The Yale Department of Internal Medicine offers a variety of residency training opportunities for medical students. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. New comments cannot be posted and votes cannot be cast . But for me, it sucked. Spotlight: Chelsea Gaviola, MD Chelsea Gaviola attended Johns Hopkins University and later received her MD from Dartmouth Medical School. Go to the gym, travel, do things that better yourself and it feels much more worthwhile than 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. internal medicine. When I was a student I wanted nothing more than ER. Need a surgeon to see your homeless undocumented immigrant needing I&Ds of multiple abscesses secondary to skin popping? It was a great learning experience as a brand new attending, but not so good for patients. Please read the rules carefully before posting or commenting. I won't go into how the rest of the hospital feels about ER docs generally :P. As an MS4 who prefers his work and break time to be in large chunks, this makes me giddy. Did you have any leaning or feeling? Duh. I can't imagine being happy doing IM, FM, Peds, or EM. This is a highly moderated subreddit. I realized I don’t know what life is like as an internist, especially in a community setting. I make sure to say hi to the night team and ask how their night went. 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. Our program is committed to your development as an internist, independent of … I'd also agree that in the private world it's WAY different: far easier to get anything done. Would strongly suggest adding a COVID response tab by program to let everyone know how they treated their residents. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. 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. Our program has been producing distinguished physicians and scientists since 1925. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. And you make more money. 0. Press question mark to learn the rest of the keyboard shortcuts. In the private world I have more patients to see but it's fantastic. No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. The world-class quality of our house staff is a primary strength of the training program. A quantitative analysis of the first year of internal medicine residency. 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. I don't know if it was because resources were limited (they were) or if because everybody is salaried and therefore with no sort of RVU-based incentives, but it was exhausting. Oh, agreed that the insurance company can fuck right off. Mission Statement. They can have long hours during residency and call can be brutal. 63110. There was virtually no education (e.g. You do medicine without the social work and notes. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. 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). Laundry, cleaning, errands but there's some down time too. You set your schedule (other than your admit schedule usually) of when you see your patients. Getting anything done felt like a struggle, pulling teeth. Great lifestyle and balance. I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. Share. You'll make less but you seriously have an ocean of free time. Mostly it's positive. A Message From Our Director . I'm a 'work to live' type of person and want medicine to be just a job. Not sure why anyone would want to do this for the rest of their lives. Welcome to /r/MedicalSchool: An international community for medical students. Like any job it depends on the market. I'm a current MS3 who hated third year and still doesn't know what to do. Medical residents work crazy hours with little free time and almost never enough sleep. Haven’t met a physiatrist attending or resident who regrets going into it. How is life when you’re actually working? But if you find a great group of fellow workers it's a really good life. 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. Press J to jump to the feed. Can do either primarily inpatient or only outpatient or a mix of both. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? I see several reasons it isn't a 'lifestyle specialty,' as you call it. Want to live in a particular place and expect to pay for it. That said, the life of an outpatient Internist is pretty tough. They like teamwork, solving complicated problems, and direct patient care. The other doctors didn't really seem to care about improving themselves. 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. There is also a very strong emphasis on hospital work in many internal medicine programs, to the detriment of the primary care experience. Please read … 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. … Compare that with 6,524 categorical internal medicine positions, 3,109 family medicine positions, and 2,640 pediatric positions. For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. Everybody wants something. What aspects of work do you live for? 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 know it was a lot of questions, thanks for your time. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". 19% Upvoted. Nah. What is your perception of a career in EM? My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. share. Hospitalist will do it! 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. When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Sorry for so many questions, just very curious, thank you! I'll bite. Have never worked academic outside of residency and briefly afterwards (few months, tops). I still enjoyed learning about medicine in preclinical years. (Diabetic won't use insulin as directed and lives in the Hostess aisle of the supermarket: your fault for the HbA1c of 11. F 617-632-8261. As Maine’s only internal medicine residency program, our program has been training internal medicine residents since 1956. Beth Israel Deaconess Medical Center Deaconess Building, Suite 306, One Deaconess Road Boston, MA 02215 P 617-632-8273. January 20, 2021. mgh internal medicine residency reddit. /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. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! You obviously have to like teaching but the hours are usually ridiculously good. The satisfaction our residents have from training with us and the successes they find afterward demonstrate our program’s excellent value. Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. (CJD was confirmed at autopsy.). Of course, you gotta love being in the hospital. Urgent care? We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. easy consults for patients with insurance). 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. It has been the site of many groundbreaking medical and technological advancements since the Medical School first opened in 1850. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. 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. And you can set your own schedule every single day. The Preliminary Internal Medicine Program provides one year of introductory training in general internal medicine. 26 weeks off a year. Do you want to explore any other fields? I appreciate any advice you guys might have! Need to take care of something during a work day? That's a shitty lifestyle to be working at something you don't really like all that much in the first place. 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. Something so cool I can't even think of it? To top it off, for those 400 dermatology positions, there were 780 applicants. They are OK, don't get me wrong, but I'm kinda saying the field is wide open now. That and if the group is owned by the hospital you can likely qualify for PSLF and save even more coin. The Vanderbilt Department of Medicine has over 900 faculty affiliated with 13 traditional divisions and several interdisciplinary research centers. what does the work day look like as a hospitalist? Apart from the residency training program, the Internal Medicine Department also offers a Telemedicine Program. Interested residency applicants may contact 0925 558 9824 / 0977 809 6788 or 888 2168 for an interview. 314-362-8065 | 314-747-1080 (fax). Hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated markets like NYC and Boston. 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? It's literally just you doing whatever you want so long as you can get patients discharged on time. Is this pathway relatively common? Internal Medicine Residency. 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. 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. Everyone wanted to come in, see their patients, fill out their billing, and leave. Do you get performance evaluations a lot? Anything else and I think I could make it work. Internal Medicine Residency Training Program. hide. phone calls from patients, colleagues, etc.? watching Netflix and playing PlayStation for a week. 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. Users currently online. Peggy Bui, MD, MBA | Education | February 11, 2016. I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. Or dealing with the chronically ill that just end up in your ED. Find an IM program with a good lifestyle. It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. Your fault for the multiple admits). It's much better even if hours are long. $$$. Burnout is a real thing: not too many people can manage an entire career there. In some programs, this generates a culture that is unfriendly to primary care generally and a lack of mentors in primary care. 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