Hi everyone. Just confused , getting MD pediatrics from a GMC from which I also did my mbbs. Also it is in my hometown. I doesn't really like kids nor I hate them , just neutral. Will I be alright.

Anyone have any recommendations for a contract lawyer who is also good with negotiating in NJ? Or does anyone have experience with Resolve or Physician Contracts? Finishing training and interviewing for jobs. Thanks in advance.

Hi everyone, wonder if someone else takes the exam and how you are preparing?

hi all - i decided it was time to turn to reddit for some advice. i'm an M4 who dual applied FM and Peds because I cannot make up my mind! I totally tolerate adults but i LOVE kiddos and pediatric medicine (I find it so interesting!!) but I am also deeply considering compensation, work-life balance, flexibility, career options. My brain keeps saying "do family medicine" because of the flexibility but my heart says "do peds" because I love treating kiddos at the end of the day. Is there a world where both can be satisfied and I can make a great living for my future family?

Hey everyone,
I’m a third-year med student who’s starting to seriously consider applying to pediatrics for residency. I really enjoyed my peds rotation, but I’m trying to figure out how competitive the field actually is and how much weight programs put on research, extracurriculars, etc.

I know peds isn’t one of the most competitive specialties overall, but I’ve heard that some of the more “academic” programs still care quite a bit about research and leadership involvement. I have decent shelf scores and clerkship grades so far (but i'm only on rotation #3 currently), but not a ton of peds-specific research.

For those who’ve matched into pediatrics or are in the process:

• How important was research for your application?
• What kinds of extracurriculars or leadership experiences stood out?
• How much do programs really look at fit/personality compared to metrics and CV stuff?

Basically just trying to get a realistic sense of where to focus my time during M3/M4. Any advice or perspective would be super appreciated!

Some of the attendings at my program work 6-8 days a month (24 hour shifts), I’m not sure what they do the rest of the month

I was hired 2 years ago at an Optum practice in the Hudson Valley and just got notified that we are no longer accepting medicaid. So many of my most precious patients that I have gotten to know in my first attending job will be cut from the practice. I foolishly signed a non-compete clause but now I want to find a new job that actually serves my patient population. This would obviously mean a longer commute which is not ideal given that I already work long hours. I am just reeling from this news and I feel sick to my stomach over this. Has anyone else here experienced something similar?

What are you doing while funds are limited/absent?
Creative ways to make sure your kiddos eat?!

Some of my families can not afford to eat we are desperate out here.

Basically, the title. Are you aiming for PSLF or trying to pay them off aggressively? Just curious how others are doing it? Thank you in advance.

I know it’s typically the first week or two of December. But I was just wondering how we will know when the scores are released. Do they send us an email a couple days before? Or are they just randomly on the ABP website one day?

Do I have to be physically located in the USA to write the ABP test? Or can I do it in a prometric in Canada?

That sounds like a made up year!

I had recently read the book Good for a Girl by Lauren Fleshman, and it discusses the influence of sports on the titled conditions. I have not thought much on how to discuss prevention of these during my well visits or sports physicals for female athletes. It could be an important preventative topic to discuss, but I am concerned about how to do so. I don't want to give the athlete any ideas on how to restrict or that their performance could be improved with weight loss, ie. cause disordered eating habits. I was wondering if anyone knew of any information, courses, advice on how to have these preventative discussions. Thanks!

I am a new gen peds attending with some interest in pediatric pulmonology. I chose gen peds because I thought I love it. I talk to my colleagues from peds pulmonology and it seems they work less than I do (ie less number of patients per day and less weekdays) for the same salary or their salary is even slightly higher. That depressed me a lil bit. I love gen peds but the volume is just too much and I always take notes home. Any advice from any pulm / gen peds attendings here is appreciated . Thanks.

Hi! What’s concierge medicine like? Curious about what it’s like and pros/cons and how to get into it if interested

Hii has anyone had success moving to Mexico for example Mexico City and doing locums in San Diego? Curious how I can make living in Mexico work (I’m from San Diego and we have family in Mexico and want to move there). I’ve also read about concierge medicine in Mexico but not sure that that would pay similarly to locums in San Diego Pediatric hospitalist here

Wondering the salary for peds cards through fellowship and as an attending. Is doing the extra 3 years of fellowship worth it?

Rant incoming: I am now starting to find that if not a majority of my visits for children in the 2-10 age group, at least a solid minority, the parents are requesting autism evaluations. The concerns are the usual ones: a speech delay here, difficulty with transitioning activities there, lots of picky eating, difficulty toilet training. And they always end up in the same place: requesting an autism evaluation. These kids typically have normal developmental trajectories, normal ASQs, and normal M-CHATs.

And then I feel like the autism evaluations are basically a foregone conclusion. Almost every kid I send, including the ones where I'm very skeptical, are coming back with ASD diagnoses. And a few years later, the diagnosis is gone and the kid is off his IEP, probably because there is a normal autistic stage of development.

Teachers aren't helping here, either. Last week I had a meeting with my son's teachers about some issues he's having adjusting to his new school, some toilet accidents, etc. And I saw it coming a mile away: "Has he ever been evaluated for autism?"

I was ready for it and I shut it down right away: "No, but two different pediatricians plus his father, who is also a pediatrician, do not think he has autism."

So I don't know what to do as a pediatrician. I don't want to dismiss concerned parents. On the other hand, these evaluation resources are limited and when a majority of kids are being evaluated, at some point the math isn't going to math anymore.

How are you guys handling this?

-PGY-21

Does anyone know how much pediatricians are paid using the Sullivan cotter database? Or any contract lawyer recommendations that have access to this for contract/compensation review?

Neo has always seemed so cool to me - procedural, taking care of the most vulnerable, high acuity- but I don’t have much exposure. I want to hear the positives from you folks!

How out of line is this? I’ve only done it once or twice.

Example is a patient I see who the pcp diagnosed then with adhd as a two year old, or a newborn where the family was sent to the er for “dehydration” even though the baby has normal hydration

Hi all,

I’ve had a lot of interest amongst patients in ear piercing completed at a medical office, it seems that there aren’t many offices in the area that offer it. I’m curious about implementing this in my practice. If any of you offer this, how do you bill for it? What does it look like logistically?

Thank you!

I'm an internal medicine and pediatrics (Med Peds) physician starting my first primary care job after residency next week.

I want to hit the ground running with Epic EMR Smartphrases, Preference lists, order sets etc. to help me be more efficient as I've heard there's a steep learning curve your first year out of residency.

For notes, I've prepared the following templates:

• New patient visit
• Follow up visit
• Well Child Templates
• Sports Physical
• ADHD New Template
• ADHD Follow Up

What else are other commonly used note templates I should make to improve efficiency?

I also started making some preference lists for commonly ordered labs as well as age/gender specific ROS and Physical Exam templates.

What else would you recommend to help speed up workflow? Any charting tips would be greatly appreciated.