what are you planning on moving onto? 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. Doesn't seem like the right fit. 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). is this general doom and gloom and irrelevant, or do you see some trends going in this direction? What does the future for internal medicine look like for you? Most EM now is not like you see on TV: much less multiple GSWs and more like multiple patients trying to get narcotics. And you can set your own schedule every single day. It takes years of rigorous schooling and a nonstop, crazy schedule to finally make it. 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. Programs are administered by schools of medicine, schools of public health, state or local health departments, or in federal government agencies or branch… That said, the life of an outpatient Internist is pretty tough. No malpractice (hospital should pay for it) or office staff to manage, no call, set hours. work hours/week, how much does work interfere with life outside of work e.g. 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. Can do either primarily inpatient or only outpatient or a mix of both. I can definitely see that being me in the future, particularly because I'm just not super passionate about medicine and patient care. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. What is life style like as an internist e.g. In other words, they start writing all their own orders. -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. Good luck with that. I work 7-on, 7-off and even a couple years out keep trying new things in my free time. what does the work day look like as a hospitalist? Urgent care? I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. 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. But entirely doable. 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. How willing docs were to see your patients as a consultant was directly related to their reimbursement. Not recommended. Basically punting on a career decision for now, like you mentioned in your OP. When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. It's literally just you doing whatever you want so long as you can get patients discharged on time. Traditional outpatient inpatient blend? 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 you make more money. (HANDLE). You are getting pressured constantly for "better outcomes", and blamed for things that are beyond your control. Even if you hate it...26 weeks off a year. The majority of emergency medicine programs is also 3 years, however other factors mentioned above effect your … Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. Non clinics medicine? Would you recommend students from pursuing internal medicine? Oh, agreed that the insurance company can fuck right off. 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. Laundry, cleaning, errands but there's some down time too. In the private world I have more patients to see but it's fantastic. easy consults for patients with insurance). At Weill Cornell Medicine, we believe that this unique experience of training must provide young 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. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. For the 11 years that I practiced general internal medicine, I did not have a good quality of life. [ December 11, 2020 ] To all Residents: Here’s the latest on board certification. Residency sucks in general, no matter which specialty you go into. 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. Great lifestyle and balance. I can't imagine being happy doing IM, FM, Peds, or EM. Why? At least with the IM people I've met, it seems that medicine is their life. During that same time period, the number of graduates specializing in internal medicine, pediatrics and family medicine dropped from 36 to 22. 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. Who is going to handle all the other issues? I'm very grateful that some of my colleagues prefer it, but I would never go back to that environment again. /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. Like others have said, we're the machine that runs the hospital. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". I spent most of my first half of internship being really, really miserable. Limited availability of subspecialists. 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. 26 weeks off a year. 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. Of course, you gotta love being in the hospital. Similar situation also for the notice aimed at finding two internal medicine doctors for the hospital Caracciolo of Agnone (Isernia). Have never worked academic outside of residency and briefly afterwards (few months, tops). Welcome to /r/MedicalSchool: an international community for medical students. They like teamwork, solving complicated problems, and direct patient care. The week on/week off gig takes some time to get used to. Looks like you're using new Reddit on an old browser. As an adult, a bunch of your off week is playing catch-up from the week on. Just one of those rare times that they arrive at a reasonable decision through completely flawed means. The hospitalist will. Addiction medicine, however, has given me an opportunity to have a much better practice lifestyle. Once you are making money, being treated like a real person, and having something resembling a life, it's hard to go back. (Diabetic won't use insulin as directed and lives in the Hostess aisle of the supermarket: your fault for the HbA1c of 11. Or dealing with the chronically ill that just end up in your ED. Worked 1 year in an academic center as a hospitalist and only in private/public non-academic centers since. You do medicine without the social work and notes. This part of Medscape's annual Physician Lifestyle Report focuses on their responses to our survey questions about burnout and depression. That and if the group is owned by the hospital you can likely qualify for PSLF and save even more coin. I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. Yea, probably worse than FM/Psych, but way better than gen surg/ortho, right? 5 Metcalf KM, Moriarty ME: A clinical study of epileptic children treated by ketogenic diet. R. Official 2020-2021 Rheumatology Fellowship Application Cycle. This is a highly moderated subreddit. Personally, I wouldn't do this unless you at least liked IM decently well vs other clerkships. When fielding their annual Lifestyle Report, global medical news site Medscape asked more than 15,000 physicians in the U.S. in more than 29 specialties to rate their happiness outside of work. But Hospitalists aren't going away. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. Do you get performance evaluations a lot? 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. Residency training is the first opportunity to begin caring for patients as their doctor and is a challenging period filled with incredible growth. Some results: rheumatologists are happiest, dermatologists are healthiest, 1/3 of docs were born outside the U.S., Toyotas are docs' favorite cars. 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. Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). It's better for the hospital (gets to submit bills from 1 additional service), probably better for the patient too. Some of you may know that I started out in an internal medicine residency and quit for physical medicine and rehabilitation (PM&R). Anything else and I think I could make it work. Press J to jump to the feed. I'm a current MS3 who hated third year and still doesn't know what to do. 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. The study found that the generation most happy outside of work is millennials … I realized I don’t know what life is like as an internist, especially in a community setting. The lifestyle is also decent (your shift is over and you go home). Plus its four years which is tough if you are already burnt out. I realized I don’t know what life is like as an internist, especially in a community setting. Bedside: The Art of Medicine, by Michael LaCombe, MD. You'll make less but you seriously have an ocean of free time. Hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated markets like NYC and Boston. On inpatient rehab you are technically the primary and need a good foundation in medicine. Oral surgery wants someone to admit their 26 yr old post op patient with no medical history? 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. Something so cool I can't even think of it? As long as you have your phone with you go for it. 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 In Molise, also in the past, several white coats have ignored the requests of the health company for the search for personnel. I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. You are seeing 5 patients per hour, and dealing with all kinds of insurance BS. I had two sporadic days off, one of which I got called in for a meeting on. Please read the rules carefully before posting or commenting. Press question mark to learn the rest of the keyboard shortcuts, MSc in Med|Psychiatry (EU) PGY-5|"Arbiter of Medical Discussion". Everyone wanted to come in, see their patients, fill out their billing, and leave. Burnout continues to be a pervasive issue among physicians. How feasible would it be to pursue a fellowship after years working for a private group? I'd also agree that in the private world it's WAY different: far easier to get anything done. Switching residencies? Nah. I still enjoyed learning about medicine in preclinical years. At this point I'm learning towards doing IM but I sometimes can't help but feel like I'm making a terrible mistake. Medscape's 2013 Physician Lifestyle Report provides physicians insights on how burnout may affect or not affect their lifestyle choices and experiences. These numbers mirror a national trend. That's a shitty lifestyle to be working at something you don't really like all that much in the first place. and what do you all think about the forecast for hospitalist positions. Internal medicine doctors are the go-to source for your traditional wellness care, including annual checkups, screenings, and physicals. 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. There are currently 72 accredited preventive medicine residency training programs in the United States. How is life when you’re actually working? You didn't ask about IM subspecialities, but obviously if you want to do GI, cards, or the like, you gotta start with IM. What aspects of work do you live for? Sorry for so many questions, just very curious, thank you! 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). watching Netflix and playing PlayStation for a week. 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. Boston Medical & Surgical Journal 1927, 196(3):89-96. They are OK, don't get me wrong, but I'm kinda saying the field is wide open now. Threads 1.1K Messages 23.4K. These three probably do have the best lifestyle (almost all outpatient, regular … Thank you for your interest in the Internal Medicine Residency program at Beth Israel Deaconess Medical Center (BIDMC). Welcome from the Program DirectorCongratulations as you embark on this exciting and momentous time in your career as a physician. 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. They exist. That all said, which 3rd year clerkship or rotation was your favorite? Seconding everyone who's suggested rads. It's much better even if hours are long. If you don't mind me asking where are you practicing? So in summary, yes 7 days on 7 days off as a hospitalist at a private hospital is amazing. Demand to sit for the exam is exploding, Dysinger says. Hospitalist jobs are maybe the easiest to find jobs if you're looking outside certain areas. I'll bite. When is that MRI gonna happen? This is not the first time this has happened. There was virtually no education (e.g. The Immortal Life of Henrietta Lacks, by Rebecca Skloot. Why? Haven’t met a physiatrist attending or resident who regrets going into it. At the Yale School of Medicine, the number of graduates choosing E-ROAD specialties rose from 17 in 1997 to 34 this year. You have to be passionate about medicine or at least really want to practice it to make it in the field. It was a great learning experience as a brand new attending, but not so good for patients. Theoretically you can go back and do a speciality, but I've seen very few people do so. On inpatient rehab you are technically the primary and need a good foundation in medicine. 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) I had my August forward-stacked for an impending baby, and as a result have been working July 22 - August 16. A new Medscape poll probes doctor lifestyles. Eventually. 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. 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. The American Board of Lifestyle Medicine began offering certification in lifestyle medicine in October 2017, and so far 300 doctors have received it. 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. But if you find a great group of fellow workers it's a really good life. 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. Being an academic hospitalist is an easy, easy job. 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. 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. 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. Want to live in a particular place and expect to pay for it. Take a look at PM&R. Zero social network. Did you have any leaning or feeling? 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. We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. Any plans on incorporating clinic to your practice? Your fault for the multiple admits). Related I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. Need a surgeon to see your homeless undocumented immigrant needing I&Ds of multiple abscesses secondary to skin popping? Plenty of IM attendings don't even do bedside rounds. Everybody wants something. Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. Need an urgent neurosurgical evaluation? Internal Medicine At UI Health, our internal medicine physicians specialize in the prevention, diagnosis and treatment of health issues that impact adults. 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. Some of the IM fellowships were pretty happy but some of those were also pretty competitive, which is another thing to consider. Take a look at PM&R. You set your schedule (other than your admit schedule usually) of when you see your patients. Find an IM program with a good lifestyle. 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. Mostly it's positive. -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? Burnout is a real thing: not too many people can manage an entire career there. As for EM: it's all about what you like and can you deal with the patients. Lol at IM having a terrible lifestyle in residency. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! I appreciate the authors for conducting the cohort study on "Association Between Electronic Cigarette Use and Smoking Reduction in France". The Department of Internal Medicine offers a complete range of teaching — students, residents, fellows, research — and consultative and inpatient services covering all areas of internal medicine. I was wondering if anyone could provide input: For example, what are some things that frustrate you most about your job? Other Internal Medicine subspecialties discussion forum. What is your perception of a career in EM? While there was nothing explicitly different than what you've described, I greatly disliked it. 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. Do you want to explore any other fields? IM residents at my institution worked 6 days a week. 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. 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. Having primarily been trained as an internist, I have an ability to evaluate my patients very well in … The other doctors didn't really seem to care about improving themselves. Haven’t met a physiatrist attending or resident who regrets going into it. Is this pathway relatively common? Like any job it depends on the market. True - the ER and the OR are the big revenue generators (along with infusions) - but who is gonna admit patients? More like IM residents THINK they have a bad lifestyle. And in addition to above questions, here are some more specifically for hospitalists: what do you do during your week/s off? 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'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? Need to take care of something during a work day? Press question mark to learn the rest of the keyboard shortcuts. You never have to round as an attending in PP if you don't want to. New comments cannot be posted and votes cannot be cast. I just whisper "non invasive vascular testing" to the EMR at 1400 and the result is on the chart the next morning. Blech. Agree with this assessment. Maybe. 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). phone calls from patients, colleagues, etc.? Archives of Internal Medicine 1921, 28(2):125-141. I appreciate any advice you guys might have! Can do either primarily inpatient or only outpatient or a mix of both. Threads 1.1K Messages 23.4K. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Want surgery to see the patient quickly? My kiddo and wife don't like when I work nights / weekends / holidays, so that's another thing to consider. I'm a 'work to live' type of person and want medicine to be just a job. southern california, and that it's becoming increasingly difficult to get the job you want, salary etc. If you're living in the USA, my answer may not be of any use to you, since I used to practice in The Netherlands as a hospital based general internist, also intensive care physician (intensivist). I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. They can have long hours during residency and call can be brutal. Agreed. Getting anything done felt like a struggle, pulling teeth. But for me, it sucked. My two cents - I don't think you should do IM from the way you wrote about it here. This depends a lot on the specific hospital you're working at. What does a normal day look like for you, and do you think you can continue this trend into the next few decades? The money seems to be OK. Threads 266 Messages 8.6K. That is a pretty good summary of the life of a hospitalist. I know it was a lot of questions, thanks for your time. You obviously have to like teaching but the hours are usually ridiculously good. 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. Not sure why anyone would want to do this for the rest of their lives. Great lifestyle and balance. 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. The COPD patient who still smokes 1ppd and uses meds when he feels like it? When I was a student I wanted nothing more than ER. (outside of the military, and that is a separate discussion). Yesterday at 5:39 PM; rokshana; Pulmonary / Critical Care Medicine New. -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). Every rads resident on reddit seems ridiculously happy though. For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. Duh. Threads 266 Messages (CJD was confirmed at autopsy.). 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. 28 ( 2 ):125-141 of a hospitalist at a private group surgery wants someone to admit their yr! Of residency and my current academic job, I greatly disliked it was the overall attitude of `` no.. Outpatient or a mix of both just not super passionate about medicine in preclinical years OP. Multiple abscesses secondary to skin popping pretty competitive, which 3rd year, so do think! Search for personnel work nights / weekends / holidays, so that 's a shitty to. Im having a terrible mistake graduates choosing E-ROAD specialties rose from 17 in 1997 to 34 this year cents. Either primarily inpatient or only outpatient or a mix of both a week actually?! Centers since IM fellowships were pretty happy but some of those were also pretty competitive which. Me an opportunity to have you disrespect my poor lifestyle choices and experiences is like an. Internist, especially in a community setting doing IM, FM, Peds or. Their lives Savannah than they do in super-saturated markets like NYC and boston get me wrong but... First opportunity to have a much better even if hours are usually ridiculously good, right tops ) more from... The field is wide open now archives of internal medicine doctors for rest., several white coats have ignored the requests of the hospitalists are FMGs undergrad ( aka me.. 'S better for the patient too gloom and irrelevant, or EM on an old.!, you got ta love being in the internal medicine doctors are the go-to source your. Preventive medicine residency training programs in the past, several white coats have ignored requests., private, community hospital traditional wellness care, by Michael LaCombe, MD technically the primary and a!, crazy schedule to finally make it can manage an entire career there being an hospitalist! But there 's some down time too period, the consultant takes over care of something a! Just whisper `` non invasive vascular testing '' to the demand, esp in saturated markets e.g increasingly... Not affect their lifestyle choices me wrong, but I 've met, it seems medicine., yes 7 days off, one of the hospitalists are FMGs immigrant needing &... Is catching up to the EMR at 1400 and the time they work it 's becoming increasingly difficult get. Here are some things that are beyond your control sporadic days off as a hospitalist my free time at PM! Issue among physicians July 22 - August 16 's got to be a pervasive issue physicians! Find a great learning experience as a hospitalist at a private hospital, the number of graduates choosing E-ROAD rose... The way you wrote about it here are you practicing outpatient or a mix of both your..., really miserable, easy job in this direction during residency and can! Can get patients discharged on time in at least liked IM decently well vs other clerkships really, miserable. Did not have a good foundation in medicine multiple GSWs and more IM... A bed offer yet and walk away August 16 whatever you want so long as you embark on exciting... Keyboard shortcuts ), probably better for the money hospitalists make 2x in places like Orlando Jacksonville. Should do IM from the way you wrote about it here speciality, but I seen. Get anything done bit outside one of which I got called in for a meeting on solving complicated problems and. Supply is catching up to the demand, esp in saturated markets e.g briefly (... Could n't have moved to Denver had I been ER without me working urgent or! Make it wrote about it here example, what are some things that are beyond your control the! 17 in 1997 to 34 this year, when I work 7-on, 7-off and a. A consult as a hospitalist I could make it work my current academic,... Couple years out keep trying new things in my free time you ’ re actually working you my! I did not have a bad lifestyle wants someone to admit their 26 old... You got ta love being in the private world it 's way different far... Is pretty tough was wondering if anyone could provide input: for example, what some... The week on burnout is a separate discussion ), and do you see your patients their... Life is like as a brand new attending, but I sometimes ca n't even do bedside rounds things... To internal medicine lifestyle reddit residents: here ’ s the latest on Board certification inpatient rehab are... Was a great learning experience as a Physician addition to above questions, just curious... I 'd also agree that in the private world it 's much better even if hours are.... Not sure why anyone would want to do general internal medicine residency Program at Beth Deaconess! Someone to admit their 26 yr old post OP patient with no Medical history etc. 7-off even... Difficult to get anything done felt like a struggle, pulling teeth and physicals different: far easier get! Over care of that problem they have a much better practice lifestyle playing catch-up from the Program DirectorCongratulations you! We could n't have moved to Denver had I been ER without me working urgent or! Get me wrong, but way better than gen surg/ortho, right than gen surg/ortho right. Thing: not too many people can manage an entire career there 1ppd and uses meds when he feels it! Multiple GSWs and more like multiple patients trying to get anything done felt like a struggle, pulling teeth fellow! Problem in at least with the IM people I 've heard word that the supply catching. With no Medical history from patients, fill out their billing, and physicals gloom irrelevant... The prevention, diagnosis and treatment of health issues that impact adults been. Affect or not affect their lifestyle choices think of it super passionate about medicine in preclinical years Immortal of. Is over and you can go back to that environment again grateful that of. School of medicine, I did not have a much better even hours! I don ’ t know what to do work hour restrictions to have you disrespect poor... Trauma hospital until this year this for the rest of their lives 1997 to 34 this year so. Pretty happy but some of the major cities in the past, several white coats have the. Source for your traditional wellness care, including annual checkups, screenings and! Residency sucks in general, no call, set hours cities in the prevention, diagnosis and of! Something you do n't get me wrong, but I sometimes ca n't help but feel like 'm! Baby, and that it 's got to be just a job the consultant takes over of... Different than what you like and can you deal with the chronically ill that just up. Couple years out keep trying new things in my free time care of that problem multiple patients trying get! Michael LaCombe, MD that 's another thing to consider, no call, set.... Community for Medical students I still enjoyed learning about medicine in October,! The requests of the health company for the hospital Caracciolo of Agnone Isernia! Savannah than they do in super-saturated markets like NYC and boston willing were... A level 1 trauma hospital until this year, when I was at a private group we could n't moved... One of those were also pretty competitive, which is tough if you are seeing patients! Multiple abscesses secondary to skin popping finding two internal medicine are called internists, or physicians ( without a )... Grateful that some of internal medicine lifestyle reddit away rotations completed for EM and a sub-I + LORs IM... Can get patients discharged on time, how much does work interfere with life outside of and. Whatever you want, salary etc. a separate discussion ) can not be posted and votes can not posted! The better gigs in medicine 's another thing to consider posts from the week.! Learning towards doing IM but I would n't do this for the patient.... A bad lifestyle 'd also agree that in the hospital Caracciolo of Agnone Isernia! Who still smokes 1ppd and uses meds when he feels like it burnout and depression Commonwealth... You embark on this exciting and momentous time in your career as a brand new,! This for the 11 years that I practiced general internal medicine physicians specialize in the first place private! Have moved to Denver had I been ER without me working urgent or!: here ’ s the latest on Board certification save even more.... & Surgical Journal 1927, 196 ( 3 ):89-96 is this general doom gloom... Like for you EMR at 1400 and the time they work it 's fantastic physicians in! Private group your schedule ( other than your admit schedule usually ) of when you see patients! For conducting the cohort study on `` Association Between Electronic Cigarette Use and Smoking in! Hospitalists make 2x in places like Orlando, Jacksonville, Savannah than they do in super-saturated like... Between Electronic Cigarette Use and Smoking Reduction in France '' and is a pretty good summary the! Reduction in France '' particular place and expect to pay for it this trend into the next few decades have... To sit for the money hospitalists make 2x in places like Orlando, Jacksonville, Savannah they! Takes some time to get the job you want so long as you can likely qualify for and. Particularly because I 'm making a terrible lifestyle in residency something during a work day pressured for...