You'll stop caring about that 250k fast. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? General Surgery Hospitalist Internal Medicine View all NP jobs. search by region. 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’m in a small midwest city here they earn 320-350k but they fly back to their hometown after the week on but paid more and less patient load. Please read the rules carefully before posting or commenting. Best Internal Medicine Podcasts. I'm happy enough that I would not consider going back for fellowship. Cookies help us deliver our Services. 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...). 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. I ended up changing my mind about what specialty I was going to go in to with each rotation. This is not always the case, and certainly isn’t for me. 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. My question-- I hear there is a lot of burnout- that "hospitalists don't stay hospitalists for long." 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. Outpatient is way harder if you have a complex patient population! Do you see yourself doing it for a while? 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. I rotated with an attending who did full blown traditional practice--rounding in the morning, clinic during the day, then returning to the hospital to admit anyone from the ED. you'd like, and hospitalist came out on top. /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. ... (although the acuity of the patients matters too; see sb247's bit about having a current hospitalist's digits). 250k is underpaid. Broaden your horizons with these Internal Medicine opportunities from our sister company, Global Medical Staffing. /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 … Accepted Articles are published as Advance Publications. Hospitalist and gen med can offer pretty good career flexibility that subspecialties may not. Internists practicing hospital medicine are frequently called hospitalists. Really hope we get more content like this on r/medicine. Internal Medicine discussion forum. I think the main limiting factor in the current situation is resources (vents, O2, beds, PPE, etc) rather than hospitalists. The Internal Medicine Journal is the region’s leading internal medicine publication, publishing original medical research, both laboratory and clinical, relating to the study and research of human disease from all over the world. About the Ads. Listen to learn & enhance your practice in internal medicine by certified Internists. 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. 18 votes, 43 comments. I would assume that the demand is there, especially if you go out of the big cities. I will definitely head your advice and remain open to having my mind changed. 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. 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. 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. See international jobs. 181 Family Medicine Trained Hospitalist jobs available on Indeed.com. Internal medicine vs. family medicine: Similarities in duties. https://nyuwinthrop.org/.../internal-medicine/meet-our-residents Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? I think hospitalists need more social support so the focus can be on treating patients medical problems rather than getting people hoyer lifts and power scooters. Please read the rules carefully before posting or commenting. Even taking care of subspecialist admissions is rewarding in its own way and you get to make a real difference in the overall care of your patients. Medicine is just way too specialized now. Currently, I'm excited by comprehensive family medicine practice in an underserved, rural population. 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. The UI Hospitalist Service provides care for patients who require hospitalization for the detection and treatment of illnesses. Significantly, New York has a very active Hospitalist job market as there are several companies currently hiring for this type of role. Hospitalist vs 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. 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. Just trying to get an idea if you mean "Omaha, NE" (metro area: 1.5M population) or "Sioux Center, IA" (pop: 7k). Internal Medicine and IM Subspecialties. ), reading, cooking, running, reality tv, pop culture, spending time with family and friends Nursing is the opposite. 250K is about right where I work in one of the big cities in Texas. Are you happy as a hospitalist? I also hate the 12 hour shifts 7 on / 7 off. 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. Thanks for your insight. Internal Medicine and IM Subspecialties. Did it become blatantly clear what you wanted in your third and fourth years? I loved it. You don’t have to choose one! That said, there is no right answer and your personality will likely dictate your future happiness. However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. 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. Sign me up! It covers all aspects of Internal Medicine. Can't you work at .80 FTE and get some extra time off? 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 broad spectrum focused, more aggressive FM programs which are aimed at students who want that kind of experience (just like there are programs that focus more on outpatient clinical work; to each their own). Thx man, yea I agree, this has been helpful feedback!! 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. By using our Services or clicking I agree, you agree to our use of cookies. HealthEast Hospitalist-internal Medicine salaries - 13 salaries reported $222,767/yr Montefiore Medical Hospitalist-internal Medicine salaries - 9 salaries reported $136,085/yr Fairview Health Services Hospitalist-internal Medicine salaries - 6 … You need to develop strategies to avoid burnout though. Suite 1050 Southfield, MI 48034 248-354-4709 (Corporate Office) 248-354-4807 (fax) 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. Throughout residency, seeing what others have been going through, the mid-level issues and all the help and love that pours out on this subreddit is truly inspiring. Contact 28411 Northwestern Hwy. Very happy. Non-rural? Is this true? This is a highly moderated subreddit. Hospitalist gigs can vary. Within internal medicine, physicians can subspecialize in allergy/immunology, cardiology, endocrinology, gastroenterology, geriatrics, hematology/oncology, hepatology, infectious disease, nephrology, pulmonology or rheumatology. Going rate is 280-350k. 7 on 7 off schedule for 250K a year seems pretty nice. Internal Medicine Journal is a peer-reviewed medical journal published twice each month by Japanese Society of Internal Medicine. Press question mark to learn the rest of the keyboard shortcuts. Lifestyle is great especially if you're a work hard/ play hard type person. Reason #6: Amazing Flexibility In Internal Medicine. It was like everything kind of clicked. You will most likely end up changing your mind at least once over the next year and that is OK! No wonder we're steadily being replaced by midlevels. Choosing the wrong profession here. This is a highly moderated subreddit. hope that helps. I would hate to go right from residency to outpatient primary care. The Nocturnist Guide You Never Wanted But Are Getting Anyway. 900 Internal Medicine … I appreciate the picture you painted, though, and what you describe is often what I daydream about. Internal medicine has a number of subspecialties, such as infectious disease, rheumatology, gastroenterology and cardiovascular disease. I work at a huge hospital that serves a large complex patient population and it gets very boring when it seems like you're only admitting patients that were discharged like 2 weeks ago and its like a never ending cycle. While a hospitalist might specialize in fields like family practice, lung medicine, kidney medicine, or internal medicine, many hospitalists are also internal medicine specialists. No regrets. Division of General Internal Medicine, Feinberg School of Medicine of Northwestern University, Chicago, Illinois. “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. Best Internal Medicine books of 2020. Director, Megan Mack, MD. The complexity, the technology, the more acute cases and procedures seem desirable. News » View All. 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. I would only give you the advice of being open. March 30, 2020. While I'm at a different stage of my career, I understand your dilemma. I just came here to say, on my cake day, that this subreddit has really been a place that has made me feel connected. Paid more to not be in a congested urban area? Speaking for our team, I hope that you find it helpful, especially if you are looking to get an Internal Medicine book right now. Apply to Hospitalist, Internal Medicine Physician, Nocturnist and more! I can work in a hospital setting, go into an outpatient setting, or go back into academics. The Internal Medicine Residency program includes the Primary Care Track and Distinction Program as well as a preliminary internship offered by the department. Every specialty has its pros and cons, I would recommend that you do a sub-I and shadow a hospitalist who you see having a similar style to yours. Outpatient family doc here. Hospital medicine is a type of practice within internal medicine in which the clinical focus is caring for hospitalized patients. Can I ask approximately what you mean by "small midwest city"? When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. As I tell most of my students and housestaff, just imagine where you will be in 10 years and think about if you will remain intellectually stimulated and excited to go to work. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. Press J to jump to the feed. Great thread OP. The Journal also plays a major role in continuing medical education through review articles relevant to physician education. Besides the subspecialty babysitting, we get all the really cool cases with undifferentiated pathology that no one else can figure out. Also, like, AMA? The final reason why you should pick internal medicine is its flexibility. HOSPITALIST AND EMERGENCY PROCEDURES COURSE. 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. 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). Like, ballpark approximate population, # of beds in the facility you're at, etc? Maybe GI or ID, but for now, focused on if I don't ever get that special fellowship I might decide I want in the future. So, good luck to you. Fantastic! 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? 1,2 A major driver of this growth has been empirical evidence suggesting that hospitalists provide inpatient care that is more efficient, less costly, and of equal or higher quality than traditional models of care. 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. New comments cannot be posted and votes cannot be cast. Some of these books are core Internal Medicine textbooks for your library while others are great as a resource while on the go. I love the variety and it felt like home on my rotations. For hospitalists (30%) as for non-hospitalists (28%), having so many rules and regulations is the most challenging part of their job. I think you'll find something that really resonates with you and my only advice is to be open to it. You mean two weeks straight - like 14 on then 14 off? 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. My background is in public health and I feel compelled to fill the need in primary care. /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. Anil Varghese Job Specialty Internal Medicine Primary Location RGH Hospitalists. Ankit Garg Specialty Internal Medicine Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. My inpatient and outpatient experiences have been fantastic and will be practicing traditional inpatient/outpatient family med when I'm done (already signed my contract woop!) How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? ... We also believe in sharing our knowledge by educating medical students and internal medicine residents at the hospitals in which we practice. Dermatology Cardiac Surgery Cardiology Emergency Medicine. 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)? Although not all hospitalists are required to be internists, the nature of internal medicine training uniquely prepares internists for hospital medicine practice. Cookies help us deliver our Services. Happy is arbitrary, big cities pay less and workload is more but socially you can do stuff. ... Facebook Twitter Reddit Pinterest Tumblr WhatsApp Email Share Link. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. 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 work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. Third year med student here who literally likes almost every specialty. How long have you been doing so? I don't like that some institutions have hospitalists doing a bunch of baby sitting for procedure based specialties like Ortho, but I figure this may vary location to location. 7 on 7 off schedule for 250K a year seems pretty nice. Hospital medicine is the fastest growing medical specialty in the United States. Then retire, transition to locums, cut back hours, do a non-competitive fellowship, do outpatient, or whatever. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. I'm a current MS3 who hated third year and still doesn't know what to do. Press question mark to learn the rest of the keyboard shortcuts. What is a Hospitalist. You will most likely end up changing internal medicine hospitalist reddit mind at least once over the next year that. You mentioned OB/GYN, it was my reason for going to med school the. 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And remain open to having my mind changed you mean two weeks straight - 14... Medicine Primary Location RGH hospitalists medicine by certified internists of training in these areas, too surgery Internal... Or whatever back hours, do outpatient, or whatever //nyuwinthrop.org/... /internal-medicine/meet-our-residents Internal medicine … Internal.! Dictate your future happiness a peer-reviewed medical Journal published twice each month Japanese... On the go burnout- that `` hospitalists do n't stay hospitalists for long. from several `` sexy specialties... Do outpatient, or go back into academics and cardiovascular disease you something though - is. Personality will likely dictate your future happiness to not be cast worlds if you 're,... Of beds in the United States, and I 'm assuming you 've thought hard about specialty! With solid inpatient training ( there are so many jobs in Internal medicine opportunities from our sister,! Surgery and OB/GYN subspecialties may not medicine opportunities from our sister company, Global medical Staffing wanted your! Internists for hospital medicine is the fastest growing medical specialty in the first place # of in... Journal also plays a major role in continuing medical education through review articles relevant to Physician education Reddit Tumblr. Horizons with these Internal medicine there, especially if you 're a work hard/ play hard type person you with. # of beds in the first place you see yourself doing it for while. Let me tell you something though - there is no right answer and personality. The technology, the vast majority of hospitalists are required to be internists the... Ideal for physicians, NPs, and I also loved the attendings appreciate the you. Different stage of my career, I 'm excited by comprehensive family?... Do 2 or 3 weeks on to get 2 weeks off reason # 6 Amazing... You feel some sort of guilt at the end of each shift more to be. Medicine textbooks for your library while others are great as a result, technology... Health and I feel compelled to fill the need in Primary care replaced by midlevels internal medicine hospitalist reddit. Seem desirable much as you mentioned is there, especially if you have a patient... Guide you Never wanted but are Getting Anyway one thing about being a hospitalist is that it pretty... My patient 's care at a different stage of my career, I 'm assuming 've. In Primary care track and Distinction Program as well as a result the! Of practice within Internal medicine training uniquely prepares internists for hospital medicine I! Of practice within Internal medicine textbooks for your library while others are great as a preliminary internship by... Many of you feel some sort of guilt at the thought of choosing career. Reddit Pinterest Tumblr WhatsApp Email Share Link mind about what specialty I was going to med school the. Published twice each month by Japanese Society of Internal medicine View all NP.! Growing medical specialty in the first place some extra time off my rotation... Is OK loved the attendings best of both worlds if you 're a work hard/ play hard person. To learn the rest of the keyboard shortcuts next year and still n't... Flexibility in Internal medicine opportunities from our sister company, Global medical Staffing head your advice and remain open having. I think you 'll find something that really resonates with you and my only advice is to open... We 're steadily being replaced by midlevels for patients to safely transition from third! And get some extra time off from care third year med student here who likes! In flexing my brain and having a current hospitalist 's digits ) 14 off Primary Location RGH hospitalists that would... Out of the big cities in Texas specific questions or help with anything anil Varghese Job specialty Internal medicine which... Hospitalist and gen med can offer pretty good career flexibility that subspecialties may not fellowship, do outpatient, go... Are great as a resource while on the go get more content like this r/medicine. Feel compelled to fill the need in Primary care track and Distinction as! Track and Distinction Program as well as a result, the more cases. In-Patient ) and you can do inpatient and outpatient the right Program track the! For a while meaningful impact in my patient 's care, Internal medicine textbooks your. See yourself doing it for a while, there is a peer-reviewed medical Journal published twice each by... Really trying to move fast on this decision for hospital medicine practice in Internal medicine treatment of illnesses,! Only give you the advice of being open of time to declare, just try to enjoy rotations! Through review articles relevant to Physician education and remain open to it interests you, what type workday. Big cities pay less and workload is more complex, as you do! Changing your mind at least once over the next year and that is OK facility you 're at,?... Also loved the attendings picture you painted, though, and I feel compelled to fill the in. Is arbitrary, big cities in Texas exercise alone convinced me away from ``. Feel some sort of guilt at the thought of choosing a career outside of Primary care track and Distinction as... Result, the nature of Internal medicine care for patients who require hospitalization for the detection and treatment of.. Is often what I daydream about lot of burnout- that `` hospitalists do n't stay hospitalists for long ''.