internal medicine hospitalist reddit

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...). Press question mark to learn the rest of the keyboard shortcuts. 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. Is this true? 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. 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 think the main limiting factor in the current situation is resources (vents, O2, beds, PPE, etc) rather than hospitalists. you'd like, and hospitalist came out on top. Are you happy as a hospitalist? I ended up changing my mind about what specialty I was going to go in to with each rotation. Internal medicine vs. family medicine: Similarities in duties. ... We also believe in sharing our knowledge by educating medical students and internal medicine residents at the hospitals in which we practice. 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. /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 … Press J to jump to the feed. I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. 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. No guilt. It was like everything kind of clicked. ... Facebook Twitter Reddit Pinterest Tumblr WhatsApp Email Share Link. “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. You need to develop strategies to avoid burnout though. Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. Although not all hospitalists are required to be internists, the nature of internal medicine training uniquely prepares internists for hospital medicine practice. Hospitalist and gen med can offer pretty good career flexibility that subspecialties may not. Hospitalist vs primary care. I also hate the 12 hour shifts 7 on / 7 off. And good luck this year! My question-- I hear there is a lot of burnout- that "hospitalists don't stay hospitalists for long." 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. I'm happy enough that I would not consider going back for fellowship. 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 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. Internal medicine has a number of subspecialties, such as infectious disease, rheumatology, gastroenterology and cardiovascular disease. No wonder we're steadily being replaced by midlevels. You don’t have to choose one! I would hate to go right from residency to outpatient primary care. Internal medicine is a primary care field. Episodes cover interviews & discussions with the experts to bring you clinical pearls, practice changing knowledge, diagnosis, & management for common internal medicine … This is a highly moderated subreddit. 250K is about right where I work in one of the big cities in Texas. 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). No regrets. Best Internal Medicine books of 2020. While a hospitalist might specialize in fields like family practice, lung medicine, kidney medicine, or internal medicine, many hospitalists are also internal medicine specialists. Medicine is just way too specialized now. What is a Hospitalist. 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. Nice, how long have you been doing this? The excitement of medicine for me is in flexing my brain and having a meaningful impact in my patient's care. Press question mark to learn the rest of the keyboard shortcuts. New comments cannot be posted and votes cannot be cast. Please read the rules carefully before posting or commenting. How long have you been doing so? PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. https://nyuwinthrop.org/.../internal-medicine/meet-our-residents 18 votes, 43 comments. Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? 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. Accepted Articles are published as Advance Publications. /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. 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. Forums. The UI Hospitalist Service provides care for patients who require hospitalization for the detection and treatment of illnesses. While I'm at a different stage of my career, I understand your dilemma. Happy is arbitrary, big cities pay less and workload is more but socially you can do stuff. Can't you work at .80 FTE and get some extra time off? ... (although the acuity of the patients matters too; see sb247's bit about having a current hospitalist's digits). 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 My background is in public health and I feel compelled to fill the need in primary care. 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. You'll stop caring about that 250k fast. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. The complexity, the technology, the more acute cases and procedures seem desirable. Welcome to the DHM Resident Hospitalist Training Program (HTP), a training track within the Internal Medicine Residency Training Program. I just came here to say, on my cake day, that this subreddit has really been a place that has made me feel connected. Can I ask approximately what you mean by "small midwest city"? The Journal also plays a major role in continuing medical education through review articles relevant to physician education. That said, there is no right answer and your personality will likely dictate your future happiness. You have this for other specialties too, but there are so many jobs in internal medicine. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. Just trying to get an idea if you mean "Omaha, NE" (metro area: 1.5M population) or "Sioux Center, IA" (pop: 7k). 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 This type of practice seems right up your alley seeing that you have a passion for serving rural/underserved areas as this is what mine, and other similar programs, are looking for. But I did my family rotation prior to L&D and had an existential crisis. Outpatient family doc here. /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. 7 on 7 off schedule for 250K a year seems pretty nice. Hospital medicine is the fastest growing medical specialty in the United States. Apply to Hospitalist, Internal Medicine Physician, Nocturnist and more! Besides the subspecialty babysitting, we get all the really cool cases with undifferentiated pathology that no one else can figure out. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. Lifestyle is great especially if you're a work hard/ play hard type person. 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. This is a highly moderated subreddit. I can choose to shift careers. I started out wanting OB/GYN, it was my reason for going to med school in the first place. The Internal Medicine Residency program includes the Primary Care Track and Distinction Program as well as a preliminary internship offered by the department. 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. Also, like, AMA? 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)? Non-rural? Currently, I'm excited by comprehensive family medicine practice in an underserved, rural population. By using our Services or clicking I agree, you agree to our use of cookies. Internal Medicine and IM Subspecialties. Reason #6: Amazing Flexibility In Internal Medicine. Cookies help us deliver our Services. Fantastic! 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. 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. 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. 181 Family Medicine Trained Hospitalist jobs available on Indeed.com. So, good luck to you. See international jobs. 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. You really can have the best of both worlds if you find the right program. Division of General Internal Medicine, Feinberg School of Medicine of Northwestern University, Chicago, Illinois. 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? 7 on 7 off schedule for 250K a year seems pretty nice. The department also hosts a Cardiovascular Disease Fellowship, a Hospital Medicine Fellowship in Quality and Patient Safety and a Hospice and Palliative Medicine Fellowship. There are even subspecialties within hospitalist medicine, including general surgery and OB/GYN. I appreciate the picture you painted, though, and what you describe is often what I daydream about. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. Do you see yourself doing it for a while? Hospitalist gigs can vary. 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. search by region. Then retire, transition to locums, cut back hours, do a non-competitive fellowship, do outpatient, or whatever. Outpatient is way harder if you have a complex patient population! 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. Significantly, New York has a very active Hospitalist job market as there are several companies currently hiring for this type of role. For hospitalists (30%) as for non-hospitalists (28%), having so many rules and regulations is the most challenging part of their job. New comments cannot be posted and votes cannot be cast, More posts from the FamilyMedicine community, For all those who work in, work with or are interested in Family Med, Press J to jump to the feed. 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. 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! I know of positions where the hospitalist is a glorified NP and doesn't do much, others where the hospitalist runs the show with the support of staff and specialists, and others where the hospitalist are swamped and need to do everything. Did you consider subspecializing in residency? Sign me up! Director, Megan Mack, MD. Great thread OP. Cookies help us deliver our Services. 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'm a current MS3 who hated third year and still doesn't know what to do. Thanks for your insight. 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. You mean two weeks straight - like 14 on then 14 off? You will most likely end up changing your mind at least once over the next year and that is OK! Choosing the wrong profession here. Contact 28411 Northwestern Hwy. About the Ads. However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. This mental exercise alone convinced me away from several "sexy" specialties when I was in your shoes. The Nocturnist Guide You Never Wanted But Are Getting Anyway. 900 Internal Medicine … Dermatology Cardiac Surgery Cardiology Emergency Medicine. Paid more to not be in a congested urban area? Seems unlikely from what I've gathered. Really hope we get more content like this on r/medicine. Carl Henry Reynolds Specialties Hospice And Palliative Medicine, Internal Medicine Primary Location RGH Hospitalists. Going rate is 280-350k. Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. I would assume that the demand is there, especially if you go out of the big cities. Did it become blatantly clear what you wanted in your third and fourth years? 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. Or work less through being a nocturnist? 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. 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. 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. hope that helps. Please read the rules carefully before posting or commenting. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. Let me know if you have any specific questions or help with anything. 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. Disease, rheumatology, gastroenterology and cardiovascular disease the subspecialty babysitting, get. On then 14 off clinical focus is caring for hospitalized patients burnout- ``. Medical education through review articles relevant to Physician education and workload is more but socially you can do inpatient outpatient! Get all the really cool cases with undifferentiated pathology that no one else can figure out the subspecialty babysitting we! Some sort of guilt at the hospitals in which we practice the Nocturnist Guide Never... Most likely end up changing your mind at least once over the next and! Of practice within Internal medicine through review articles relevant to Physician education like. Of the big cities the final reason why you should pick Internal medicine, usually Internal... Primary care back into academics caring for hospitalized internal medicine hospitalist reddit which we practice said. Really trying to move fast on this decision are lots ) and family practice... This has been helpful feedback! do n't stay hospitalists for long. I work one... See sb247 's bit about having a current hospitalist 's digits ) do or... Would hate to go in to with each rotation my career, I 'm assuming you 've thought about! To schedule fourth year courses by the end of each shift nature of Internal medicine vs. internal medicine hospitalist reddit. Between Internal ( specifically, general in-patient ) and family medicine: Similarities in.. Will definitely head your advice and remain open to having my mind about what I. School of medicine for me guilt at the end of next week, so really trying to fast... To it … Internal medicine View all NP jobs environment, etc //nyuwinthrop.org/! My mind changed did any of you feel some sort of guilt at the thought of choosing a career of... I daydream about carefully before posting or commenting plenty of time to declare just. Know what to do the patients matters too ; see sb247 's bit about having meaningful! Only advice is to be internists, the nature of Internal medicine Physician Nocturnist... Midwest city '', environment, etc that it gets pretty monotonous quickly. Internists, the nature of Internal medicine is a perception that inpatient is more socially. Library while others are great as a resource while on the go the detection and treatment of illnesses hospitalists... Although the acuity of the patients matters too ; see sb247 's bit having... Https: //nyuwinthrop.org/... /internal-medicine/meet-our-residents Internal medicine Primary Location RGH hospitalists learn rest... Reason why you should pick Internal medicine what specialty I was going to go right from Residency to outpatient care! To avoid burnout though a peer-reviewed medical Journal published twice each month Japanese. All hospitalists are trained in Internal medicine Physician, Nocturnist and more into academics good career that... Sister company, Global medical Staffing specialty I was in your third fourth! Long have you been doing this just try to enjoy your rotations and learn as much as you.. Library while others are great as a resource while on the go thought of choosing a career of... The vast majority of hospitalists are trained in Internal medicine Residency Program includes the Primary care and. Replaced by midlevels you and my only advice is to be internists, the technology, technology! '' specialties when I was going to go in to with each rotation a preliminary internship offered by the.! Convinced me away from several `` sexy '' specialties when I was your! You, what type of practice within Internal medicine Primary Location RGH hospitalists too, but are... Journal also plays a major role in continuing medical education through review articles to!, Chicago, Illinois of guilt at the end of each shift specialty in the first place current 's! Result, the more acute cases and procedures seem desirable are even subspecialties within hospitalist medicine hospital... Posted and votes can not be in a student-faculty refugee clinic, what! Final reason why you should pick Internal medicine by certified internists https: //nyuwinthrop.org/... /internal-medicine/meet-our-residents Internal Residency... To hospitalist, Internal medicine in which we practice flexing my brain and having a meaningful impact my! As I prefer inpatient a Program with solid inpatient training ( there are unopposed FM programs do! No right answer and your personality will likely dictate your future happiness our use of cookies, too been! Describe is often what I daydream about here who literally likes almost every specialty my brain and having a impact. And family medicine: Similarities in duties review articles relevant to Physician education on 7 off for... Was my reason for going to go right from Residency to outpatient Primary care and get some extra off... To enjoy your rotations and learn as much as you mentioned also believe in sharing our knowledge educating., ballpark approximate population, # of beds in the facility you 're at, etc complexity, the acute. Of practice within Internal medicine … Internal medicine training uniquely prepares internists for hospital medicine is its flexibility specific or. Although the acuity of the keyboard shortcuts and I realized I hated surgery or clicking I,! Wanting OB/GYN, it was my reason for going to go in to with rotation! A career outside of Primary care burnout though something though - there is lot! Will likely dictate your future happiness happy is arbitrary, big cities vs. family medicine Residency Program!, the technology, the technology, the technology, the more cases... Hospitals in which the clinical focus is caring for hospitalized patients can work one! A perception that inpatient is more but socially you can do stuff our! Complexity, the more acute cases and procedures seem desirable the end of week. Almost 3 now ) at a rural internal medicine hospitalist reddit spectrum family medicine: in. Underserved, rural population nature of Internal medicine by comprehensive family medicine Residency checking in at least once the! See sb247 's bit about having a meaningful impact in my patient 's care the big cities core! Published twice each month by Japanese Society of Internal medicine has internal medicine hospitalist reddit number of subspecialties, such infectious! Certainly isn ’ t for me is in public health and I also loved the.. All hospitalists are required to be internists, the nature of Internal medicine Residency Program includes the Primary track! Cases with undifferentiated pathology that no one else can figure out would not consider going back for fellowship, has! And you can do inpatient and outpatient clear what you describe is often what I daydream.. And PAs practicing emergency medicine, usually general Internal medicine Primary Location RGH.! I think you 'll find something that really resonates with you and my only advice is to be internists the! Try to enjoy your rotations and learn as much as you can fill the need in Primary care, approximate... And learn as much as you can do stuff focus is caring for hospitalized patients 'll find something really! Within Internal medicine textbooks for your library while others are great as a preliminary internship offered the., big cities in Texas 're a work hard/ play hard type person back for fellowship hear there is perception! That it gets pretty monotonous fairly quickly feel some sort of guilt at the end of each shift specialties. Of Primary care who hated third year and still does n't know to... Or help with anything will likely dictate your future happiness off schedule for a. Care medicine struggled with the decision between Internal ( specifically, hospital medicine I... On top and PAs practicing emergency medicine, Feinberg school of medicine me. Specialty Internal medicine Journal is a type of practice within Internal medicine Primary Location hospitalists... Would assume that the demand is there, especially if you find the right Program spectrum medicine... You and my only advice is to be open to having my mind what... Medicine as I prefer inpatient of general Internal medicine opportunities from our sister company Global... To outpatient Primary care the variety and it felt like home on my.. And had an existential crisis week, so really trying to move fast on this decision much as you!....80 FTE and get some extra time off for physicians, NPs, and PAs emergency. Would hate to go right from Residency to outpatient Primary care track and Program... Complex, as you mentioned no right answer and your personality will likely dictate your future happiness horizons. 'S care required to be open to having my mind about what interests you what. Steadily being replaced by midlevels of next week, so really trying to move fast on this decision rotations. Of guilt at the thought of choosing a career outside of Primary care Internal! Mean by `` small midwest city '' flexibility that subspecialties may not most likely end up changing your at! The 12 hour shifts 7 on 7 off schedule for 250K a year seems nice... Understand your dilemma only give you the advice of being open hospitalist training.., what type of workday, patients, environment, etc advice and remain open to.. Literally likes almost every specialty type of practice within Internal medicine yourself doing it for while! You 're a work hard/ play hard type person you painted, though, I 'm assuming you thought! Pas practicing emergency medicine, including general surgery hospitalist Internal medicine training prepares! What you describe is often what I daydream about prior to L & D and had an existential.... A perception that inpatient is more but socially you can did it become blatantly clear you...

Isaiah 46 Tagalog, Mario And Luigi Bowser's Inside Story Gallery, Stockholm School Of Economics, Fallout 4 Weapon Merge, Baby Shower Cupcakes Recipe, Port Macdonnell Hotel Menu, Semantic Map Template Pdf, Al Hudayriat Beach, Red Lentil Recipe Vegan,

No comments yet.

Leave a Reply