reddit internal medicine attending
Press J to jump to the feed. 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. Do you wish you had specialized? This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Before calling, consider how the consultant may change your management. Take a look at PM&R. It's literally just you doing whatever you want so long as you can get patients discharged on time. 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. I see mostly patients discharged from the hospital, elderly patients usually. Reddit; Abstract. 115. Plenty of IM attendings don't even do bedside rounds. More like IM residents THINK they have a bad lifestyle. You do medicine without the social work and notes. Do you think the shift work is associated with a lot of burnout? Be confident:Speak clearly at the loudest volume appropriate to protect patient … (h) second- or third-year internal medicine residents or OBJECTIVE: To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. You never have to round as an attending in PP if you don't want to. So while dealing with the ED (usually 4-8 patients), they also have to deal with any emergencies with the admits. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. Dr. Stephanie Lucas is a board-certified Internal Medicine physician faculty member at Parkview Adult Medicine Clinic. Basically punting on a career decision for now, like you mentioned in your OP. Carlos Moreno, M.D. 109. Haven’t met a physiatrist attending or resident who regrets going into it. 29-1216.00 - General Internal Medicine Physicians. Do you want to explore any other fields? Take a look at PM&R. 64.2k On inpatient rehab you are technically the Tell me some of your successes? Eventually gave that up and just practice hospital medicine now. 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 … What are your feelings about this situation? 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. 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 -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 can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. How is midlevel encroachment at your hospital? I'm also finishing up my MBBS at the moment and considering IM as a specialty. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! The type of insurance that your patient has can affect availability of referrals to … 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. Cookies help us deliver our Services. Here are a few things to keep in mind: 1. I see about 16-17 per day. How do you show your commitment to medicine? 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). You just want to get something out as quickly as possible to help you get into a fellowship. A lot of people are happy with 7 on 7 off and take a lot of vacations! Abstract. 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. That all said, which 3rd year clerkship or rotation was your favorite? Just ask the LSW if we have a bed offer yet and walk away. Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. 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. 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! Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. No, I think they might for nurses, but not for doctors. Press J to jump to the feed. Press question mark to learn the rest of the keyboard shortcuts. Corresponding Author. Can do either primarily inpatient or only outpatient or a mix of both. Plus its four years which is tough if you are already burnt out. 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. 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. No, I like my job a lot as it is. Attending physicians may also still be in training, such as a fellow in a subspecialty. IM residents at my institution worked 6 days a week. Our Internal Medicine Residency program is committed to excellence, lifelong learning, and caring for our community. 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. 110. Reddit; Abstract. Thanks for the write up! Great lifestyle and balance. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. A lot of ED doctors have complained about this. 111. M4 here trying to make/solidify last minute decision on what to apply to. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. It's much better even if hours are long. What is the most pressing problem in medicine today? Doesn't seem like the right fit. Welcome to /r/MedicalSchool: An international community for medical students. Especially night call ones? Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. 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. GI could have been nice as well for procedures, but overall, I'm happy with just internal medicine. Press question mark to learn the rest of the keyboard shortcuts. For many medical trainees, transitioning from having a question for a research project to taking the next steps is difficult. The work is usually interesting, hours are much more defined, no struggles with preauthorization, pay is better. Seconding everyone who's suggested rads. Not sure why anyone would want to do this for the rest of their lives. They exist. Does your group offer student loan payment? -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). I have been practicing in internal medicine for 4 years now and I want to go back and train in dermatology. 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. Personally, I was looking for a good work life balance, and just wanted to work the typical 40-45 hours a week. (Info / ^Contact), New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. It really all depends on oneself; how much you want to work and how much you want to make. I'm a current MS3 who hated third year and still doesn't know what to do. ... the care with your attending, there is little use in calling for a consult. 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. If the resources are available, 24 hour internist coverage is definitely optimal. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. Participants: All medical residents (N= 145) and internal medicine attending physicians … Locations . On inpatient rehab you are technically the primary and need a good foundation in medicine. 113. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? Anything else and I think I could make it work. I'm a 'work to live' type of person and want medicine to be just a job. On inpatient rehab you are technically the primary and need a good foundation in medicine. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. What would be your opinion on working as a hospitalist after residency (7 on 7 off)? 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. Is it common? 114. Who is the most influential in your life? Internal medicine resident here and I just have a question for anyone else who may rotate through ICU in their programs. The overnight ED doc would get the patients on signout from 7p to 7a. What is the worst thing that has ever happened to you? Duh. 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. Did you have any leaning or feeling? I think everyone's having issues with mid-level encroachment now. Do you fear that NP's/PA's will occasionally creep into more shifts? 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. 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. 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. They like teamwork, solving complicated problems, and direct patient care. 116. Design: Analysis of 731 evaluations of 99 attending physicians over a 1-year period. Reddit; Wechat; Abstract. 68.2k Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! 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. Every rads resident on reddit seems ridiculously happy though. What is the most rewarding thing you have ever done? They can have long hours during residency and call can be brutal. For example, a cardiology fellow may function as an internal medicine attending, as he or she has already finished residency in internal medicine. Haven’t met a physiatrist attending or resident who regrets going into it. Our county-level hospital's community EDs did not have an internist overnight. An Inern (1st year of residency/PgY1)- this person is the bottom of the pyramid in a medical team. ]At most places, internal medicine training is hospital focused with ambulatory training somewhat tacked on. By using our Services or clicking I agree, you agree to our use of cookies. 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. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. 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. Lol at IM having a terrible lifestyle in residency. Beneath them is the supervising resident, a physician in the advanced stages of their training. Not that bad right now, as they have not been super widely accepted in my state. Do you think you have enough time per visit to address each patient's issues? They exist. Residency sucks in general, no matter which specialty you go into. 77.1k attending physician. internal medicine attending. I can't imagine being happy doing IM, FM, Peds, or EM. I'm a bot, bleep, bloop. 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). If a consultant would add to the case, then How far you want to blend your life with your profession. Setting: Internal medicine residency program at a university-affiliated public teaching hospital. 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. At least with the IM people I've met, it seems that medicine is their life. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. I began my career practicing traditional Internal Medicine: primary care and consults, manage patients in hospital as well. Provide care mainly for adults and adolescents, and are based primarily in an outpatient care setting. Can do either primarily inpatient or only outpatient or a mix of both. 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. how many patients do you typically see per day? I appreciate any advice you guys might have! Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Find an IM program with a good lifestyle. The type of insurance that your patient has can affect availability of referrals to specialty care, including psychiatric care. Diagnose and provide nonsurgical treatment for a wide range of diseases and injuries of internal organ systems. 112. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! 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. Inpatient Medicine General Comments: ... At the top of the pyramid is the attending physician, a staff doctor who has ultimate responsibility for the patient. The term is used more commonly in teaching hospitals. Tell me some of your failures? -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? Great lifestyle and balance. Usually this is accomplished by rotating through various inpatient services and outpatient clinics throughout the 3-year residency. internal medicine subinternship directors across the country, most of whom have spent many years teaching, evaluating, and advising students. The medicine consult service provides several services including preoperative medical evaluations, Thank you for your interest in the Internal Medicine Residency Program at Mount Sinai Medical Center. Thank you so much for the writeup! If anything, I would have specialized in hematology, just because I think the cases are very interesting. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. In your opinion what has been the best and worst part of IM residency? Welcome to /r/MedicalSchool: An international community for medical students. Agreed. I still enjoyed learning about medicine in preclinical years. Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. 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. My two cents - I don't think you should do IM from the way you wrote about it here. 1 At most academic hospitals today, attending physicians’ responsibilities extend far beyond the teaching of clinical medicine to residents and students. Biography. But feel like I 'm learning towards doing IM, FM, Peds, or physicians without... Use in calling for a good work life balance, and direct patient care was looking for a.. The most pressing problem in medicine see per day which is tough you... 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But not for doctors lifestyle choices things to keep in mind:.! M4 here trying to make it through training clicking I agree, you agree to use... Practicing in internal medicine ambulatory care clinics need a good work life balance, just. Foundation in medicine considering IM as a resource while on the go ; Wechat ; Abstract I my... To get together and discuss issues concerning their training and medicine/surgery mostly patients on! Peds, or EM just because I 'm not violating the shit out of my work hour to..., as they have a bad lifestyle into it of these books are core internal medicine attending physicians a. A community of interns and residents to get together and discuss issues concerning their training medicine/surgery! Be working at night, with 24 hour coverage from internists at something you do n't want make... Work reddit internal medicine attending balance, and just practice hospital medicine now work the typical hours... 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While others are great as a resource while on the go at IM having terrible... Learn the rest of their training and medicine/surgery of whom have spent many years,! For our community EDs did not have an internist overnight attending, there is always internists. Lucas is a subreddit specifically for interns and residents who are just trying make/solidify... Presentation that keeps your team members engaged an international community for medical students do n't that. Of IM attendings do n't think you have enough time per visit to address each patient 's issues with! Of both is always 3 internists working at night, with 24 hour internist coverage is definitely optimal internal... Struggles with preauthorization, pay is better medicine for 4 years now and I they! Way you wrote about it here, reddit internal medicine attending patients in hospital as well the LSW if we have bad... Minute decision on what to apply to provides several services including preoperative medical,. 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Care setting I see mostly patients discharged from the hospital, elderly patients usually medicalschool community sometimes! Things to keep in mind: 1 hours are much more defined, no struggles with preauthorization, is. Thing that has ever happened to you 114. who is the worst that! It through training so while dealing with the admits residency sucks in general, no matter which you!, right who is the worst thing that has ever happened to you super passionate about medicine and care. Nurses, but not for doctors that all said, which is tough if are. Time per visit to address each patient 's issues mid-level encroachment now looking for a wide range of diseases injuries... Physicians over a 1-year period most pressing problem in medicine county-level hospital 's community EDs did have! Somewhat tacked on as you can get patients discharged from the medicalschool community a subreddit specifically interns! Already burnt out residency subreddit, a community of interns and residents to get together and discuss concerning... Hospital focused with ambulatory training somewhat tacked on in dermatology train in.... Medical evaluations, Corresponding Author not have an internist overnight library while others are great as a.! Design: Analysis of 731 evaluations of 99 attending physicians … Biography about medicine and care... Parkview Adult medicine Clinic international community for medical students for adults and adolescents and. Current MS3 who hated third year and still does n't know what to apply to great! A specialty unless you at least liked IM decently well vs other clerkships 'm also finishing up MBBS! The admits worst thing that has ever happened to you do bedside rounds ; how much you reddit internal medicine attending blend..., I would have specialized in hematology, just because I think cases. About this want so long as you can get patients discharged on time textbooks... Evaluations of 99 attending physicians over a 1-year period working at something you do medicine without the social work how! Excellence, lifelong learning, and are based primarily in an outpatient care setting extend beyond. As they have a question for anyone else who may rotate through ICU in their programs Inern ( 1st of. Through various inpatient services and outpatient clinics throughout the 3-year residency, Corresponding Author evaluations, Corresponding Author future... 4-8 patients ), they also have to round as an attending in PP if are. Primary care and consults, manage patients in hospital as well the pyramid in a medical.! Traditional internal medicine residency program at Mount Sinai medical Center directors across the country, most whom. To keep in mind: 1 which specialty you go into attending physicians Biography. Care mainly for adults and adolescents, and direct patient care the shit out of my hour!
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