How feasible would it be to pursue a fellowship after years working for a private group? 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. 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. Everyone wanted to come in, see their patients, fill out their billing, and leave. wuintmed@email.wustl.edu. We challenge residents to take leadership in medical student education and scholarly activity while providing exceptional clinical care. There is also a very strong emphasis on hospital work in many internal medicine programs, to the detriment of the primary care experience. 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. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. Why? I'll say right now: where I am, if you are a U.S. medical grad, and went to a respectable residency, you should have no problem at all getting a gig as a hospitalist in a solid hospital. Of course, you gotta love being in the hospital. This is a highly moderated subreddit. They are OK, don't get me wrong, but I'm kinda saying the field is wide open now. No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. I'm not family medicine myself, but do see the appeal. I'm a 'work to live' type of person and want medicine to be just a job. You didn't ask about IM subspecialities, but obviously if you want to do GI, cards, or the like, you gotta start with IM. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Agreed. I work 7-on, 7-off and even a couple years out keep trying new things in my free time. They like teamwork, solving complicated problems, and direct patient care. Plus its four years which is tough if you are already burnt out. Top posts april 28th 2020 Top posts of april, 2020 Top posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts. When I was a student I wanted nothing more than ER. Apart from the residency training program, the Internal Medicine Department also offers a Telemedicine Program. 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. As an adult, a bunch of your off week is playing catch-up from the week on. Sort by. Limited availability of subspecialists. What is your perception of a career in EM? I still enjoyed learning about medicine in preclinical years. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 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? You never have to round as an attending in PP if you don't want to. Can do either primarily inpatient or only outpatient or a mix of both. Nah. Beth Israel Deaconess Medical Center Deaconess Building, Suite 306, One Deaconess Road Boston, MA 02215 P 617-632-8273. Oral surgery wants someone to admit their 26 yr old post op patient with no medical history? Great lifestyle and balance. I still remember the excitement and anxiety of peeling back that envelope and hoping I would see my top choice. watching Netflix and playing PlayStation for a week. I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. Being an academic hospitalist is an easy, easy job. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. Internal medicine residents Navpreet Rana, MD (left), and Shalin Shah, MD, value the world-class training they receive from our distinguished faculty. 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. Maybe. -terrible lifestyle in residency-god i just hated third year and I don't want to be this depressed during residency too. I was wondering if anyone could provide input: For example, what are some things that frustrate you most about your job? (outside of the military, and that is a separate discussion). Good luck with that. Our program has been producing distinguished physicians and scientists since 1925. My two cents - I don't think you should do IM from the way you wrote about it here. 77.1k I know it was a lot of questions, thanks for your time. My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. easy consults for patients with insurance). Doesn't seem like the right fit. You obviously have to like teaching but the hours are usually ridiculously good. report. You do medicine without the social work and notes. What does the future for internal medicine look like for you? (CJD was confirmed at autopsy.). I'm a current MS3 who hated third year and still doesn't know what to do. I just whisper "non invasive vascular testing" to the EMR at 1400 and the result is on the chart the next morning. A Message From Our Director . Need an urgent neurosurgical evaluation? … 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 … St. Louis, MO. 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. But for me, it sucked. Internal Medicine Residency. and what do you all think about the forecast for hospitalist positions. Driven by resident involvement, the curriculum has included residents in every aspect of its creation. When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. Is this pathway relatively common? 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. 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. I was wondering if anyone could provide input: I can't imagine being happy doing IM, FM, Peds, or EM. Every rads resident on reddit seems ridiculously happy though. Internal Medicine Residency Training Program. Or dealing with the chronically ill that just end up in your ED. And you can set your own schedule every single day. At least with the IM people I've met, it seems that medicine is their life. Most EM now is not like you see on TV: much less multiple GSWs and more like multiple patients trying to get narcotics. The hospitalist will. 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. It has been the site of many groundbreaking medical and technological advancements since the Medical School first opened in 1850. This thread is archived. (Diabetic won't use insulin as directed and lives in the Hostess aisle of the supermarket: your fault for the HbA1c of 11. Find an IM program with a good lifestyle. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. Not sure why anyone would want to do this for the rest of their lives. 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 realized I don’t know what life is like as an internist, especially in a community setting. 330 Brookline Avenue, Boston, MA … The Preliminary Internal Medicine Program provides one year of introductory training in general internal medicine. 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. Press question mark to learn the rest of the keyboard shortcuts. IM residents at my institution worked 6 days a week. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. Do you want to explore any other fields? In some programs, this generates a culture that is unfriendly to primary care generally and a lack of mentors in primary care. Seconding everyone who's suggested rads. 1.6k. F 617-632-8261. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. 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. Want surgery to see the patient quickly? Basically punting on a career decision for now, like you mentioned in your OP. We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. Have never worked academic outside of residency and briefly afterwards (few months, tops). 63110. Like any job it depends on the market. But Hennepin County out in Minnesota? Duke Internal Medicine Residents explain why they chose to train at Duke - and what makes it such a welcoming and supportive program. Less than 30% of internal medicine residents choose primary care as a field. -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). hide. They exist. The Yale Department of Internal Medicine offers a variety of residency training opportunities for medical students. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. save. 17 comments. Residency sucks in general, no matter which specialty you go into. 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. But if you find a great group of fellow workers it's a really good life. A quantitative analysis of the first year of internal medicine residency. I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. Oh, agreed that the insurance company can fuck right off. We currently support 36 categorical residents, 3 rural track residents, 11 preliminary interns, 16 medicine-pediatrics residents, and 2 chief residents. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. I make sure to say hi to the night team and ask how their night went. Tweet. 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 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. Email Us. The COPD patient who still smokes 1ppd and uses meds when he feels like it? POST DETAILS /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. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". Even if you hate it...26 weeks off a year. Users currently online. And in addition to above questions, here are some more specifically for hospitalists: what do you do during your week/s off? 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. Anything else and I think I could make it work. The other doctors didn't really seem to care about improving themselves. Please read … The week on/week off gig takes some time to get used to. What aspects of work do you live for? Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? It was a great learning experience as a brand new attending, but not so good for patients. 0. While there was nothing explicitly different than what you've described, I greatly disliked it. Zero social network. 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). New York is the state with the largest number of internal medici Eventually. 538 Shares. Urgent care? New comments cannot be posted and votes cannot be cast. Registered users. As Maine’s only internal medicine residency program, our program has been training internal medicine residents since 1956. I'm very grateful that some of my colleagues prefer it, but I would never go back to that environment again. On inpatient rehab you are technically the primary and need a good foundation in medicine. How is life when you’re actually working? Mission Statement. I'd also agree that in the private world it's WAY different: far easier to get anything done. For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. In the private world I have more patients to see but it's fantastic. Spotlight: Chelsea Gaviola, MD Chelsea Gaviola attended Johns Hopkins University and later received her MD from Dartmouth Medical School. It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. 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. Archived. share. 19% Upvoted. if yes then how and how long will it take? Mostly it's positive. southern california, and that it's becoming increasingly difficult to get the job you want, salary etc. You set your schedule (other than your admit schedule usually) of when you see your patients. Of the 29,397 residency positions offered to senior medical students in the 2014 Match, only 400 were in dermatology. When is that MRI gonna happen? Hospitalist will do it! Would strongly suggest adding a COVID response tab by program to let everyone know how they treated their residents. 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. Like others have said, we're the machine that runs the hospital. Your fault for the multiple admits). This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. The rules carefully before posting or commenting demand, esp in saturated markets e.g of which I called! It such a welcoming and supportive program restrictions to have you disrespect poor. And patient care: an international community for medical students like for you, and internal medicine residency lifestyle reddit hospitalist! 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