Urgent care? On inpatient rehab you are technically the primary and need a good foundation in medicine. I make sure to say hi to the night team and ask how their night went. (Diabetic won't use insulin as directed and lives in the Hostess aisle of the supermarket: your fault for the HbA1c of 11. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! (outside of the military, and that is a separate discussion). For example, if you are an Internal Medicine residency candidate, and you are applying for a specialty research track, you should stress the points in your bio that highlight how you best fit with that research track. I just whisper "non invasive vascular testing" to the EMR at 1400 and the result is on the chart the next morning. Doesn't seem like the right fit. F 617-632-8261. As long as you have your phone with you go for it. Internal medicine residents Navpreet Rana, MD (left), and Shalin Shah, MD, value the world-class training they receive from our distinguished faculty. We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. Driven by resident involvement, the curriculum has included residents in every aspect of its creation. Residency sucks in general, no matter which specialty you go into. if yes then how and how long will it take? I was wondering if anyone could provide input: This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Apart from the residency training program, the Internal Medicine Department also offers a Telemedicine Program. Any plans on incorporating clinic to your practice? But Hospitalists aren't going away. Day in the Life of a 3rd Year Emergency Medicine Resident 6:50 am: Arrive at work, walk into A/B pod, and pick out a computer for the day. wuintmed@email.wustl.edu. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. Our program is committed to your development as an internist, independent of … Theoretically you can go back and do a speciality, but I've seen very few people do so. $$$. Mission Statement. If you are applying to a rural residency program, you should speak to how your background, both personal and professional, fits well in a rural medical practice. Why? You set your schedule (other than your admit schedule usually) of when you see your patients. They are OK, don't get me wrong, but I'm kinda saying the field is wide open now. It's literally just you doing whatever you want so long as you can get patients discharged on time. They can have long hours during residency and call can be brutal. It has been the site of many groundbreaking medical and technological advancements since the Medical School first opened in 1850. What does a normal day look like for you, and do you think you can continue this trend into the next few decades? I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. 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. Registered users. Archived. As Maine’s only internal medicine residency program, our program has been training internal medicine residents since 1956. Internal Medicine Residency Program. Emory's internal medicine residency program is named for John Willis Hurst, MD (1920-2011), a devoted medical educator and an international leader in cardiology. In the Internal Medicine Residency program at Wake Forest School of Medicine, our overarching goals are to promote a progressive growth of proficiency in Internal Medicine knowledge and clinical skills throughout the three years of training. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. Is this pathway relatively common? Basically punting on a career decision for now, like you mentioned in your OP. Duke Internal Medicine Residents explain why they chose to train at Duke - and what makes it such a welcoming and supportive program. 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. For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. Tweet. 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. I'm very grateful that some of my colleagues prefer it, but I would never go back to that environment again. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. Hurst began teaching at Emory in 1950, believing that his interests in teaching, writing, and research could best be pursued in the setting of academic medicine. Mission Statement. The other doctors didn't really seem to care about improving themselves. And you make more money. Everyone wanted to come in, see their patients, fill out their billing, and leave. Peggy Bui, MD, MBA | Education | February 11, 2016. I still enjoyed learning about medicine in preclinical years. Have never worked academic outside of residency and briefly afterwards (few months, tops). Why? The work itself is good, but (especially if your group is employed by the hospital) expect to be the hospital's go-to for problem solving. The Department of Medicine at the University of North Carolina at Chapel Hill has a distinguished reputation among the top academic departments in the country, leading in research (ranking 7th in the nation for NIH funding), academic scholarship, and patient care. This depends a lot on the specific hospital you're working at. Need an urgent neurosurgical evaluation? Press J to jump to the feed. I'll bite. Internal Medicine Residency Training Program. They like teamwork, solving complicated problems, and direct patient care. We challenge residents to take leadership in medical student education and scholarly activity while providing exceptional clinical care. At least with the IM people I've met, it seems that medicine is their life. New York is the state with the largest number of internal medici When is that MRI gonna happen? internal medicine. The one thing I have noticed with my group is the relative punishment you get for taking more than a week off (or 4-5 days depending on how your group blocks schedules). The Lifestyle Medicine Residency Curriculum (LMRC) The LMRC is a comprehensive, applicable and flexible curriculum designed for integrated implementation into medical residency programs. Interested residency applicants may contact 0925 558 9824 / 0977 809 6788 or 888 2168 for an interview. The COPD patient who still smokes 1ppd and uses meds when he feels like it? Top posts april 28th 2020 Top posts of april, 2020 Top posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts. I realized I don’t know what life is like as an internist, especially in a community setting. But if you find a great group of fellow workers it's a really good life. I work 7-on, 7-off and even a couple years out keep trying new things in my free time. Lol at IM having a terrible lifestyle in residency. The Yale Department of Internal Medicine offers a variety of residency training opportunities for medical students. It was a great learning experience as a brand new attending, but not so good for patients. Our program has been producing distinguished physicians and scientists since 1925. Press question mark to learn the rest of the keyboard shortcuts. Now, I'm not saying you can't get paid well, because as a physician you'll have plenty of opportunities to make money. I realized I don’t know what life is like as an internist, especially in a community setting. They exist. Good luck with that. You'll make less but you seriously have an ocean of free time. 660 S. Euclid Ave. Campus Box # 8121. It's much better even if hours are long. (CJD was confirmed at autopsy.). CME, grand rounds, etc...) at the hospital, and people actively avoided discussing their patients to bounce ideas off of each other, or help each other with challenging differential diagnoses. My two cents - I don't think you should do IM from the way you wrote about it here. View Profile > Med-Peds. I know it was a lot of questions, thanks for your time. Didn't match in our little town (wife was already in a residency program, so couldn't move), but it turned out to be the best thing that happened to me. I had two sporadic days off, one of which I got called in for a meeting on. 311k. My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. So in summary, yes 7 days on 7 days off as a hospitalist at a private hospital is amazing. … I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. In some programs, this generates a culture that is unfriendly to primary care generally and a lack of mentors in primary care. As for EM: it's all about what you like and can you deal with the patients. Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). The lifestyle is also decent (your shift is over and you go home). Beth Israel Deaconess Medical Center Deaconess Building, Suite 306, One Deaconess Road Boston, MA 02215 P 617-632-8273. Maybe ... An international community for medical students. There was virtually no education (e.g. A Message From Our Director . Being an academic hospitalist is an easy, easy job. So it's not a surprise that residency can take a serious toll on our personal lives. You never have to round as an attending in PP if you don't want to. Do you want to explore any other fields? Sorry for so many questions, just very curious, thank you! Please read … Would strongly suggest adding a COVID response tab by program to let everyone know how they treated their residents. Compare that with 6,524 categorical internal medicine positions, 3,109 family medicine positions, and 2,640 pediatric positions. Getting anything done felt like a struggle, pulling teeth. share. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. I appreciate any advice you guys might have! Beth Israel Deaconess Medical Center. In other words, they start writing all their own orders. What is your perception of a career in EM? 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. Did you have any leaning or feeling? True - the ER and the OR are the big revenue generators (along with infusions) - but who is gonna admit patients? Like any job it depends on the market. work hours/week, how much does work interfere with life outside of work e.g. I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. If you don't mind me asking where are you practicing? Programs differ in how they actually accomplish all of this training, but all residents will have to gain a certain amount of experience in the various settings. You obviously have to like teaching but the hours are usually ridiculously good. Burnout is a real thing: not too many people can manage an entire career there. I'm not family medicine myself, but do see the appeal. I won't go into how the rest of the hospital feels about ER docs generally :P. As an MS4 who prefers his work and break time to be in large chunks, this makes me giddy. Users currently online. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. Something so cool I can't even think of it? and what do you all think about the forecast for hospitalist positions. Traditional outpatient inpatient blend? Another busy one, and they’re happy to see me. I'm a current MS3 who hated third year and still doesn't know what to do. But for me, it sucked. I was wondering if anyone could provide input: For example, what are some things that frustrate you most about your job? I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. what are you planning on moving onto? More like IM residents THINK they have a bad lifestyle. Blech. The other docs were generally polite and professional, but they weren't there to make friends beyond encouraging people to send them good consults (i.e. What does the future for internal medicine look like for you? How willing docs were to see your patients as a consultant was directly related to their reimbursement. Zero social network. Maybe. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This thread is archived. I see several reasons it isn't a 'lifestyle specialty,' as you call it. hide. Join. How is life when you’re actually working? 19% Upvoted. Oral surgery wants someone to admit their 26 yr old post op patient with no medical history? Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? Internal Medicine Residency. I don't know why this would be specific to private hospitals, but it's never happened at the academic centers I've worked at: an insurance company sent a representative to the hospital to track me down in person and explain why they were not approving a diagnostic procedure (brain biopsy for suspected CJD) because treatment for the suspected diagnosis was supportive only, and thus, they did not believe it would alter management. New comments cannot be posted and votes cannot be cast. is this general doom and gloom and irrelevant, or do you see some trends going in this direction? I'm planning on moving out of the Hospitalist gig here soon - the lure of 9-5 m-f is strong once you've got school aged kids... Moving on to what, if I may ask? While there was nothing explicitly different than what you've described, I greatly disliked it. internal medicine. And you can set your own schedule every single day. Plenty of IM attendings don't even do bedside rounds. This is a highly moderated subreddit. Please read the rules carefully before posting or commenting. That said, the life of an outpatient Internist is pretty tough. Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. Need a surgeon to see your homeless undocumented immigrant needing I&Ds of multiple abscesses secondary to skin popping? It is very hard to objectively determine 12 medical specialties with best quality of life, because whether some lifestyle can be considered good, highly depends on … Most EM now is not like you see on TV: much less multiple GSWs and more like multiple patients trying to get narcotics. In the private world I have more patients to see but it's fantastic. Medical residents work crazy hours with little free time and almost never enough sleep. 330 Brookline Avenue, Boston, MA … This is a highly moderated subreddit. Laundry, cleaning, errands but there's some down time too. Not sure why anyone would want to do this for the rest of their lives. easy consults for patients with insurance). best. Agree with this assessment. As an adult, a bunch of your off week is playing catch-up from the week on. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. Share. The best scenario is if your family is on an unorthodox schedule too - ie, I went to Breakfast and the beach on a Tuesday morning with my husband and toddler, since he's shift work as well. 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. What aspects of work do you live for? Oh, agreed that the insurance company can fuck right off. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. 538 Shares. St. Louis, MO. Less than 30% of internal medicine residents choose primary care as a field. 77.1k Seconding everyone who's suggested rads. watching Netflix and playing PlayStation for a week. Take a look at PM&R. 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. 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