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The worst part is that one of these interactions can really ruin the rest of your day. They let the residents make that call at our program. You don’t mind never seeing an adult again - Personally, I don’t miss it. You are using an out of date browser. You will truly be their “doctor”. Some lazy bender at buzzfeed will compile them all into a listicle. Then I would go into how peds is what I thought IM would be like, similar to the reasons you stated above (pathology diversity, making long-term improvements to health, rewarding relationships with patients). Specialty: Internal medicine and pediatrics. Misconceptions: You know, I haven’t experienced that many misconceptions. Pediatricians get called a LOT. Med-Peds is a combined residency in both Internal Medicine and Pediatrics. 7:30-8:30 - Our program has various special educational rounding times depending on days. Sure. Lauren grew up knowing a doctor who was a family friend who ended up being her internist when she transitioned from her pedia rotation and she was Med-Peds. 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. Years in practice: Three. Not at all. Alaska has 7 slots and taken by 7 US seniors.. but that's Alaska, maybe they're ALL locals. 44 deg 1 min 11 sec N, 92 deg 28 min 55 sec W, Question about integrated flight surgeon/internal medicine. If you absolutely have your heart set on taking care of adults and kids, do med/peds or family medicine. During that same time period, the number of graduates specializing in internal medicine, pediatrics and family medicine dropped from 36 to 22. Beyond child versus adult, for which I agree with the statement above about treating your peers, is one-patient-one-problem versus one-patient-problem-list. ._33axOHPa8DzNnTmwzen-wO{display:block;padding:0 16px;width:100%}.isNotInButtons2020 ._33axOHPa8DzNnTmwzen-wO{font-size:14px;font-weight:700;letter-spacing:.5px;line-height:32px;text-transform:uppercase} The early residents will often leave around this time. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. These are often informal presentations that happen while we eat lunch. I do think there are some people who take Pediatrics a little less seriously than they do adult medicine, but this disappears once you put a sick kid in front of them (or when it’s their kid that’s sick). Here are some aspects of the career that I find particularly rewarding: You enjoy a lot of patient and pathology diversity- In pediatrics you will have the opportunity to develop fluency in caring for patients from extreme prematurity to early adulthood. I do hear that some IM/Peds trained folks will generally "settle" into one of the two fields or sub-specialize. You enjoy localizing lesions with a neuro exam. (The top two being “What is internal medicine?” and “What’s this thing growing on my genitals?”) So I thought that I would pull back the curtain and show how I made my decision. 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. Internal medicine training provides depth in adult medicine. 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. But when it comes to breast/GU exam even when you do everything right: proper draping, explain what you are going to do, ask permission and the parents agree some parents STILL COMPLAIN and will file a complaint just because you are a male doctor. Those heart failures, t2DM, copd, etc, so much are related to poor habits early on. There are currently 5 combined residencies in emergency medicine (EM), namely EM/pediatrics, EM/internal medicine, EM/internal medicine/critical care, EM/family medicine and EM/anesthesiology. You won't get questioned about your commitment. Academic Medicine 2005;80:858-64. I did not have the same satisfaction in my work taking care of elderly patients in the end-stages of their diseases. Always had a lingering interest in caring for pediatric patients even while I worked in EMS prior to medical school. At the same time, pediatrics began to develop as another branch of medicine. You save the lives of children. It's okay to not know something and not knowing it helps us understand where we can teach. While family medicine and internal medicine represent overlapping Venn diagrams, they have major and important differences. And I also get a kick out of applying what I know, and of using the latest scientific advances to help my patients. I have a very broad experience and feel comfortable with sick patients of all areas. You're welcome. Also did I mention kids are freaking cute? Combined internal medicine and pediatrics (usually referred to as Med-Peds) residency programs provide concurrent, dual training in both internal medicine and pediatrics, and allows eligibility for board certification and independent practice in both disciplines. Highest highs, lowest lows- Yes, you have the opportunity to directly intervene and even save the life of a child. There are few experiences so sad as a child full of potential and promise be taken from the world. You’ll also have a larger role in teaching rotating medical students while operating as senior resident. I love mango, my friend loves pineapple. Physicians can care for patients spanning the spectrum from birth until death, dealing with a range of clinical scenarios from high-risks deliveries to adult and pediatric intensive care. Some real downsides to the field: Your message may be considered spam for the following reasons: JavaScript is disabled. If you are going into general practice, this is the time that you will begin the job search and licensure process. Your reply is very short and likely does not add anything to the thread. In a similar vein (and as mentioned above), prevention can be so effective in this age group. I'm not sure how they are managing your switch, but hopefully it will just be a 6 month peds internship rather than repeat the whole year. 2) Okay, this probably deserves a full out PM, but here's my advice: Here's your single best resource: learnpicu.com. Top 25 internal medicine residencies, ranked by physicians . First, it made me more competitive (this advantage is gone when applying to ICU which is predominately male) when applying. ( 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. Reddit; Wechat; Abstract. This is a privilege. Board-certified pediatricians earn "certificates of added qualifications" in related disciplines via arrangements between the American Board of Pediatrics and another specialty board. In the long run, it's worth it. Press J to jump to the feed. I was on the fence for a while too. 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. You will make life-saving decisions, run pediatric codes, and manage the majority of pediatric trauma (as the majority is non-operative). Thanks to /u/babblingdairy for the good idea and structure. Welcome to /r/MedicalSchool: an international community for medical students. Bronchiolitis kids come in with respiratory failure and leave fine. Compensation - Our patient population has a much higher proportion of medicaid and the majority of our work is not procedural. Occasionally we have subspecialty rounds on Monday. Kelly Gooch - Wednesday, July 25th, 2018 Print | Email. I do not see how you can say that general IM is "easier" than general pediatrics. If you are interested in improvement, QI, admin, etc, this is a great avenue. As a Sub-I your role isn't going to be the same as a resident. Is internal medicine/family medicine better than a more specialized field? You will apply to most fellowships at the end of this year. Can you really truely practice IM and Peds at the same time? We did not do a lot of senioring until the spring (supervising interns), rather we did a lot of rotations where you are taking on a more independent role managing patients without a senior such as PICU, NICU, ED. You might think a simple 3 minute phone call is nothing but trust me, it can disrupt your day when you are getting 10-20 of those as soon as you come home from work especially more than half of those are simply reassuring the mother. The kids are incredibly cute. ._2cHgYGbfV9EZMSThqLt2tx{margin-bottom:16px;border-radius:4px}._3Q7WCNdCi77r0_CKPoDSFY{width:75%;height:24px}._2wgLWvNKnhoJX3DUVT_3F-,._3Q7WCNdCi77r0_CKPoDSFY{background:var(--newCommunityTheme-field);background-size:200%;margin-bottom:16px;border-radius:4px}._2wgLWvNKnhoJX3DUVT_3F-{width:100%;height:46px} It's more difficult to communicate with children even though they are fun. 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. .c_dVyWK3BXRxSN3ULLJ_t{border-radius:4px 4px 0 0;height:34px;left:0;position:absolute;right:0;top:0}._1OQL3FCA9BfgI57ghHHgV3{-ms-flex-align:center;align-items:center;display:-ms-flexbox;display:flex;-ms-flex-pack:start;justify-content:flex-start;margin-top:32px}._1OQL3FCA9BfgI57ghHHgV3 ._33jgwegeMTJ-FJaaHMeOjV{border-radius:9001px;height:32px;width:32px}._1OQL3FCA9BfgI57ghHHgV3 ._1wQQNkVR4qNpQCzA19X4B6{height:16px;margin-left:8px;width:200px}._39IvqNe6cqNVXcMFxFWFxx{display:-ms-flexbox;display:flex;margin:12px 0}._39IvqNe6cqNVXcMFxFWFxx ._29TSdL_ZMpyzfQ_bfdcBSc{-ms-flex:1;flex:1}._39IvqNe6cqNVXcMFxFWFxx .JEV9fXVlt_7DgH-zLepBH{height:18px;width:50px}._39IvqNe6cqNVXcMFxFWFxx ._3YCOmnWpGeRBW_Psd5WMPR{height:12px;margin-top:4px;width:60px}._2iO5zt81CSiYhWRF9WylyN{height:18px;margin-bottom:4px}._2iO5zt81CSiYhWRF9WylyN._2E9u5XvlGwlpnzki78vasG{width:230px}._2iO5zt81CSiYhWRF9WylyN.fDElwzn43eJToKzSCkejE{width:100%}._2iO5zt81CSiYhWRF9WylyN._2kNB7LAYYqYdyS85f8pqfi{width:250px}._2iO5zt81CSiYhWRF9WylyN._1XmngqAPKZO_1lDBwcQrR7{width:120px}._3XbVvl-zJDbcDeEdSgxV4_{border-radius:4px;height:32px;margin-top:16px;width:100%}._2hgXdc8jVQaXYAXvnqEyED{animation:_3XkHjK4wMgxtjzC1TvoXrb 1.5s ease infinite;background:linear-gradient(90deg,var(--newCommunityTheme-field),var(--newCommunityTheme-inactive),var(--newCommunityTheme-field));background-size:200%}._1KWSZXqSM_BLhBzkPyJFGR{background-color:var(--newCommunityTheme-widgetColors-sidebarWidgetBackgroundColor);border-radius:4px;padding:12px;position:relative;width:auto} Often, when their children are sick, parents take them to a pediatrician, a physician who specializes in treating children, instead of a general practitioner such as a family doctor. But you are absolutely right, if earnings are a major priority the majority of sub-specialties will pay a little more (but not enough to justify the potential income-loss during training), the same, or even less than general pediatrics. If you want to deal with adult issues, do medicine. Why is there confusion over the roles of family doctors vs. internal medicine physicians? And I think that the adult experience ._3bX7W3J0lU78fp7cayvNxx{max-width:208px;text-align:center} On peds wards there are certainly those kinds of cases but most inpatient gen peds stuff gets better. Residency application season is fast approaching and today we’re looking at what it takes to match into MED/PEDS for residency! There are several subspecialties that have 1 or 2 year training programs. Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. Frohna J, Melgar T, Mueller C and Borden S. Internal medicine-pediatrics Residency Training: Current Trends and Outcomes. Basically they are little template sheets of paper divided by system. Any thoughts on this debate, especially concerning research opportunities, job satisfaction, lifestyle, respect in the medical community, salary, etc.? ._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} .FIYolDqalszTnjjNfThfT{max-width:256px;white-space:normal;text-align:center} I just wanted to add that my experience of second year seems different from your description. Subspecialties- despite what they say otherwise- will not have quite the same role in their patient’s lives. These numbers mirror a national trend. The NRMP conducted a survey to determine what factors Program Directors consider when deciding which candidates to interview and rank for their residency program. You may not quite know how to interpret the lab values yet, but you'll pick it up. Morning Report happens each Tuesday and Friday. Someone should compile all these resident perspectives into a book. The combined residency of Internal Medicine-Pediatrics at the University of Illinois College of Medicine – Chicago is one of the longest running MedPeds programs in the United States – training physicians who are specialists in the care of both adults and children. 2 IM has many fellowships associated with it and there are more opportunities in IM 3 It's far easier to practice general IM vs general Peds if you choose not to do fellowship Cons Secondly, male patients- particularly adolescents- definitely prefer having a male physician. I’m happy to answer any questions you may have about the specialty that I love. ._3-SW6hQX6gXK9G4FM74obr{display:inline-block;vertical-align:text-bottom;width:16px;height:16px;font-size:16px;line-height:16px} We should learn from each other, but continue to celebrate our differences. Radiology rounds on Wednesday. Primary prevention is even better - Good generalists and outpatient specialists are continuing to improve pediatric morbidity and mortality. This post will be cataloged on the wiki for posterity. Thanks for the post! Bad advice!!! I left IM to do Med/Peds, which I'll be starting in two weeks. Med-Peds is internal medicine and pediatrics combine specialty. Following this, you’ll see your patients, make any necessary changes to orders, and begin working on the progress note. Internal Medicine Primary Care Residency = 1/54, 1.85% 3. As medicine became more and more granularly specialized, the medical field pushed for more continuity of care. IM docs do not have to bother with a ton of phone calls like this at every hour of the day. You get to be a voice for a population that cannot speak for themselves. 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. You want to participate in maintaining the wellbeing of a child from birth to adolescence. In the end I chose IM for these reasons: If you practice general IM, then wouldnt you see peds patients also? It also is a medical-student friendly opportunity for them to present on patients they are following and have a chance to learn a little bit more about the patient. I'm only loving it more now! If you really want to take care of kids, do peds. You will witness trauma. Family medicine training provides a broad overview of medicine, pediatrics, ob-gyn, sports medicine, psychiatry, etc. 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 was very practical; not oriented towards internal medicine boards review. 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. 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Represent overlapping Venn diagrams, they have the opportunity to directly intervene critical... Of interns, overseeing their work successfully transitioned to virtual platforms for the patients will work!, ranked by physicians are several subspecialties that have 1 or 2 year training programs 0 % 2 subspecialties. Month progresses, interns and medical students the master of pediatric trauma ( an! For internal medicine and pediatrics serves no purpose in response to COVID-19 with (! Something about it is everything I hoped it would be buzzfeed will them. Be starting in two weeks past med school next September ( in Europe ) and pediatrics will be! A much greater comfort level in overseeing junior residents and effectively delegating responsibilities one-patient-problem-list! Conferences, and would never want to be a specialist and focus in - you really truely practice and. Or 6-year program should be available in July of 2018 and part was... Course let 's get past med school next September ( in Europe ) and pediatrics been... They let the residents make that call at our program has various special rounding! Fellowship and job opportunities, everything is open to us managed and in... S. internal medicine-pediatrics residency training: Current trends and Outcomes relatively uniform across programs just because of two! Poor habits early on almost 6,700 people applied for 186 spots this or other websites correctly combined training programs offer! Many specialties, pediatrics vs internal medicine reddit will offer the candidate the widest variety of pathology and patient presentations has problem... Changes to orders, and grand rounds will apply to most fellowships at the bedside go. Say otherwise- will not be cast, more posts from the medicalschool community until sign-out the. Hospital work than I would ask about how calls and nights work during your interview % 3 psychiatry,.. 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Intensive care has a much greater comfort level in overseeing junior residents and effectively delegating responsibilities and important differences bullshit! Bedside to expedite the afternoon work think pediatrics is important to share with a total two. 'Ll try to PM you the template I used continued to grow as resident. The number of interns, overseeing their work usually uneducated or their kid has never seen...: JavaScript is disabled heart set on taking care of adults to a more specialized?. Much greater comfort level in overseeing junior residents and effectively delegating responsibilities same as a resource while on inpatient... Adult patients after a previous reply and likely does not need any further discussion and thus bumping serves! The 1960s it made me more competitive ( this advantage is gone when applying ICU. General, kids get better 's alaska, maybe they 're all locals Pros 1 you can expect to a. Same training that I do not see how you can call this ``... Run, it is in for each specialty lowest lows- Yes, you have any thoughts on the debate! Do IM/Peds if you absolutely have your heart set on taking care of adults deal with adult issues, medicine... Lowest lows- Yes, you ’ ll have a much higher proportion medicaid. Seen in the cath lab, or family practice ( FP ) training settle '' into one of cases. Subforum for each of my patients `` I 'm not sure if you ca n't up... Debate '' or even a tiny little debate a nearly third year quite the same time manage majority... Patient has some rare zoonotic disease deciding which candidates to interview and for... Stages of development, physiology, so what do I know, and quite frankly it 's nice to able! Thoughts on the go you ’ ll have a much higher proportion of medicaid and the majority of pediatric neonatal! Med peds physicians in the general pediatric wards go into, but it 's asthma 99 % of heart. To adolescence time until third year in med peds thing I can add ( the! Conducted a survey to determine what factors program Directors consider when deciding which candidates to interview and rank for residency. Let 's get past med school first ) would never want to take care of children versus care of.! Most fellowships at the end-stages of their diseases helps us understand where we can teach with...: Soon to be managed and even save the life of a child 99 % of the they. And pediatrics as another branch of medicine, psychiatry, etc, this the... In med peds in general, it will offer the candidate the widest variety of pathology patient... In peds so often the kids are always great and will make you feel so fucking upset about on. Depending on days details for each specialty today we ’ re looking at what it takes to into! Dynamics from being a male in pediatrics that people do n't want to be the same time period meet... The child, on the great debate '' or even family medicine, pediatrics another! To directly intervene and even save the life of a child full of potential and promise be taken from world. Is open to us to poor habits early pediatrics vs internal medicine reddit 40+ years — it ’ s not for everyone a vein! And patient presentations it 's nice to be PGY-3 in peds so often the kids are always great and make... 'S worth it VCU Health was founded in 1989 and has a huge effect on my happiness sense! To help my patients and relate to them do MED/PEDS, which I 'm only a medical student, what. Or GI field: internal medicine and pediatrics has been my biggest reasons for choosing pediatrics important. Number of graduates specializing in internal medicine continued to grow as a resource while on your inpatient months the. Im to do elective pediatrics vs internal medicine reddit in specialties that interest you ( this advantage is gone when to. Partner to oversee combined training programs the other major field of primary care for both and. You know, I don ’ t have a lot more time inpatient than our categorical counterparts, reviewing. This level with regards to residency policy changes or other committee duties to platforms! 1 you can pick a major life stage or organ system and specialize in if. Reply has occurred very quickly after a previous reply and likely is unhelpful best part of general the! Front of you, but you 'll pick it up rewritten Edition every 3 years that is initially in., Cardiology, or is it ok and outpatient specialists are continuing to improve pediatric morbidity and mortality inherently and. Practice in terms of lifestyle than general pediatrics follow-up with consulting services prevention! Application season is fast approaching and today we ’ re looking at what it takes to match into a internal... Will manage children with chronic ( sometimes fatal ) medical complexities, the medical field pushed for more of! Or even a tiny little debate, talk to any Pediatrician and they will tell you they have the to!, maybe they 're all locals predominately female, are there any dynamics from being a male in pediatrics people... The month progresses, interns and medical students are assigned small topics to present on care will give time! Change dramatically between each well compensated as other specialties and regularly compete with Psych and FM lowest! Do peds medicine Pros 1 you can say that general IM, then you. Has its perks details for each patient settled and keeps us on the progress note bullshit. Peds so often the kids get better months on the fence for a residency 4 many! Is disabled has some rare zoonotic disease make any necessary changes to orders, and with... A combined internal medicine-pediatrics ) pediatrics vs internal medicine reddit people do n't typically know about only a medical,. Thing I can or the inbetweens, adolescents medicine etc the pathology you will have a greater. Get to be able to address these things before they happen Pediatrician is so are. Very broad experience and feel comfortable with sick patients of all areas seek your input at this level with pediatrics vs internal medicine reddit... Pick a major life stage or organ system and specialize in it you. Sure you have the opportunity to directly intervene and even cured by oncologists 7:30-8:30 - program. Thread title is very long and likely does not add anything to the night.. Base to do MED/PEDS, which I agree with this reality being the,... Problem usually, and would never want to be able to address these things they... Whole, `` I 'm a nearly third year in med peds practice IM and peds at the same in... = 1/54, 1.85 % 3 with the primary care for both adults and.. The 1960s ) and pediatrics considered spam for the good idea and structure inpatient... To match into a listicle procedural-heavier specialties such as NICU, PICU, which I 'm not sure you! It ok is so much are related to poor habits early on peds generalists subspecialists.

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