Do you think the shift work is associated with a lot of burnout? That's a shitty lifestyle to be working at something you don't really like all that much in the first place. For many medical trainees, transitioning from having a question for a research project to taking the next steps is difficult. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? Eventually gave that up and just practice hospital medicine now. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! Do you think you have enough time per visit to address each patient's issues? 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. 112. Not that bad right now, as they have not been super widely accepted in my state. Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. They like teamwork, solving complicated problems, and direct patient care. (Info / ^Contact), New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. You do medicine without the social work and notes. 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. Thank you so much for the writeup! Can do either primarily inpatient or only outpatient or a mix of both. 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. OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. Inpatient Medicine General Comments: ... At the top of the pyramid is the attending physician, a staff doctor who has ultimate responsibility for the patient. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. Does your group offer student loan payment? At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. A lot of people are happy with 7 on 7 off and take a lot of vacations! What are your feelings about this situation? Did you have any leaning or feeling? Press J to jump to the feed. Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. For example, a cardiology fellow may function as an internal medicine attending, as he or she has already finished residency in internal medicine. 1 At most academic hospitals today, attending physicians’ responsibilities extend far beyond the teaching of clinical medicine to residents and students. (h) second- or third-year internal medicine residents or -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. So while dealing with the ED (usually 4-8 patients), they also have to deal with any emergencies with the admits. 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. If the resources are available, 24 hour internist coverage is definitely optimal. I think everyone's having issues with mid-level encroachment now. 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. Great lifestyle and balance. IM residents at my institution worked 6 days a week. Plenty of IM attendings don't even do bedside rounds. 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. 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. 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). By using our Services or clicking I agree, you agree to our use of cookies. Just ask the LSW if we have a bed offer yet and walk away. That all said, which 3rd year clerkship or rotation was your favorite? Welcome to /r/MedicalSchool: An international community for medical students. They exist. Thank you for your interest in the Internal Medicine Residency Program at Mount Sinai Medical Center. Tell me some of your successes? In your opinion what has been the best and worst part of IM residency? Do you fear that NP's/PA's will occasionally creep into more shifts? No, I think they might for nurses, but not for doctors. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 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. internal medicine attending. About Community Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 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. Basically punting on a career decision for now, like you mentioned in your OP. 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. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. The type of insurance that your patient has can affect availability of referrals to … How far you want to blend your life with your profession. 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. 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. Before calling, consider how the consultant may change your management. The type of insurance that your patient has can affect availability of referrals to specialty care, including psychiatric care. Welcome to /r/MedicalSchool: An international community for medical students. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Internal medicine resident here and I just have a question for anyone else who may rotate through ICU in their programs. Usually this is accomplished by rotating through various inpatient services and outpatient clinics throughout the 3-year residency. Press J to jump to the feed. You just want to get something out as quickly as possible to help you get into a fellowship. Take a look at PM&R. ... the care with your attending, there is little use in calling for a consult. Carlos Moreno, M.D. I have been practicing in internal medicine for 4 years now and I want to go back and train in dermatology. 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. Doesn't seem like the right fit. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. 77.1k Anything else and I think I could make it work. Participants: All medical residents (N= 145) and internal medicine attending physicians … If a consultant would add to the case, then This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. I can't imagine being happy doing IM, FM, Peds, or EM. Abstract. Lol at IM having a terrible lifestyle in residency. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. 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. Haven’t met a physiatrist attending or resident who regrets going into it. It's literally just you doing whatever you want so long as you can get patients discharged on time. 115. If anything, I would have specialized in hematology, just because I think the cases are very interesting. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. 109. I began my career practicing traditional Internal Medicine: primary care and consults, manage patients in hospital as well. How do you show your commitment to medicine? Personally, I was looking for a good work life balance, and just wanted to work the typical 40-45 hours a week. 29-1216.00 - General Internal Medicine Physicians. 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. Agreed. 114. Who is the most influential in your life? -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? OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. 116. Locations . Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. On inpatient rehab you are technically the primary and need a good foundation in medicine. Design: Analysis of 731 evaluations of 99 attending physicians over a 1-year period. -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). Reddit; Abstract. Seconding everyone who's suggested rads. 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 … 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. You never have to round as an attending in PP if you don't want to. More like IM residents THINK they have a bad lifestyle. The work is usually interesting, hours are much more defined, no struggles with preauthorization, pay is better. Corresponding Author. Reddit; Wechat; Abstract. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. They can have long hours during residency and call can be brutal. Duh. Not sure why anyone would want to do this for the rest of their lives. I'm a bot, bleep, bloop. Is it common? At my hospital, there is always 3 internists working at night, with 24 hour coverage from internists. They exist. attending physician. I appreciate any advice you guys might have! On inpatient rehab you are technically the primary and need a good foundation in medicine. Setting: Internal medicine residency program at a university-affiliated public teaching hospital. Can do either primarily inpatient or only outpatient or a mix of both. 64.2k Diagnose and provide nonsurgical treatment for a wide range of diseases and injuries of internal organ systems. Be confident:Speak clearly at the loudest volume appropriate to protect patient … The medicine consult service provides several services including preoperative medical evaluations, New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Do you wish you had specialized? Find an IM program with a good lifestyle. An Inern (1st year of residency/PgY1)- this person is the bottom of the pyramid in a medical team. Press question mark to learn the rest of the keyboard shortcuts. It draws the best and brightest.” -- David Gremillion, MD, FACP Internal medicine physicians, or internists, are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate No, I like my job a lot as it is. Cookies help us deliver our Services. Our Internal Medicine Residency program is committed to excellence, lifelong learning, and caring for our community. Great lifestyle and balance. 113. What is the most rewarding thing you have ever done? Haven’t met a physiatrist attending or resident who regrets going into it. I'm also finishing up my MBBS at the moment and considering IM as a specialty. Do you want to explore any other fields? At least with the IM people I've met, it seems that medicine is their life. 111. 110. Biography. How is midlevel encroachment at your hospital? how many patients do you typically see per day? Especially night call ones? Thanks for the write up! 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. It really all depends on oneself; how much you want to work and how much you want to make. I see about 16-17 per day. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 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