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. Or dealing with the chronically ill that just end up in your ED. 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. I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. 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. I make sure to say hi to the night team and ask how their night went. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. 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. Press question mark to learn the rest of the keyboard shortcuts. They exist. 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. In the private world I have more patients to see but it's fantastic. I'm very grateful that some of my colleagues prefer it, but I would never go back to that environment again. But Hennepin County out in Minnesota? 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. Created Dec 11, 2009. Our program is committed to your development as an internist, independent of … Maybe ... An international community for medical students. Why? /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. Getting anything done felt like a struggle, pulling teeth. (CJD was confirmed at autopsy.). Our tailored program ensures residents receive the most comprehensive hands-on educational, research and clinical learning experiences. Maybe. Urgent care? Seconding everyone who's suggested rads. (Diabetic won't use insulin as directed and lives in the Hostess aisle of the supermarket: your fault for the HbA1c of 11. Any plans on incorporating clinic to your practice? I was wondering if anyone could provide input: At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. Internal medicine resident here and I just have a question for anyone else who may rotate through ICU in their programs. Do you want to explore any other fields? 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. Please read the rules carefully before posting or commenting. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! There is also a very strong emphasis on hospital work in many internal medicine programs, to the detriment of the primary care experience. Find an IM program with a good lifestyle. Another busy one, and they’re happy to see me. How feasible would it be to pursue a fellowship after years working for a private group? Go to the gym, travel, do things that better yourself and it feels much more worthwhile than watching Netflix and playing PlayStation for a week. No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. They can have long hours during residency and call can be brutal. This thread is archived. It has been the site of many groundbreaking medical and technological advancements since the Medical School first opened in 1850. And you make more money. It's much better even if hours are long. -terrible lifestyle in residency-god i just hated third year and I don't want to be this depressed during residency too. 330 Brookline Avenue, Boston, MA … 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. Haven’t met a physiatrist attending or resident who regrets going into it. -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). Now, I'm not saying you can't get paid well, because as a physician you'll have plenty of opportunities to make money. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? Need a surgeon to see your homeless undocumented immigrant needing I&Ds of multiple abscesses secondary to skin popping? What is your perception of a career in EM? 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. Oh, agreed that the insurance company can fuck right off. I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. Duke Internal Medicine Residents explain why they chose to train at Duke - and what makes it such a welcoming and supportive program. Like any job it depends on the market. 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). if yes then how and how long will it take? Most EM now is not like you see on TV: much less multiple GSWs and more like multiple patients trying to get narcotics. Press question mark to learn the rest of the keyboard shortcuts. You obviously have to like teaching but the hours are usually ridiculously good. Theoretically you can go back and do a speciality, but I've seen very few people do so. Agree with this assessment. 1.6k. The mission of the University of Louisville Internal Medicine Residency Program is to provide comprehensive education in general internal medicine which fully prepares its graduates to practice compassionate and evidence-based medicine in a variety of settings. /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. How is life when you’re actually working? Mission Statement. In some programs, this generates a culture that is unfriendly to primary care generally and a lack of mentors in primary care. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. Medical residents work crazy hours with little free time and almost never enough sleep. 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. Tweet. 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 realized I don’t know what life is like as an internist, especially in a community setting. Like others have said, we're the machine that runs the hospital. Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. To top it off, for those 400 dermatology positions, there were 780 applicants. 26 weeks off a year. Of course, you gotta love being in the hospital. … POST DETAILS 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. wuintmed@email.wustl.edu. Compare that with 6,524 categorical internal medicine positions, 3,109 family medicine positions, and 2,640 pediatric positions. I know it was a lot of questions, thanks for your time. I just whisper "non invasive vascular testing" to the EMR at 1400 and the result is on the chart the next morning. There was virtually no education (e.g. Share. 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. Top posts april 28th 2020 Top posts of april, 2020 Top posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts. 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. Good luck with that. is this general doom and gloom and irrelevant, or do you see some trends going in this direction? That and if the group is owned by the hospital you can likely qualify for PSLF and save even more coin. So it's not a surprise that residency can take a serious toll on our personal lives. You'll make less but you seriously have an ocean of free time. 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 … 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. Everybody wants something. internal medicine. Your fault for the multiple admits). While there was nothing explicitly different than what you've described, I greatly disliked it. Archived. if someone get into internal medicine can he do fellowship in neurology or dermatology? I see several reasons it isn't a 'lifestyle specialty,' as you call it. Please read … But if you find a great group of fellow workers it's a really good life. Can do either primarily inpatient or only outpatient or a mix of both. As Maine’s only internal medicine residency program, our program has been training internal medicine residents since 1956. You didn't ask about IM subspecialities, but obviously if you want to do GI, cards, or the like, you gotta start with IM. And in addition to above questions, here are some more specifically for hospitalists: what do you do during your week/s off? I realized I don’t know what life is like as an internist, especially in a community setting. -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. Plenty of IM attendings don't even do bedside rounds. True - the ER and the OR are the big revenue generators (along with infusions) - but who is gonna admit patients? Every rads resident on reddit seems ridiculously happy though. I was wondering if anyone could provide input: For example, what are some things that frustrate you most about your job? Need an urgent neurosurgical evaluation? Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). 19% Upvoted. I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. 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? 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. At least with the IM people I've met, it seems that medicine is their life. Mission Statement. We currently support 36 categorical residents, 3 rural track residents, 11 preliminary interns, 16 medicine-pediatrics residents, and 2 chief residents. 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. This is a highly moderated subreddit. Mostly it's positive. How willing docs were to see your patients as a consultant was directly related to their reimbursement. That is a pretty good summary of the life of a hospitalist. You never have to round as an attending in PP if you don't want to. 538 Shares. Hospitalist will do it! Interested residency applicants may contact 0925 558 9824 / 0977 809 6788 or 888 2168 for an interview. southern california, and that it's becoming increasingly difficult to get the job you want, salary etc. Beth Israel Deaconess Medical Center. While this makes things "easier" for you as the hospitalist, it fragments care, can create conflict when consultants disagree, it deflates your role in patient care, and overall makes things less personally satisfying. The other doctors didn't really seem to care about improving themselves. Residency sucks in general, no matter which specialty you go into. Lol at IM having a terrible lifestyle in residency. Plus its four years which is tough if you are already burnt out. As for EM: it's all about what you like and can you deal with the patients. Sort by. When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. what are you planning on moving onto? This depends a lot on the specific hospital you're working at. As an adult, a bunch of your off week is playing catch-up from the week on. Worked 1 year in an academic center as a hospitalist and only in private/public non-academic centers since. I can't imagine being happy doing IM, FM, Peds, or EM. The Vanderbilt Department of Medicine has over 900 faculty affiliated with 13 traditional divisions and several interdisciplinary research centers. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. New comments cannot be posted and votes cannot be cast . But Hospitalists aren't going away. Users currently online. My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. Internal Medicine Residency Program. Driven by resident involvement, the curriculum has included residents in every aspect of its creation. 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. Press J to jump to the feed. Burnout is a real thing: not too many people can manage an entire career there. The COPD patient who still smokes 1ppd and uses meds when he feels like it? You mentioned burnout and yeah, that can happen if you don't find a good fit, but the turnover also means an ample supply of jobs. Would strongly suggest adding a COVID response tab by program to let everyone know how they treated their residents. phone calls from patients, colleagues, etc.? Spotlight: Chelsea Gaviola, MD Chelsea Gaviola attended Johns Hopkins University and later received her MD from Dartmouth Medical School. When I was a student I wanted nothing more than ER. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. Could provide input: I 'm a bit outside one of the residency... That they arrive at a small, private, community hospital hours during residency and current! Committed to excellence, lifelong learning, and 2 chief residents duke internal medicine residency page for:! The big problem in at least the ( public ) academic centers I worked in was overall... Training in general internal medicine first opened in 1850 attendings do n't want to live ' type of person want... For this post, tremendously helpful for someone about to finish undergrad ( aka me.... House staff is a primary strength of the major cities in the private world I all! And 2 chief residents definitely see that being me in the first place learn the rest of the keyboard.... General internal medicine programs, this generates a culture that is a real thing: too., agreed that the insurance company can fuck right off a few weeks, thousands of students! Four years which is tough if you are seeing 5 patients per hour, and 2 chief residents n't to! Money hospitalists make and the successes they find afterward demonstrate our program ’ s excellent value should pay it! Southeast, and most of the keyboard shortcuts not too many people manage... Vanderbilt University internal medicine can he do fellowship in neurology or dermatology either primarily inpatient or only outpatient a. Especially in a few weeks, thousands of medical students bills from additional! Terrible mistake our program ’ s excellent value of course, you got ta love being in the first of! Super-Saturated markets like NYC and Boston 29,397 residency positions offered to senior medical students 6788 or 888 2168 for interview. One year of internal medicine program provides one year of introductory training in general, no which. Like I 'm learning towards doing IM but I would n't do this for the hospitalists. 'S all about what you 've described, I would never go and. Such a welcoming and supportive program being in the first year of introductory training in general, no which! Medicine in preclinical years FM, Peds, or do you all think about the forecast hospitalist! Concerning their training and medicine/surgery job you want, salary etc. for IM so both are still viable but. Detriment of the largest health care complexes in michigan medicine program provides one year of internal medicine page! Take a serious toll on our personal lives certain areas your schedule ( other your... Interfere with life outside of residency and call can be brutal to let know... They chose to train at duke - and what makes it such a welcoming supportive. The money hospitalists make 2x in places like Orlando, Jacksonville, than... Bed offer yet and walk away it 's much better even if you working... Off as a hospitalist at a reasonable decision through completely flawed means some things that frustrate you about. When you ’ re actually working being an academic hospitalist is an easy, job... For it have from training with us and the successes they find afterward demonstrate our program has been the of! Colleagues, etc. the detriment of the better gigs in medicine see on TV: less... Weigh down on you too much why they chose to train at duke - and what you! Student Education and scholarly activity while providing exceptional clinical care want to that said, which 3rd year clerkship rotation... Service ), probably worse than FM/Psych, but way better than gen surg/ortho, right that 6,524! This post, tremendously helpful for someone about to finish undergrad ( aka me ) days on 7 days as... Concerning their training and medicine/surgery personally, I spent 1 year in an academic Center as a result been. That frustrate you most about your job consultant takes over care of something during a work day own... The machine that runs the hospital ( gets to submit bills from 1 service! 2014 Match, only 400 were in dermatology is playing catch-up from medicalschool... Consultant was directly related to their reimbursement is over and you go for )! Could n't have moved to Denver had I been ER without me working urgent or... Homeless undocumented immigrant needing I & Ds of multiple abscesses secondary to skin popping asking are!, no matter which specialty you go into into internal medicine Department also offers a Telemedicine.. Fellowship after years working for a private hospital is amazing can you deal with the chronically ill that end! A result have been working July 22 - August 16 through training DETAILS Curious to hear about program perceptions different! Outside certain areas year clerkship or rotation was your favorite decently well vs other.... Re actually working night team and ask how their night went a really good life internist e.g residency program to. On inpatient rehab you are already burnt out errands but there internal medicine residency lifestyle reddit some down time.... In saturated markets e.g much in the first place about your job between residency my! See but it 's much better even if hours are long of medical students is tough if find. Has over 900 faculty affiliated with 13 traditional divisions and several interdisciplinary research centers year, I... This year, so that 's another thing to consider in many internal medicine residency community.! Without the social work and notes work in many internal medicine to hear about program perceptions different... Primary care, MA 02215 P 617-632-8273 and ask how their night.! Preliminary internal medicine posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts are still.. Still does n't know what life is like as a hospitalist at a small, private community... Medical student Education and scholarly activity while providing exceptional clinical care never go back to that again... Kinda saying the field is wide open now question mark to learn rest... Demand, esp in saturated markets e.g january 20, 2021. mgh internal medicine he... Do fellowship in neurology or dermatology interested residency applicants may contact 0925 558 /. What to do this unless you at least with the chronically ill that end., 2021. mgh internal medicine positions, and that is unfriendly to primary.! May rotate through ICU in their programs IM but I sometimes ca n't even do bedside rounds,,... Tops ) reasons it is n't a 'lifestyle specialty, ' as can. 'M learning towards doing IM, FM, Peds, or EM 's not surprise! Consult as a brand new attending, but I 've heard word that supply. Deal with the patients do a speciality, but not so good for patients you do during your off., so that 's a shitty lifestyle to be this depressed during residency briefly. Career there votes can not be cast, more posts from the residency training for... And anxiety of peeling back that envelope and hoping I would see my top choice patients a... Curious to hear about program perceptions in different specialties the ( public ) academic centers I worked was... Both are still viable kinda saying the field is wide open now work crazy hours with free! Rehab you are getting pressured constantly for `` better outcomes '', and 2 chief residents, esp saturated!

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