internal medicine lifestyle reddit

Demand to sit for the exam is exploding, Dysinger says. Mostly it's positive. Theoretically you can go back and do a speciality, but I've seen very few people do so. I still enjoyed learning about medicine in preclinical years. 26 weeks off a year. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. You are seeing 5 patients per hour, and dealing with all kinds of insurance BS. Lol at IM having a terrible lifestyle in residency. 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. It's literally just you doing whatever you want so long as you can get patients discharged on time. If you don't mind me asking where are you practicing? Anything else and I think I could make it work. The American Board of Lifestyle Medicine began offering certification in lifestyle medicine in October 2017, and so far 300 doctors have received it. I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. Fish’s Clinical Psychopathology Signs and Symptoms in Psychiatry 4th Edition Psychopathology lies at the centre of effective psychiatric practice and mental health care, and Fish’s Clinical Psychopathology has shaped the training and clinical practice of psychiatrists for over fifty years. I appreciate any advice you guys might have! Take a look at PM&R. I realized I don’t know what life is like as an internist, especially in a community setting. Threads 1.1K Messages 23.4K. 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). I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. 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. Plenty of IM attendings don't even do bedside rounds. On inpatient rehab you are technically the primary and need a good foundation in medicine. Burnout continues to be a pervasive issue among physicians. You never have to round as an attending in PP if you don't want to. Why? I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. The week on/week off gig takes some time to get used to. (CJD was confirmed at autopsy.). Hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated markets like NYC and Boston. 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. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. Boston Medical & Surgical Journal 1927, 196(3):89-96. Not sure why anyone would want to do this for the rest of their lives. New comments cannot be posted and votes cannot be cast. R. Official 2020-2021 Rheumatology Fellowship Application Cycle. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. I think Allergy and Immunology, Rheumatology, and Endocrinology can all eventually reach $275K-$300K with a decent lifestyle, unless you want to work in someplace like California or NYC. Internal Medicine-Critical Care Medicine (2) Pain Medicine (0) Pediatric Emergency Medicine (7) Practice For Sale - Emergency Medicine (0) Residency / Fellowship / Internship - Emergency Medicine (1) Sports Medicine (0) Surgical-Critical Care (1) Toxicology (1) Undersea & Hyperbaric Medicine (0) Great lifestyle and balance. Did you have any leaning or feeling? (Diabetic won't use insulin as directed and lives in the Hostess aisle of the supermarket: your fault for the HbA1c of 11. Plus its four years which is tough if you are already burnt out. Can do either primarily inpatient or only outpatient or a mix of both. How is life when you’re actually working? You set your schedule (other than your admit schedule usually) of when you see your patients. [ December 11, 2020 ] To all Residents: Here’s the latest on board certification. They can have long hours during residency and call can be brutal. Oh, agreed that the insurance company can fuck right off. 5 Metcalf KM, Moriarty ME: A clinical study of epileptic children treated by ketogenic diet. 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. Why? As long as you have your phone with you go for it. The study found that the generation most happy outside of work is millennials … what are you planning on moving onto? 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. How feasible would it be to pursue a fellowship after years working for a private group? Worked 1 year in an academic center as a hospitalist and only in private/public non-academic centers since. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. Some of you may know that I started out in an internal medicine residency and quit for physical medicine and rehabilitation (PM&R). Once you are making money, being treated like a real person, and having something resembling a life, it's hard to go back. Hospitalist will do it! I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Threads 266 Messages 8.6K. These three probably do have the best lifestyle (almost all outpatient, regular … 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. 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. Welcome to /r/MedicalSchool: an international community for medical students. Need to take care of something during a work day? Non clinics medicine? Have never worked academic outside of residency and briefly afterwards (few months, tops). Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. In Molise, also in the past, several white coats have ignored the requests of the health company for the search for personnel. For the 11 years that I practiced general internal medicine, I did not have a good quality of life. Haven’t met a physiatrist attending or resident who regrets going into it. Every rads resident on reddit seems ridiculously happy though. 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 Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? 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. But Hospitalists aren't going away. Press J to jump to the feed. That and if the group is owned by the hospital you can likely qualify for PSLF and save even more coin. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". Seconding everyone who's suggested rads. And you can set your own schedule every single day. Blech. How willing docs were to see your patients as a consultant was directly related to their reimbursement. 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. Why we revolt: A patient revolution for careful and kind care, by Dr. Victor Montori. 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. 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. 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. easy consults for patients with insurance). Burnout is a real thing: not too many people can manage an entire career there. What is life style like as an internist e.g. Haven’t met a physiatrist attending or resident who regrets going into it. Any plans on incorporating clinic to your practice? The Immortal Life of Henrietta Lacks, by Rebecca Skloot. This depends a lot on the specific hospital you're working at. The COPD patient who still smokes 1ppd and uses meds when he feels like it? Something so cool I can't even think of it? Completion of residency training in preventive medicine is an essential step to become certified in one or more of the preventive medicine specialty areas: Public Health and General Preventive Medicine, Occupational Medicine, and Aerospace Medicine. 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. My two cents - I don't think you should do IM from the way you wrote about it here. I'm very grateful that some of my colleagues prefer it, but I would never go back to that environment again. That said, the life of an outpatient Internist is pretty tough. There are currently 72 accredited preventive medicine residency training programs in the United States. As for EM: it's all about what you like and can you deal with the patients. -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. Some results: rheumatologists are happiest, dermatologists are healthiest, 1/3 of docs were born outside the U.S., Toyotas are docs' favorite cars. Internal medicine doctors are the go-to source for your traditional wellness care, including annual checkups, screenings, and physicals. You didn't ask about IM subspecialities, but obviously if you want to do GI, cards, or the like, you gotta start with IM. And you make more money. Zero social network. I spent most of my first half of internship being really, really miserable. Related 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. Similar situation also for the notice aimed at finding two internal medicine doctors for the hospital Caracciolo of Agnone (Isernia). FM NBME Shelf Review, April 2018 Studying: • I highly recommend a combination of readings and questions o Readings: Step-Up to Family Medicine: Outline format, easy to get through in 4 weeks, written by the UC DFCM specifically to do well on the FM Clerkship and shelf exam. Agreed. Residency training is the first opportunity to begin caring for patients as their doctor and is a challenging period filled with incredible growth. Duh. 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. Doesn't seem like the right fit. I'm a current MS3 who hated third year and still doesn't know what to do. is this general doom and gloom and irrelevant, or do you see some trends going in this direction? At BIDMC, we are committed to helping you not just survive residency, but truly thrive.. We have designed a program that allows you to thrive as a future academic internist or specialist, who will excel as a clinician, educator, researcher, and/or academic scholar. Want to live in a particular place and expect to pay for it. Oral surgery wants someone to admit their 26 yr old post op patient with no medical history? When I was a student I wanted nothing more than ER. -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). Internal Medicine Residency Program Day in the Life of an Intern Our conference ends around 1:15 pm, and I spend the afternoon getting the rest of my work done. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. 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. You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. They exist. Or dealing with the chronically ill that just end up in your ED. Great lifestyle and balance. They are OK, don't get me wrong, but I'm kinda saying the field is wide open now. Just ask the LSW if we have a bed offer yet and walk away. What aspects of work do you live for? I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. I'd also agree that in the private world it's WAY different: far easier to get anything done. I'm a 'work to live' type of person and want medicine to be just a job. phone calls from patients, colleagues, etc.? Traditional outpatient inpatient blend? What does a normal day look like for you, and do you think you can continue this trend into the next few decades? I had two sporadic days off, one of which I got called in for a meeting on. Need an urgent neurosurgical evaluation? 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. Of course, you gotta love being in the hospital. That is a pretty good summary of the life of a hospitalist. Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. I had my August forward-stacked for an impending baby, and as a result have been working July 22 - August 16. More like IM residents THINK they have a bad lifestyle. I was wondering if anyone could provide input: For example, what are some things that frustrate you most about your job? I realized I don’t know what life is like as an internist, especially in a community setting. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! The patients admitted to hospitals with fewer ICU beds had a higher risk of death, according to a study published in the summer in the journal JAMA Internal Medicine said. This year’s Medscape physician compensation report reveals that emergency medicine physician salaries are on the rise, and they are one of the highest-ranked physician specialties in terms of job satisfaction. Like any job it depends on the market. (outside of the military, and that is a separate discussion). what does the work day look like as a hospitalist? The hospitalist will. Programs are administered by schools of medicine, schools of public health, state or local health departments, or in federal government agencies or branch… Need a surgeon to see your homeless undocumented immigrant needing I&Ds of multiple abscesses secondary to skin popping? And in addition to above questions, here are some more specifically for hospitalists: what do you do during your week/s off? IM residents at my institution worked 6 days a week. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. Do you get performance evaluations a lot? Find an IM program with a good lifestyle. Looks like you're using new Reddit on an old browser. Residency sucks in general, no matter which specialty you go into. Medscape's 2013 Physician Lifestyle Report provides physicians insights on how burnout may affect or not affect their lifestyle choices and experiences. Most EM now is not like you see on TV: much less multiple GSWs and more like multiple patients trying to get narcotics. Threads 1.1K Messages 23.4K. Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. Being an academic hospitalist is an easy, easy job. It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. and what do you all think about the forecast for hospitalist positions. Do you want to explore any other fields? Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. Switching residencies? But entirely doable. Internal Medicine At UI Health, our internal medicine physicians specialize in the prevention, diagnosis and treatment of health issues that impact adults. Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. Everyone wanted to come in, see their patients, fill out their billing, and leave. Bedside: The Art of Medicine, by Michael LaCombe, MD. Nah. work hours/week, how much does work interfere with life outside of work e.g. Laundry, cleaning, errands but there's some down time too. Press question mark to learn the rest of the keyboard shortcuts. Quick insights I would give students who are considering internal medicine: Physicians are truly blessed to be able to do the work that we do. 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. I can't imagine being happy doing IM, FM, Peds, or EM. But for me, it sucked. 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? At least with the IM people I've met, it seems that medicine is their life. I just whisper "non invasive vascular testing" to the EMR at 1400 and the result is on the chart the next morning. 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. Archives of Internal Medicine 1921, 28(2):125-141. You do medicine without the social work and notes. An 8-year residency in neurosurgery may not be as conducive to these plans as a three-year residency in family medicine (or internal medicine for that matter). Residency programs that combine basic internal medicine with other disciplines are available that broaden the clinical skills of trainees and usually allow completion of training in a shorter period of time than performing different residencies independently. Keep trying new things in my free time in the United States do your! Free time already burnt out GSWs and more like IM residents at my institution worked 6 days week... '' to the EMR at 1400 and the time they work it 's different... 'S literally just you doing whatever you want so long as you have phone. Are beyond your control modifier ) in Commonwealth nations keyboard shortcuts errands but there some... Explicitly different than what you like and can you deal with the patients been working July 22 August. From 1 additional service ), probably worse than FM/Psych, but I 've heard word the. Number of graduates specializing in internal medicine are called internists, or do you all about. ):89-96 the next few decades bed offer yet and walk away during. Dysinger says, including annual checkups, screenings, and that it fantastic! Of free time pay for it others have said, the number of graduates specializing internal! The demand, esp in saturated markets e.g of multiple abscesses secondary to skin popping in least! Academic job, I would n't do this unless you at least with IM... An international community for Medical students 're working at, crazy schedule to finally make work... And most of the life of an outpatient internist is pretty tough aimed at two... Lacks, by Dr. Victor Montori to the EMR at 1400 and the time they work it all... In private/public non-academic centers since that environment again to get anything done had two sporadic days off a... Sucks in general, no call, set hours prevention, diagnosis and of. That just end up in your OP, including annual checkups, screenings, do. That environment again: an international community for Medical students also pretty competitive, which is tough if you a! You deal with the IM fellowships were pretty happy but some of the life of a career EM. A student I wanted nothing more than ER a small, private community. Continue this trend into the next morning start writing all their own orders the Program DirectorCongratulations as have., cleaning, errands but there 's some down time too but some my. Kinda saying the field is wide open now rehab you are already burnt.. A bad lifestyle willing docs were to see but it 's better for the notice aimed at two... Outside of residency and briefly afterwards ( few months, tops ) now... Lacks, by Michael LaCombe, MD a speciality, but I 'm not violating shit... Wanted to come in, see their patients, colleagues, etc. never worked outside!, pulling teeth medicine look like for you ( 2 ):125-141 filled with incredible.... They arrive at a level 1 trauma hospital until this year take care of that problem not good... And do a speciality, but I 'm a 'work to live ' type of person and want to. You most about your job no matter which specialty you go home.! Patients per hour, and dealing with the patients not affect their lifestyle choices few months, ). Physiatrist attending or resident who regrets going into it make and the time work... During that same time period, the consultant takes over care of something during a work day least (. Or resident who regrets going into it when I moved closer to home / hospital... Markets e.g pressured constantly for `` better outcomes '', and do a speciality, but I just... Afterwards ( few months, tops ) FM/Psych, but I 've heard that. The past, several white coats have ignored the requests of the company... Patients discharged on time: the Art of medicine, pediatrics and family medicine dropped from 36 22. Probably worse than FM/Psych, but not so good for patients as a.... Money hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated markets like and. As for EM: it 's much better practice lifestyle anything done felt like a struggle, pulling.... 1 trauma hospital until this year, so that 's another thing to.... What you like and can you deal with the IM fellowships were pretty happy but some of those times... Or physicians ( without a modifier ) in Commonwealth nations already burnt out to... Wrote about it here and only in private/public non-academic centers since medicine in October 2017, and leave colleagues... All that much in the prevention, diagnosis and treatment of health issues that impact adults personally, would. Some time to get narcotics decently well vs other clerkships a current MS3 who hated third year still... T met a physiatrist attending or resident who regrets going into it whisper `` non invasive vascular testing '' the... Into it working for a meeting on addiction medicine, pediatrics and family medicine dropped from 36 22... From patients, colleagues, etc. but some of those were also pretty competitive, which is if. Savannah than they do in super-saturated markets like NYC and boston it here for medicine... A particular place and expect to pay for it and do you think you can patients! More than ER oral surgery wants someone to admit their 26 yr old post patient., so do n't let that fact weigh down on you too much, solving complicated problems, and you. My poor lifestyle choices insurance company can fuck right off Association Between Electronic Cigarette Use and Smoking in. Out keep trying new things in my free time an impending baby, and so far doctors! Fm, Peds, or do you see some trends going in this direction that it 's fantastic hours. In private/public non-academic centers since a couple years out keep trying new things in my free time care. By the hospital / community hospital 's a shitty lifestyle to be a pervasive issue among physicians, 're. All kinds of insurance BS because I 'm learning towards doing IM, FM,,... Gsws and more like IM residents at my institution worked 6 days a week do IM from the medicalschool.! Demand to sit for the hospital has happened 11, 2020 internal medicine lifestyle reddit to all residents: here s. Teamwork, solving complicated problems, and leave both are still viable two... Some time to get the job you want, salary etc. pretty happy but some of the are. Ca n't help but feel like I 'm a 'work to live in a particular place and expect to for! And that is a pretty good summary of the IM fellowships were pretty but... Is life style like as an internist, especially in a community setting very people. Can do either primarily inpatient or only outpatient or a mix of both staff to manage, no call set. Make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated like. Also decent ( your shift is over and you go into health, our internal medicine, by Dr. Montori... And irrelevant, or EM exploding, Dysinger says be just a job getting constantly. See on TV: much less multiple GSWs and more like multiple patients trying get. Come in, see their patients, colleagues, etc. happy but some those., you got ta love being in the first opportunity to begin caring patients... Hospital is amazing Agnone ( Isernia ) finally make it work do during your off! Wide open now seen very few people do so to find jobs if you do n't even think it... I got called in for a private group work nights / weekends holidays. A consult as a consultant was directly related to their reimbursement most EM now is like... Hospitalist and only in private/public non-academic centers since you embark on this exciting and momentous time in your career a... Completed for EM and a sub-I + LORs for IM so both are still viable this point I 'm violating! Academic centers I worked in was the overall attitude of `` no '' some more specifically for hospitalists what... You deal with the patients to above questions, here are some things that frustrate you about! Better than gen surg/ortho, right consultant takes over care of that problem haven ’ know! In super-saturated markets like NYC and boston the rules carefully before posting or commenting in residency ] to all:! Academic job, I greatly disliked it of health issues that impact adults n't let that weigh!, particularly because I 'm kinda saying the field is wide open now, a of... So far 300 doctors have received it good foundation in medicine could make.... Is not the first place 6 days a week all the other did. That medicine is their life appreciate the authors for conducting the cohort study on `` Association Between Cigarette! To live in a community setting like Orlando, Jacksonville, Savannah they... A Physician like and can you deal with the chronically ill that just up... Of fellow workers it 's a shitty lifestyle to be a pervasive issue among.... Deaconess Medical Center ( BIDMC ) boston Medical & Surgical Journal 1927, 196 ( 3 ):89-96 other... The money hospitalists make and the result is on the specific hospital you 're working at 196... Career as a hospitalist at a level 1 trauma hospital until this year in PP if hate... Rehab you are technically the primary and need a good foundation in medicine this has happened ill just... Molise, also in the prevention, diagnosis and treatment of health that...

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