Residency Tip:
De-link your emotions from the situation
Residency will test your patience every single day. Someone will talk to you badly, someone will blame you for things you didn’t do, someone will ignore your effort. And somehow, that same frustration leaks out - you reply harshly to a nurse/technician, feel irritated with a junior, or carry that mood home. That’s where most people go wrong. Not in the moment… but in how long they carry it.
One thing that helped me: I stopped giving these moments more than 5–10 minutes unless they actually needed action. If it’s just tone, attitude, ego - leave it there. Literally step away. Drink water, sit quietly, eat something, or just scroll or listen to something random. I used to put on Hannah Montana music or go sit in a cafe, grab something good to eat after duty, or just look at the tulips in our institute garden. Sounds stupid, but it works - you break that loop before it becomes your whole day.
You’ll notice some people hold on to one small incident for weeks/months. They keep bringing it up, keep feeling angry about it. Slowly it changes them. They become short-tempered, negative, and eventually the same person others avoid. That shift is very subtle - you don’t even realise when it happens.
At the same time, don’t ignore things that are genuinely wrong. If something is happening again and again, and it’s affecting your work or mental peace, then deal with it properly - write it down, talk to someone, escalate if needed. But everything doesn’t deserve that level of importance.
Residency is already heavy. Don’t make it worse by carrying things that should’ve ended in that moment.
Residency tip:
Strategic seat selection
In seminar, row 1 is a trap - you'll make eye contact with the HOD and suddenly you're defending a WHO classification you last opened in 2019. Last row is equally cursed - you'll fall asleep in 12 minutes, do that embarrassing head-drop-jerk-awake, and everyone will remember. Row 2 is the cheat code. Close enough to look sincere, far enough that the professor's gaze hits Row 1 victims first, and the desk angle gives you perfect phone cover to "check a reference" when you're actually Googling the answer in real time. Plausible deniability is a residency survival skill.
Grossing room placement is equally political. Don't just stand where you can see - stand where the formalin fumes blow AWAY from your face. Read the airflow like a weather report. The corner near the exhaust fan is prime real estate, and seniors already know this - they claimed those spots in year one. Duty room bed selection follows the same logic: never pick the bed near the door, every knock wakes you first, far corner buys you an extra 40 seconds of sleep. Conference hall guest lectures: aisle seat, non-negotiable - you can slip out for chai, a phone call, or a quiet existential crisis without awkwardly climbing over six people and one faculty member who's already judging you. This isn't laziness, it's spatial intelligence.
One good mentor can change your entire career.
In medicine, the best lessons don’t come from textbooks.
They come from people.
From that senior who taught you to listen to the patient before ordering tests.
From that consultant who stayed back after rounds to show you how to break bad news with grace.
From that professor who reminded you that the patient is not the disease, the disease lives in a person.
Every doctor has that one mentor who shaped their thinking without even trying.
Not through lectures, but through example.
Through patience, humility and kindness.
We remember their calm during chaos.
Their compassion during exhaustion.
The quiet gestures that said,
“This is how you heal people, not just treat them.”
In the end, mentorship in medicine is not about seniority or hierarchy.
It is the passing on of humanity from one generation to the next.
Who was that person for you?
The one who made you see medicine differently?
Tag them below or share what they taught you.
Let’s give them the credit they never asked for, but truly deserve.
#MedTwitter #MedEd #ResidencyLife
This is what I learned in internship and still use today:
If you don’t check the meds they brought from home, you’ll miss half the diagnosis and most of the story.
#MedTwitter
Another DNB thesis lands in my inbox—joining its MD cousins.
My task is to evaluate it. A formality, really. The postgraduate has written it, the professor has supervised it—or so the paperwork claims.
I enter the username, type the password, and open the file—without hope.
An immaculate PDF appears. Crisp formatting. Polished grammar. Elegant English. Tables aligned with military precision. P-values refusing to cross the 𝘓𝘢𝘹𝘮𝘢𝘯 𝘳𝘦𝘬𝘩𝘢- the 0.05 threshold. It looks like research, but it isn’t science.
There is no question, no curiosity, no wonder. Only data, arranged to pass. Methods are borrowed. Results, brazenly copied. Plagiarism software outwitted. This isn’t scholarship. It’s certification.
What happened?
There was a time when the thesis was a rite of passage—typed line by line, slowly, painfully. Pages corrected, retyped, carried with care and pride. Imperfect, yes, but sincere. Today, a ghostwriter assembles your thesis while you sleep. For a fee, you purchase data and lease your integrity.
Each thesis I read tells the same silent tale: borrowed questions, recycled methods, conclusions without meaning. The student doesn't understand it. The guide doesn’t care. The institution demands compliance, not curiosity.
How did we get here?
First came the software. Then the internet. Medical colleges mushroomed. Degrees multiplied. But the time to teach research disappeared. So did the desire to learn it. The rot spread—quietly, completely, from the top down.
Truth, today, is casualty.
We’ve made deception routine. We've taught our students that science is not a way of thinking, but a passport to the MD exams. That it is easier to fake findings than to ask questions. That looking like a scientist matters more than thinking like one.
This is not just bad science. This is anti-science.
And no one pauses. Not the student. Not the guide. The department head does not care. The Dean looks the other way. The examiner does not blow the whistle.
Not even the journal editor who may one day publish this charade. With in-house journals and institutions chasing publication metrics, every thesis stands a near-certain chance of getting published.
And ignored.
We are not training scientists. We are producing impostors.
We must stop. Scrap the thesis, if we must. Yes, stop them. At the very least, don’t compel students to partake in this parody. Let them learn honesty before technique. Let them fail truthfully, rather than succeed through fraud.
Sir Doug Altman, the British statistician, warned us in the 𝗕𝗠𝗝 in 1994: “𝘞𝘦 𝘯𝘦𝘦𝘥 𝘭𝘦𝘴𝘴 𝘳𝘦𝘴𝘦𝘢𝘳𝘤𝘩, 𝘣𝘦𝘵𝘵𝘦𝘳 𝘳𝘦𝘴𝘦𝘢𝘳𝘤𝘩, 𝘢𝘯𝘥 𝘳𝘦𝘴𝘦𝘢𝘳𝘤𝘩 𝘥𝘰𝘯𝘦 𝘧𝘰𝘳 𝘵𝘩𝘦 𝘳𝘪𝘨𝘩𝘵 𝘳𝘦𝘢𝘴𝘰𝘯𝘴.”
He was right then. He is right now.
The publish-or-perish culture lives on. But the tragedy is this: we are publishing—and still perishing.
#research #thesiswriting
🧠 Mastering BP Management in Stroke: Immediate Actions, Long-Term Goals & Core Principles (2024-25) 🧠
🚨 Did you know that the first few hours of managing blood pressure in stroke patients can mean the difference between full recovery and permanent disability?
Wondering exactly how quickly and safely you should reduce BP?
Let’s dive deep into evidence-based, life-saving strategies!
Ego in a Doctor is a sign of immaturity , sign of an unfinished work ( although improvement is a logarithmic scale and perfection is never reached )
A doctor in a nearly finished / nearly perfected state has no ego issues , is not easily offended, seeks no appreciation, has a clear focus , is always /mostly composed in calamity , keeps an open mind and lives in a state of constant surrender
As a Doctor, your future self as well as your past self is the best person to learn from
Celebrating Dr Peter Dyck’s retirement, father of peripheral neuropathy, at age 97.
He sacrificed his sural nerve to have a control for a study. He gifts a tie imprinted with a section of his nerve to his trainees.
Grateful for the support of such a giant throughout my career!
Tips for newly joined IM residents:
1. Any unconscious patient/drowsy patient/patient presenting with seizures, make sure to get a Random Blood Sugar checked with a Glucometer. (Even if he's not a diabetic patient; you'd be surprised how many times sepsis can cause hypoglycemia)