Press J to jump to the feed. I don't undervalue that, at all. But as an intern I've found it really forces me to think more thoroughly and consistently. Patients. Please click here https://helpmeotc.com/fattyliver to visit our site. Get your guide here. Movement. Im 25, have a bachelors in MIS, and have spent the last year taking the prereqs for PA school part-time at a community college. First year is the hardest. if you dont have any, you will not be matching EM. Sometimes life puts you where you're supposed to be. I like how's there's always something to do in EM. AANA Annual Meeting On Demand 2018. In reality it's a soul-sucking endeavor that often frustrates both ends. MEDMASTERY – Updated 8/2019. Just an observation as a student, but I rarely see people who hate their specialty. You need to have EM auditions set up for June-September so you can get you're first SLOE. I have great respect for my ED colleagues but throughout my entire IM and fellowship time I have never once wished I could switch places with my PGY equivalent in the ED. I don't think people have as many regrets as maybe there might be people who wanted something and couldn't grab it; and it's hard to accept that. I'm in an interesting situation because I wanted to do emergency medicine, but instead scrambled into Internal Medicine after the match didn't go my way. Sure, maybe I don't recognize it on the patients I don't see, because you guys did your job and they didn't need to come in. It is true in emergency medicine you get paid more per hour seeing patients because you can Bill much more critical care time. The other day it took me >30 minutes of bouncing around "covering providers," before someone picked up the phone, only to be angry that I was contacting them at that time, despite the patient's PCP requesting to be contacted. As the medical student, you have the most time with your patients. I could write about why I did choose internal medicine (i.e., that I could enter the workforce as an internist immediately after residency or do a subspecialty fellowship in cardiology, pulmonary, nephrology, endocrinology, rheumatology, critical care medicine if I wanted to spend more time training and delay earning a full salary), but that’s not nearly as much fun. I also take pride in realizing that I accomplished something as challenging as an MD. The Bad Things. The latest version of an annual survey from Medscape/Web M.D., shows dissatisfaction among U.S. doctors rising. It is with deep regret and saddened hearts that due to multiple conditions, including COVID 19, Drs Coffey Internal Medicine will close permanently on August 1, 2020. Anyway, I just wanted to ask any medical students on here, do you regret doing medicine, how different is it to what you imagined, and would you choose to do it again having experienced what it is like? But I go see the new patient in room 12 with 2 mo of toe pain instead! seniors when internal medicine is ranked exclusively. With that said, I wouldn't trade being in EM for anything. I considered both EM & IM until it came time to craft my 4th year schedule and apply for externships. I regret doing medicine for many reasons, after an interesting conversation yesterday I suspect for many of the same reasons my father does. This is a highly moderated subreddit. It was hard to do that on MICU. Our last day of seeing patients in the office will be Thursday, July 30. Regret applying for dentistry! Absolutely. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. It is true you make less per hour work because I end up billing less Critical Care. I'm lucky to have been thrown together with them. I am having an internal conflict right now (no pun intended). Or the dump to internal medicine because it is an obvious surgical problem but the surgeons don't want to do anything just yet and don't want to do the work to admit them so the ER calls medicine so they have a dispo. Having an income. I'm on my way to a critical care fellowship and I'm looking forward to the procedures and the care for very sick patients without also having to treat little Timmy's sniffles. Sometimes we have to consult because our attending directly instructed us to (I'm sorry Neurology and Psychiatry). I can move faster with certain patients, and slower with others. There are quite a few former engineers in internal medicine with me, who were also in the same boat at the beginning of third year. Surgery vs Internal? Same. It's both! I'm getting more comfortable with this, but it's jarring at first. Yea.... if you want to apply EM you're already behind. Finally a video my parents can relate to! Our PDs, aPDs, and PC are extraordinarily supportive. I submit my residency application in a few months. Be Your Patient’s Advocate: I suggest this in almost all my clerkship posts. Shel Holtz, ABC (Accredited Business Communicator), is director of Internal Communications at Webcor, a commercial general contractor headquartered in San Francisco. Internal Medicine Residency Positions in Alabama (AL) There are 8 Internal Medicine programs in Alabama. In EM you see all the good and evil in the world and there's little time to process it. Dr. Coffey plans to work part time with Mt. Also pretty telling on which specialty you'd like better. Other than that, I have zero desire to go into IM. Inpatient, outpatient, subspecialty, SNF work , Etc. But I definitely value a good work up in the ER before I get called for an admit. Can you elaborate on one of your soul startling moments? Thank you for watching. We live comfortably, can go on vacation and out to eat, and just got a dog! Firstly and most importantly, you will never make a decent living out of it. New comments cannot be posted and votes cannot be cast. Not to say that I don't want a job with a certain level of chaos and variability- I hedged my bets a little with my ultimate residency choice, pm me if you want details. Now let’s get to the tips to honor your internal medicine rotation1. Mad respect for EM docs, but you couldn't pay me enough. Which I kind of understand for self preservation purposes...but recently I had an IM guy tell me just how shitty it is. I’m not a doctor, but just a med student, but maybe it’ll be helpful for some people to hear the perspective of a med student too: I would say for medicine don’t do it unless you are absolutely certain that’s what you want to do. After almost 3 years of IM I can tell you it's what I was born to do. I admire the overall well-roundedness of EM but I like that in IM->Pulm/CC that I can be a specific expert in something intellectual with the pulmonary part, but wont crap my pants when things get dicey like some other IM specialties with the crit care part. Things havn't been great for a generation or two, and are going downhill rapidly. For ER: I love that you diagnose things, you have shift work, 3 year residency, and you make $$$. I love critical care to some extent but I couldn't imagine being an er doc. We got you now, you'll never miss Reddit again. Both are solid and rewarding choices. Welcome to /r/MedicalSchool: An international community for medical students. Knowing I am more of a routine-oriented person, I have been leaning towards IM, but from what I heard is that IM docs make about $200k-$250, whereas ER docs make about $350k-$400k, hence I really have to stop and think about whether I would be happy being in a more versatile field and not doing my daily routine for more money. We already know the specific attendings and groan when we see them on, hopefully you specifically haven't gotten flak for it! Working with medical students. I sometimes get to work with both home and visiting students and it's one of my favorite parts of being a resident. sucks when you have to call on something you know is royally stupid, I just want to say I love you man and I’m 100% going into emergency medicine. What do you know now that you wish that you could tell your younger self? On another note.... you seem really worried about the average pay. In an online questionnaire of 24,000 doctors representing 25 … Before joining Webcor, Shel spent 21 years as principal of Holtz Communication + Technology. ... help Reddit App Reddit coins Reddit premium Reddit gifts. Some days I really feel like the "jack of all trades," physician I used to imagine when I worked in EMS. In this paper we givea simple genericreduction that, given an algorithmfor the external regret problem, converts it to an eﬃcient online algorithm for the internal regret … I hope I get to call you a colleague one day. I've been on the receiving end and soft admits are painful, but necessary (most) of the time. I’m starting my internal medicine residency as of this writing. After almost 3 years of IM I can tell you it's what I was born to do. Any tips on managing life with a rotating schedule? That shit pisses me off. Disposition. I'm an expert in translating drunk, and taking troponins. I get to "see it all." I do, however, see people that despise the extra stuff that goes with their specialty. Did he regret leaving medicine? Neurology here, don't worry we know the deal. In some programs, this generates a culture that is unfriendly to primary care generally and a … My co-interns. Thus, in this post, I’ve included the top six things that I really love about the field. I understand this depends on the experience/institution/specialty dependant but I wanted to get a feel for some of the reasons people might feel that way. I’ve got an medicine offer but I don’t want to study medicine any Will I regret not choosing medicine at uni? Residency was great and I never regretted my decision. All the drama and excitement are there, you never get bored. At the core, there is no perfect specialty (or job) for any of us and there is no such thing as a truly informed decision since we won't know what it is like once we're in it. I would also want to go into cards if I were to pick a specialty, and that is another 3 year residency. This is a playlist of all of the currently published internal medicine lectures in one place. That's intellectual right? /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. I'm in an interesting situation because I wanted to do emergency medicine, but instead scrambled into Internal Medicine after the match didn't go my way. MedicalBooksVN Contact There are many downsides to emergency medicine including working on shifts and depending on where you work people using the ER like a primary care physician. Sometimes I wonder if I'm going to be a glorified social worker as an IM doc, but I feel like the best thing for my sanity is to take what I have and run with it. My last MICU month you had trouble getting me home after a 12 hour shift. I suppose that is relative to each person though. IM people usually enjoy disease management but hate the social work or poor staff support. I'm 4 years out of EM residency, and I've had the exact same thought, but in reverse about IM. There's a little bad in anything you do. Residency Administration. Leave a LIKE and SUBSCRIBE for more content! During medical school, I was often overwhelmed by my perceived lack of knowledge compared to those around me. I applied and matched EM. Press question mark to learn the rest of the keyboard shortcuts. Looking for a diagnosis in an undifferentiated patient is really fun (and undervalued by our colleagues upstairs). Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. In the ED, you just can't (at least where I am). AAOS-OTA Trauma On Demand 2018. implanting spinal/nerve stimulators). Im on the fence about whether I want to continue down the path Im on. Each attending likes things a little different. I can manage acute medical conditions, and I also get to do a lot of acute interventional procedures. Try to do a couple of EM rotations before you decide, even if that means scheduling aways well into fall and dual applying- like I did. Woo, me too! Feel free to message me if you have specific questions OP. Not to discount "life putting us where we need to be" since I actually do believe in an intelligent Creator that can shake shit up when he wants to, but I think that the biggest determiner is attitude. Oh yes. On a single shift in the last week I fixed lacerations, splinted fractures, disimpacted a patient, intubated, sped up hearts, slowed down hearts, threw in lines during traumas and medical resuscitations etc. 12 hour shift to is what specialty do you like enough to put up with its bullshit of peace... 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