You cannot practice as an internist without passing the internal medicine boards, which most programs actively prepare you for during formal didactic sessions and practice questions throughout residency. ]At most places, internal medicine training is hospital focused with ambulatory training somewhat tacked on.

This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.

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And many hospitals are adding overnight attendings.

Anything I should look for if I want to go into fellowship (i.e. Things may have changed now, but from what I remember Cleveland clinic was a fellow driven hospital with residents who had little autonomy whereas MGH was a resident driven hospital (i didn't train at either).Research.

From what I can tell there are various rotations you are required to do which seem to differ from program to program.

Nothing prepares you for the real world like being expected o make most of the decisionsAnd yes we had it bad "back in the day" - but we also had some things better.New comments cannot be posted and votes cannot be cast/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. Sounds like you're a med student now (based on your question) so I wouldn't be sweating fellowship too much right now.You cannot practice as an internist without passing the internal medicine boardsWell, not quite. I'm happy to expand if needed.I have one minor correction, though, the part with "ambulatory training somewhat tacked on. One question that may help tease out the autonomy is to ask if the hospital is a fellow driven hospital or a resident driven hospital. Now that I'm in private practice I rarely see it at all, and I'm at a quasi-private-quasi-inner city-quasi suburban type practice setting (if that makes any sense)Procedures. The learning will come no matter what.

Press question mark to learn the rest of the keyboard shortcuts This can be a 6+ 2, 4 + 1, or some other model depending on the program. Does the hospital serve an inner city population or a wealthy suburban population. During my internship, I think we did about 6 months of wards, 2 months of ICU, another month in the CCU, a month of geriatric medicine (mostly ambulatory stuff), 4 weeks of vacation, and 4 weeks of elective.

The major subspecialties to get training in are cardiology, GI, pulmonary/critical care, infectious disease, endocrinology, geriatrics, rheumatology, hematology/oncology, and nephrology. I got so habituated to it that I was shocked to barely see any at the other 3 hospitals I trained at. :) In the same vein, what type of support does the program give for research.

Whatever your thoughts are regarding the nobility of primary care, a program's fellowship track record is probably the best indicator of the overall quality of the program. What I would do is ask about abstracts and conference presentations that the residents have put together.

If your hospital has no oncology presence, then all those leukemia patients end up going to another hospital when they get a neutropenic fever. Or do you see the patient / call the fellow or attending and only THEN write orders. I trained at an academic inner city hospital where I feel fortunate to have seen so much HIV/AIDS. Residency Hi all, just wanted to create a consolidated list of the residency spreadsheets that have started popping up for the 2019-2020 application cycle.

According to studies and resident reports, 70-80 hours per week during hospital rotations and 40-50 hours per week on outpatient clinic rotations is normal for this type of residency.

Do you see the patient / write orders / see a couple more / then intermittently touch base with the fellow or attending? Programs differ in how they actually accomplish all of this training, but all residents will have to gain a certain amount of experience in the various settings. insulin sliding scales etc. After completing residency and passing the boards, you can go on to become a primary care physician or a hospitalist and work immediately, or you can chose to pursue a fellowship.

On the floors (not ICU), I used to do central lines, ABGs, bedside LP, paracentesis, thoracentesis, etc. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Consistently achieves 100% fellowship match rate. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.Looks like you're using new Reddit on an old browser. Press question mark to learn the rest of the keyboard shortcutsCookies help us deliver our Services. Many inpatient services are now shift work. I still don't understand the call schedule at most places. By the time I moved on to fellowship, I noticed many of these procedures taken over by either ancillary staff or specialist (radiology or GI fellows, etc). edited 1 year ago. Usually this is accomplished by rotating through various inpatient services and outpatient clinics throughout the 3-year residency. You just want to get something out as quickly as possible to help you get into a fellowship. Lots of hard lessons from things not going the way one intends and lots of moments of validation from discovering how the interventions we do can alter a disease processes before your eyes.

What about hospitalist medicine? cards)? We had no stat labs or blood culture phlebotomist, so if we wanted to discharge or get a blood culture, we needed to do those. The core experience of the internal medicine training is taking care of general medicine patients in the hospital.

On inpatient rotations you should expect to work 60-70 hours a week, 6 days on with an average of 1 day off per week. Ten reasons to consider the internal medicine program at Kaiser Permanente Los Angeles: Train in Southern California Kaiser’s major tertiary teaching hospital, which provides 23 tertiary care services to 4.5 million members.

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