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). Eventually. The American Board of Lifestyle Medicine began offering certification in lifestyle medicine in October 2017, and so far 300 doctors have received it. That and if the group is owned by the hospital you can likely qualify for PSLF and save even more coin. I'm not violating the shit out of my work hour restrictions to have you disrespect my poor lifestyle choices! 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? Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. As long as you have your phone with you go for it. Please read the rules carefully before posting or commenting. 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. And you can set your own schedule every single day. The Immortal Life of Henrietta Lacks, by Rebecca Skloot. Of course, you gotta love being in the hospital. I’m a 4th year medical student and can’t decide between emergency medicine and internal medicine 4 weeks away from opening of ERAS. 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. Agreed. Seconding everyone who's suggested rads. There are currently 72 accredited preventive medicine residency training programs in the United States. It was a great learning experience as a brand new attending, but not so good for patients. Plus its four years which is tough if you are already burnt out. On inpatient rehab you are technically the primary and need a good foundation in medicine. I had two sporadic days off, one of which I got called in for a meeting on. 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. Need to take care of something during a work day? Like any job it depends on the market. 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. Welcome from the Program DirectorCongratulations as you embark on this exciting and momentous time in your career as a physician. Good luck with that. Residency sucks in general, no matter which specialty you go into. Plenty of IM attendings don't even do bedside rounds. /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. Blech. It's normal to not enjoy 3rd year, so don't let that fact weigh down on you too much. I've heard word that the supply is catching up to the demand, esp in saturated markets e.g. I'd also agree that in the private world it's WAY different: far easier to get anything done. 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. Internal medicine doctors are the go-to source for your traditional wellness care, including annual checkups, screenings, and physicals. what does the work day look like as a hospitalist? 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. Getting anything done felt like a struggle, pulling teeth. 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. The money seems to be OK. IM residents at my institution worked 6 days a week. Between residency and my current academic job, I spent 1 year as a hospitalist at a small, private, community hospital. How is life when you’re actually working? Thank you for this post, tremendously helpful for someone about to finish undergrad (aka me). For the money Hospitalists make and the time they work it's got to be one of the better gigs in medicine. How willing docs were to see your patients as a consultant was directly related to their reimbursement. In other words, they start writing all their own orders. 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. Threads 1.1K Messages 23.4K. We couldn't have moved to Denver had I been ER without me working urgent care or freestanding. The hospitalist will. The big problem in at least the (public) academic centers I worked in was the overall attitude of "no". Is this pathway relatively common? Sorry for so many questions, just very curious, thank you! Urgent care? When you call a consult as a hospitalist at a private hospital, the consultant takes over care of that problem. I'm a bit outside one of the major cities in the Southeast, and most of the hospitalists are FMGs. 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) 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. Traditional outpatient inpatient blend? Once you are making money, being treated like a real person, and having something resembling a life, it's hard to go back. So in summary, yes 7 days on 7 days off as a hospitalist at a private hospital is amazing. This depends a lot on the specific hospital you're working at. 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. Press question mark to learn the rest of the keyboard shortcuts. [ December 11, 2020 ] To all Residents: Here’s the latest on board certification. (outside of the military, and that is a separate discussion). I can't imagine being happy doing IM, FM, Peds, or EM. In the private world I have more patients to see but it's fantastic. Need an urgent neurosurgical evaluation? Would you recommend students from pursuing internal medicine? I was at a level 1 trauma hospital until this year, when I moved closer to home / community hospital. 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. I have all of my away rotations completed for EM and a sub-I + LORs for IM so both are still viable. You never have to round as an attending in PP if you don't want to. Haven’t met a physiatrist attending or resident who regrets going into it. Addiction medicine, however, has given me an opportunity to have a much better practice lifestyle. 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