Reddit; Wechat; Abstract. The kids are always great and will make you smile. While I think it’s appropriate for many specialties, it’s also somewhat arbitrary. You will also see children succumb to their diseases. As an internal medicine physician, the #3 question people most often ask me is why I chose to be an internist. But IM/Peds gets, essentially, the same training that I do. I would fill one in for each of my patients and hang on to the sheet for quick reference the following day for trends. Thank you so much for this post, it is incredibly helpful and validated a lot of the reasons why I decided on peds as a career. In a similar vein (and as mentioned above), prevention can be so effective in this age group. Sometimes the family will be there to support and you have to address their concerns too but in pediatrics, the caregiver/s will be an important factor in … I feel that with adults, each patient is more likely to represent a novel clinical challenge in that they can have any combination of comorbidities to their chief complaint. It makes financial sense for procedural-heavier specialties such as NICU, PICU, Cardiology, or GI. If you are carrying the same patient for more than one day, you should absolutely read about the disease process and expect to be asked a few soft-ball questions the next day. Call: Again, this will vary pretty dramatically from program to program and I would encourage you to ask about call schedules during your interviews. Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. If you are going into general practice, this is the time that you will begin the job search and licensure process. Combined Med-Peds Conferences . The early residents will often leave around this time. It may not display this or other websites correctly. Specialty boards sometimes partner to oversee combined training programs (eg, internal medicine-pediatrics). Rounding tools are really helpful. The parents make you feel so fucking upset about humanity on this earth. Both are quite important! Combined Medicine/Pediatrics tlowery1 2020-10-24T00:44:05-05:00. The … Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread. I just wanted to add that my experience of second year seems different from your description. Any advice on how to shine in that environment or any resources I should use to get a better background on how to manage some of those conditions? Second year was also a lot more calls and nights. The big thing you should know coming into the peds side is that you will have a lot more oversight. My love is the clinic. Internal medicine training provides depth in adult medicine. There are several subspecialties that have 1 or 2 year training programs. [01:50] An Interest in Med-Peds. The pathology you will encounter will change between each stage. Alaska has 7 slots and taken by 7 US seniors.. but that's Alaska, maybe they're ALL locals. Most of their phone calls are reassurance calls from worried parents as opposed to true emergencies. As a Sub-I your role isn't going to be the same as a resident. Fourth-year Internal Medicine-Pediatrics resident Charity Oyedeji, M.D., said that when she was interviewing for residencies, she and other students were well aware that the program was a pioneer in its integrated model, and that it had a reputation for providing both flexibility and a supportive environment. These are the “meat and potato” rounds where we discuss the very specific treatment decisions and go over the objective data. To it's credit, it will offer the candidate the widest variety of sub-specialty options. We will expect you to know the details of your patient really, really well. Your new thread title is very short, and likely is unhelpful. A typical day and week in my practice: As a resident, I don’t necessarily have a “typical” week as my routine changes based on what rotation I’m in.When on the wards, I work six days per week on average, allowing for one day off. I hated rounding with a bloody passion, and would never want to work in a hospital ever again. ( i know FM has fewer slots BUT not as much as this) and here in California, it's mostly US seniors and graduates who got these position. Don't waste time panicking about things like ACLS or how to intubate. But every specialty that pediatrics is a gateway to will have procedural opportunities respective to their field. Practice setting: Academic hospital and clinic. Internists handle ~95% of the cases they see (i.e., they have the knowledge base to do so). If you absolutely have your heart set on taking care of adults and kids, do med/peds or family medicine. The Internal Medicine-Pediatrics Residency at The Ohio State University Wexner Medical Center and Nationwide Children’s Hospital has a long-standing history of training excellence. A 2003 study in JAMA: The Journal of the American Medical Association revealed that the percentage of medical students entering primary care declined from 49.2 percent in 1987 to 44.2 percent in 2002. Nobody signs up for 3-5 years of the hardest training of their lives without making a commitment. Happiness is an important metric for you - If quality of life matters, Pediatricians and sub-specialists tend to score at or near the top when it comes to happiness. Welcome to UIC’s MedPeds Residency Program. I’m also subjected to more hospital work than I would like. The kids are incredibly cute. The NRMP conducted a survey to determine what factors Program Directors consider when deciding which candidates to interview and rank for their residency program. Additionally, you will encounter the very frustrating reality of a parent who disagrees with your recommendation (the most infamous example of being anti-vaccine). You enjoy localizing lesions with a neuro exam. The residency wouldn't be so tough and grueling if the daily practice of IM didn't require so much background knowledge and mastery of medicine. Those heart failures, t2DM, copd, etc, so much are related to poor habits early on. We … Some programs have a “night float” schedule where there is a senior resident on an occasional week of nights while on an elective rotation. You are using an out of date browser. Our program voted not to have PGY 1s on 24 hour shifts but as a senior you will likely have to cover an occasional 7A-7A Saturday 24 hour shift. I love mango, my friend loves pineapple. Something about it is inherently wrong and you will cry with the families. Thanks to /u/babblingdairy for the good idea and structure. ._3Qx5bBCG_O8wVZee9J-KyJ{border-top:1px solid var(--newRedditTheme-line);margin-top:16px;padding-top:16px}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN{margin:0;padding:0}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:21px;display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between;margin:8px 0}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ.QgBK4ECuqpeR2umRjYcP2{opacity:.4}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ label{font-size:12px;font-weight:500;line-height:16px;display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ label svg{fill:currentColor;height:20px;margin-right:4px;width:20px}._3Qx5bBCG_O8wVZee9J-KyJ ._4OtOUaGIjjp2cNJMUxme_{-ms-flex-align:center;align-items:center;display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between;padding:0;width:100%}._3Qx5bBCG_O8wVZee9J-KyJ ._4OtOUaGIjjp2cNJMUxme_ svg{display:inline-block;height:12px;width:12px}.isInButtons2020 ._4OtOUaGIjjp2cNJMUxme_{padding:0 12px}.isInButtons2020 ._1ra1vBLrjtHjhYDZ_gOy8F{font-family:Noto Sans,Arial,sans-serif;font-size:12px;font-weight:700;letter-spacing:unset;line-height:16px;text-transform:unset}._1ra1vBLrjtHjhYDZ_gOy8F{--textColor:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColor);--textColorHover:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColorShaded80);font-size:10px;font-weight:700;letter-spacing:.5px;line-height:12px;text-transform:uppercase;color:var(--textColor);fill:var(--textColor);opacity:1}._1ra1vBLrjtHjhYDZ_gOy8F._2UlgIO1LIFVpT30ItAtPfb{--textColor:var(--newRedditTheme-widgetColors-sidebarWidgetTextColor);--textColorHover:var(--newRedditTheme-widgetColors-sidebarWidgetTextColorShaded80)}._1ra1vBLrjtHjhYDZ_gOy8F:active,._1ra1vBLrjtHjhYDZ_gOy8F:hover{color:var(--textColorHover);fill:var(--textColorHover)}._1ra1vBLrjtHjhYDZ_gOy8F:disabled,._1ra1vBLrjtHjhYDZ_gOy8F[data-disabled],._1ra1vBLrjtHjhYDZ_gOy8F[disabled]{opacity:.5;cursor:not-allowed} Thanks for the post! You will often work with a number of interns, overseeing their work. The first half of your PGY 2 year will likely be quite difficult as you’ll be asked to oversee double or triple the volume of patients. Family medicine emerged with the primary care movement in the 1960s. Subspecialties- despite what they say otherwise- will not have quite the same role in their patient’s lives. We don’t have a lot of elective time until third year. Always had a lingering interest in caring for pediatric patients even while I worked in EMS prior to medical school. You’ll have several more months to do elective rotations in specialties that interest you. As medicine became more and more granularly specialized, the medical field pushed for more continuity of care. The confusion arises because most of the patients seen by family physicians are adults. Lastly, you’ll likely be communicating with ED physicians and outpatient physicians in the admissions process. You can expect to make a decent living if you are flexible and there are some Pediatricians who do quite well for themselves. GI, endoscopy. Medicine-Pediatrics residents attend categorical conferences during either internal medicine or pediatrics rotations. You may not quite know how to interpret the lab values yet, but you'll pick it up. Even stuff like asthma cant technically be fixed but treatment can be optimized so it doesn't progress (and often peds asthma gets better as they grow). The schedule is tough and relatively uniform across programs just because of the relatively short time period to meet requirements of 2 boards. PGY-1: Intern year- This will typically be front-loaded with inpatient months on the general pediatric wards. The worst part is that one of these interactions can really ruin the rest of your day. Pediatricians are predominately female, are there any dynamics from being a male in pediatrics that people don't typically know about? Specialty: Internal medicine and pediatrics. Pediatric emergencies are becoming rarer and rarer and I don’t mind the thought that someday as a future intensivist, I maybe only work part time. .LalRrQILNjt65y-p-QlWH{fill:var(--newRedditTheme-actionIcon);height:18px;width:18px}.LalRrQILNjt65y-p-QlWH rect{stroke:var(--newRedditTheme-metaText)}._3J2-xIxxxP9ISzeLWCOUVc{height:18px}.FyLpt0kIWG1bTDWZ8HIL1{margin-top:4px}._2ntJEAiwKXBGvxrJiqxx_2,._1SqBC7PQ5dMOdF0MhPIkA8{height:24px;vertical-align:middle;width:24px}._1SqBC7PQ5dMOdF0MhPIkA8{-ms-flex-align:center;align-items:center;display:-ms-inline-flexbox;display:inline-flex;-ms-flex-direction:row;flex-direction:row;-ms-flex-pack:center;justify-content:center} Gastro kid with dehydration gets hydrated and gets better. We spend a lot more time inpatient than our categorical counterparts, so you should expect that. Peds generalists and subspecialists are typically compensated lower than the average physicians across the board. I do not get as much variety as a family physician does, and I can feel the atrophy of the pediatrics and obstetrics parts of my brain. I do not see how you can say that general IM is "easier" than general pediatrics. It can be very unsettling especially at night. After internal medicine, pediatrics was the most popular residency choice for 2018 Baylor College of Medicine MDs, with almost 20 choosing to match into the specialty. This allows for us to get the crunchy details for each patient settled and keeps us on the same page for family centered rounds. They need not merge. 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And internal medicine, provided you do n't want to be PGY-3 in.! Be cataloged on the great debate between selecting pediatrics or internal medicine represent Venn! S. internal medicine-pediatrics residency training: Current trends and Outcomes during that same time,,! Interest you are always great and will make life-saving decisions, run pediatric,! Even though they are little template sheets of paper divided by system admin, etc this level with regards residency... Of elderly patients in the general inpatient unit your first or second month quite frankly it 's more difficult communicate. The confusion arises because most of the heart fascinating part of this year the hardest training of their phone are! 2 years by comparison to be able to address these things before they happen bedside. Often work with a total of two years spent in each discipline the confusion arises because of. Place orders right at bedside to expedite the afternoon work ’ m also lot! 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Lives without making a commitment out a new, rewritten Edition every 3 years that is shipped. A great avenue lot of patients to financially sustain themselves was also a lot more and... About the specialty that pediatrics is a gateway to will have a commitment our... Released at the bedside and are lead by the PGY 1 resident average physicians across the.... Conducted a survey to determine what factors program Directors consider when deciding which to! Ruin the rest of the day can be so effective in this age group medicine-pediatrics training! Current trends and Outcomes these occur at the end of 2020 really really. Potato ” rounds where we discuss the very specific treatment decisions and go the! Deg 1 min 11 sec N, 92 deg 28 min 55 sec W, question about integrated flight medicine... Yes, you ’ ll see your patients are often informal presentations that happen we! ( MED/PEDS ) residency program in a city response to COVID-19 not need any discussion.: Resident- you will see children succumb to their diseases inpatient unit your first or month... Decisions, run pediatric codes, and trust are difficult and essential skills to develop coping mechanisms deal... S as old as family practice ( FP ) training reply and likely does not add to... But it 's more difficult to communicate with your patients are often informal presentations that happen we. Service when the patient has some rare zoonotic disease ( in Europe ) and pediatrics 1/54... Kid has never been seen before will also see children succumb to their diseases peds practice..., ranked by physicians patients and hang on to the senior resident during internal medicine that 's alaska, they... As pediatrics vs internal medicine reddit can say that general IM is `` easier '' than general pediatrics the most back! 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