MedStudy’s 19 th Edition for Internal Medicine released at the end of 2020. You will truly be their “doctor”. These occur at the bedside and are lead by the PGY 1 resident. 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. Adults are far less demanding in this regard. The first half of MKSAP 19 should be available in July of 2021. Call: Again, this will vary pretty dramatically from program to program and I would encourage you to ask about call schedules during your interviews. I'll try to PM you the template I used. .Rd5g7JmL4Fdk-aZi1-U_V{transition:all .1s linear 0s}._2TMXtA984ePtHXMkOpHNQm{font-size:16px;font-weight:500;line-height:20px;margin-bottom:4px}.CneW1mCG4WJXxJbZl5tzH{border-top:1px solid var(--newRedditTheme-line);margin-top:16px;padding-top:16px}._11ARF4IQO4h3HeKPpPg0xb{transition:all .1s linear 0s;display:none;fill:var(--newCommunityTheme-button);height:16px;width:16px;vertical-align:middle;margin-bottom:2px;margin-left:4px;cursor:pointer}._1I3N-uBrbZH-ywcmCnwv_B:hover ._11ARF4IQO4h3HeKPpPg0xb{display:inline-block}._2IvhQwkgv_7K0Q3R0695Cs{border-radius:4px;border:1px solid var(--newCommunityTheme-line)}._2IvhQwkgv_7K0Q3R0695Cs:focus{outline:none}._1I3N-uBrbZH-ywcmCnwv_B{transition:all .1s linear 0s;border-radius:4px;border:1px solid var(--newCommunityTheme-line)}._1I3N-uBrbZH-ywcmCnwv_B:focus{outline:none}._1I3N-uBrbZH-ywcmCnwv_B.IeceazVNz_gGZfKXub0ak,._1I3N-uBrbZH-ywcmCnwv_B:hover{border:1px solid var(--newCommunityTheme-button)}._35hmSCjPO8OEezK36eUXpk._35hmSCjPO8OEezK36eUXpk._35hmSCjPO8OEezK36eUXpk{margin-top:25px;left:-9px}._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP,._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP:focus-within,._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP:hover{transition:all .1s linear 0s;border:none;padding:8px 8px 0}._25yWxLGH4C6j26OKFx8kD5{display:inline}._2YsVWIEj0doZMxreeY6iDG{font-size:12px;font-weight:400;line-height:16px;color:var(--newCommunityTheme-metaText);display:-ms-flexbox;display:flex;padding:4px 6px}._1hFCAcL4_gkyWN0KM96zgg{color:var(--newCommunityTheme-button);margin-right:8px;margin-left:auto;color:var(--newCommunityTheme-errorText)}._1hFCAcL4_gkyWN0KM96zgg,._1dF0IdghIrnqkJiUxfswxd{font-size:12px;font-weight:700;line-height:16px;cursor:pointer;-ms-flex-item-align:end;align-self:flex-end;-webkit-user-select:none;-ms-user-select:none;user-select:none}._1dF0IdghIrnqkJiUxfswxd{color:var(--newCommunityTheme-button)}._3VGrhUu842I3acqBMCoSAq{font-weight:700;color:#ff4500;text-transform:uppercase;margin-right:4px}._3VGrhUu842I3acqBMCoSAq,.edyFgPHILhf5OLH2vk-tk{font-size:12px;line-height:16px}.edyFgPHILhf5OLH2vk-tk{font-weight:400;-ms-flex-preferred-size:100%;flex-basis:100%;margin-bottom:4px;color:var(--newCommunityTheme-metaText)}._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX{margin-top:6px}._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._3MAHaXXXXi9Xrmc_oMPTdP{margin-top:4px} Similar is the answer to the question. And i was surprised how fewer slots Family Medicine has compared to Internal Medicine. Your new thread title is very short, and likely is unhelpful. This post will be cataloged on the wiki for posterity. 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 want to participate in maintaining the wellbeing of a child from birth to adolescence. Something about it is inherently wrong and you will cry with the families. 2004 4. You are using an out of date browser. If you find that caring for adults doesn’t foster the same level of interest or excitement that taking care of children does, I would highly encourage you to seek out this specialty. The mission of the UC San Diego Combined Medicine/Pediatrics Residency Program is to train highly-skilled, compassionate physicians from diverse backgrounds with expertise in the practice of internal medicine and pediatrics who become leaders in their chosen field and who care for all patients with cultural humility. Only thing I can add (as an attending) is that being an outpatient Pediatrician is so much easier than residency. IM docs do not have to bother with a ton of phone calls like this at every hour of the day. Is there a stickied thread, or subforum for each specialty? Morning Report happens each Tuesday and Friday. Fortunately there is some flexibility in this as well as career paths (general pediatrics, adolescent med, EM, etc) that do not require rounding. At the same time, pediatrics began to develop as another branch of medicine. Internal medicine-pediatrics physicians: their care of children versus care of adults. ._1PeZajQI0Wm8P3B45yshR{fill:var(--newCommunityTheme-actionIcon)}._1PeZajQI0Wm8P3B45yshR._3axV0unm-cpsxoKWYwKh2x{fill:#ea0027} The emotional toil is real and requires you to develop coping mechanisms to deal with it. Pediatrics is how you get there. Those heart failures, t2DM, copd, etc, so much are related to poor habits early on. I do hear that some IM/Peds trained folks will generally "settle" into one of the two fields or sub-specialize. I would fill one in for each of my patients and hang on to the sheet for quick reference the following day for trends. Internal medicine continued to grow as a field solely devoted to adult patients. ._3gbb_EMFXxTYrxDZ2kusIp{margin-bottom:24px;text-transform:uppercase;width:100%}._3gbb_EMFXxTYrxDZ2kusIp:last-child{margin-bottom:10px} Family medicine training provides a broad overview of medicine, pediatrics, ob-gyn, sports medicine, psychiatry, etc. 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? Know their history, lab values, vitals trends, etc. Peds is awesome guys. Wow what a great post. Secondly, male patients- particularly adolescents- definitely prefer having a male physician. Also did I mention kids are freaking cute? The Med-Peds program is a four-year residency, with a total of two years spent in each discipline. The confusion arises because most of the patients seen by family physicians are adults. I was on the fence for a while too. As I look at fellowship and job opportunities, everything is open to us. Bad advice!!! No major pros. Thanks to /u/babblingdairy for the good idea and structure. If you are interested in improvement, QI, admin, etc, this is a great avenue. 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). With surgery in second, like you. 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. PGY-2: Resident- You will transition to a more supervisory role while on your inpatient months. Compensation - Our patient population has a much higher proportion of medicaid and the majority of our work is not procedural. Kelly Gooch - Wednesday, July 25th, 2018 Print | Email. Internal medicine/pediatrics (usually referred to as Med-Peds) provides concurrent, dual training in both internal medicine and pediatrics. The fellows and attendings know that you are rotating with little-to-know background. Combined Medicine/Pediatrics Residency = 0/16, 0% 2. Besides, this whole, "I'm not sure you have a commitment to our specialty" bullshit needs to stop. Here we will briefly overview the case, what our principal diagnosis is, what tests we plan to order, and answer any questions the patient’s family may have. You’ll have several more months to do elective rotations in specialties that interest you. Pick it because you see yourself doing both or the inbetweens, adolescents medicine etc. Thanks for the post! Most of their phone calls are reassurance calls from worried parents as opposed to true emergencies. Thus, we aren’t as well compensated as other specialties and regularly compete with Psych and FM for lowest specialties. Your message may be considered spam for the following reasons: JavaScript is disabled. 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 We weren't fixing their heart failure. I'm a nearly third year in med peds. In a similar vein (and as mentioned above), prevention can be so effective in this age group. It’s through the diligent work of those invested in primary prevention that are making diseases that once contributed to a great deal of children dying or suffering a relic of the past. ._12xlue8dQ1odPw1J81FIGQ{display:inline-block;vertical-align:middle} Nobody signs up for 3-5 years of the hardest training of their lives without making a commitment. Or even family medicine, provided you don't want to specialize. It was very practical; not oriented towards internal medicine boards review. 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. There are few experiences so sad as a child full of potential and promise be taken from the world. 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. I love mango, my friend loves pineapple. Internal Medicine Primary Care Residency = 1/54, 1.85% 3. You want to be the master of pediatric or neonatal resuscitation and critical care. The kids are incredibly cute. The program's innovative, competency-based curriculum allows residents to develop expertise in both disciplines. Welcome to UIC’s MedPeds Residency Program. I still occasionally think about family medicine, and the trade-offs I made in choosing internal medicine. While I think it’s appropriate for many specialties, it’s also somewhat arbitrary. Cardio will give you time in the cath lab, OR, and with Echoes. 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. We spend a lot more time inpatient than our categorical counterparts, so you should expect that. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. I'm an MS3 debating between the two residency programs and I can't seem to come to a decision on which would fit me best. If you are going into general practice, this is the time that you will begin the job search and licensure process. ._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} Studies show that Med-Peds physicians do continue to practice primary care for both adults and kids. , then wouldnt you see yourself doing both or the inbetweens, adolescents medicine etc my.. 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