A tale told by a physics student. I am really bad at studying. Which explains my somewhat average grades. But i know how to study effectively and realistically have success with studying. Nobody ever teaches you HOW to study, they just tell you to study. So here is how i do it (most of the time)
There are two ways of going at it.
Stress studying. (studying for exams just the day before and putting as much information in your head as possible just to forget everything right before the exam)
Actual studying. (taking the time you have and study at least 4 hours a day 3work days a week, and actually get the success that you deserve)
It’s bad for you, your health, and a big cause of bee colony collapse disorder (Don’t ask why). Realistically you’re gonna pass your exams 1 out of 3 or 4 times, and it is just not worth it. It doesn’t just reflect on your grades but also on your work ethic. (which is real bad for your future)
What you need is:
Studying utensils (quality notebooks and good pens).
A clean and tidy Studying environment.
Time - It’s really simple, plan 4 hours a day of studying 3 work days a week. Don’t be like “But dude! When will i have time for my personal stuff?” seriously. A typical day has 24 hours, If you go to sleep at midnight and wake up at 7 or 8 (that’s 7-8 hours of sleep) you have 17-18 hours left to your day.
4 hours of that is just 23%, taking in account you’d do it at least 3 work days a week it would be just 7% (and a little more) of your precious workday time. So it’s worth it. Totally worth it. Don’t ruin your work ethic just because you want to spent 7% more time on tumblr.
Studying Utensils - I cannot stress enough how important good notebooks and good pens and stuff are. I suffered a lot from this, i wouldn’t take notes, and write down stuff because of how awful it looked on cheap paper with bic pens (no offense bic, your lighters are awesome tho).
It’s not cheap tho, but at least buy good notebooks with that metal round thingy holding it (i.d.k the name of it in English). And go Black instead of Blue, Black pens all the way. Use sharpies instead of the usual stuff, or at least gel ink pens, the smoother it goes the better, and blue pens are an abomination, every knowledgeable person in the past ages has written in black. Oh, and fineliners.
A clean and tidy Studying environment - You have a desk? Yes? Good. Throw everything you have on it to the ground (except you laptop, you wouldn’t drop a baby, would you?). Get a desk lamp, no matter how bright your room is, you need a concentrated stream of light allowing the photons reflecting from the ink on your books to transfer the information successfully to your brain, and desk lamps boost concentration. Make that a working environment, only use that desk when you’re studying (no exceptions) and once you do that, every time you sit by your desk you will automatically start to work.
Discipline - You want to be full on motivated :D ??? Well f*** you cause that’s not happening >:D
Discipline is what you’re looking for. Full on military stuff, just like back in good old communism. Discipline guarantees you success, motivation leads to incoherent success which includes utterly common instances of failure.
I mean look at the definitions:
mōdəˈvāSH(ə)n/ - noun
the reason or reasons one has for acting or behaving in a particular way.
the general desire or willingness of someone to do something.
Will you rely on luck and willingness or reason? No, luck and willingness pass, they are not consistent and for every reason there are at least 10 excuses. Don’t be a silly excuse for your failed academic success.
ˈdisəplən/ - noun
The practice of training people to obey rules or a code of behavior, using punishment to correct disobedience.
A branch of knowledge, typically one studied in higher education.
 - The only punishment you’ll receive is academic failure, and not reaching your true, deserving recognition for your true intelligence and social worth just because of laziness caused by day to day stress is punishment enough, i think.
Discipline yourself, push yourself. Don’t wait for something so relative, so passing as motivation. If you’re gonna do something, STAND THE f*** UP AND DO IT.
What if Julia worked for the Raven Queen and she was the one sent to collect Lucas’ soul? It would!!! Have been so good!! Julia, who absolutely understands what Lucas and Maureen have done now that she is standing in front of her husband again, Julia who absolutely shares Magnus’ sense of honor and duty and has to make the agonizing decision to do her job anyway!!! I’m crying
An All-Inclusive Guide to Making Your First Year in Practice Not Suck As Much As Wayfaring’s
Hi there, just curious if you’d share what things you were looking for in your first job vs what things you value now, now that you’ve been working out there on your own. Anything that must be in the contract that wasn’t there before (or vice versa)? Tips for future graduating residents?
Yaaaaasssss so many advices. So many things. This ask has been in my inbox for months because I have too many things to say about it and I can’t seem to organize it properly.
Let’s break it down into 3 sections: 1) What I thought I wanted 2) What I needed and didn’t know to ask/look for 3) What I want now. Here goes.
What I thought I wanted:
super sweet signing bonus
loan repayment assistance
regular 40 hour work schedule
independence / autonomy in decisionmaking
ability to practice the way I was trained - with up to date guidelines and procedures and equipment
What I wanted and didn’t know to ask for:
Supportive colleagues - In your first year of practice out of residency you lose every ounce of confidence that you gained as a senior resident. You question minor decisions and are constantly afraid of killing people or being sued. It is extra hard to practice in a new town when your partners in practice are not supportive. Sometimes you need someone to lay a fresh set of eyes on a wonky EKG or a weird rash, you know? I didn’t have that option. It made me study harder and somewhat be more cautious and definitely more creative in my practice. But having a colleague to commiserate with at the end of the day or to consult on difficult cases would have been really nice. You don’t have to be BFFs with your colleagues, but they have to be people you can agree/get along with and trust to take care of your patients in your absence.
Friends - This sounds obvious, but I moved to a new town that literally has no people anywhere close to my age. Even having one person I knew and could confide in would have been wonderful. One person to go to a movie with or watch a football game with would have been a sanity saver for me. Find a place where you can find other people like you.
A reasonable amount of time off - I got less time off in my first job than I did as a resident. That was unacceptable to me. This would be fine if my practice didn’t act like they were going to go bankrupt if I took an unpaid day or even a half day to go to the doctor, but they did. You need a place where you can take one week off every 3-4 months if possible, even if all that time isn’t paid. Medicine is such a stressful job. Make sure they’re giving you rest time.
A non-toxic work environment - I knew going into my job that I was replacing a workaholic and that I was joining a workaholic. What I didn’t realize was that I was also expected to be a workaholic and anything less than killing myself was seen as laziness. Pay attention to the culture at your new job. Ask the docs what they do for fun or to relax and more importantly when the last time was they did that thing. If they don’t have any answers, they’re too busy.
Diversity. This may just be me, but I went into family medicine because I get bored easily. I need variety of patient types and disease types and socioeconomic groups and everything else. I realized quickly in my practice that most of my patients were privately insured elderly white people. As in, the most boring demographic for Wayfaring.
A Balanced schedule. I figured that when I joined a practice that had been established for 30 years that the workflow kinks would have been worked out and it would run like a well oiled machine. In reality I would have 8 physicals a day and 5 of my most complicated patients in hospital follow ups back to back, all scheduled for just 15 minutes. There has to be balance in the schedule. You have to be able to take a little extra time here and make it up elsewhere.
What I want now:
fair dolla$$$. In actuality, what’s fair is actually considerably more than what I was making in my first job. I was grossly underpaid, particularly considering this being a rural area where nobody wants to work (typically those jobs are paid much higher). It’s not about the bottom dollar value for me. It’s about compensating me in a way that is comparable to my peers.
Colleagues who can be both friends and mentors. See above.
Good benefits. Two years of no dental or vision sucks when your most expensive problems are dental and vision related. Life insurance and retirement plans aren’t something most 30 year olds think of, but they’re really important, and I didn’t have those to start with.
A flexible schedule. The whole world doesn’t need to fall apart if I need to switch my regular day off or if I need a half day to go to the doctor.
Administrative time. Preferably a full week day, but a half day is great too. I’m happy working 4 10 or 12 hour days a week to have one week day off to catch up on work I’m behind on or get my hair cut and get my taxes done and see my psychiatrist, you know?
Knowledgeable and helpful staff. I need staff who don’t perpetuate old wives’ tales and notions like “you need a zpack for that cold”. I need to work with people who will ask if they don’t understand something rather than just make something up and who can help me educate my patients. I need folks who are prompt and who can anticipate some needs.
To not be responsible for other peoples’ paychecks. In private practice, if I take time off or scale back, the practice loses money and thus our staff lose hours or money too. The staff in my first job were horribly underpaid and I don’t like the idea of the entire burden of the practice’s finances hanging on my shoulders. Sign me up for that hospital-owned practice, please.
To not have to turn patients away based on payer source. This is a national problem and is definitely not limited to my first job. But my first job wouldn’t let me take Medicaid patients at all. It made it completely impossible for me to build any sort of pediatric or OB practice in our town. I don’t like the idea of turning away a patient because their type of insurance doesn’t pay as well. I want to just treat patients and not have to worry about their payments. Hello, single payer healthcare system. Get on it! Obviously I will still have to worry about whether my patient can afford their meds or whether their insurance will cover their meds, but I won’t have to pick and choose what patients I accept based on their payer source.
To deliver quality, up to date care. To work with people who will back up my evidence-based decisions and not practice based on feelings and patient satisfaction. To work with people who will encourage me to learn more and do new things.
There you have it folks. A lil summary of what I want, what you might want, and what I’ve learned in these first (almost) 2 years of practice. Here’s to better future jobs for us all!
So far today I’ve slept late, picked up my office keys from the hospital, got my washing machine fixed, signed up for my benefits package, had a leisurely lunch with my best buddy, and took my cat to the vet.
Working a 4 day week is the bestest. Yay for finally being able to take care of life things!
Alright so a LOT of people have asked me what I do to at the gym what my diet is what should you should do as a beginner etc etc.
My Program For my program I am currently working out 4 to 5 times a week. Each day that I go I focus on a different muscle group: Push (Chest/Triceps), Pull (Back/Biceps), and Leg day. I also focus on a power lift, which can be: Bench Press, Deadlift, Overhead Press, or Squats. Along with a power lift I do accessory movements to complement it. Sometimes i’ll add in a few ab workouts but I don’t focus on that and i’ll say why in a sec.
Examples of my workout plans: Push Day: Bench Press, Overhead Press, DB (Dumbell) Incline Press, DB Shoulder Press, Pec (Pectoral) Deck, Dip Machine, Side Lateral Raises, Overhead Tricep Extension, Rope Tricep Extensions, Cable Crossover, etc.
Pull Day: Deadlifts, DB Row, TBar Row, Seated Cable Rows, DB Curl, Rope Hammer Curl, Face Pulls, Lateral Pull Down, Reverse Pec Deck, etc.
Leg Day: Squats, Sumo Deadlift, Calf Raises, Leg Curls, Leg Extensions, Seated Leg Press, Hip Abduction, Hip Adduction.
The usual amount of sets and reps is 3 sets of 15 reps for each of these workouts, HOWEVER, sometimes I will lower the amount of reps and increase the number of sets I’m doing if its a heavy day, meaning I will be lifting heavier weights because yay I am want to be stronger. Most likely this all sounds very scary and complicated but don’t worry! If you don’t know what these are just google them and if it looks fun to you then do it :)
My Diet So my goal is to become lean, which is basically try to remove my fat as much as possible without losing too much muscle. To do this I need to keep track of what I eat. On the nutrition label of every food there is 3 macronutrients: Fats, Carbs, and Protein. This is important because I need to keep track of this if I want to lose fat. Right now I am eating about 600 calories below my BMI (Basal Metabolic Index) which is basically the amount of calories you need to go about your day. Google your BMI to find out how much you need :) I am eating 1600 calories a day AND I am trying to eat my weight in protein. Now I NEED TO DO THIS TO MAINTAIN MY MUSCLE MASS. Right now I weight around 130 lbs so I try to eat at LEAST 130 grams of protein. I am also limiting my fat intake to around 50g. I HIGHLY recommend you download the MyFitnessPal App!!! It makes it 10x easier to track what you eat! So in short I am eating 1600 calories, ~130g of protein, ~200g of carbs, and <50g of fat Now these numbers are dependent on your OWN weight, so if you want to find a good plan you gotta do some math okay? But yeah this is all I can think about at the moment. Good luck to everyone with their gains!
I never expected this “reasons to study” thing to get so many submissions, and as it takes me so long to post them all, I decided to do a bulk post of some so here they are:
(If I haven’t included a url, it was submitted by an anon).
To prove people that “bad” students can become excellent students too.
To expand your knowledge of the world.
To look back on your success in ten years time. (Submitted byadxlastudies)
To not let my mental illness define my grades. (Submitted bymusicandmaths)
I study because I am privileged enough to have the opportunity. I study because I have no one getting in my way telling me I can’t. I study because I want to do some real good in this world. I study because I live in a country where being female has no significant disadvantage; and so, I take this opportunity so that I may make future opportunities for those who don’t have them. (Submitted by crimson-voltaire)
My reason for studying is how I’ll get to where I want to be in my life which is successful, comfortable, and happy.
I study to make my mum happy and proud.
I study to prove my anxiety wrong!
I study because I want to save lives.
I study because my grandpa, orphaned during WWII when he was 8, worked 4 days a week in a mine to learn for 2 days. He’s retired after 40 years of working in diplomacy, for the last 5 years as an ambassador. He’s my role model. And I love him so much.
I study because my primary school teacher from when I was 6 replied “Well who would think that?” when my mother informed her I was going to university. I study so I can tell her “Why would you not think that?”
I study because I want to give myself the best future I possibly can as a black woman. (Submitted by n-marlzz)
I study because my dreams are improbable. But not impossible. I will achieve them. (Submitted by redheadbecool)
I study because even though I can’t imagine having a future, I want one. (Submitted by stxdys)
I study so that I can be surrounded by the right people at school, at home, at work, and on Tumblr. You can only walk the path that you choose for yourself, so choose wisely. Pave your path with bricks, not straw.
I study because last year I was in a mental hospital for young people and I discovered that I want my death to mean something.
I study because diseases have haunted my family for long enough, and cancer deserves to be taken down once for all.
I study because my father left school at age 13 to work to provide for his family and he has been working ridiculously hard ever since so I can have an education.
I study to be self reliant and to get more answers. The concept of being independent is attractive to me, and if i study hard enough, i will be able to live freely without relying on my parents. The thought of getting answers is a huge satisfaction.
I study because I told my ex, “Watch me go to Harvard”. So oops.
Because I want to have a well paying job which means I can eventually travel the world one day.
I study because I love to be productive really just in love with the feeling of it being noon and already have gotten everything done that I needed for that day. (Submitted by revision-babe)
I want and I like to study because I believe that we as humans have the responsibility of maintain and grow the knowledge people developed in the past. How could we waist all those efforts to try know this wonderful world a little better? (Submitted by mochilunar-universe)
I study because my Dad went through a lot of work to get to this country so that I could have a good life and a good education, and I’m not going to waste all his good efforts and take him and my education for granted.
Because I believe I can do it and I won’t let their words stop me. (Submitted by truly-written-by-me)
I study for my own sense of achievement! I’m also really motivated by my boyfriend who is very clever and works really hard. I want to get a first in my masters this year and I will! (Submitted by @orchidbeam)
I study for Nicki Minaj, she would be proud of me, and all the other women in the world. I hope that my degree will put me in the position to make a better world for all my sisters out there and the little ones.
I study because my family isn’t as rich as our family friends, and other families always make fun about what my dad does for a living. I want to change that and make sure the only thing others talk about is how amazing we turned out and what a good career I’m going into.
I study to make my parent’s hardships (moving to America, to provide a better life for my siblings and I) worth it.
My reason to study is to show myself and everyone I am stronger than my mental illness and to prove everyone who said it would stop me from getting anywhere wrong.
I study so I can change the world for the better.
I study because I want to help my family, to fulfil my dreams and save lives.
To be a champion.
I want to study in order to prove myself and people that being dyslexic and dysorthographic doesn’t mean being stupid. (Submitted bybritannicusmyfav)
I love to learn,and I want to know about all the things I missed because of school system. (Submitted by @seshet)
I study because I want to be the first sibling to go straight into uni without transferring from a community college.
I want to study so that I can transfer out from a community college to a really good university so that people won’t think the decision I made to go to community college was bad. Also to make my DAD super proud!
I study because I want to be the best version of myself.
I study to make those who have taken care of me proud, to show them they did a good job. I also study for myself, to prove that I can fulfil my goals and that everyone who has ever made fun of me just pushed me forward instead of putting the boot in. Getting a good job to live with my boyfriend would be a great plus! We all need motivation, and what’s better to motivate oneself than dreams to fulfil! Here are mine. (~Submitted bystudy-littleidlegirl)
I study because I never want to stop learning about myself and the world we live in.
I study so I’m educated enough to take down the haters in an articulate way so I feel accomplished when leaving the situation.
I study to ensure that when I’m actively in politics, only weak minded people will be able to scorn me due to my ethnic background or religion (or something stupid along those lines) instead of the immaculate policies and work I am carrying out.
I study to become successful in my future and because I have a passion for learning. (Submitted by baklavugh)
I study because I don’t have anything else to do. I guess it keeps me so busy that I don’t have time to think how lonely I am.
Because it makes me happy to see my hard work paid off and also ensures a better future than I would have if I didn’t study well. (Submitted by h4rshitaa)
I study to be able to pursue the career I want. For the thrill of knowledge, the security of understanding. For the way it shapes how I interpret the world. I study not because it is something I must do, but because it is something that is a part of who I am. (Submitted by @audesapare)
I study to improve my mind so I can understand deeply the things people thought I was not capable of understanding. I study so I can live the most fulfilled life possible. I take every second of this life as a chance to learn and improve myself.
Because I’m going to prove girls are useful for more then just looks and a sex object.
I study to open doors of opportunity. I study to improve my and others lives. I study to feel good when I go to sleep. I study to feel confident with my ability. I study to prove to myself what I can do.
Because I want to show to my child that everything needed effort and passion. Also I want to show how important knowledge is, as a mom and as a housewife. (Submitted by studymamapartiallyhousewife)
I study because it makes me happy to know I am in control of my future.
I study because I am curious.
So that I won’t have to struggle like my parents are financially. (Submitted by study-sugar)
I study because I want my single mother who has worked so hard for my education to live a better life when she’s older. I want her to look at me in the future, sitting in my office in a law firm and telling herself “it was all worth it”.
FOR NICKI MINAJ. I WILL GO TO A HIGHER EDUCATION FOR YOU.
I study so that I can be proud of the person that I am.
I study because I want independence. After my bachelor’s degree I plan to be able to continue into further study such as an MA and support myself. I am an only child which has always led my family to be over protective and education will always be my way in holding my own in the world.
I study so I can have the freedom to leave where I am now and actually be happy for a change. Without studying I wouldn’t be able to get the job nor satisfaction in life I know I deserve.
I study because it’s the one thing I can decide for myself.
I study because knowledge is power and I never want to feel inferior to anyone or have any regrets. I don’t want anything to hold me back from achieving my dreams. (Submitted by shreestudies)
I study so I’m not so nervous for tests. Also to improve myself and my learning.
I study because I have a huge thirst for knowledge. I love to learn and allow that to change me as a person for the better. I love being able to understand the world around me and contribute my opinions that have been developed from what I’ve learned. (Submitted bymymindssecretpalace)
I want to be a successful person in life. I can use my intelligence to help those in need. Besides, people won’t belittle or pick on my appearance! ✌
I study because I want to help others and make people aware that how important it is to be literate. (Submitted by anashiv)
I study to show that I have potential. I study to show my learning disabilities and adhd is not me. I study because I want to grow. I study to be the person I know I can be, the person I know I am.
I’m so tired of not passing my tests, of feeling like I don’t know the material. I have testing anxiety which prevents me from doing well. I want to study enough that I feel so comfortable with the material and the anxiety goes away. I want to study so I can begin feeling proud of myself and all my accomplishments.
To help those struggling with different mental illnesses and help them see a better light.
Because I want to build that building.
I study because I want to prove all my male teachers and friends, that not only boys are learning the best, and if I want to, I can beat them all!
I want to study to make my parents proud after all the sacrifices they made for me and to succeed so my family and I can live a better life.
I study because I love to learn new things. (Submitted by ki-soonal)
I study to find a solution to stop the passing on of the genes for hereditary diseases. As in to reduce risk of young children being diagnosed with hereditary diseases.
To get that dream job and slay everyone who said it was too difficult for me.
Because education is awesome.
So I can change the world.
To give my mom and dad the life they deserve! (Submitted by samiya-malik)
Because everything is a competition and I must be best. (Submitted by letustudy)
To prove to myself and others that I can do anything I set my mind to. (Submitted by studiousstudying)
So when you are taking a test/exam your anxiety and stress levels are lower. (Submitted by introvertedturtlequeen)
I study because I want to know I’ve earned everything I achieve.
The biggest reason I study is that all of my friends are incredibly smart and when I was younger I wanted to prove to them that I could keep up, but now that I’ve decided that I don’t need to compete, I study just because it makes me feel good. (Submitted by queen-elbow)
I study because the world is an interesting place, and I want to know it as deeply as possible. (Submitted by matchamonstr)
I study because I am so sick and tired of seeing my mom struggle, all because she didn’t have a good education. I don’t want to wake up to a job I absolutely dread, and be paid minimum wage. I want to say “thanks mom, I can take care of you now.”
I study to grow big enough to reach my high hopes. (Submitted by seriousstudygirl)
To see the look on my mum and dad’s face when they see my results. (Submitted by seizethesaturday)
I study because I love to crush my enemies. I like to see the looks on their faces when they see me succeed. (Submitted by dirtylaundry-emptystyrofoam)
I study because I feel the need to prove to the world that I am more than a child prodigy that burnt out one day. I need to prove to myself that I’m just as good, if not better than I used to be. That I’ve got places to go and people to prove wrong.
I study because I love to teach and I want to know everything that I can so that I can more clearly convey things to others, and to be able to make connections across topics to make things personal and interesting to them. (Submitted by the-homework-fandom)
My dream as a little girl was “to be the most smartest person ever” and I still don’t know what else to do. (Submitted by polaroceanographer)
To create room for the real me in the future.
My reason for studying is so I can get into the university I want, and not have to travel away to one. (Submitted by iggythedragonslayer)
To get a well paid job so my children can have the best possible life.
My reason to study is to prove to my parents and myself that I can achieve my goals without the help of others. My reason to study is to gain valuable knowledge, NOT just for a grade. (Submitted by barbstudies)
To prove to myself that I am strong and can reach my goals. (Submitted by scared-robot
I study so I have a chance of getting into the United States Air Force academy…
I study so I am offered to meet interesting people that are also studying the same field as I am. (Submitted by ghostsname)
I’ll study so I can live relaxed as a cat in Hokkaido.
*Shia LaBoeuf voice* JUST DO IT
So I can prove myself that I am, indeed, intelligent and not just some bimbo with a hollow head. (Submitted by study-guerassimovna)
Because learning new things and having a more informed view of the world is beautiful. (Submitted by studism)
1. Organize your email. As students, we are constantly being sent emails from classes, work, professors, announcements, etc. The possibilities are endless. It can be so annoying to have to trudge through millions of emails just to find the one you need, so if you organize your email into folders, it makes it much less of a chore.
2. Keep your classes separate. Different colored folders and spirals are a must. Also, I like to keep my classes organized into different compartments of a plastic drawer set. You can even just get a simple desktop divider, but make sure you have a set place for all your different classes. Nothing is worse than showing up to class with the wrong day’s schoolwork in your backpack.
3. Make To-Do Lists. I for one will never accomplish something unless I write it down. For whatever reason, seeing something listed with a blank box next to it just gives me that much more motivation to get it done knowing I can check it off at the end of the task. Tip: Use colored pens and pencils to differentiate tasks (i.e. blue for school, green for work, pink for appointments, etc.)
4. Clean/do laundry once a week. Every Sunday (or whatever day works for you) clean up your room and do your laundry. Nothing is worse than having to do multiple loads of laundry in one day because you’ve let it pile up for so long. Also, cleaning up in intervals makes your life less stressful and chores way easier! I’d take 20 minutes once a week over 3 hours once a month any day.
5. Organize your files. Digital clutter is the absolute worst. Just take a minute out of your day to sort through all those pictures on your phone, deleting the ones that are duplicates or blurry or just plain useless. Do this on your desktop as well. Make folders for your documents, organize photos by dates and times, and create a reasonable system that you will be able to keep up with.
FMA Villains Week - Day 4: Reunion. Couldn’t work on anything “big” so here we go with this doodle I would like to one day finish. |D Unfortunately I had other stuff to do during the day, so I ended up doodling this very last minute, I hope I’m still on time for the fourth day… OTL A big thanks goes to my cousin, who gave me this idea. This is what would happen if the Homunculi lived like an average and happy family. We need to see mooooreeee Homunculi interaction *dies*
daily schedule - Is there a way to work your schedule so that you can work 4 days a week? Can you work extended hours one or two days to benefit both the clinic and yourself?
how are appointments arranged on the schedule? Is it totally random or is there a method to the madness? Note: some places will schedule 2 chronic visits followed by an acute visit to help even the schedule. Or they schedule extra time for physicals or new patient visits. Is there a limit to how many physicals you will have to do in a day?
Extenders - how will you be compensated for supervising a PA or NP if you are not in a state where they are autonomous? (or will you be compensated at all? My hospital doesn’t, so my office doesn’t have them.)
time off - is time off accrued or is it a set number of days? Does it increase over time? What sort of time off do you have for CME?
CME - how much does the practice pay for CME? What is included in that?
Benefits package - are there penalties or incentives built into your compensation package? Is your pay a flat rate or is it productivity based? Is the insurance decent?
bonus incentives - does your employer cover things like your cell phone bill or a tablet? Is a gym membership included or discounted? Do they offer a signing bonus and adequate moving expense reimbursement? Do they have loan repayment options? There are lots of little benefits you can negotiate into your contract
call schedule - do you get paid extra to take hospital call or to pick up extra urgent care shifts? How often do you get called on home phone-only call? Does your new practice have a policy on after-hours prescriptions?
Patient demographics - what is the payor source division in your practice? Is your practice heavier in a certain age group or type of diagnosis?
EMR - is the system decent? Does it make your job harder or easier?
Area resources - how are the surrounding hospitals? Is there a problem with availability of specialist care?
privileges - will you be required to do any inpatient care? What about nursing homes or hospice?
Moonlighting - can you pick up outside work if you want it? What is available to you? Is there a noncompete clause?
Your pet peeves - does your office manage a lot of chronic pain? Do they have a policy on after hours prescriptions, appointment no-shows, walk-in appointments, or calling in antibiotics without being seen?
Standard of care - are the other doctors following the same guidelines and standards you are? Will they back up your decisions? Can you feel comfortable backing theirs?
Personalities - will the other doctors be supportive of you since you’re a new kid on the block? Will they be available for hallway consults or lunch break pep talks? Are they workaholics or do they value time at home? What do they do for fun? Are they friends or just co-workers?
culture of the office - do the staff genuinely seem to like their jobs? How is employee turnover? Will there be enough staff to support adding a new physician? Is the office manager available and helpful (you’d be surprised how much this will matter to you)?
DOES IT SOUND TOO GOOD TO BE TRUE? If yes, it is. They may promise you the world, but it’s because something is seriously lacking.
As for figuring out if a place is toxic, I think if you ask a lot of these questions and you observe people’s personalities, you’ll pick up on it pretty easily. If the other docs look tired and burned out and they don’t seem to love their jobs, beware!
Finally, remember that YOUR FIRST JOB DOESN’T HAVE TO BE YOUR LAST JOB. It is 100% ok to leave and find something better. Don’t dive in head first with a long commitment before you really understand what you want in a job.