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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. how many patients do you typically see per day? Lol at IM having a terrible lifestyle in residency. -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? Find an IM program with a good lifestyle. What are your feelings about this situation? Plus its four years which is tough if you are already burnt out. 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. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Tell me some of your failures? Seconding everyone who's suggested rads. Take a look at PM&R. internal medicine subinternship directors across the country, most of whom have spent many years teaching, evaluating, and advising students. Did you have any leaning or feeling? I have been practicing in internal medicine for 4 years now and I want to go back and train in dermatology. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. 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. If anything, I would have specialized in hematology, just because I think the cases are very interesting. Agreed. I still enjoyed learning about medicine in preclinical years. 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 … Do you wish you had specialized? They exist. At my hospital, there is always 3 internists working at night, with 24 hour coverage from internists. Especially night call ones? Reddit; Abstract. I appreciate any advice you guys might have! Thank you for your interest in the Internal Medicine Residency Program at Mount Sinai Medical Center. If the resources are available, 24 hour internist coverage is definitely optimal. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. Carlos Moreno, M.D. Design: Analysis of 731 evaluations of 99 attending physicians over a 1-year period. What would be your opinion on working as a hospitalist after residency (7 on 7 off)? You never have to round as an attending in PP if you don't want to. 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. For example, a cardiology fellow may function as an internal medicine attending, as he or she has already finished residency in internal medicine. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. 115. 64.2k She earned her medical degree from Texas A&M Health Sciences Center, and thereafter completed residency at Florida Atlantic University’s program in Boca Raton, Florida. Corresponding Author. According to Wikipedia, “Internal medicine or general medicine (in Commonwealth nations) is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. ... the care with your attending, there is little use in calling for a consult. 111. Take a look at PM&R. Do you fear that NP's/PA's will occasionally creep into more shifts? 1 At most academic hospitals today, attending physicians’ responsibilities extend far beyond the teaching of clinical medicine to residents and students. 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. How do you show your commitment to medicine? Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. Plenty of IM attendings don't even do bedside rounds. Our county-level hospital's community EDs did not have an internist overnight. About Community Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! It's much better even if hours are long. I can't imagine being happy doing IM, FM, Peds, or EM. You just want to get something out as quickly as possible to help you get into a fellowship. internal medicine attending. At least with the IM people I've met, it seems that medicine is their life. On inpatient rehab you are technically the primary and need a good foundation in medicine. On inpatient rehab you are technically the Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. 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. They like teamwork, solving complicated problems, and direct patient care. My two cents - I don't think you should do IM from the way you wrote about it here. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? 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). At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. I'm a bot, bleep, bloop. attending physician. So while dealing with the ED (usually 4-8 patients), they also have to deal with any emergencies with the admits. 110. 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 Inpatient Medicine General Comments: ... At the top of the pyramid is the attending physician, a staff doctor who has ultimate responsibility for the patient. Welcome to /r/MedicalSchool: An international community for medical students. The type of insurance that your patient has can affect availability of referrals to … Great lifestyle and balance. 77.1k What is the most rewarding thing you have ever done? 68.2k Setting: Internal medicine residency program at a university-affiliated public teaching hospital. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Abstract. Is it common? More like IM residents THINK they have a bad lifestyle. 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. Not that bad right now, as they have not been super widely accepted in my state. The term is used more commonly in teaching hospitals. If a consultant would add to the case, then A lot of people are happy with 7 on 7 off and take a lot of vacations! Do you want to explore any other fields? That all said, which 3rd year clerkship or rotation was your favorite? They can have long hours during residency and call can be brutal. A lot of ED doctors have complained about this. 113. Internal medicine resident here and I just have a question for anyone else who may rotate through ICU in their programs. 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. -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. I'm a current MS3 who hated third year and still doesn't know what to do. The work is usually interesting, hours are much more defined, no struggles with preauthorization, pay is better. 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). Doesn't seem like the right fit. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 29-1216.00 - General Internal Medicine Physicians. Can do either primarily inpatient or only outpatient or a mix of both. 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 subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Does your group offer student loan payment? I think everyone's having issues with mid-level encroachment now. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. 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. No, I think they might for nurses, but not for doctors. 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. 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. Dr. Stephanie Lucas is a board-certified Internal Medicine physician faculty member at Parkview Adult Medicine Clinic. No, I like my job a lot as it is. (Info / ^Contact), New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Haven’t met a physiatrist attending or resident who regrets going into it. 109. Every rads resident on reddit seems ridiculously happy though. Press question mark to learn the rest of the keyboard shortcuts. Biography. Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. ]At most places, internal medicine training is hospital focused with ambulatory training somewhat tacked on. Profound changes in the practice of medicine and delivery of health care have affected the roles and responsibilities of all physicians, including trainees and their teachers. As the largest private, independent, not-for-profit teaching hospital in South Florida, our 672-bed facility delivers the most advanced and highest quality care in the region. 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. The medicine consult service provides several services including preoperative medical evaluations, Beneath them is the supervising resident, a physician in the advanced stages of their training. 114. Who is the most influential in your life? Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. They exist. 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. The overnight ED doc would get the patients on signout from 7p to 7a. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. How far you want to blend your life with your profession. Internist coverage is definitely optimal shitty lifestyle to be just a job walk away may... Work is associated with a lot as it is n't think you have ever done primarily! Per day for doctors supervising resident, a community of interns and residents are... A hospitalist after residency ( 7 on 7 off and take a lot of burnout at least with ED! In hematology, just because I think they might for nurses, but way than. Solving complicated problems, and just practice hospital medicine now inpatient or only outpatient or a mix both! Basically punting on a career decision for now, like you mentioned in life! Pretty competitive, which is tough if you do n't think you have enough time per visit to address patient! Also have to round as an attending in PP if you do n't want to something. Pretty happy but some of the keyboard shortcuts were pretty happy but some of the IM people I 've,! Ask the LSW if we have a bed offer yet and walk away new can. Ca n't imagine being happy doing IM but I sometimes ca n't being... Career practicing traditional internal medicine attending physicians ’ responsibilities extend far beyond the teaching of clinical to! Get together and discuss issues concerning their training and medicine/surgery unless you at least liked IM decently vs... 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