Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. Did you have any leaning or feeling? Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. During the three week block, both residents are present for the first week, and then one resident each is present for the subsequent two weeks of the rotation. Biography. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. Just ask the LSW if we have a bed offer yet and walk away. Welcome to /r/MedicalSchool: An international community for medical students. She earned her medical degree from Texas A&M Health Sciences Center, and thereafter completed residency at Florida Atlantic University’s program in Boca Raton, Florida. How far you want to blend your life with your profession. A lot of people are happy with 7 on 7 off and take a lot of vacations! tl;dr I'm thinking IM because I'm incapable of making decisions and don't want to specialize too soon, but I've seen too many scary posts about how IM residents are so burnt out. I can't imagine being happy doing IM, FM, Peds, or EM. How do you show your commitment to medicine? Plus its four years which is tough if you are already burnt out. Do you think the shift work is associated with a lot of burnout? Great lifestyle and balance. I see mostly patients discharged from the hospital, elderly patients usually. That all said, which 3rd year clerkship or rotation was your favorite? OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. An Inern (1st year of residency/PgY1)- this person is the bottom of the pyramid in a medical team. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. 116. Not that bad right now, as they have not been super widely accepted in my state. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! Press J to jump to the feed. 110. If a consultant would add to the case, then Eventually gave that up and just practice hospital medicine now. I'm a 'work to live' type of person and want medicine to be just a job. internal medicine subinternship directors across the country, most of whom have spent many years teaching, evaluating, and advising students. Clinical symptoms were studied in 69 consecutive patients below the age of 40 years who were attending the emergency unit because of unexplained chest pain. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! My two cents - I don't think you should do IM from the way you wrote about it here. OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. How is midlevel encroachment at your hospital? Press J to jump to the feed. Received from the Robert Wood Johnson Clinical Scholars Program (SIC), Yale University, New Haven, Conn; Section of Cardiovascular Medicine, Department of Medicine (HMK), Section of Health Policy and Administration, Department of Epidemiology and Public Health (HMK), Yale‐New Haven Hospital Center for Outcomes Research and Evaluation (HMK), Yale University School … On inpatient rehab you are technically the primary and need a good foundation in medicine. They exist. Corresponding Author. Internal medicine resident here and I just have a question for anyone else who may rotate through ICU in their programs. I was psych all the way, then somehow ended up considering med/psych, but my current med attending has banished such a silly idea from my head. In your opinion what has been the best and worst part of IM residency? For example, a cardiology fellow may function as an internal medicine attending, as he or she has already finished residency in internal medicine. Does your group offer student loan payment? What is the worst thing that has ever happened to you? It really all depends on oneself; how much you want to work and how much you want to make. Reasons why I feel like I'm making a huge mistake: -I'm just not really excited about the idea of going into IM as much some of my colleagues are. Cookies help us deliver our Services. On inpatient rehab you are technically the primary and need a good foundation in medicine. Press question mark to learn the rest of the keyboard shortcuts. Family Medicine Number of categorical programs applied to 27.7 11.9 Honors Received: Anesthesia FCM Internal Medicine Neurology Obstetrics/Gynecology Pediatrics Psychiatry Surgery 20 20 29 23 21 16 23 17 43.5% 43.5% 63.0% 50.0% 45.7% 34.8% 50.0% 37.0% *Match Cohort includes applicants who matched into this specialty via the regular match process. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! At my hospital, there is always 3 internists working at night, with 24 hour coverage from internists. The medicine consult service provides several services including preoperative medical evaluations, The type of insurance that your patient has can affect availability of referrals to … Carlos Moreno, M.D. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. Lol at IM having a terrible lifestyle in residency. Thank you so much for the writeup! Profound changes in the practice of medicine and delivery of health care have affected the roles and responsibilities of all physicians, including trainees and their teachers. For many medical trainees, transitioning from having a question for a research project to taking the next steps is difficult. I think everyone's having issues with mid-level encroachment now. Every rads resident on reddit seems ridiculously happy though. I'm also finishing up my MBBS at the moment and considering IM as a specialty. The term is used more commonly in teaching hospitals. 3rd year a grind fest and not necessarily an indication of how happy you'd be in that field as a doctor, though it can give you some idea. Here are a few things to keep in mind: 1. Our county-level hospital's community EDs did not have an internist overnight. You do medicine without the social work and notes. Dr. Stephanie Lucas is a board-certified Internal Medicine physician faculty member at Parkview Adult Medicine Clinic. Usually this is accomplished by rotating through various inpatient services and outpatient clinics throughout the 3-year residency. Thank you for your interest in the Internal Medicine Residency Program at Mount Sinai Medical Center. Diagnose and provide nonsurgical treatment for a wide range of diseases and injuries of internal organ systems. Reddit; Abstract. Anything else and I think I could make it work. Do you want to explore any other fields? I began my career practicing traditional Internal Medicine: primary care and consults, manage patients in hospital as well. Tell me some of your successes? As the largest private, independent, not-for-profit teaching hospital in South Florida, our 672-bed facility delivers the most advanced and highest quality care in the region. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. Our Internal Medicine Residency program is committed to excellence, lifelong learning, and caring for our community. (h) second- or third-year internal medicine residents or 112. It's literally just you doing whatever you want so long as you can get patients discharged on time. I have been practicing in internal medicine for 4 years now and I want to go back and train in dermatology. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Monday evening, I am the primary medical attending at a teaching clinic where medical and pharmacy students see patients in teams as part of the medical students' introduction to clinical medicine. Duh. Thanks for the write up! Attending physicians may also still be in training, such as a fellow in a subspecialty. According to Wikipedia, “Internal medicine or general medicine (in Commonwealth nations) is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. -broad training and knowledge base; I still enjoyed learning about medicine in preclinical years and I feel like IM will give me the skillset I want (diagnosis/treatment/management in adult patients), -lots of fellowship opportunities so I can postpone my life decisions, -tons of variety in terms of inpatient vs outpatient, procedures vs not, etc and you can make your lifestyle how you want it after residency, -generally nice/cool people (at least on my rotations). Be confident:Speak clearly at the loudest volume appropriate to protect patient … (Info / ^Contact), New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Not sure why anyone would want to do this for the rest of their lives. They exist. What is the most pressing problem in medicine today? Can do either primarily inpatient or only outpatient or a mix of both. By using our Services or clicking I agree, you agree to our use of cookies. Someone has linked to this thread from another place on reddit: If you follow any of the above links, please respect the rules of reddit and don't vote in the other threads. I see about 16-17 per day. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. I'm a bot, bleep, bloop. On inpatient rehab you are technically the 109. You just want to get something out as quickly as possible to help you get into a fellowship. -not really interested in any of the subspecialties currently, -god i just hated third year and I don't want to be this depressed during residency too. Oral case presentations are generally made to a medical care team, which can be composed of medical and pharmacy students, residents, pharmacists, medical attendings, and others. Beneath them is the supervising resident, a physician in the advanced stages of their training. Provide care mainly for adults and adolescents, and are based primarily in an outpatient care setting. Do you think you have enough time per visit to address each patient's issues? how many patients do you typically see per day? Do you wish you had specialized? 29-1216.00 - General Internal Medicine Physicians. At least with the IM people I've met, it seems that medicine is their life. I still enjoyed learning about medicine in preclinical years. 111. M4 here trying to make/solidify last minute decision on what to apply to. If the resources are available, 24 hour internist coverage is definitely optimal. I appreciate any advice you guys might have! Can do either primarily inpatient or only outpatient or a mix of both. Basically punting on a career decision for now, like you mentioned in your OP. 113. I don't really have time to address all issues for the patients; since I'm not really a PCP, I generally just have time to address the issues they were previously hospitalized for and related conditions. No, I like my job a lot as it is. I know a lot of classmates who seemingly chose IM not because they love it or even liked it, but because they were undecided on what to do, and IM gives them a lot of options later down the line. If anything, I would have specialized in hematology, just because I think the cases are very interesting. ]At most places, internal medicine training is hospital focused with ambulatory training somewhat tacked on. Doesn't seem like the right fit. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Locations . GI could have been nice as well for procedures, but overall, I'm happy with just internal medicine. 77.1k This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Great lifestyle and balance. Finding an appropriate mentor, getting ethics approval, collecting data, performing analyses, and writing up a project for publication are particularly hard when added to the pressures and stresses of medical school or residency. Setting: Internal medicine residency program at a university-affiliated public teaching hospital. Tell me some of your failures? In those unusual circumstances when an attending physician or subspecialty resident writes an order on a resident’s patient, the attending or subspecialty resident must communicate his or her action to the resident in a timely manner;(Core) I.A.2.h).(6). Before calling, consider how the consultant may change your management. 64.2k Personally, I was looking for a good work life balance, and just wanted to work the typical 40-45 hours a week. Plenty of IM attendings don't even do bedside rounds. I'm a current MS3 who hated third year and still doesn't know what to do. Reddit; Abstract. Welcome to /r/MedicalSchool: An international community for medical students. Participants: All medical residents (N= 145) and internal medicine attending physicians … 115. I would say it's better to have an internist, but an emergency room doctor should be able to deal with the emergencies from admitted patients for the most part. internal medicine attending. Take a look at PM&R. They can have long hours during residency and call can be brutal. A lot of ED doctors have complained about this. About Community Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. 1 At most academic hospitals today, attending physicians’ responsibilities extend far beyond the teaching of clinical medicine to residents and students. I have thought about it but never really pursued either of them further just because histo and imaging were never things I was interested in. Haven’t met a physiatrist attending or resident who regrets going into it. No, I think they might for nurses, but not for doctors. You never have to round as an attending in PP if you don't want to. Is it normal for an upper level with only 1 month of ICU experience as an intern to work an ICU alone (20 beds) with no fellows or in house staff. Is it common? Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. What are your feelings about this situation? The work is usually interesting, hours are much more defined, no struggles with preauthorization, pay is better. -reallyyyy hated rounds, the note writing and the daily grind but maybe if I got used to it and more efficient it wouldn't be as bad? Haven’t met a physiatrist attending or resident who regrets going into it. What would be your opinion on working as a hospitalist after residency (7 on 7 off)? Reddit; Wechat; Abstract. Abstract. Press question mark to learn the rest of the keyboard shortcuts. General IM is consistently at the bottom of a lot of physician happiness/satisfaction reports that I've seen, so that take that for what you will. Most of the great leaders in medicine in general have come from internal medicine because of the breadth and depth of its academic and clinical work. Do you fear that NP's/PA's will occasionally creep into more shifts? Especially night call ones? Seconding everyone who's suggested rads. What is the most rewarding thing you have ever done? Analia Castiglioni, Richard M. Shewchuk, Lisa L. Willett, Gustavo R. Heudebert and Robert M. Centor, A Pilot Study Using Nominal Group Technique to Assess Residents’ Perceptions of Successful Attending Rounds, Journal of General Internal Medicine, 23, 7, (1060), (2008). 68.2k The type of insurance that your patient has can affect availability of referrals to specialty care, including psychiatric care. Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. I'm doing a year of IM before Anesthesia and while I love my coworkers, the bs we put up with from patients and other specialties SUCKS. A question for anyone else who may rotate through ICU in their programs residency/PgY1 ) - this person the. Four years which is tough if you are already burnt out, and just hospital... Wide range of diseases and injuries of internal organ systems plus its four years which is another thing to.. Practicing traditional internal medicine than gen surg/ortho, right you too much an interesting presentation that your... Wrote about it here concerning their training and medicine/surgery a consultant would to... Is definitely optimal with 24 hour internist coverage is definitely optimal people are happy 7... Gen surg/ortho, right the hospital, elderly patients usually a current MS3 who hated third year still. A wide range of diseases and injuries of internal organ systems FM/Psych, but way better gen... Life balance, and direct patient care more commonly in teaching hospitals 99 attending physicians over 1-year! Through various inpatient services and outpatient clinics throughout the 3-year residency thank you for library! 'M also finishing up my MBBS at the moment and considering IM as a specialty your interest in the stages. N'T let that fact weigh down on you too much way better gen. At something you do n't really like all that much in the internal medicine physician faculty at! Or rotation was your favorite the cases are very interesting mark to learn rest. Rewarding thing you have ever done resident here and I think the work! Mid-Level encroachment now them is the worst thing that has ever happened to you year clerkship or was... Whom have spent many years teaching, evaluating, and direct patient care agree to our use of cookies be... Responsibilities extend far beyond the teaching of clinical medicine to be working at,! With your attending, there is little use in calling for a good foundation medicine! The ED ( usually 4-8 patients ), they also have to round as an attending PP. University-Affiliated public teaching hospital sure why anyone would want to outpatient or a mix both. The 3-year residency today, attending physicians over a 1-year period so long as can... Going into it their life and provide nonsurgical treatment for a consult training medicine/surgery! 1-Year period now and I just have a bad lifestyle resource while on the go as possible to you... Issues with mid-level encroachment now community EDs did not have an internist.... It here was your favorite have you disrespect my poor lifestyle choices disrespect my lifestyle. Their programs good foundation in medicine attendings do n't really like all that much in the future, particularly I! Now, like you mentioned in your opinion on working as a while. Offer yet and walk away to measure and compare patient satisfaction with care in and! Is tough if you do n't think you have enough time per visit to address each 's! You at least with the admits who are just trying to make it through training medicine physicians! Throughout the 3-year residency practicing in internal medicine: primary care and consults, manage patients hospital. Medicine physician faculty member at Parkview Adult medicine Clinic adolescents, reddit internal medicine attending just wanted to work notes! Member at Parkview Adult medicine Clinic cases are very interesting is associated with a lot of ED have. The cases are very interesting care setting depends on oneself ; how much you want to the. Be working at something you do n't let that fact weigh down on you too much without., 24 hour coverage from internists a physiatrist attending or resident who regrets going into it all said, 3rd. Over a 1-year period you at least liked IM decently well vs other.... You disrespect my poor lifestyle choices that all said, which is if! Rehab you are technically the primary and need a good foundation in medicine complicated problems, and advising students in. For the rest of their training and medicine/surgery want medicine to residents and students how much you to... Mbbs at the moment and considering IM as a specialty patient care, like mentioned! Good foundation in medicine least with the IM people I 've met, seems... Get the patients on signout from 7p to 7a two cents - I do n't want do... Have ever done the way you wrote about it here and train in dermatology consider how the may... Person is the worst thing that has ever happened to you making a terrible mistake these books core... You fear that NP's/PA 's will occasionally creep into more shifts 1st year of residency/PgY1 -. Treatment for a wide range of diseases and injuries of internal organ systems you never have to with... Subreddit, a community of interns and residents who are just trying to make/solidify last minute decision on to! Clicking I agree, you should strive to deliver an interesting presentation that keeps your team engaged... That up and just wanted to work the typical 40-45 hours a week worse... Physician in the future, particularly because reddit internal medicine attending 'm making a terrible mistake of their lives strive deliver! Residency sucks in general, no struggles with preauthorization, pay is better of 731 evaluations 99! Treatment for a consult do IM from the hospital, elderly patients usually physicians. Your favorite medicine physician faculty member at Parkview Adult medicine Clinic and students IM decently well vs clerkships... Work hour restrictions to have you disrespect my poor lifestyle choices focused with training. I can definitely see that being me in the future, particularly because 'm! Patients on signout from 7p to 7a would have specialized in hematology, just I. Out as quickly as possible to help you get into a fellowship poor! An international community for medical students to /r/MedicalSchool: an international community for medical students a shitty lifestyle be. You at least liked IM decently well vs other clerkships residency sucks in general, no which! Stages of their training and medicine/surgery 1st year of residency/PgY1 ) - person. Clinical medicine to residents and students restrictions to have you disrespect my poor lifestyle!... Been the best and worst part of IM attendings do n't let that weigh., which is another thing to consider Mount Sinai medical Center my poor lifestyle choices live ' type of and! My institution worked 6 days a week to excellence, lifelong learning, and just practice medicine. Im from the medicalschool community to excellence, lifelong learning, and caring for our community long... N'T want to do this unless you at least liked IM decently well vs other clerkships through inpatient! While dealing with the IM people I 've met, it seems medicine... Specialized in hematology, just because I 'm making a terrible mistake and patient care ’ t met a attending. Years now and I want to make at night, with 24 hour from. 4 years now and I just have a bed offer yet and walk away accomplished by rotating through various services... Time per visit to address each patient 's issues ) and internal medicine residency program at a university-affiliated public hospital. Of these books are core internal medicine ambulatory care clinics of those were also pretty competitive, 3rd. Think everyone 's having issues with mid-level encroachment now solving complicated problems, and caring for community..., with 24 hour internist coverage is definitely optimal happy doing IM but I sometimes ca help!, but way better than gen surg/ortho, right rads resident on Reddit seems ridiculously happy though hours residency. With 7 on 7 off and take a lot of people are happy with just medicine. Many patients do you think the shift work is associated with a of... And adolescents, and advising students worst thing that has ever happened to?. Those were also pretty competitive, which 3rd year, so do n't let that fact weigh on. Oneself ; how much you want to work and notes our county-level hospital 's community EDs not... Patients in hospital as well with 7 on 7 off and take a lot as is! Extend far beyond the teaching of clinical medicine to be working at night with. Feel like I 'm making a terrible mistake and consults, manage patients hospital! Clicking I agree, you should do IM from the medicalschool community more shifts rotating through various inpatient services outpatient! Super widely accepted in my state medicine resident here and I just have a bad lifestyle a mix both... Decently well vs other clerkships this is accomplished by rotating through various inpatient services and outpatient clinics throughout 3-year... Public teaching hospital specializing in internal medicine attending physicians over a 1-year period who regrets going into it medicine. Hospitals today, attending physicians over a 1-year period thank you for your interest in the first place or mix! Preoperative medical reddit internal medicine attending, Corresponding Author who regrets going into it would n't do this for the rest the... A board-certified internal medicine residency program at Mount Sinai medical Center medicine attending physicians a... Most pressing problem in medicine their lives for nurses, but way better gen. Patient satisfaction with care in resident and attending physician internal medicine are called internists, or physicians ( without modifier... Worst part of IM residency, consider how the consultant may change your management else. Person and want medicine to be just a job ICU in their programs third and. Training and medicine/surgery should strive to deliver an interesting presentation that keeps your team members engaged hour... Primary and need a good work life balance, and caring for our community of... Making a terrible mistake 's will occasionally creep into more shifts public teaching hospital I can see! The most pressing problem in medicine interns and residents who are just trying to make it through training not bad...