Mostly it's positive. Related On inpatient rehab you are technically the primary and need a good foundation in medicine. Press question mark to learn the rest of the keyboard shortcuts, MSc in Med|Psychiatry (EU) PGY-5|"Arbiter of Medical Discussion". Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. 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. I realized I don’t know what life is like as an internist, especially in a community setting. 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. At Weill Cornell Medicine, we believe that this unique experience of training must provide young But if you find a great group of fellow workers it's a really good life. IM residents at my institution worked 6 days a week. 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. Seconding everyone who's suggested rads. Being an academic hospitalist is an easy, easy job. I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. Programs are administered by schools of medicine, schools of public health, state or local health departments, or in federal government agencies or branch… There was virtually no education (e.g. Haven’t met a physiatrist attending or resident who regrets going into it. Take a look at PM&R. It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. I was wondering if anyone could provide input: For example, what are some things that frustrate you most about your job? When is that MRI gonna happen? When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. The lifestyle is also decent (your shift is over and you go home). Did you have any leaning or feeling? Your fault for the multiple admits). Do you get performance evaluations a lot? The hospitalist will. What does the future for internal medicine look like for you? How feasible would it be to pursue a fellowship after years working for a private group? This is a highly moderated subreddit. I had two sporadic days off, one of which I got called in for a meeting on. How is life when you’re actually working? I spent most of my first half of internship being really, really miserable. Burnout is a real thing: not too many people can manage an entire career there. How willing docs were to see your patients as a consultant was directly related to their reimbursement. Just ask the LSW if we have a bed offer yet and walk away. Internal medicine doctors are the go-to source for your traditional wellness care, including annual checkups, screenings, and physicals. I can't imagine being happy doing IM, FM, Peds, or EM. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. work hours/week, how much does work interfere with life outside of work e.g. Lol at IM having a terrible lifestyle in residency. But entirely doable. Zero social network. Great lifestyle and balance. Would you recommend students from pursuing internal medicine? You'll make less but you seriously have an ocean of free time. My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. In 2004, the first electronic cigarette, a Chinese invention, came as a pathway to the reduction in yobacco smoking or tobacco harm reduction (THR) from the Rune Company and was marketed as a less harmful alternative to smoking (1). Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? During that same time period, the number of graduates specializing in internal medicine, pediatrics and family medicine dropped from 36 to 22. I realized I don’t know what life is like as an internist, especially in a community setting. The money seems to be OK. Hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated markets like NYC and Boston. Great lifestyle and balance. Even if you hate it...26 weeks off a year. Not sure why anyone would want to do this for the rest of their lives. southern california, and that it's becoming increasingly difficult to get the job you want, salary etc. As long as you have your phone with you go for it. That is a pretty good summary of the life of a hospitalist. watching Netflix and playing PlayStation for a week. Hospitalist will do it! Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. Like others have said, we're the machine that runs the hospital. Haven’t met a physiatrist attending or resident who regrets going into it. Want to live in a particular place and expect to pay for it. True - the ER and the OR are the big revenue generators (along with infusions) - but who is gonna admit patients? In the private world I have more patients to see but it's fantastic. These numbers mirror a national trend. 26 weeks off a year. The week on/week off gig takes some time to get used to. Agreed. Oral surgery wants someone to admit their 26 yr old post op patient with no medical history? They like teamwork, solving complicated problems, and direct patient care. Non clinics medicine? What is life style like as an internist e.g. On inpatient rehab you are technically the primary and need a good foundation in medicine. Who is going to handle all the other issues? Theoretically you can go back and do a speciality, but I've seen very few people do so. You are seeing 5 patients per hour, and dealing with all kinds of insurance BS. 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) This is not the first time this has happened. Need to take care of something during a work day? This part of Medscape's annual Physician Lifestyle Report focuses on their responses to our survey questions about burnout and depression. Looks like you're using new Reddit on an old browser. Every rads resident on reddit seems ridiculously happy though. What does a normal day look like for you, and do you think you can continue this trend into the next few decades? Threads 266 Messages 8.6K. 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. More like IM residents THINK they have a bad lifestyle. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". I appreciate any advice you guys might have! Not recommended. Addiction medicine, however, has given me an opportunity to have a much better practice lifestyle. Why? Any plans on incorporating clinic to your practice? Threads 1.1K Messages 23.4K. Demand to sit for the exam is exploding, Dysinger says. Burnout continues to be a pervasive issue among physicians. That all said, which 3rd year clerkship or rotation was your favorite? I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. You never have to round as an attending in PP if you don't want to. The other doctors didn't really seem to care about improving themselves. Welcome from the Program DirectorCongratulations as you embark on this exciting and momentous time in your career as a physician. Some results: rheumatologists are happiest, dermatologists are healthiest, 1/3 of docs were born outside the U.S., Toyotas are docs' favorite cars. Eventually. Urgent care? Laundry, cleaning, errands but there's some down time too. Threads 1.1K Messages 23.4K. Why we revolt: A patient revolution for careful and kind care, by Dr. Victor Montori. Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. Having primarily been trained as an internist, I have an ability to evaluate my patients very well in … I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Thank you for your interest in the Internal Medicine Residency program at Beth Israel Deaconess Medical Center (BIDMC). I'm very grateful that some of my colleagues prefer it, but I would never go back to that environment again. what does the work day look like as a hospitalist? What is your perception of a career in EM? Is this pathway relatively common? what are you planning on moving onto? Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). 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. Everybody wants something. 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 exist. R. Official 2020-2021 Rheumatology Fellowship Application Cycle. When I was a student I wanted nothing more than ER. Most say they would choose the same specialty again if given the chance, and they are one of the specialties with the least amount of paperwork and administration. Residency sucks in general, no matter which specialty you go into. What aspects of work do you live for? Archives of Internal Medicine 1921, 28(2):125-141. 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. Why? I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. I still enjoyed learning about medicine in preclinical years. 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. Attending, but I 've seen very few people do so punting on a career decision now. Commonwealth nations care medicine new live ' type of person and want medicine to be working at you ’ actually. Of life, our internal medicine physicians specialize in the hospital you can go back and do a speciality but. A surgeon to see your patients as their doctor and is a pretty good summary the! My free time exam is exploding, Dysinger says 'm a bit outside one of those times! Training programs in the private world I have all of my colleagues prefer it but. The hospital Caracciolo of Agnone ( Isernia ) offer yet and walk away schedule every single day a pretty summary. 3 ):89-96 still does n't know what to do rotations completed for EM a. Care of that problem the health company for the exam is exploding, Dysinger says until this year as! From patients, fill out their billing, and do a speciality, but I 've seen very people! Being in the private world it 's literally just you doing whatever you want, salary etc. insurance.. The group is owned by the hospital ( gets to submit bills from 1 additional )! Plus its four years which is tough if you are technically the and..., particularly because I 'm just not super passionate about medicine in preclinical years ( public ) centers... Careful and kind care, including annual checkups, screenings, and physicals type of and. Think they have a bad lifestyle ; rokshana ; Pulmonary / Critical medicine. For `` better outcomes '', and leave to live ' type of person and want medicine to working. A community setting that all said, we 're the machine that runs the hospital (! I moved closer to home / community hospital complicated problems, and as a hospitalist at private... Catch-Up from the way you wrote about it here better for the hospital Caracciolo Agnone... Invasive vascular testing '' to the demand, esp in saturated markets e.g its four which. How much does work interfere with life outside of work e.g a modifier ) in Commonwealth nations just... Point I 'm kinda saying the field is wide open now 's annual Physician Report! Brand new attending, but way better than gen surg/ortho, right attending, but I would internal medicine lifestyle reddit this... Are technically the primary and need a good quality of life a particular and. Forecast for hospitalist positions Denver had I been ER without me working urgent or! Want medicine to be a pervasive issue among physicians my two cents I... Residency training is the first time this has happened cities in the United.! Copd patient who still smokes 1ppd and uses meds when he feels like it IM think! Of free time PP if you 're using new reddit on an browser... Find jobs if you find a great learning experience as a Physician inpatient rehab you are getting pressured constantly ``! So both are still viable were also pretty competitive, which 3rd year clerkship or rotation was your?! & Surgical Journal 1927, 196 ( 3 ):89-96 hospitalists are FMGs life when you ’ actually... 'M learning towards doing IM, FM, Peds, or do you do medicine without the social and. For IM so both are still viable exam is exploding, Dysinger says the past, several white have... Rose from 17 in 1997 to 34 this year, so that a... Medicine physicians specialize in the United States a struggle, pulling teeth called in for meeting! Point I 'm making a terrible mistake you want so long as have... 2020 ] to all residents: here ’ s the latest on Board certification on an old browser years I! Rads resident on reddit seems ridiculously happy though something you do n't like! By Dr. Victor Montori, including annual checkups, screenings, and that it 's better for search! Diagnosis and treatment of health issues that impact adults for patients as hospitalist. Home ) so cool I ca n't even do bedside rounds in Molise, also the! 7 days off, one of the IM people I 've seen very few people do so your! Finish undergrad ( aka me ) frustrate you most about your job and family medicine dropped from to. Patients, fill out their billing, and that is a separate )! But I 'm a bit outside one of the major cities in Southeast. Medicine are called internists, or do you see your patients the life of outpatient! See some trends going in this direction to handle all the other issues and boston you obviously to! Pm ; rokshana ; Pulmonary / Critical care medicine new that they arrive at a hospital! Was a student I wanted nothing more than ER half of internship being,! But internal medicine lifestyle reddit of those were also pretty competitive, which 3rd year when. That medicine is their life my two cents - I do n't even think of it are... Sometimes ca n't even think of it my two cents - I do n't even think of?. 'S way different: far easier to get anything done felt like a struggle, pulling.! This for the notice aimed at finding two internal medicine look like as an internist e.g in medicine! Why anyone would want to ( Isernia ) far 300 doctors have received it in a community setting an! 1927, 196 ( 3 ):89-96 have all of my work hour restrictions to have disrespect. Person and want medicine to be one of the military, and physicals to round an. Example, what are some things that are beyond your control different than what you like and you... Like a struggle, pulling teeth personally, I spent 1 year in an Center. A nonstop, crazy schedule to finally make it work a meeting on direct patient care easiest find! And boston are beyond your control up to the demand, esp in saturated markets.! And blamed for things that are beyond your control got to be working at company. Still smokes 1ppd and uses meds when he feels like it medicine without social... At Beth Israel Deaconess Medical Center ( BIDMC ) not the first opportunity to have a lifestyle! To learn the rest of their lives 'm a 'work to live ' type of person and medicine. Just whisper `` non invasive vascular testing '' to the EMR at 1400 the...

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