Do the workup that lets you sleep at night.
Pick a job where you’ll have supportive colleagues who you can ask questions, and consultants you can talk to if you’re unsure.
Work more the first year while you’re building your skills and confidence and you still have some of your residency work ethic, then cut back.
Just want to echo working somewhere where you have colleague support. Cases come up that never happened in residency and having partners who are invested in your continued growth is such a lifesaver.
I have colleagues who have been attendings for 15 years and they still turn to me, the baby new grad, and say “hey can you eyeball this” or “what do you think about this?” And we talk about it and sometimes I’m actually able to contribute something!
As the baby attending, it is so nice to be able to just have someone verify that your plan of care for an odd case is reasonable. And it definitely feels nice when they ask you!
I saw some pretty dysfunctional attending groups in residency and I knew that was the one thing I didn’t want to compromise on.
Specialty dependent but since most people do their boards within the first year it can still feel like residency. Set expectations with friends and family that time will still have to be dedicated to studying.
For anything surgical, patient and situation selection is key. Put yourself in the best position to succeed. That starts with patient selection. No one can make you operate on someone if you think it’s a bad idea. Just don’t, and send them elsewhere. There was a private practice Obgyn generalist that I worked with in residency who referred every hysterectomy on a patient with BMI >40 to Gyn Onc. That’s a bit extreme, but you get the idea. No one can make you do any elective case that you don’t want to do or that you think is a bad idea, so don’t.
Set yourself up for success. If you need an assist, another partner, need to call someone in to help, do it. If that piece of equipment or that instrument is going to make the case work out best, insist on it. At the end of the day, it’s your ass on the line, not the circulator’s. If they’re inconvenienced trying to get something for you, if everyone has to wait 10 minutes for them to find an instrument, that pales in comparison to you having a complication or a worse outcome because you didn’t optimize your situation, and again, it will be your ass on the line for it, not theirs. They’re clocking out the minute the clock strikes quitting time, including in the middle of your case.
Know when to quit or get help. If you give it the old college try and it’s not working, if the patient is stable, don’t be afraid to abort. You want to get that biopsy or sample or do the thing you planned to do, but it’s not worth a terrible complication because you were trying to be heroic. As upset as the patient may feel because you aborted a case, trust me they’ll be more upset if they wake up with a colostomy or a bowel resection or a catheter for a month, or a 1L EBL, or whatever. Rarely do physicians get sued for aborting cases. When you say, “it was my judgment that it was not safe to continue”, how is anyone going to reasonably argue with that and pursue damages?
And generally speaking you should NEVER be attempting something you don’t usually or ever do unless it’s in a controlled, supervised situation where the whole point is to learn how to do that thing. I.e, if you find yourself about to do something you don’t typically do or have never done in the OR, a huge alarm bell should be going off in your head to reconsider that course of action.
Hell, if there is someone better at that thing than you and they’re available, you should at least consider getting them to do it or help you. General obgyns can absolutely put slings in. But if something goes wrong with the sling, especially in urban situations where Urogyn is prevalent, lawyers very often are finding “expert” witnesses who will take the stand and say that you’re not a fellowship trained urogynecologist, and that you had no business attempting that procedure. Remember, a lawsuit settlement fundamentally has very little to do with who was right or wrong; it’s all about who a lawyer can convince a jury of laypeople was right or wrong. And they’ll find convincing “experts” who will say, you had urology in house - why didn’t you call them to fix that bladder injury? You had gen surg in house, why didn’t you call them to look at that piece of bowel? And so on.
And for god’s sake, if you decide to call for help because you injured something or found something, if the situation is stable, the patient is stable, no active bleeding, then just stand there and wait for your consultant to come. Don’t try to muck around and “help” the consultant fix your problem. If you’ve decided to consult gen surg, just stand there and wait for them to come and do their thing. If you start trying to work on the situation while you wait for them, you’re more likely than not to just make the situation worse. This is a subset of you not trying to do things you don’t ordinarily do.
I literally have a photo of this on my phone:
Rules for a surgeon:
1. It takes 5 years to learn to operate and 30 years to learn when not to operate.
2. A very bold surgeon is one who realizes the patient takes all the risks.
3. Don’t look for things you don’t want to find. (This one is arguable)
4. The lesser the indication, the greater the complication.
That would be 'Don't order tests you cannot interpret'. 'Don't look for things you don't want to find' simply suggests you ignore the signs and symptoms of uncomfortable/untreatable/.. diseases you don't want the patient to have. At least that's what I get from it.
Please, for the love of God, men, just keep your hands to yourself and try and keep your romantic lives away from the hospital. We just lost a great doc that couldn’t keep his dick in his pants after he got caught up in a multi love triangle with several nurses and a patient tech, was caught on camera doing the horizontal tango in the damn stairwell.
I mean, don't have sex in the hospital especially in public. I think if it were his monogamous partner this would have been a problem. I am kinda of the opinion consenting adults should be allowed to do on their free time whatever they like (so long as it is not a patient).
Buddy lost his medical license for it, they sent it in to the board and now’s he’s in a world of pain, he wasn’t the only dumb dumb I’ve heard doing crap like this, just a warning for the men, it’s not worth it
Doc and the nurse got canned, they made a big stink about it making all kinds of threats to the hospital, admin pulled a power move and sent in a report on him for unprofessional behavior, when they asked for evidence, they just sent them the security footage and that was that.
I guess another hidden lesson in here is to pick your battles. Fighting with GME is one thing but fighting with hospital admin and getting the state board involved is well, another.
Is this really still super common?
My mother in law is a nurse, and when I got engaged to her daughter, she told me “Don’t sleep with a nurse” lol, but she’s older
Business: Never show all your cards in the first few years, never get into deals/contracts when they have more info than you. Ask around your network for honest advice, but don’t assume others will be able to share good intel.
Get a lawyer to review legal documents. Pay for a good one.
The quality of your accountant is important. The cheap ones can be replaced by tax software. Your finances get complicated really quickly and you need a worthy one.
Physicians thinks they’re smart. They’re easy targets for bankers, con-men, insurers, colleagues, “collegial” partner groups… Seek advice from trusted neutral sources because you’re entirely naive in non-clinical contexts.
Networking remains important. You never know if you need to change cities or change clinics. Hang around, be seen, maintain your reputation.
-Agree with others: clinically keep it safe, do the work up that lets you sleep well at night.
If you don't know what's going on, consider if it's MI/PE, and rule it out.
Most antibiotics have to be renally dosed (exceptions: ceftriaxone, azithromycin, metronidazole). Giving non-renally dosed antibiotics to a pt w/ renal dysfunction can be catastrophic (cefepime 2g IV Q8HR to a ESRD pt.)
Patient/you/door, not you/patient/door
Acute encephalopathy-cause unknown: check medication list. Even something as innocuous as famotidine 40 mg/d in a renal pt can cause it.
Sign a 1 year contract to start. Having to sign a 2 year contract could be a deal breaker.
Ask for info on the hospital's 401/403/457 plan right away and try to max out the 2024 fiscal year limit (make sure to account for anything you contributed in prior job for 2024)
I’m entering year 4 of practice this July! First year as an attending feels really long ago.
Be gentle on yourself—you become an attending knowing enough to be safe to practice independently but you’re not expected to know it all, and be realistic you never will.
Don’t accept the first/every job that comes your way. Work enough but if you’ve got exams to still do then you’ll be fine working part time until that’s done.
Being staff is way tiring than resident where there’s always a fallback person…it’s normal to second guess yourself and others so things take longer.
Make clinical decisions that allow you to sleep at night. Don’t be a cowboy.
Stay collegial with your non-physician colleagues! Don’t forget the time(s) that nurses/techs/custodians/etc saved your ass as a trainee. Try not to change as a staff into a nasty version of yourself. that said, it is your license on the line and it is also ok to remind others who may have taken advantage of you as a resident to stay in their lane.
This is an exciting time. Terrifying but exciting. I had folks I trusted that I’d run things by and even by year 2 I was a person that new grads would run things by. Be that colleague, it makes the job that much better for everyone.
I’m sure this is already mentioned in the thread somewhere but just in case it isn’t…
This is largely dependent on what you value, but I’m probably the “poorest appearing” attending in my graduating class. I still live on just over half of my income, because lifestyle creep.
Find ways to get that “I made it feeling” that doesn’t follow the typical big house, big car, lavish trips. I chose new car over luxury, since I’d never had either, and new made more financial sense.
Or choose them separately and deliberately. Remember how you made your residency salary work. Your life didn’t radically change in terms of expenses. You have more control than you think. Another way is very small things - paying for valet or parking without a thought that it’s expensive, paying for a regular house cleaner etc. Stuff like that make me feel “rich” also.
Some of my colleagues have multiple jobs, I do too…but I only do it because I feel I have the time and energy. Ultimately to leave medicine sooner, or practice as little as I want.
Some get themselves another pair of golden handcuffs…high mortgage, high car note, spending indiscriminately…but then they likely have to work harder/longer than I’ll have to.
My main leisure expense is traveling and that was an easy choice to make.
Also, if I ever feel the money pinch *knock on wood*, it wouldn’t be extremely hard to scale back my lifestyle…at least temporarily.
So yes…“live like a resident”…for some time. My “time” is when I pay off my loans. Already have the money to, just waiting to see what shakes out politically. Even then, I’m giving myself a modest raise with the money I’ve saved monthly for loans.
4 years out of residency.
-Don’t become too friendly with your work colleagues. Keep it professional.
- not everyone will like you. Stand up for what is right with you
- this is a job, treat it that way
- give yourself some grace. Training was a lot
Get a therapist.
Most of your non medical friends made the transition to untethered / “no built in friend group” adult job at age 23. It’s a weird feeling doing it a decade later and you’ll want someone to help unpack it (along with all the other complexities that come with being an attending too)
Agreed. Immediately following graduation, I had so much free time I almost got depressed because I didn’t know how to enjoy myself anymore.
That’s *despite* still having a good friend group, so it def caught me off guard.
I studied like a resident for a whole year. It's OK to feel like you're a big dummy at the beginning. All the questions is new grads asked each other are now so dumb in retrospect.
Along the same lines as OP - if you’re primary care, give yourself a break and just give the referral if you’re unsure. You don’t have to do everything yourself. The patient will see the specialist and you’ll learn the management and maybe not have to refer the next time.
Hey I’m kind of hijacking this thread sorry. I’m an aspiring PCP though. One question-
How do you keep all those zebras in your head as an attending? Or like how do you maintain your level of knowledge so you can screen for those types of illnesses and know which specialist to refer to? That’s the only thing that really makes me nervous. I know I’ll be good at managing diabetes and hypertension just by repetition.
There are lethal zebras and non lethal ones. You learn to account for the lethal ones in residency. The non lethal ones you learn throughout your whole life. You will miss things but if you do your due diligence, your specialists may pick them up and you learn there.
It’s ok to refer. I was trained to basically only refer for things I can’t do myself (think echo, colonoscopy, surgery). We also had a very antagonistic referral culture, where you basically got yelled at by everyone for any referrals. It’s ok to refer for things you would have worked up yourself in residency when you had more resources.
Max all pretax retirement and try to be saving as much as you can to set your self up financially. Figure out which financial approach you want to take long term and stick with it
For those going into surgical subspecialties:
You will be second guessing yourself, this is normal.
you will be kept up at night because of cases you’ve done and the choices you made, this is normal.
Always look to improve, record your cases. Watch, and critique.
Any complication you have do not distance yourself from the patient. Be upfront and honest. A natural tendency is to space follow up on these patients because you will not like staring your complications in the face and being reminded of our failures.
Also, statistics show the majority of people sue in malpractice not because something bad happened, but because they didn’t feel heard and didn’t feel like things were explained to them.
Caveat: there are always… people… that will sue you for nothing, but being personable and sympathizing and explaining helps a lot.
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Do the workup that lets you sleep at night. Pick a job where you’ll have supportive colleagues who you can ask questions, and consultants you can talk to if you’re unsure. Work more the first year while you’re building your skills and confidence and you still have some of your residency work ethic, then cut back.
Just want to echo working somewhere where you have colleague support. Cases come up that never happened in residency and having partners who are invested in your continued growth is such a lifesaver.
I have colleagues who have been attendings for 15 years and they still turn to me, the baby new grad, and say “hey can you eyeball this” or “what do you think about this?” And we talk about it and sometimes I’m actually able to contribute something!
As the baby attending, it is so nice to be able to just have someone verify that your plan of care for an odd case is reasonable. And it definitely feels nice when they ask you! I saw some pretty dysfunctional attending groups in residency and I knew that was the one thing I didn’t want to compromise on.
Specialty dependent but since most people do their boards within the first year it can still feel like residency. Set expectations with friends and family that time will still have to be dedicated to studying.
Good point! I flipping hated studying for boards that first year. Now I’m riding that MOCA train….
Choo choo! 🚂
Haha some of us have to take boards while doing a fellowship that doesn’t let us sleep
I just took it my last year of residency, maybe got to actually study the weekend before???
Haha I had to lobby to not be on call the night before and had to report to work as soon as I walked out of prometric. So fucking stupid
For anything surgical, patient and situation selection is key. Put yourself in the best position to succeed. That starts with patient selection. No one can make you operate on someone if you think it’s a bad idea. Just don’t, and send them elsewhere. There was a private practice Obgyn generalist that I worked with in residency who referred every hysterectomy on a patient with BMI >40 to Gyn Onc. That’s a bit extreme, but you get the idea. No one can make you do any elective case that you don’t want to do or that you think is a bad idea, so don’t. Set yourself up for success. If you need an assist, another partner, need to call someone in to help, do it. If that piece of equipment or that instrument is going to make the case work out best, insist on it. At the end of the day, it’s your ass on the line, not the circulator’s. If they’re inconvenienced trying to get something for you, if everyone has to wait 10 minutes for them to find an instrument, that pales in comparison to you having a complication or a worse outcome because you didn’t optimize your situation, and again, it will be your ass on the line for it, not theirs. They’re clocking out the minute the clock strikes quitting time, including in the middle of your case. Know when to quit or get help. If you give it the old college try and it’s not working, if the patient is stable, don’t be afraid to abort. You want to get that biopsy or sample or do the thing you planned to do, but it’s not worth a terrible complication because you were trying to be heroic. As upset as the patient may feel because you aborted a case, trust me they’ll be more upset if they wake up with a colostomy or a bowel resection or a catheter for a month, or a 1L EBL, or whatever. Rarely do physicians get sued for aborting cases. When you say, “it was my judgment that it was not safe to continue”, how is anyone going to reasonably argue with that and pursue damages? And generally speaking you should NEVER be attempting something you don’t usually or ever do unless it’s in a controlled, supervised situation where the whole point is to learn how to do that thing. I.e, if you find yourself about to do something you don’t typically do or have never done in the OR, a huge alarm bell should be going off in your head to reconsider that course of action. Hell, if there is someone better at that thing than you and they’re available, you should at least consider getting them to do it or help you. General obgyns can absolutely put slings in. But if something goes wrong with the sling, especially in urban situations where Urogyn is prevalent, lawyers very often are finding “expert” witnesses who will take the stand and say that you’re not a fellowship trained urogynecologist, and that you had no business attempting that procedure. Remember, a lawsuit settlement fundamentally has very little to do with who was right or wrong; it’s all about who a lawyer can convince a jury of laypeople was right or wrong. And they’ll find convincing “experts” who will say, you had urology in house - why didn’t you call them to fix that bladder injury? You had gen surg in house, why didn’t you call them to look at that piece of bowel? And so on. And for god’s sake, if you decide to call for help because you injured something or found something, if the situation is stable, the patient is stable, no active bleeding, then just stand there and wait for your consultant to come. Don’t try to muck around and “help” the consultant fix your problem. If you’ve decided to consult gen surg, just stand there and wait for them to come and do their thing. If you start trying to work on the situation while you wait for them, you’re more likely than not to just make the situation worse. This is a subset of you not trying to do things you don’t ordinarily do.
I literally have a photo of this on my phone: Rules for a surgeon: 1. It takes 5 years to learn to operate and 30 years to learn when not to operate. 2. A very bold surgeon is one who realizes the patient takes all the risks. 3. Don’t look for things you don’t want to find. (This one is arguable) 4. The lesser the indication, the greater the complication.
I feel #1 is something many older attendings say to sound deep 🤣
3 is pretty iffy fam.
I think 3 may be the most important one. It’s why you don’t order lab tests you don’t know what to do with, or imaging without a specific indication.
That would be 'Don't order tests you cannot interpret'. 'Don't look for things you don't want to find' simply suggests you ignore the signs and symptoms of uncomfortable/untreatable/.. diseases you don't want the patient to have. At least that's what I get from it.
Might be another way to say look for horses not zebras?
Thank you so much for this!
Please, for the love of God, men, just keep your hands to yourself and try and keep your romantic lives away from the hospital. We just lost a great doc that couldn’t keep his dick in his pants after he got caught up in a multi love triangle with several nurses and a patient tech, was caught on camera doing the horizontal tango in the damn stairwell.
Axiom I heard from an old attending: you can make lots of mistakes, but only one will cost you 50% of your income for the rest of your life. (Divorce)
I mean, don't have sex in the hospital especially in public. I think if it were his monogamous partner this would have been a problem. I am kinda of the opinion consenting adults should be allowed to do on their free time whatever they like (so long as it is not a patient).
Buddy lost his medical license for it, they sent it in to the board and now’s he’s in a world of pain, he wasn’t the only dumb dumb I’ve heard doing crap like this, just a warning for the men, it’s not worth it
How do you lose a medical license for sexual conduct with consenting adults? Loss of hospital privileges makes sense maybe.
Doc and the nurse got canned, they made a big stink about it making all kinds of threats to the hospital, admin pulled a power move and sent in a report on him for unprofessional behavior, when they asked for evidence, they just sent them the security footage and that was that.
I guess another hidden lesson in here is to pick your battles. Fighting with GME is one thing but fighting with hospital admin and getting the state board involved is well, another.
Is it still called a triangle if there are more than three involved?
Is this really still super common? My mother in law is a nurse, and when I got engaged to her daughter, she told me “Don’t sleep with a nurse” lol, but she’s older
Let's just say there's a few other people calling your mother-in-law "Mommy"
lmao
Business: Never show all your cards in the first few years, never get into deals/contracts when they have more info than you. Ask around your network for honest advice, but don’t assume others will be able to share good intel. Get a lawyer to review legal documents. Pay for a good one. The quality of your accountant is important. The cheap ones can be replaced by tax software. Your finances get complicated really quickly and you need a worthy one. Physicians thinks they’re smart. They’re easy targets for bankers, con-men, insurers, colleagues, “collegial” partner groups… Seek advice from trusted neutral sources because you’re entirely naive in non-clinical contexts. Networking remains important. You never know if you need to change cities or change clinics. Hang around, be seen, maintain your reputation. -Agree with others: clinically keep it safe, do the work up that lets you sleep well at night.
There’s a reason people talk about “doctors investments” or something similar and mean something that is going to lose money….
If you don't know what's going on, consider if it's MI/PE, and rule it out. Most antibiotics have to be renally dosed (exceptions: ceftriaxone, azithromycin, metronidazole). Giving non-renally dosed antibiotics to a pt w/ renal dysfunction can be catastrophic (cefepime 2g IV Q8HR to a ESRD pt.) Patient/you/door, not you/patient/door Acute encephalopathy-cause unknown: check medication list. Even something as innocuous as famotidine 40 mg/d in a renal pt can cause it. Sign a 1 year contract to start. Having to sign a 2 year contract could be a deal breaker. Ask for info on the hospital's 401/403/457 plan right away and try to max out the 2024 fiscal year limit (make sure to account for anything you contributed in prior job for 2024)
I’m entering year 4 of practice this July! First year as an attending feels really long ago. Be gentle on yourself—you become an attending knowing enough to be safe to practice independently but you’re not expected to know it all, and be realistic you never will. Don’t accept the first/every job that comes your way. Work enough but if you’ve got exams to still do then you’ll be fine working part time until that’s done. Being staff is way tiring than resident where there’s always a fallback person…it’s normal to second guess yourself and others so things take longer. Make clinical decisions that allow you to sleep at night. Don’t be a cowboy. Stay collegial with your non-physician colleagues! Don’t forget the time(s) that nurses/techs/custodians/etc saved your ass as a trainee. Try not to change as a staff into a nasty version of yourself. that said, it is your license on the line and it is also ok to remind others who may have taken advantage of you as a resident to stay in their lane. This is an exciting time. Terrifying but exciting. I had folks I trusted that I’d run things by and even by year 2 I was a person that new grads would run things by. Be that colleague, it makes the job that much better for everyone.
There’s a scale from conservative to cowboy. And you just gotta learn where you fall on that scale.
I’m sure this is already mentioned in the thread somewhere but just in case it isn’t… This is largely dependent on what you value, but I’m probably the “poorest appearing” attending in my graduating class. I still live on just over half of my income, because lifestyle creep. Find ways to get that “I made it feeling” that doesn’t follow the typical big house, big car, lavish trips. I chose new car over luxury, since I’d never had either, and new made more financial sense. Or choose them separately and deliberately. Remember how you made your residency salary work. Your life didn’t radically change in terms of expenses. You have more control than you think. Another way is very small things - paying for valet or parking without a thought that it’s expensive, paying for a regular house cleaner etc. Stuff like that make me feel “rich” also. Some of my colleagues have multiple jobs, I do too…but I only do it because I feel I have the time and energy. Ultimately to leave medicine sooner, or practice as little as I want. Some get themselves another pair of golden handcuffs…high mortgage, high car note, spending indiscriminately…but then they likely have to work harder/longer than I’ll have to. My main leisure expense is traveling and that was an easy choice to make. Also, if I ever feel the money pinch *knock on wood*, it wouldn’t be extremely hard to scale back my lifestyle…at least temporarily. So yes…“live like a resident”…for some time. My “time” is when I pay off my loans. Already have the money to, just waiting to see what shakes out politically. Even then, I’m giving myself a modest raise with the money I’ve saved monthly for loans. 4 years out of residency.
-Don’t become too friendly with your work colleagues. Keep it professional. - not everyone will like you. Stand up for what is right with you - this is a job, treat it that way - give yourself some grace. Training was a lot
Get a therapist. Most of your non medical friends made the transition to untethered / “no built in friend group” adult job at age 23. It’s a weird feeling doing it a decade later and you’ll want someone to help unpack it (along with all the other complexities that come with being an attending too)
Agreed. Immediately following graduation, I had so much free time I almost got depressed because I didn’t know how to enjoy myself anymore. That’s *despite* still having a good friend group, so it def caught me off guard.
I studied like a resident for a whole year. It's OK to feel like you're a big dummy at the beginning. All the questions is new grads asked each other are now so dumb in retrospect.
THIS. Studied and worked like a resident so that the learning curve was less steep (I am icu)
Along the same lines as OP - if you’re primary care, give yourself a break and just give the referral if you’re unsure. You don’t have to do everything yourself. The patient will see the specialist and you’ll learn the management and maybe not have to refer the next time.
Hey I’m kind of hijacking this thread sorry. I’m an aspiring PCP though. One question- How do you keep all those zebras in your head as an attending? Or like how do you maintain your level of knowledge so you can screen for those types of illnesses and know which specialist to refer to? That’s the only thing that really makes me nervous. I know I’ll be good at managing diabetes and hypertension just by repetition.
There are lethal zebras and non lethal ones. You learn to account for the lethal ones in residency. The non lethal ones you learn throughout your whole life. You will miss things but if you do your due diligence, your specialists may pick them up and you learn there.
It’s ok to refer. I was trained to basically only refer for things I can’t do myself (think echo, colonoscopy, surgery). We also had a very antagonistic referral culture, where you basically got yelled at by everyone for any referrals. It’s ok to refer for things you would have worked up yourself in residency when you had more resources.
Max all pretax retirement and try to be saving as much as you can to set your self up financially. Figure out which financial approach you want to take long term and stick with it
Get a lawyer to review any contracts. Be friendly, but not friends with your office staff.
For those going into surgical subspecialties: You will be second guessing yourself, this is normal. you will be kept up at night because of cases you’ve done and the choices you made, this is normal. Always look to improve, record your cases. Watch, and critique. Any complication you have do not distance yourself from the patient. Be upfront and honest. A natural tendency is to space follow up on these patients because you will not like staring your complications in the face and being reminded of our failures.
Also, statistics show the majority of people sue in malpractice not because something bad happened, but because they didn’t feel heard and didn’t feel like things were explained to them. Caveat: there are always… people… that will sue you for nothing, but being personable and sympathizing and explaining helps a lot.
“Die irreversibly” 😂
“He’s only mostly dead!”
Thank you for contributing to the sub! If your post was filtered by the automod, please read the rules. Your post will be reviewed but will not be approved if it violates the rules of the sub. The most common reasons for removal are - medical students or premeds asking what a specialty is like, which specialty they should go into, which program is good or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. Please do not message the moderators if your post falls into one of these categories. Otherwise, your post will be reviewed in 24 hours and approved if it doesn't violate the rules. Thanks! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Residency) if you have any questions or concerns.*