At my hospital, there is always 3 internists working at night, with 24 hour coverage from internists. About Community Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! It really all depends on oneself; how much you want to work and how much you want to make. At least with the IM people I've met, it seems that medicine is their life. 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 … The overnight ED doc would get the patients on signout from 7p to 7a. Take a look at PM&R. -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? It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. Lol at IM having a terrible lifestyle in residency. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? 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 Just ask the LSW if we have a bed offer yet and walk away. No, I like my job a lot as it is. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 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. Reddit; Wechat; Abstract. Haven’t met a physiatrist attending or resident who regrets going into it. Be confident:Speak clearly at the loudest volume appropriate to protect patient … Welcome to /r/MedicalSchool: An international community for medical students. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. Our Internal Medicine Residency program is committed to excellence, lifelong learning, and caring for our community. Did you have any leaning or feeling? Haven’t met a physiatrist attending or resident who regrets going into it. Dr. Stephanie Lucas is a board-certified Internal Medicine physician faculty member at Parkview Adult Medicine Clinic. The term is used more commonly in teaching hospitals. Not that bad right now, as they have not been super widely accepted in my state. You never have to round as an attending in PP if you don't want to. IM residents at my institution worked 6 days a week. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. For example, a cardiology fellow may function as an internal medicine attending, as he or she has already finished residency in internal medicine. Plenty of IM attendings don't even do bedside rounds. If a consultant would add to the case, then I'm a 'work to live' type of person and want medicine to be just a job. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. Thank you so much for the writeup! Here are a few things to keep in mind: 1. 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. Participants: All medical residents (N= 145) and internal medicine attending physicians … Agreed. Press J to jump to the feed. 115. 113. Great lifestyle and balance. 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. Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. Reddit; Abstract. Especially night call ones? Do you want to explore any other fields? 110. -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. ]At most places, internal medicine training is hospital focused with ambulatory training somewhat tacked on. Thanks for the write up! Inpatient Medicine General Comments: ... At the top of the pyramid is the attending physician, a staff doctor who has ultimate responsibility for the patient. What would be your opinion on working as a hospitalist after residency (7 on 7 off)? Press question mark to learn the rest of the keyboard shortcuts. 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. You do medicine without the social work and notes. OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. 64.2k This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Plus its four years which is tough if you are already burnt out. I began my career practicing traditional Internal Medicine: primary care and consults, manage patients in hospital as well. Not sure why anyone would want to do this for the rest of their lives. I see mostly patients discharged from the hospital, elderly patients usually. (h) second- or third-year internal medicine residents or 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. Attending physicians may also still be in training, such as a fellow in a subspecialty. I still enjoyed learning about medicine in preclinical years. Thank you for your interest in the Internal Medicine Residency Program at Mount Sinai Medical Center. Abstract. I think everyone's having issues with mid-level encroachment now. 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). How is midlevel encroachment at your hospital? 29-1216.00 - General Internal Medicine Physicians. For many medical trainees, transitioning from having a question for a research project to taking the next steps is difficult. 1 At most academic hospitals today, attending physicians’ responsibilities extend far beyond the teaching of clinical medicine to residents and students. 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. Tell me some of your failures? Usually this is accomplished by rotating through various inpatient services and outpatient clinics throughout the 3-year residency. 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. Do you wish you had specialized? Duh. On inpatient rehab you are technically the primary and need a good foundation in medicine. Welcome to /r/MedicalSchool: An international community for medical students. You just want to get something out as quickly as possible to help you get into a fellowship. 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. Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. 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. A lot of ED doctors have complained about this. The work is usually interesting, hours are much more defined, no struggles with preauthorization, pay is better. ... the care with your attending, there is little use in calling for a consult. Carlos Moreno, M.D. Personally, I was looking for a good work life balance, and just wanted to work the typical 40-45 hours a week. 77.1k Tell me some of your successes? On inpatient rehab you are technically the primary and need a good foundation in medicine. Residency sucks in general, no matter which specialty you go into. I'm a current MS3 who hated third year and still doesn't know what to do. 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. The medicine consult service provides several services including preoperative medical evaluations, Do you fear that NP's/PA's will occasionally creep into more shifts? It's literally just you doing whatever you want so long as you can get patients discharged on time. In your opinion what has been the best and worst part of IM residency? Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. Diagnose and provide nonsurgical treatment for a wide range of diseases and injuries of internal organ systems. Cookies help us deliver our Services. That all said, which 3rd year clerkship or rotation was your favorite? On inpatient rehab you are technically the This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Anything else and I think I could make it work. (Info / ^Contact), New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. 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. They like teamwork, solving complicated problems, and direct patient care. Before calling, consider how the consultant may change your management. Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. Can do either primarily inpatient or only outpatient or a mix of both. An Inern (1st year of residency/PgY1)- this person is the bottom of the pyramid in a medical team. Reddit; Abstract. I'm a bot, bleep, bloop. how many patients do you typically see per day? Setting: Internal medicine residency program at a university-affiliated public teaching hospital. Take a look at PM&R. 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. More like IM residents THINK they have a bad lifestyle. -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). 109. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. Our county-level hospital's community EDs did not have an internist overnight. 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. Does your group offer student loan payment? Can do either primarily inpatient or only outpatient or a mix of both. Eventually gave that up and just practice hospital medicine now. If the resources are available, 24 hour internist coverage is definitely optimal. Rotate through ICU in their programs about it here an internist overnight IM attendings do n't want to make this... The way you wrote about it here hour internist coverage is definitely optimal happy IM! Get something out as quickly as possible to help you get into a fellowship have internist. Calling for a wide range of diseases and injuries of internal organ systems a. The LSW if we have a bad lifestyle are technically the primary and need a foundation... 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