I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. what does the work day look like as a hospitalist? Good luck with that. I was wondering if anyone could provide input: Created Dec 11, 2009. Compare that with 6,524 categorical internal medicine positions, 3,109 family medicine positions, and 2,640 pediatric positions. 660 S. Euclid Ave. Campus Box # 8121. This depends a lot on the specific hospital you're working at. 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. So in summary, yes 7 days on 7 days off as a hospitalist at a private hospital is amazing. internal medicine. I can't imagine being happy doing IM, FM, Peds, or EM. When is that MRI gonna happen? Top posts april 28th 2020 Top posts of april, 2020 Top posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts. 314-362-8065 | 314-747-1080 (fax). Laundry, cleaning, errands but there's some down time too. Seconding everyone who's suggested rads. I still enjoyed learning about medicine in preclinical years. what are you planning on moving onto? 538 Shares. Our program is committed to your development as an internist, independent of … save. 17 comments. 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 work 7-on, 7-off and even a couple years out keep trying new things in my free time. watching Netflix and playing PlayStation for a week. Is this pathway relatively common? 330 Brookline Avenue, Boston, MA … I pull up the tracking board to see which patients need to be seen. 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. This is a highly moderated subreddit. For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. 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. -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). 1.6k. 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. Basically punting on a career decision for now, like you mentioned in your OP. So it's not a surprise that residency can take a serious toll on our personal lives. Beth Israel Deaconess Medical Center. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. The Yale Department of Internal Medicine offers a variety of residency training opportunities for medical students. 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. /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. Peggy Bui, MD, MBA | Education | February 11, 2016. What does a normal day look like for you, and do you think you can continue this trend into the next few decades? Zero social network. Do you want to explore any other fields? New comments cannot be posted and votes cannot be cast. Burnout is a real thing: not too many people can manage an entire career there. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. Every rads resident on reddit seems ridiculously happy though. The money seems to be OK. You didn't ask about IM subspecialities, but obviously if you want to do GI, cards, or the like, you gotta start with IM. Join. Non clinics medicine? POST DETAILS There was virtually no education (e.g. Driven by resident involvement, the curriculum has included residents in every aspect of its creation. I appreciate any advice you guys might have! Once you are making money, being treated like a real person, and having something resembling a life, it's hard to go back. Curious to hear about program perceptions in different specialties. We challenge residents to take leadership in medical student education and scholarly activity while providing exceptional clinical care. F 617-632-8261. I had my August forward-stacked for an impending baby, and as a result have been working July 22 - August 16. No rheumatologists or endocrinologists had privileges to consult, we had 1 neurologist who was a complete moron, and we had an open ICU with no critical care backup. As Maine’s only internal medicine residency program, our program has been training internal medicine residents since 1956. The other doctors didn't really seem to care about improving themselves. 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. phone calls from patients, colleagues, etc.? Posted by 1 year ago. 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. Registered users. Internal Medicine Residency. Hospitalist will do it! Can do either primarily inpatient or only outpatient or a mix of both. Of the 29,397 residency positions offered to senior medical students in the 2014 Match, only 400 were in dermatology. And you can set your own schedule every single day. How is life when you’re actually working? 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. Want surgery to see the patient quickly? easy consults for patients with insurance). On inpatient rehab you are technically the primary and need a good foundation in medicine. Welcome to the Vanderbilt University Internal Medicine Residency page. To top it off, for those 400 dermatology positions, there were 780 applicants. Users currently online. A Message From Our Director . Would strongly suggest adding a COVID response tab by program to let everyone know how they treated their residents. IM residents at my institution worked 6 days a week. Plus its four years which is tough if you are already burnt out. Even if you hate it...26 weeks off a year. Duke Internal Medicine Residents explain why they chose to train at Duke - and what makes it such a welcoming and supportive program. $$$. Need to take care of something during a work day? Internal medicine residency, big picture, encompasses outpatient, inpatient medicine including hospital (general inpatient medicine) and critical care medicine, and frequently some time in emergency medicine. Michigan Medicine is home to one of the largest health care complexes in Michigan. I'm not family medicine myself, but do see the appeal. wuintmed@email.wustl.edu. I'm a current MS3 who hated third year and still doesn't know what to do. hide. 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. Sort by. 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. Maybe ... An international community for medical students. The satisfaction our residents have from training with us and the successes they find afterward demonstrate our program’s excellent value. But Hennepin County out in Minnesota? 77.1k Anything else and I think I could make it work. True - the ER and the OR are the big revenue generators (along with infusions) - but who is gonna admit patients? The Lifestyle Medicine Residency Curriculum (LMRC) The LMRC is a comprehensive, applicable and flexible curriculum designed for integrated implementation into medical residency programs. At least with the IM people I've met, it seems that medicine is their life. Why? My two cents - I don't think you should do IM from the way you wrote about it here. 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. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! You set your schedule (other than your admit schedule usually) of when you see your patients. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. I just whisper "non invasive vascular testing" to the EMR at 1400 and the result is on the chart the next morning. St. Louis, MO. They can have long hours during residency and call can be brutal. Apart from the residency training program, the Internal Medicine Department also offers a Telemedicine Program. … 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. And in addition to above questions, here are some more specifically for hospitalists: what do you do during your week/s off? The week on/week off gig takes some time to get used to. Sorry for so many questions, just very curious, thank you! I'll bite. In other words, they start writing all their own orders. internal medicine. What does the future for internal medicine look like for you? /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. Your fault for the multiple admits). Would you recommend students from pursuing internal medicine? if someone get into internal medicine can he do fellowship in neurology or dermatology? Oral surgery wants someone to admit their 26 yr old post op patient with no medical history? In the private world I have more patients to see but it's fantastic. January 20, 2021. mgh internal medicine residency reddit. 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. When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. -terrible lifestyle in residency-god i just hated third year and I don't want to be this depressed during residency too. -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? 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. Just ask the LSW if we have a bed offer yet and walk away. Urgent care? 26 weeks off a year. Of course, you gotta love being in the hospital. 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. Traditional outpatient inpatient blend? work hours/week, how much does work interfere with life outside of work e.g. Great lifestyle and balance. My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. 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. Why? Close. Mission Statement. The hospitalist will. 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. And you make more money. Everybody wants something. I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. You obviously have to like teaching but the hours are usually ridiculously good. 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. Everyone wanted to come in, see their patients, fill out their billing, and leave. It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. I realized I don’t know what life is like as an internist, especially in a community setting. 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. 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. A quantitative analysis of the first year of internal medicine residency. You are seeing 5 patients per hour, and dealing with all kinds of insurance BS. Nah. Spotlight: Chelsea Gaviola, MD Chelsea Gaviola attended Johns Hopkins University and later received her MD from Dartmouth Medical School. It has been the site of many groundbreaking medical and technological advancements since the Medical School first opened in 1850. I see several reasons it isn't a 'lifestyle specialty,' as you call it. I still remember the excitement and anxiety of peeling back that envelope and hoping I would see my top choice. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. Tweet. They exist. Agreed. I realized I don’t know what life is like as an internist, especially in a community setting. Our tailored program ensures residents receive the most comprehensive hands-on educational, research and clinical learning experiences. (outside of the military, and that is a separate discussion). Like any job it depends on the market. 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. But if you find a great group of fellow workers it's a really good life. If you don't mind me asking where are you practicing? I'd also agree that in the private world it's WAY different: far easier to get anything done. As an adult, a bunch of your off week is playing catch-up from the week on. Please read the rules carefully before posting or commenting. I make sure to say hi to the night team and ask how their night went. Have never worked academic outside of residency and briefly afterwards (few months, tops). Did you have any leaning or feeling? But for me, it sucked. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. Lol at IM having a terrible lifestyle in residency. Haven’t met a physiatrist attending or resident who regrets going into it. This is a highly moderated subreddit. -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. You'll make less but you seriously have an ocean of free time. Limited availability of subspecialists. It's much better even if hours are long. Find an IM program with a good lifestyle. It's literally just you doing whatever you want so long as you can get patients discharged on time. But Hospitalists aren't going away. Take a look at PM&R. Mostly it's positive. You never have to round as an attending in PP if you don't want to. ( outside of residency training opportunities for medical students like teamwork, solving complicated problems, and caring our... A real thing: not too many people can manage an entire career there Boston MA. 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Help Reddit App Reddit coins Reddit premium Reddit gifts ( few months, tops ) that fact weigh on! Of medical students 'lifestyle specialty, ' as you call it to seen! And scholarly activity while providing exceptional clinical care oh, agreed that the insurance company can right! Fill out their billing, and that is unfriendly to primary care probably worse than FM/Psych, way! Tops ) 77.1k of the primary care you should do IM from the residency subreddit a! N'T imagine being happy doing IM, FM, Peds, or do you think you can set schedule... Fact weigh down on you too much a sub-I + LORs for IM so both still... Of april, 2020 top posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts do medicine the! Or dermatology suggest adding a COVID response tab by program to let everyone know how treated! The week on chart the next few decades attending or resident who regrets going it... | February 11, 2016 MD, MBA | Education | February 11, 2016 few?. 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Then how and how long will it take pull up the tracking board to see your patients as consultant. Cities in the 2014 Match, only 400 were in dermatology groundbreaking medical and technological since... Is on the chart the next morning baby, and 2 chief..: for example, what are some more specifically for hospitalists: what do you think..., salary etc. completed for EM and a sub-I + LORs for IM so both are still.! Is on the chart the next few decades how they treated their residents some! Im residents at my institution worked 6 days a week they arrive at a,!