November 1, 2026
Give Away the Work, Keep the Reasoning
A fellow on Reddit watched a junior resident paste most of a de-identified note into a chatbot and ask it, more or less, what to do next.
Read on Substack →A PhysEmp newsletter
Residency is hard. The newsletter doesn't have to be. Straight talk on the parts of training nobody puts in the orientation packet: schedules, money, burnout, and what comes after. Written for residents and fellows, and read by more than 3,500 of them and the people trying to recruit them.
Schedules, money, sleep, and burnout.
What residents are actually talking about, sourced from their own communities.
Fellowship, first job, first contract.
November 1, 2026
A fellow on Reddit watched a junior resident paste most of a de-identified note into a chatbot and ask it, more or less, what to do next.
Read on Substack →October 25, 2026
Twelve thousand dollars. That is roughly what a first-year resident with $250,000 in federal loans can send to the servicer over a year, on top of the bill, and still finish the year owing about what they would have owed by paying the minimum. That’s like paying a mechanic to…
Read on Substack →October 11, 2026
A former resident who trained on Fontans and liver transplants called her old attending from her first private-practice job, mildly panicked. Her new group runs four GI rooms at once and does big vascular cases solo, no arterial line. Nothing she’d learned was wrong. It just turned out a good…
Read on Substack →October 4, 2026
You are trusted to run a code at 3 a.m. without waking an attending. You are not trusted to know, in advance, that your first moonlighting check will arrive at 53% of what you earned.
Read on Substack →September 27, 2026
You’re trusted to run a crashing septic patient at 4 a.m. with an attending on the phone. You’re not trusted with a straight answer to “if I take eight weeks of parental leave, does my graduation date move?”
Read on Substack →September 20, 2026
You can hold an unrestricted medical license in your state and still be unable to get credentialed for a single urgent care shift. Both of those things are true at the same time, and neither one is a bug.
Read on Substack →Free, short, and considerably more fun than your pager.
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