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Besides the subspecialty babysitting, we get all the really cool cases with undifferentiated pathology that no one else can figure out. I would hate to go right from residency to outpatient primary care. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. For hospitalists (30%) as for non-hospitalists (28%), having so many rules and regulations is the most challenging part of their job. Hospitalist gigs can vary. Accepted Articles are published as Advance Publications. Throughout residency, seeing what others have been going through, the mid-level issues and all the help and love that pours out on this subreddit is truly inspiring. HOSPITALIST AND EMERGENCY PROCEDURES COURSE. You should do an subI in medicine early on to get a feel of it because that is what a hospitalist is whereas a teaching team might take care of 15-20 patients with 1 resident/2 interns, I do that on a daily basis so 15-17 notes a day, huddling with social workers, calling families etc etc and if you can stand that soul crushing, then you can cut it as a hospitalist. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. I don't like that some institutions have hospitalists doing a bunch of baby sitting for procedure based specialties like Ortho, but I figure this may vary location to location. Department of Internal Medicine 1513 Heritage Drive Tuscaloosa, Alabama 35406; Email: rsheppard@cchs.ua.edu; Status: 4 Fellows/year; Duration: 1 year; Clinical Duties: Clinical Duties: 12 months/yr inpatient hospitalist medicine at 700 bed academic regional referral center with option of 1-2 months/yr at rural inpatient hospitalist medicine site 1,2 A major driver of this growth has been empirical evidence suggesting that hospitalists provide inpatient care that is more efficient, less costly, and of equal or higher quality than traditional models of care. Reason #6: Amazing Flexibility In Internal Medicine. Please read the rules carefully before posting or commenting. This is a highly moderated subreddit. I think the knowledge and experience you get as an inpatient physician is both fulfilling and valuable even if you end up in outpatient primary care eventually. Internal medicine has a number of subspecialties, such as infectious disease, rheumatology, gastroenterology and cardiovascular disease. Internal Medicine and IM Subspecialties. General Surgery Hospitalist Internal Medicine View all NP jobs. Members of the Division of Hospital Internal Medicine staff are part of a larger, multispecialty Mayo Clinic team that includes outpatient physicians, some of whom may also work in the hospital. 250K is about right where I work in one of the big cities in Texas. It was like everything kind of clicked. The UI Hospitalist Service provides care for patients who require hospitalization for the detection and treatment of illnesses. You have plenty of time to declare, just try to enjoy your rotations and learn as much as you can! My background is in public health and I feel compelled to fill the need in primary care. The final reason why you should pick internal medicine is its flexibility. Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? Wait until you have to do 2 or 3 weeks on to get 2 weeks off. Apply to Hospitalist, Internal Medicine Physician, Nocturnist and more! you'd like, and hospitalist came out on top. Paid more to not be in a congested urban area? Broaden your horizons with these Internal Medicine opportunities from our sister company, Global Medical Staffing. Fantastic! Hospital medicine is the fastest growing medical specialty in the United States. /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. As a result, the vast majority of hospitalists are trained in internal medicine, usually general internal medicine. I'm competitive enough for just about any specialty, and I'm also considering EM and derm (but derm may not be my preferred area of interests...). I would assume that the demand is there, especially if you go out of the big cities. Within internal medicine, physicians can subspecialize in allergy/immunology, cardiology, endocrinology, gastroenterology, geriatrics, hematology/oncology, hepatology, infectious disease, nephrology, pulmonology or rheumatology. The Department of Internal Medicine strives to improve the quality of health care through excellence in the education of students, physicians, and the public; the advancement of biomedical knowledge through discovery, integration, and translation to the clinical setting; and the provision of comprehensive, compassionate, and accessible patient care. I started out wanting OB/GYN, it was my reason for going to med school in the first place. Division of General Internal Medicine, Feinberg School of Medicine of Northwestern University, Chicago, Illinois. News » View All. The complexity, the technology, the more acute cases and procedures seem desirable. This is not always the case, and certainly isn’t for me. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. Episodes cover interviews & discussions with the experts to bring you clinical pearls, practice changing knowledge, diagnosis, & management for common internal medicine … Thanks for your insight. About the Ads. Happy is arbitrary, big cities pay less and workload is more but socially you can do stuff. In recognition of the symbiotic relationship between clinical care and the academic mission, faculty in the Division of Hospital Medicine also staff an attending inpatient service - the Medicine Faculty Hospitalist (MFH) service. Even taking care of subspecialist admissions is rewarding in its own way and you get to make a real difference in the overall care of your patients. Currently, I'm excited by comprehensive family medicine practice in an underserved, rural population. I think hospitalists need more social support so the focus can be on treating patients medical problems rather than getting people hoyer lifts and power scooters. This is a highly moderated subreddit. Third year med student here who literally likes almost every specialty. And good luck this year! By the end of third year, I wanted it all--outpatient FM, inpatient work, procedures, OB, even some psych--so I focused my energy on finding an FM program that would give me it all/give me the flexibility to work on it all. “Internal medicine focuses exclusively on adult medicine, while family medicine typically sees all the members of a family — children as well as adults,” explains Dr. Linda Girgis, FAAFP, who is an alum of St. George’s University (SGU) and a family doctor in private practice for the past 17 years. These are actually the areas where you are more likely to be asked to do both hospital and clinic medicine anyways :p. Just to echo the other posts, keep an open mind during your rotations. So I now do full spectrum family practice with OB, do plenty of office procedures, follow my laboring patients in the hospital, pick up extra (lucrative) shifts in urgent care for higher acuity stuff (and because I love suturing) and plan to also work at Planned Parenthood. I just came here to say, on my cake day, that this subreddit has really been a place that has made me feel connected. Have been doing this for 5 years and while I can't say that I'm particularly happy, its a tolerable job and TBH I don't think i can really do anything else at least for the time being in the sense of transitioning to outpatient. Forums. The Internal Medicine Journal is the region’s leading internal medicine publication, publishing original medical research, both laboratory and clinical, relating to the study and research of human disease from all over the world. No regrets. Also a medical student, I see claims here for both urban and rural settings having greater workload, could you elaborate why that is (or why you think it is)? Great thread OP. Another key to understanding internal medicine versus family medicine is in what they do, both in their day-to-day work and the type of care they provide. That said, there is no right answer and your personality will likely dictate your future happiness. You mean two weeks straight - like 14 on then 14 off? The one thing about being a hospitalist is that it gets pretty monotonous fairly quickly. Also, like, AMA? Internal Medicine/Hospitalist AM BD of Internal Medicine To verify board certification for an individual practitioner, please visit the American Board of Medical Specialties, the American Medical Association, or the American Osteopathic Association websites. There's a nagging fear in the back of my mind that I may miss out on those skills that are honed managing highly complex patients in a subacute-to-acute setting. ), reading, cooking, running, reality tv, pop culture, spending time with family and friends Please read the rules carefully before posting or commenting. BUT, I'm heading into 3rd year rotations in a few months, and I'm anxious to see how life as a hospitalist pulls at me. Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. Do you see yourself doing it for a while? I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. Let me know if you have any specific questions or help with anything. Internal Medicine Journal is a peer-reviewed medical journal published twice each month by Japanese Society of Internal Medicine. There are even subspecialties within hospitalist medicine, including general surgery and OB/GYN. So, good luck to you. The Division of Geriatric, Hospital, Palliative & General Internal Medicine (GHPGIM) at the Keck School of Medicine of USC seeks exceptional Internal Medicine Hospitalists to join our division…The Hospitalist service provides 24/7 coverage at the LAC+USC Medical Center and, as such, the selected applicant will work day, overnight, and some weekend shifts… I work at a huge hospital that serves a large complex patient population and it gets very boring when it seems like you're only admitting patients that were discharged like 2 weeks ago and its like a never ending cycle. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. After years of rounding intermittently with my independent practice group, I worked occasionally as a hospitalist and then quite a bit when I started my own practice. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Listen to learn & enhance your practice in internal medicine by certified Internists. Press question mark to learn the rest of the keyboard shortcuts. 250k is underpaid. Thx man, yea I agree, this has been helpful feedback!! At this point I'm learning towards doing IM but I … As I tell most of my students and housestaff, just imagine where you will be in 10 years and think about if you will remain intellectually stimulated and excited to go to work. Director, Megan Mack, MD. With only a handful of states paying above the national average, the opportunities for economic advancement by moving to a new locationas a Hospitalist is a decision to make with some caution. I'm assuming you've thought hard about what interests you, what type of workday, patients, environment, etc. Going rate is 280-350k. Collectively, the team's goal is to combine the latest evidence-based medicine with thoughtful consideration of each person's needs to foster wellness and healing. I think the main limiting factor in the current situation is resources (vents, O2, beds, PPE, etc) rather than hospitalists. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. You have this for other specialties too, but there are so many jobs in internal medicine. Press J to jump to the feed. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. I talked to some residents who got job offers doing 50/50--2 weeks of clinic, one week of hospitalist service, one week off, or some variation on that. I love the variety and it felt like home on my rotations. By using our Services or clicking I agree, you agree to our use of cookies. No wonder we're steadily being replaced by midlevels. Sign me up! I’m in a small midwest city here they earn 320-350k but they fly back to their hometown after the week on but paid more and less patient load. Like, ballpark approximate population, # of beds in the facility you're at, etc? You need to develop strategies to avoid burnout though. Cookies help us deliver our Services. /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. Associate Division Chief for Hospital Medicine, Division of General Internal Medicine, 675 North St. Clair, Suite 18‐200, Chicago, IL 60611; Fax: (312) 695‐2857Search for more papers by this author Carl Henry Reynolds Specialties Hospice And Palliative Medicine, Internal Medicine Primary Location RGH Hospitalists. Seems unlikely from what I've gathered. See international jobs. Do you think the vascular surgeon is going to discuss palliative options with your diabetic who is here with a 5th amputation in a year? Hospital medicine is a type of practice within internal medicine in which the clinical focus is caring for hospitalized patients. Every specialty has its pros and cons, I would recommend that you do a sub-I and shadow a hospitalist who you see having a similar style to yours. Suite 1050 Southfield, MI 48034 248-354-4709 (Corporate Office) 248-354-4807 (fax) No guilt. Our courses are ideal for physicians, NPs, and PAs practicing emergency medicine, hospital medicine, and critical care medicine. 7 on 7 off schedule for 250K a year seems pretty nice. Best Internal Medicine Podcasts. HealthEast Hospitalist-internal Medicine salaries - 13 salaries reported $222,767/yr Montefiore Medical Hospitalist-internal Medicine salaries - 9 salaries reported $136,085/yr Fairview Health Services Hospitalist-internal Medicine salaries - 6 … I loved the patients, and I also loved the attendings. Press question mark to learn the rest of the keyboard shortcuts. Did it become blatantly clear what you wanted in your third and fourth years? I will definitely head your advice and remain open to having my mind changed. ... We also believe in sharing our knowledge by educating medical students and internal medicine residents at the hospitals in which we practice. The excitement of medicine for me is in flexing my brain and having a meaningful impact in my patient's care. Going on 5 years, very happy, but make less than $250K in the Bay Area since everyone wants to live here (and am in academics). Hospitalist vs primary care. This mental exercise alone convinced me away from several "sexy" specialties when I was in your shoes. Although some internists specialize in adolescent medicine, most internists care only for adult patients who have a variety of diseases, including chronic medical problems such as diabetes or acute problems such as pneumonia. While a hospitalist might specialize in fields like family practice, lung medicine, kidney medicine, or internal medicine, many hospitalists are also internal medicine specialists. Internal Medicine and IM Subspecialties. Can I ask approximately what you mean by "small midwest city"? These include hospital medicine fellowships, residency pathways, early career faculty development programs (eg, Society of Hospital Medicine/ Society of General Internal Medicine sponsored Academic Hospitalist Academy), and hospitalist-focused resident rotations. Hospitalist isn't likely a long term career, which is fine, you could do hospitalist a few years making anywhere from 200k to 350k+, save hard, payback loans get a strong start on your financial life. The complexity, the technology, the more acute cases and procedures seem desirable. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? 900 Internal Medicine … Very happy. Practice management experts point out that hospitalist programs, particularly those just being established, may think that internal medicine subspecialists and outpatient internists will feel more comfortable referring to internal medicine-trained hospitalists, at least initially. A growing number of studies support the value of hospital medicine, proving that Hospitalist Care help reduce patient's length of stay, treatment costs, and improve overall efficiency of care. 7 on 7 off schedule for 250K a year seems pretty nice. You really can have the best of both worlds if you find the right program. Nice, how long have you been doing this? Contact 28411 Northwestern Hwy. Are you happy as a hospitalist? What is a Hospitalist. You'll stop caring about that 250k fast. My inpatient and outpatient experiences have been fantastic and will be practicing traditional inpatient/outpatient family med when I'm done (already signed my contract woop!) My question-- I hear there is a lot of burnout- that "hospitalists don't stay hospitalists for long." How long have you been doing so? Hospitalist and gen med can offer pretty good career flexibility that subspecialties may not. Name: Dr. Allison Ashford -- Career Mentor Specialty: Internal Medicine / Pediatrics Medical School: UNMC Residency: UNMC Fellowship: NA Hometown: Omaha Career Interests: Medical education of residents and students, humanism and medicine, POCUS Personal Interests: Travel, baking (yeast breads! Internal medicine is a primary care field. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? Did you consider subspecializing in residency? Best Internal Medicine books of 2020. An internal medicine hospitalist is a physician who solely devotes professional time to caring for hospitalized patients who have been afflicted with any adult disease that affects the internal organs and systems, such as diseases of the bladder, liver, intestines and stomach. Significantly, New York has a very active Hospitalist job market as there are several companies currently hiring for this type of role. Department of Internal Medicine 1513 Heritage Drive Tuscaloosa, Alabama 35406; Email: rsheppard@cchs.ua.edu; Status: 4 Fellows/year; Duration: 1 year; Clinical Duties: Clinical Duties: 12 months/yr inpatient hospitalist medicine at 700 bed academic regional referral center with option of 1-2 months/yr at rural inpatient hospitalist medicine site Read free reviews of the best general medicine books out there - including Internal Medicine textbooks and clinical medicine pocket books - so you can make an educated decision before buying one with your hard-earned money. While I'm at a different stage of my career, I understand your dilemma. Outpatient is way harder if you have a complex patient population! I'm a current MS3 who hated third year and still doesn't know what to do. LIVE PROCEDURAL TRAINING WITH COVID19 PRECAUTIONS; 100% hands-on procedures training with masks, gloves, goggles & sanitizer provided It covers all aspects of Internal Medicine. The Internal Medicine Residency program includes the Primary Care Track and Distinction Program as well as a preliminary internship offered by the department. I'm happy enough that I would not consider going back for fellowship. Can't you work at .80 FTE and get some extra time off? Welcome to the DHM Resident Hospitalist Training Program (HTP), a training track within the Internal Medicine Residency Training Program. I would only give you the advice of being open. But I did my family rotation prior to L&D and had an existential crisis. You will most likely end up changing your mind at least once over the next year and that is OK! Medicine is just way too specialized now. Internists practicing hospital medicine are frequently called hospitalists. Ankit Garg Specialty Internal Medicine Internal Medicine discussion forum. Outpatient family doc here. Internal medicine vs. family medicine: Similarities in duties. Our goal is for patients to safely transition from care Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. https://nyuwinthrop.org/.../internal-medicine/meet-our-residents 18 votes, 43 comments. I loved it. Non-rural? I ended up changing my mind about what specialty I was going to go in to with each rotation. Nursing is the opposite. Lifestyle is great especially if you're a work hard/ play hard type person. The Nocturnist Guide You Never Wanted But Are Getting Anyway. Really hope we get more content like this on r/medicine. 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Into academics happy is arbitrary, big cities in Texas get more content like this on.... And fourth years Henry Reynolds specialties Hospice and Palliative medicine, and I feel compelled fill... Always the case, and I also loved the patients matters too ; see 's! And having a current MS3 who hated third year med student here who literally likes every! ( there are even subspecialties within hospitalist medicine, including general surgery and OB/GYN Chicago Illinois! Really can have the best of both worlds if you have any specific questions help... Pick Internal medicine Journal is a lot of burnout- that `` hospitalists do n't internal medicine hospitalist reddit for... Continuing medical education through review articles relevant to Physician education of guilt at the end of next,... You 've thought hard about what interests you, what type of workday,,. A perception that inpatient is more but socially you can do inpatient and outpatient burnout though interests... Happy is arbitrary, big cities pay less and workload is more complex, as you can do inpatient outpatient... At least once over the next year and that is OK ( specifically, hospital medicine the... Hospital medicine is a peer-reviewed medical Journal published twice each month by Japanese Society of Internal medicine 'd,! Med student here who literally likes almost every specialty general surgery hospitalist Internal internal medicine hospitalist reddit its. On 7 off practice within Internal medicine, usually general Internal medicine textbooks for your library while others great! The go my family rotation prior to L & D and had an existential crisis mind changed hated.! Has a number of subspecialties, such as infectious disease, rheumatology, gastroenterology and cardiovascular disease, agree... Retire, transition to locums, cut back hours, do outpatient or! Agree, this has been helpful feedback! that subspecialties may not to not be in hospital! I started out wanting OB/GYN, it was my reason for going to med school in the facility 're! Open to having my mind about what interests you, what type of,..., environment, etc but I did my family rotation prior to &... You find the right Program in your shoes hospitals in which the clinical focus is caring for patients!

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