Dr. Alex

Dr. Alex Board Certified Gastroenterologist. Offering health education, not medical advice.

03/12/2026

In the U.S., resident physicians are officially limited to 80 hours per week under rules from the Accreditation Council for Graduate Medical Education. These limits were introduced to reduce fatigue and improve patient safety.

But lawsuits like this raise a larger question:
Are these limits truly protecting residents, or does the culture of training still push many beyond them?

Residency is demanding no matter where you train. A few things that helped me get through that period:

• Protect the small things that keep you functional — even short sleep, a quick walk, or a proper meal can make a big difference during long stretches of work.
• Lean on your co-residents — the people going through it with you often become your biggest support system.
• Keep the long view in mind — residency is temporary, but the skills and judgment you build during those years stay with you for your entire career.

It’s one of the toughest phases in medicine, but also one that shapes you in ways few other experiences can.

03/11/2026

Words worth hearing☝️

03/09/2026

The most meaningful moments are rarely the ones people see.

They’re quiet.

A patient feeling heard.
A small improvement after a difficult hospitalization.
A simple “thank you” before discharge.

Those moments remind you why this work matters.

As a locum tenens physician, I often step into hospitals where everything is new — new teams, new systems, new patients. It takes time to learn how each place works.

But one thing is always the same.

Patients still need someone to show up, pay attention, and care about what happens to them.

That responsibility doesn’t change depending on where you practice.

🩺 A few things people may not realize about locum physicians:

• We often join teams during critical staffing shortages
• We adapt quickly to new hospitals and workflows
• We rely heavily on teamwork with nurses, staff, and local physicians
• Our goal is the same everywhere: safe and thoughtful care for patients

Medicine isn’t always easy.
There are long hours, difficult decisions, and days when things don’t go the way we hoped.

But being part of a team that helps patients through some of the hardest moments of their lives is what keeps many of us grounded.

03/05/2026

On some days I’m doing procedures in the morning, and later the same day I’m dealing with completely different things — checking on my Airbnbs, picking up my son from his activities, cooking dinner, spending time with family.

That’s one thing I genuinely like about locums. It gives me room to combine medicine with other parts of life and even other income streams.

It’s still busy. Just a different kind of busy.

Follow for more real-life moments from locum GI life.

03/04/2026

Travel is part of the locum lifestyle — and there’s a small advantage many physicians overlook.

When agencies handle flights and hotels, everything is easy. But if the reservations aren’t under your account, the loyalty rewards often don’t go to you.

Many locum physicians eventually switch to booking their own travel and getting reimbursed. Over time, those points can turn into upgrades, status, and free trips.

A few practical tips:
• Stick with one main airline when possible
• Use a credit card that rewards travel purchases
• Stay within one or two hotel chains to build status faster
• Keep receipts organized for reimbursement

Small operational decisions like this can quietly add real value to the locum lifestyle.

Follow for more practical insights about locum tenens.

03/02/2026

Medicine teaches you how to push through exhaustion.

It doesn’t always teach you how to pause.

This week was about slowing down.
Morning walks. Long meals. Conversations that don’t get interrupted by pagers.

When you work in high-intensity environments, you have to be intentional about recovery. Not dramatic. Not performative. Just intentional.

Time with family isn’t a luxury. It’s maintenance.

Back to work soon — but for now, fully here.

If you work in medicine, I hope you’re scheduling your reset too.
Share this with someone who needs the reminder.

02/27/2026

Not all heroes wear capes🫣😂

02/26/2026

Just me or…🤣

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