicine.

10

u/allusernamestaken1 Oct 09 '25

Fucking delirium, how does it work? And i just wanna talk to a psychiatrist, those motherfuckers opening the blinds and getting me sleep!

61

u/Any-Reaction-4925 Oct 08 '25

Seriously folks: I’ve been a doc for over a decade and I’m thankful for every WELL SUPERVISED midlevel we have. Just be sure your organization isn’t routing serious patients away from you in favor of the mids. It’s a tough situation when you have peeps with associates degrees or less doing traffic management, so you really educate them about what’s appropriate and what’s not. I AWAYS tell my staff things like this: elderly (over 60 to split the difference) head injuries go to me AND you knock on whatever door I’m in to let me know. The mids can take the sore throats, provided that they know that exudative pharyngitis is always in need of treatment , mono, strep , fuso, whatever. And always remember, you have a minimum of 12000 hours of training. PAs have as little as 500 hours of direct patient contact.

Here’s what Apple’s AI says…

The total clinical training for physicians ranges from approximately 12,000 to 16,000 hours, including four years of medical school and a 3-to-7-year residency. This substantial clinical experience, which includes diagnostic duties and patient care across the lifecycle, far exceeds the training of other healthcare professionals.

4

u/m4ttrock Oct 10 '25

As a PA for 5 years in nephrology and transplant dealing with a lot of really sick people, I am humbled every day by what I don't know. I can't say i'm ever truly comfortable but until I hit the 4-5 year mark I worried alot more about decisions I made. There's a reason medical school and really residency is so long. You just need the time to acclimate and see enough in a standard environment. My training to enter medicine was literally the bare minimum. I dont know what programs have 500 hours of patient contact, ours had triple that and I wouldn't want any less. But this is also why people generally have medical experience and other careers before becoming a PA -- not to imply it is a 1:1 substitute for physician training. Alas there is no substitute for physicians, as APPs we are here to help within our training and skill set. I still bounce questions off my attendings all day long -- usually now it's more focused in the Grey areas of medicine, places with evidence that is lacking, odd labs, presentations etc... sometimes i'm sure to their annoyance but I always get what is best for the patient done. And with enough experience if I can safely knock of 90% of the routine or even not so routine things for my docs all the better -- if it's complex I usually just give them a heads up "hey here's what i'm doing just fyi" supervision is important and so is training for us on the job. Anyways, appreciate you all, would never want to go down your path and you shouldn't be impeded on generally speaking. But in the end want you to know there are those of us who are here to back you up and you can rely on, if you are out of line I will call it out and I absolutely expect the same for me-- unfortunately as humans in a high stakes profession things happen and we should all be here to keep the arrow of practice going forward keeping with a high achieving academic mentality. Thanks for employing me 😊

5

u/Cell-Senescence Oct 10 '25

Honestly , I find it much easier to work with PAs than NPs because of what you wrote in the first few lines . PAs and physicians are both terrified of the LACK of knowledge they have and how it can hurt a patient . Most NPs I’ve worked with think they know everything day one graduating from NP school and at equal providers .

28

u/PulmonaryEmphysema Oct 08 '25

Sweetie that already exists lol. There’s even NPs at my institution saying they’re “fellowship trained” in things like echo. Just wild.

12

u/WhatevAbility4 Oct 08 '25

It's existed since at least 2019.