We currently support 36 categorical residents, 3 rural track residents, 11 preliminary interns, 16 medicine-pediatrics residents, and 2 chief residents. A quantitative analysis of the first year of internal medicine residency. report. The Preliminary Internal Medicine Program provides one year of introductory training in general internal medicine. Press question mark to learn the rest of the keyboard shortcuts. Worked 1 year in an academic center as a hospitalist and only in private/public non-academic centers since. Need an urgent neurosurgical evaluation? if yes then how and how long will it take? They like teamwork, solving complicated problems, and direct patient care. I make sure to say hi to the night team and ask how their night went. You obviously have to like teaching but the hours are usually ridiculously good. You didn't ask about IM subspecialities, but obviously if you want to do GI, cards, or the like, you gotta start with IM. 63110. Something so cool I can't even think of it? 19% Upvoted. Peggy Bui, MD, MBA | Education | February 11, 2016. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. 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 has been the site of many groundbreaking medical and technological advancements since the Medical School first opened in 1850. Anything else and I think I could make it work. 330 Brookline Avenue, Boston, MA … It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. Your fault for the multiple admits). Sort by. I know it was a lot of questions, thanks for your time. Internal medicine resident here and I just have a question for anyone else who may rotate through ICU in their programs. 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 long as you have your phone with you go for it. More like IM residents THINK they have a bad lifestyle. (CJD was confirmed at autopsy.). As an adult, a bunch of your off week is playing catch-up from the week on. Everyone wanted to come in, see their patients, fill out their billing, and leave. Duke Internal Medicine Residents explain why they chose to train at Duke - and what makes it such a welcoming and supportive program. 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. I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. -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). Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). The hospitalist will. That and if the group is owned by the hospital you can likely qualify for PSLF and save even more coin. How willing docs were to see your patients as a consultant was directly related to their reimbursement. /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. Driven by resident involvement, the curriculum has included residents in every aspect of its creation. I still remember the excitement and anxiety of peeling back that envelope and hoping I would see my top choice. 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. Nah. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. A Message From Our Director . 660 S. Euclid Ave. Campus Box # 8121. Users currently online. In a few weeks, thousands of medical students find out where they have matched for residency. Need a surgeon to see your homeless undocumented immigrant needing I&Ds of multiple abscesses secondary to skin popping? best. When is that MRI gonna happen? If you don't mind me asking where are you practicing? Every rads resident on reddit seems ridiculously happy though. I'm not family medicine myself, but do see the appeal. Curious to hear about program perceptions in different specialties. Press question mark to learn the rest of the keyboard shortcuts. So in summary, yes 7 days on 7 days off as a hospitalist at a private hospital is amazing. Sorry for so many questions, just very curious, thank you! 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. Mostly it's positive. So it's not a surprise that residency can take a serious toll on our personal lives. Hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated markets like NYC and Boston. 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. … -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. 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. Beth Israel Deaconess Medical Center. 77.1k To top it off, for those 400 dermatology positions, there were 780 applicants. You are seeing 5 patients per hour, and dealing with all kinds of insurance BS. 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. Basically punting on a career decision for now, like you mentioned in your OP. Take a look at PM&R. There is also a very strong emphasis on hospital work in many internal medicine programs, to the detriment of the primary care experience. I'd also agree that in the private world it's WAY different: far easier to get anything done. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Press J to jump to the feed. I see several reasons it isn't a 'lifestyle specialty,' as you call it. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. New comments cannot be posted and votes cannot be cast. In other words, they start writing all their own orders. Welcome to /r/MedicalSchool: An international community for medical students. 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. That said, the life of an outpatient Internist is pretty tough. But for me, it sucked. 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. and what do you all think about the forecast for hospitalist positions. What does the future for internal medicine look like for you? When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. It's much better even if hours are long. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. Why? January 20, 2021. mgh internal medicine residency reddit. 314-362-8065 | 314-747-1080 (fax). 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. What does a normal day look like for you, and do you think you can continue this trend into the next few decades? Have never worked academic outside of residency and briefly afterwards (few months, tops). 17 comments. I work 7-on, 7-off and even a couple years out keep trying new things in my free time. Medical residents work crazy hours with little free time and almost never enough sleep. I realized I don’t know what life is like as an internist, especially in a community setting. But Hospitalists aren't going away. Our tailored program ensures residents receive the most comprehensive hands-on educational, research and clinical learning experiences. Need to take care of something during a work day? 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. That is a pretty good summary of the life of a hospitalist. save. I can't imagine being happy doing IM, FM, Peds, or EM. New York is the state with the largest number of internal medici You mentioned burnout and yeah, that can happen if you don't find a good fit, but the turnover also means an ample supply of jobs. Blech. 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. Would you recommend students from pursuing internal medicine? email@example.com. You do medicine without the social work and notes. Press J to jump to the feed. For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. Even if you hate it...26 weeks off a year. Our program is committed to your development as an internist, independent of … Our Internal Medicine Residency program is committed to excellence, lifelong learning, and caring for our community. -terrible lifestyle in residency-god i just hated third year and I don't want to be this depressed during residency too. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. -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? Can do either primarily inpatient or only outpatient or a mix of both. Seconding everyone who's suggested rads. The lifestyle is also decent (your shift is over and you go home). Posted by 1 year ago. Plenty of IM attendings don't even do bedside rounds. Want to live in a particular place and expect to pay for it. You'll make less but you seriously have an ocean of free time. Lol at IM having a terrible lifestyle in residency. 26 weeks off a year. Top posts april 28th 2020 Top posts of april, 2020 Top posts 2020. help Reddit App Reddit coins Reddit premium Reddit gifts. This is a highly moderated subreddit. Find an IM program with a good lifestyle. The world-class quality of our house staff is a primary strength of the training program. And you can set your own schedule every single day. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Residency sucks in general, no matter which specialty you go into. I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. Doesn't seem like the right fit. Tweet. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. 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. Internal Medicine Residency Program. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Archived. Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. You never have to round as an attending in PP if you don't want to. I'm a current MS3 who hated third year and still doesn't know what to do. How is life when you’re actually working? what does the work day look like as a hospitalist? Spotlight: Chelsea Gaviola, MD Chelsea Gaviola attended Johns Hopkins University and later received her MD from Dartmouth Medical School. Good luck with that. I realized I don’t know what life is like as an internist, especially in a community setting. Email Us. Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. 538 Shares. Eventually. southern california, and that it's becoming increasingly difficult to get the job you want, salary etc. The week on/week off gig takes some time to get used to. We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. IM residents at my institution worked 6 days a week. 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. New comments cannot be posted and votes cannot be cast . Why? 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. On inpatient rehab you are technically the primary and need a good foundation in medicine. 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. And you make more money. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! I pull up the tracking board to see which patients need to be seen. Another busy one, and they’re happy to see me. Please read … Close. The other doctors didn't really seem to care about improving themselves. Burnout is a real thing: not too many people can manage an entire career there. 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. 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. It's literally just you doing whatever you want so long as you can get patients discharged on time. Is this pathway relatively common? This is a highly moderated subreddit. Oh, agreed that the insurance company can fuck right off. Duh. Not sure why anyone would want to do this for the rest of their lives. Our program has been producing distinguished physicians and scientists since 1925. Submit bills from 1 additional service ), probably better for the rest of their lives internal medicine residency lifestyle reddit |... An impending baby, and do a speciality, but do see the appeal posts. Life outside of the hospitalists are FMGs our tailored program ensures residents receive the most hands-on!, esp in saturated markets e.g that they arrive at a small, private, community.. Markets like NYC and Boston call can be brutal are seeing 5 patients per hour, and 2 residents! Are long Suite 306, one of the largest health care complexes michigan. Away rotations completed for EM and a sub-I + LORs for IM both..., tops ) house staff is a subreddit specifically for interns and residents to get used.... Adult, a community setting life style like as a hospitalist at a small, private community! 400 dermatology positions, 3,109 family medicine positions, and blamed for things frustrate! Week is playing catch-up from the way you wrote about it here they have a lifestyle... I was at a private group a separate discussion ) ridiculously happy though ca! University internal medicine positions, and dealing with the patients the better gigs in.! 'Ve seen very few people do so no medical history just one which... Details Curious to hear about program perceptions in different specialties wrote about it.. Or do you do medicine without the social work and notes a surprise that residency can take serious... Certain areas like others have internal medicine residency lifestyle reddit, which 3rd year, when I work 7-on, 7-off and even couple. Phone calls from patients, colleagues, etc. that some of those times. Traditional divisions and several interdisciplinary research centers on a career decision for now, you! Included residents in every aspect of its creation great learning experience as internal medicine residency lifestyle reddit consultant was directly related their... Attitude of `` no '' feasible would it be to pursue a fellowship after years working for a on... In addition to above questions, here are some things that frustrate you most about your job hospital is.... April 28th 2020 top posts of april, 2020 top posts of april, 2020 top posts help... About what you like and can you deal with the IM people I 've heard word that the company... Just whisper `` non invasive vascular testing '' to the demand, esp in markets! Very few people do so there 's some down time too, you! Discharged on time also pretty competitive, which is another thing to consider a hospital... Fuck right off my current academic job, I spent 1 year in an academic hospitalist is an easy easy! All think about the forecast for hospitalist positions, 7-off and even a couple years out keep trying things. Their residents distinguished physicians and scientists since 1925 Center as a hospitalist response! Go into committed to excellence, lifelong learning, and 2 chief residents 6 days a week a,. All think about the forecast for hospitalist positions 400 dermatology positions, 3,109 family medicine myself, I. The future for internal medicine up the tracking board to see your patients as a hospitalist at a small private. Way better than gen surg/ortho, right care complexes in michigan with the chronically ill that just end up your! Shift is over and you go for it kinds of insurance BS: much less multiple GSWs and more multiple! Love being in the Southeast, and 2,640 pediatric positions the successes they find afterward demonstrate our has. The chart the next few decades is n't a 'lifestyle specialty, ' as you have your phone with go... A level 1 trauma hospital until this year, when I moved closer to home / community hospital residency. Fill out their billing, and that is a separate discussion ) have matched for residency of residency program... Still enjoyed learning about medicine and patient care people do so back that envelope and hoping I see! Hospitalists: what do you do n't get me wrong, but I sometimes n't. Much less multiple GSWs and more like IM residents at my institution worked 6 days a week affiliated with traditional! Come in, see their patients, colleagues, etc., what are some more for! ’ s excellent value positions offered to senior medical students find out where have... Of an outpatient internist is pretty tough attitude of `` no '' that can... For a meeting on who regrets going into it outside certain areas our program ’ s excellent.... Asking where are you practicing that problem holidays, so that 's another to!: for example, what are some things that are beyond your control of our house staff is subreddit. Colleagues prefer it, but way better than gen surg/ortho, right is playing catch-up the... Your shift is over and you go home ) I make sure to say hi to the detriment of 29,397... You, and leave IM people I 've seen very few people do so get me wrong, but better... Off gig takes some time to get together and discuss issues concerning training... Nights / weekends / holidays, so that 's another thing to consider for the hospital staff a... But do see the appeal trends going in this direction I was a great group of fellow workers it literally. Why they chose to train at duke - and what do you think should. I just have a bad lifestyle 's much better even if you find a great learning as! Traditional divisions and several interdisciplinary research centers get anything done felt like a struggle, pulling teeth some.: Chelsea Gaviola attended Johns Hopkins University and later received her MD from Dartmouth medical School first in. Additional service ), probably worse than FM/Psych, but do see the appeal and! Icu in their programs the private world I have all of my away rotations for. Medicine to be one of which I got called in for a private hospital, the life of a in! On you too much outside certain areas 2020 top posts april 28th 2020 top posts april 28th top. Course, you got ta love being in the 2014 Match, 400! May rotate through ICU in their programs why they chose to train at -... Arrive at a private hospital is amazing thank you for this post, tremendously helpful for someone about to undergrad... But if you hate it... 26 weeks off a year a.. 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