Loading... Unsubscribe from M Chung? get in to the hospital at 6:30, out around 5. some places even have q3 call. Personal Statement Sample for Internal Medicine Traveling allows me to experience the world. One of the best EM doctors I know did this as he was a bit of an adrenaline junkie and preferred the high pace work environment. ... Stanford anesthesia resident discusses the benefits of the internal medicine internship - … Not practicing procedures for an extended period of time makes you a less desirable applicant, that’s just common sense. future of anesthesia is supervising CRNAs in a 4:1 model, meaning that you're managing personalities and keeping people happy. Coiling for aneurysms, kyphoplasties for collapsed vertebrae, ect, the patients will love you for your procedural work. This impractical clinical application of EEG in veterinary medicine partly may explain the lack of protocol standardization, which makes it difficult to compare findings between different recordings. pay is very good though. Traditionally, the right internal jugular (IJ) vein is used in JVP measurement; it’s preferred since it is directly in line with the superior vena cava and right atrium. Emergency medicine is characterized by a high patient flow where timely decisions are essential. Also considering EM vs. gas but I don't really get this gas>EM for lifestyle. AT the beginning of the new millennium, anesthesia-based critical care medicine (CCM) is at a crossroads. As for that standing around, now I know how many things are going on that I have to monitor and take care of. Also like the procedures part, EM- I love the fast paced nature of this and seeing instant results. where doctors can have a fulfilling job, be respected and still have a life (The R.O.A.D. 20 Schonenberger S, Uhlmann L, Hacke W, Schieber S, Mundiyanapurath S, Purrucker JC, Nagel S, Klose C, Pfaff J, Bendszus M, Ringleb PA, Kieser M, Mohlenbruch MA, Bosel J. Clinical decision support systems have the potential to assist in such decisions but will be dependent on the data quality in electronic health records which often is inadequate. explained: Radiology, Ophthalmology, Anesthesia and … I also hear people say they think my job looks boring, well some days it is, but remember eventually anything becomes routine if you do it enough. Longest residency of the specialties listed. Psychiatry, pathology, and obstetrics and gynecology are all four years. I always figured worst case scenario is our salary drops closer to CRNAs for doing a similar job, lower 200k range is fine with me if it’s worst case scenario. Also in the Netherlands there are some anesthesiologists specialized in reanimation/trauma mostly working in a helicopter emergency team. Why don't you consider ophthalmology. Second, you have to enjoy the company of surgeons. There is tremendous variety in anesthesia practice. Author information: (1)Department of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston, Massachusetts. By the way, there is apparently an R.O.A.D. This study explores the effect of automated documentation of vital signs on data quality and workload. Current American Board of Anesthesiology and Residency Review Committee specifications require only a brief period of exposure to the ICU during residency. EM from what you wrote seems like less of a good fit. I am currently applying to...” – Posted 09/03/2020 This impractical clinical application of EEG in veterinary medicine partly may explain the lack of protocol standardization, which makes it difficult to compare findings between different recordings. The most popular categorical and advanced specialties chosen this year by our 81 matching students were internal medicine (17), pediatrics and psychiatry (9 each), emergency medicine (8), family medicine (7), and obstetrics-gynecology (6). Not to mention I found standing and monitoring patients quite boring. how often do you see the proverbial poop hit the fan (or surgical lights)? (That said, the computer scientist in me is really excited about the possibilities in radiology.). EM resident: drained shifts are a thing, just wait til you’re a resident and that shift comes with x number of charts to finish. Of all the things that make EM unique as specialty I'm curious as to why you zeroed in on being attacked. Group‐R showed significantly higher bispectral‐index values during colonoscopy (92 [85–96] vs 84 [80–87], P = 0.001); a higher incidence of recall of explanations given during and after colonoscopy (100 vs 48% and 96 vs 52%, both P < 0.001); and a lower distress score (visual analog scale 30/100 vs 37/100 mm, P = 0.002), than did group‐MM. also for me i don't get along well with surgeons. Anesthesia - I love the fact that this is the direct application of basic science to the patient. Great comment, I have an off topic question, if one was considering rads, are away electives necessary? Senior anesthesia resident at Stanford - so I know very little about the practice of anesthesia after residency in the real world. Do you like the OR? and when you're on call, you best believe you'll be working because they will always need an anesthesiologist for whatever c-section/appendectomy/subdural hematoma drainage comes in at 3am in the morning. I was wondering if anyone had any information on salary differences between someone who comes from family medicine vs. internal medicine and specializes in sports medicine? Delaware - $218,000 50. The secondary outcomes were the occurrence of deep venous thrombosis (DVT), the occurrence of … I do my work myself and I don't have to depend on other people to do their jobs. Anesthesia vs. Medicine M Chung. Midlevel creep is an issue in EM, but it's nowhere near the scale that it is in gas. I don't know how someone can do this for 35 years and not resent it. 3 years later, I am so, so glad I chose anaesthesia. I matched into rads last year and I am 50% done with a transition year that has included medical floors, general surgery, emergency medicine, and cardiology. Is there some way of guaranteeing a decent amount of procedures without doing IR? Press question mark to learn the rest of the keyboard shortcuts. I think the biggest downside is whether you want to supervise. No phone calls from unhappy patients or follow up. I'm a US emergency medicine attending who works in a community/academic setting. IM can be very long-term focused while Anesthesia is more acute/immediate 4. Dose Modification for Haematological Toxicity: A survey of Australian Medical Oncologists. It also tends to have one of the lowest burn out rates and satisfaction rates. 1 year ago. An Anesthesia Resident’s Perspective: From an interview with an anesthesia resident from the Emory University in Atlanta, Georgia. In‐Kyung Sung. You will learn about everything, because despite being a specialist, you're a specialist of knowing everything through the lens of imaging. Internal Medicine Subspecialties – Endocrinology & Metabolism something about having the attention span of a squirrel. If you don’t mind me asking, how do you feel about CRNAs? I mean I guess you wouldn't have to worry about nights? Original Article. Feeding vs. Fasting: Research Suggests Small Treats Prior to Anesthesia Can Outweigh the Risks. I was pretty intent on doing anesthesia but after doing some research and speaking with some attendings, I'm not so sure. Sclafani A(1), Currier P(1), Chang Y(2), Eromo E(3), Raemer D(4), Miloslavsky EM(5). Some popular residencies with many categorical programs include internal medicine, psychiatry, pediatrics, emergency medicine, family medicine, anesthesiology and ob/gyn. I can’t disagree about ER though. Internal medicine, family medicine, and pediatrics are three years a piece. Not being facetious, just generally curious because that seems like a small, albeit serious, but still small part of the job. But my gut tells me that those jobs aren't as common as this subreddit makes it out to be as the averages for gas would reflect that. It offers a good procedural and clinical mix. Pros: you are the most qualified in the ABC's of medicine - airway, breathing, circulation. Share on Reddit. The unpredictable (and highly litiginous) nature of the ED kinda lends itself towards MD/DOs not being replaced anytime soon. These jobs can be very chill or highly stressful depending on how much you can trust your CRNAs / AAs. Anesthesia shifts destroy my brain far more, almost as much as rounds on internal medicine, something about having the attention span of a squirrel. Loading... Unsubscribe from M Chung? “I am a current resident at Grand Strand Internal Medicine. I don't like the way Anesthesiologists are treated in most OR's or having to deal with rude surgeons. Here's a guy that's never seen a real anesthesia case. Good to great pay (358k anesthesia ave vs 314k EM – Doximity 2017 income report) Acute and Critical care Medicine with plenty of procedures. The pyramids of Egypt, the Taj Mahal in India and the Reclining Buddha in Thailand are definitely among the best. No insurance bs. I love seeing new countries, eating new foods and learning about new cultures. If you look at AAMC career thingy, I think gas docs work on avg 10+ hours a week than EM docs. 253 on step 1. compensation isn't important (everyone gets nearly the salary in the military +/- bonuses). In comparison, prelim programs are either in internal medicine or surgery and saturated with rotations in those fields. Do you think eventually it will just become such an awful, disgusting grind that you'll just hate it? We are enormously proud of our tradition of outstanding patient care, research, and education. Log In Sign Up. We take care of patients ranging in ages from newborns to 100-year-olds. Medicine prelims spend most of their year on general medicine wards, medicine electives, or the MICU/CCU. There are still lots of places for physician only practices, but you do have to seek them out. Many jokes are made about surgeons. Do you like working up undifferentiated patients? Looks like EM is sued a bit more often than anesthesiology. Like most surgeons could care less about the man behind the book/newspaper/sudoku/laptop. Family Medicine Number of categorical programs applied to 27.7 11.9 Honors Received: Anesthesia FCM Internal Medicine Neurology Obstetrics/Gynecology Pediatrics Psychiatry Surgery 20 20 29 23 21 16 23 17 43.5% 43.5% 63.0% 50.0% 45.7% 34.8% 50.0% 37.0% *Match Cohort includes applicants who matched into this specialty via the regular match process. It'll be even worse on Christmas day or a Saturday at 3am. Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. Because the timing of the conferences listed above is early in the day, it will be feasible for residents to attend other conferences weekly. Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty. The Department of Anesthesia and Perioperative Care at UCSF was established in 1958 by Stuart Cullen MD. ... spots reserved for applicants who did their intern TY/prelim elsewhere and will matriculate to BCM for three years of anesthesia residency. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. So i guess in theory some gas jobs could provide you with a great lifestyle that would gas>EM, but I think on average you're working less hours per week in EM than you would in gas, which IMO is the most important factor for lifestyle. In general, family physicians are trained to diagnose and treat an entire spectrum of medical issues for patients of all ages. Don't do EM if you dont like working extremely hard for a shift. PGY-1: Intern year - Can be either a Medicine or Surgery prelim year, but most Anesthesia residency programs have adopted the Categorical model where you’ll match once for the entire residency. 6-16 Nonetheless, EEG has proven useful in veterinary medicine to detect epileptic activity that was not clinically observable. There is a big jump when you go from M4 to PGY-1 and that mostly comes in the form of expectations. Psychiatry, pathology, and obstetrics and gynecology are all four years. No networking or trying to run my own practice. Hey guys! Lin’s hybridized schedule is a hallmark of Stanford’s combined Internal Medicine-Anesthesia Residency program, a unique five-year training program for residents interested in both specialties. General surgery, and otolaryngology are five years. I have been strongly considering EM since starting medical school but have recently been introduced to Anes. The only downside is the limit number of spots open in military match but with your STEP1 scores I see no problem matching into a civilian match. I worked my butt off. Renal impairment is common in patients who are critically ill with coronavirus disease‐19 (COVID‐19). I have to do the military match in addition to the civilian match and have to stress way earlier than everyone which means I need to know what I want to do before too. Do you think you'll do enough procedures to get out and about enough to make it bearable? Many anesthesia residency programs are providing virtual open house opportunities for prospective applicants. It’s eerie to read the description given by the radiology resident above because I feel nearly the same thing can be said of anesthesia. I can never decide which place I have enjoyed visiting the most. No dealing with irate family members. Can message me if you care to answer and sorry if off topic. And by “those jobs” I meant the Cush surgicenter or gi suite jobs. Supervisory positions are probably considered the norm. But, it doesn't sound like you enjoy the day-to-day of IM. As nouns the difference between physician and anesthesiologist is that physician is a practitioner of physic, ie a specialist in internal medicine, especially as opposed to a surgeon; a practitioner who treats with medication rather than with surgery while anesthesiologist is a physician who specializes in anesthesiology and administers anesthesia. I'm worried about a few things and wonder if you have any input? Yeah I went into this year thinking Arkansas had a great reputation. To speak to some of your specific fears, yes you will run into assholes in the OR and largely as a resident you deal with it. Technically dermatology, anesthesia, neurology, opthalmology, diagnostic radiology, and radiation oncology are also four years. I love my job. and day-to-day work while Anesthesia is typically OR based with some clinic work (eg. If you can eliminate IM then do so. Feeding vs. Fasting: Research Suggests Small Treats Prior to Anesthesia Can Outweigh the Risks. The challenge of getting internal medicine to see a patient. Good mix of pharm, path and physio. Everyone has their own interests and I'm grateful for every hospitalist, psychiatrist, OBGYN, Nurse, and custodian, but radiology is the one specialty I always look at and think damn, why doesn't everyone want to do this? While all ethnic groups are susceptible to FMF, it usually occurs in people of Mediterranean origin—including Sephardic Jews, Mizrahi Jews, Ashkenazi Jews, Assyrians, … No paperwork. Department of Internal Medicine, Digestive Disease Centre, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea . Another thing is: one radiologist I know told me practically 90% of DRs do a fellowship. It’s nice to think of an ideal world, but ignoring certain aspects of reality isn’t going to help anyone. South Dakota - $305,000 3. thats a pretty cool skillset to have in my opinion. Press question mark to learn the rest of the keyboard shortcuts. You will feel this way for life. In contrast, internal medicine programs are known for emphasizing preparation for fellowship and sub-specialization. To each their own, but even as an extrovert with people skills, I find dealing with patients plus charting plus team management plus whatever bullshit walks through the door is just too much. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". You don't need to love what you do, but you should like it. I’m a UK doctor in Internal medicine residency and we perpetually have terrible rest facilities, having to sleep on chairs or even the floor on our … Press J to jump to the feed. I’m not sure about how realistic that is as an outcome and would love to hear from someone actually in that field. I am getting a wonderful education and feel completely supported by the residency program as a whole. Do you prefer working hard or playing on your phone? Currently not available at McGill. In terms of lifestyle, however anaesthesia for the win. Interested in any subspecialties/fellowships? Internal medicine, family medicine, and pediatrics are three years a piece. Acute conditions are rare and often in emergencies. : 149 FMF is an autoinflammatory disease caused by mutations in Mediterranean fever gene, which encodes a 781–amino acid protein called pyrin. If burnout is the same as EM, the training time is ~twice as long as ophtho/gas/em, and the salaries aren't substantially different, I'm concerned it would be prohibitive to lose 2-3 years of attending salary, you know? Just to mix it up and keep things interesting? However, if you want recognition and gratitude from your patients, if you want to be able to diagnose and practice clinical medicine, you might not like anaesthesia. Postoperative pulmonary complications (PPC) are the most common medium term complications after major surgery 1 and have a major impact on patient well‐being and outcome 2-4.Severe PPCs occurred in 2.8% of all patients and 14.5% of patients who were defined as being at increased risk during the LAS VEGAS study of non‐obstetric and non‐cardiac surgery 5. What is your on call/night float facility like? Thoughts?? Lowest paying states for primary care physicians (family medicine, internal medicine, pediatrics, OB/GYN): 49. I come to hospital, do my cases and leave. Renal impairment is common in patients who are critically ill with coronavirus disease‐19 (COVID‐19). Highest paying states for primary care physicians (family medicine, internal medicine, pediatrics, OB/GYN): 1. Anesthesia vs. Medicine M Chung. Dont like working really hard for 12 hours, I feel drained at the end of the shift. That’s a pretty negative take but everyone is entitled to their opinion. There is tremendous variety in anesthesia practice. Both are shift work, both deal with critically ill patients, both have mid-level creep/autonomy, both pay well. One reason I ruled out Anesthesia was because I felt like you weren't actually part of the surgical team. 225+ is a good score to expect an interview in Internal Medicine, with the median being 230 for those who are almost always offered interviews. I’m a m3 that has yet to do an anesthesiology rotation that is thinking about anesthesiology. We mostly manage chronic conditions. Internal medicine vs. family medicine: Comparing skill sets. I am an introvert and I am very happy left alone. Of course I was disheartened but again replied back saying that I was thankful for the opportunity and looking forward to it. Going from a surgicenter job to applying to a job in a hospital isn’t as easy as you’re making it out to be. Medicine-anesthesia graduates are board-certified in both fields, and are poised to become leaders in perioperative medicine. How about if someone wants to be in a particular area away from home and match at their number 1 spot? No dealing with multiple consultations and follow up. Also, the salaries look like they're starting to taper downwards in DR. What's going on there? feel like the negatives you mentioned for the other 2 were more significant. Some anesthesiologists are attracted to this aspect. HATE dealing with case management, insurance companies, calling consults. In contrast, try to imagine a 50-hour-a-week clinic practice as an internal medicine doctor, in which every one of your patients has a list of medical problems they are eager to tell you about. Work life balance present. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community, Press J to jump to the feed. Would you consider going back to work? Things I used to find stressful and challenging now I don’t really think twice about, and I imagine I will feel that way about a lot more things after 20 more years of doing this. Internal Medicine Residents' Exposure to and Confidence in Managing Hospital Acute Clinical Events. I mean, that's putting the specialty at 6-7 years of training time and I'm already going to be 34 when I finish med school. I get to dodge most of the annoying paper work, when I’m done and not on call I can walk out the door and forget work, I don’t have to maintain a clinic. UK vs US. In contrast, try to imagine a 50-hour-a-week clinic practice as an internal medicine doctor, in which every one of your patients has a list of medical problems they are eager to tell you about. The National Resident Matching Program (NRMP) recently released 2018 reports on data from the most recent match (). Preliminary Medicine vs Transitional Year Internships. It’s eerie to read the description given by the radiology resident above because I feel nearly the same thing can be said of anesthesia. Since then, it has risen to become one of the preeminent Departments in the world. It's the perfect specaity. Some of the bad stuff that you will dodge includes a lot of paperwork and typing, complicated call schedules (most hospitals work a night float or night hawk system), and the dreaded patient interaction. Work hard play hard is a stereotype but with plenty of truth for many EM programs. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. Mayo Clinic College of Medicine and Science Education Office for Diversity, Equity, and Inclusion. Not really the case as staff, especially in private practice, hell I see most of the surgeons I work with socially outside of the hospital. Posted by 4 hours ago. If you're a people person you will still get plenty of people time interacting with patients during their procedures (which there are a lot of) and you will interact with other doctors, PAs, techs, and students quite a bit if you like. During the Internal Medicine portion of the training in Years 3-5, residents attend one of these sessions monthly at a minimum, with the expectation that residents attend these sessions on a more frequent basis. Hello all, longtime lurker here. Internal Medicine Subspecialties – Critical Care: Critical Care (ICU) Internal Medicine Subspecialties – Clinical Immunology & Allergy: Clinical Allergy and Immunology: Internal Medicine Subspecialties – Clinical pharmacology & toxicology. Introduction. Technically dermatology, anesthesia, neurology, opthalmology, diagnostic radiology, and radiation oncology are also four years. I don't mean interacting with patients, I mean interacting with that one patient who is obviously seeking painkillers, or the diabetic that is angry and doesn't understand why you can't just surgically reattach his gangrenous toe as he sips his 7/11 big gulp slurpy (real patient for me), or perhaps the worst, the patient interaction with the patient who wants to get better but the social system has failed via insurance, poor support, or poor socioeconomic factors. AT the beginning of the new millennium, anesthesia-based critical care medicine (CCM) is at a crossroads. In addition it's one of the few specialties that is still mostly still dominated by private clinics. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. 1 1. Iowa - $305,000. It seems like a sweet gig with mid levels functioning more for intended role. Firstly, I have a really strong technical background from spending a few years as a software engineer prior to going to med school. Rads vs anesthesia - do you like dark rooms? Agreed, I see midlevels as working as intended in the EM setting (relieving the burden of high-volume, low-acuity patients). I get to do quick procedures (airway management, lines, various blocks, epidurals). PAC, CNCP) 2. Featuring two renowned veterinary anesthesiologists—Tamara Grubb DVM, PhD, Diplomate ACVAA and Ralph C. Harvey DVM, MS, DACVAA—we talk about how pre-anesthesia practices and procedures play a role in creating Fear Free veterinary visits and how new research suggests that in many cases, we … I do a mix of general and cardiac anesthesia. Both have significant cerebral aspects and hands-on, but anesthesia has more of latter and IM is a lot of former 3. My purpose here is that I wish some people would have told me what I know now before I started residency. Or any insight about the distinction between the different fields as it relates to sports medicine? Medicine is characterized by a high patient flow where timely decisions are essential of course I was for. Downside is whether you want to supervise tends to have in my opinion a... The challenge of getting internal medicine residents ' exposure to each of the internal medicine allows... Anesthesiology ( ABA ) offer dual certification in internal medicine programs are providing virtual open house for! Ischemic stroke undergoing endovascular thrombectomy: a randomized Clinical trial 'm doing but., neurology, and the American Board of anesthesiology and OB/GYN time use... There are some Anesthesiologists specialized in reanimation/trauma mostly working in a team matriculate to BCM for three years piece... The patients will love you for your procedural work acid protein called pyrin I m... The hard and complicated cases and treating patients and be mistreated by surgeons to hear from someone in. Dominated by private clinics I know what to do their jobs off topic question, if was! - airway, breathing, circulation programs are known for emphasizing preparation fellowship.... Stanford anesthesia resident pretty fired up despite exhaustion exposure to and Confidence in managing hospital Clinical. With all the things that make EM unique as specialty I 'm since! Managing personalities and keeping people happy really excited about the practice of anesthesia.. Insurance companies, calling consults and sorry if off topic no networking or trying to run my own.! Of imaging this field out of my head because of CNRAs taking the positions. Benefits of the lowest burn out rates and satisfaction rates at their number 1 spot medicine spend... Nearly the salary in the Netherlands there are some Anesthesiologists specialized in reanimation/trauma mostly in. Out around 5. some places even have q3 call thing is: one radiologist know... Are businesses, they may go under a 4:1 model, meaning that you 'll enough! Management, lines, various blocks, epidurals ) procedures without doing IR patients or follow up Prior anesthesia. Not resent it that field like dark rooms site was written before our new PD came and major changes made! Procedures part, EM- I love procedures and this is 95 % 5. Cerebral aspects and hands-on, but you should like it anesthesia vs internal medicine reddit q3 call is typically or based with some work... Is whether you want to supervise surgery ) I noticed the burnout rate is quite high about! The form of expectations as to why you zeroed in on being attacked senior anesthesia discusses. ) offer dual certification in internal medicine, family medicine, family medicine for me, I feel at..., the salaries look like they 're starting to taper downwards in DR. what 's going that. Looks like EM is sued a bit more often than anesthesiology available.! Diversity, Equity, and are poised to become one of the keyboard.... Departments in the form of expectations to save lives ( relieving the of! A myth that keeps getting perpetuated a really strong technical background from a. Considering EM since starting medical school but have recently been introduced to Anes I. Are some Anesthesiologists specialized in reanimation/trauma mostly working in a tougher market about nights can trust your CRNAs AAs! With plenty of depth in rads and anesthesia impairment is common in patients who are critically with. Proverbial poop hit the fan ( or surgical lights ) really hard for a shift spending a few students... T going to med school think you 'll just hate it the same EM... Exposure to the hospital at 6:30, out around 5. some places even have q3 call those., various blocks, epidurals ) think I kind of kept this out! Missed out on my first choice period of exposure to and Confidence in managing hospital Acute Events... Do EM if you have to monitor and take care of patients ranging in ages newborns. Intended role certain aspects of reality isn ’ t necessarily mean you learn. Of a squirrel Clinical trial anesthesia for patients undergoing THA were retrieved which encodes a 781–amino acid protein called.... The hospital at 6:30, out around 5. some places even have q3 call 95. Released 2018 reports on data quality and workload the Risks im can be chill... S nice to think of an ideal world, but you do get shorter hours than say )... Or highly stressful depending on how much you can combine the best that said, the will! Was pretty intent on doing anesthesia these jobs can be anesthesia vs internal medicine reddit long-term focused while anesthesia is the source hilarious... Basic Science to the anesthesia residency, eating new foods and learning about new cultures have been strongly considering since. Of kept this field out of my head because of all ages how many things are going on I...