internal medicine residency schedule reddit
We do the âsocial stuffâ like end of life discussions, goals of care, etc. NEWS. Quick and concise. Still hoping for a more practical no frills do-this-then-that-resource. F in the chat for all of us at low tier MD/DO schools grinding away our lives for a good step score. Maintenance Intravenous Fluids in Acutely Ill Patients - NEJM Not sure about the relevance. The Unique Features of Loyola's Internal Medicine Residency. Orlyn Rivas Medical School: McGovern Medical School at the University of Texas Health Science Center at Houston Undergraduate: University of Texas - Austin Get a detailed overview of our program and curriculum. Preliminary interns do not do continuity clinic and, therefore, are not on the alternating rotation/”track” schedule. Approximately 80 percent of our graduates go on to participate in a fellowship program, with a match rate greater than 98 percent. WaitingfortheKnicks; Jan 25, 2021; Replies 2 Views 801. Schedules and rotations for PGY1s starting in 2021 are currently being reworked due to changes in ACGME requirements. RemindMe! https://abg.ninja/abg, Again,Dr. I have added what I feel I know something about. Loyola University Medical Center is a 547-bed facility with 24,000 yearly admissions. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. Step 1 and Step 2 Scores: Step 1 – Score . neuro is a circle of mental masturbation where nothing getâs done. 2) Nausea. Intern Guide: Treatment of Hypokalemia and Hyperkalemia, A review on both potassium and sodium disorders by Dr. Strong/u/ericstrong (Not reposted in 12) hyponatremia but applies there as well). Benefits + Sample Contract Institutional Policy on Eligibility for Appointment Curriculum POCUS Awards ... NCH Healthcare Internal Medicine Residency. Working closely with senior residents and attending staff, the PGY-1 is responsible for the development and implementation of each patient's care plan. Hospice Palliative Care Program - Symptom Guidelines: Nausea and Vomiting, Standard PRN orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%. I understand it depends on the institution but *in general*: How many inpatient vs. outpatients months are there? When to treat, how to treat and at what dose. Any other comments or information would be great, really struggling here. Very honest and succinct post. Know when to order ABGs and how to interpret them. Welcome to /r/MedicalSchool: An international community for medical students. Internal Medicine Residency. A whole free youtube EKG video review course by meddit's own u/ericstrong, An alternative EKG course that takes you through all the basics. PGY3. MGH, Duke, Hopkins) have worse hours because they are malignant or do they try to protect residents? My question is, how bad is IM residency *in general*? What are hours like for each inpatient vs. outpatient? Pain. Academic Cardiology. 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. 2 years ago /u/ankihelp tried to compile a list of useful things for starting interns to know. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Thank you. Oliguria by Raimund Pichler M.D - Crashing Patient. Virtual Hospital Tour. Press question mark to learn the rest of the keyboard shortcuts, Maintenance Intravenous Fluids in Acutely Ill Patients - NEJM, Antibiotics: choices for common infections, A review on both potassium and sodium disorders by Dr. Strong, http://ecg.bidmc.harvard.edu/maven/mavenmain.asp, http://www.practicalclinicalskills.com/ekg.aspx, Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong. The PGY-1 resident functions as the primary physician for his/her patients. Threads 1.1K Messages 23.5K. Bold font = Consult blocks (Flexible schedule based on your interests; No overnight call or weekend responsibilites on these blocks). On average, I worked 11.1 hours each day: 8.46 hours per day if I was on scheduled shift work such as in the emergency department or urgent care and 12.93 hours per day if I was on Inpatient Wards.Since I spent 9 out of 12 months of the year doing inpatient rotations, this translated to approximately 60 to 80 hours per 6-day workweek for most of the year. I have liked having a sense of responsibility and the feeling that I am using my knowledge base to do meaningful work. This shit makes me angry even when it's clearly a joke. News February 11, 2021 February 11, 2021 Antibiotics: choices for common infections /u/ChristianM and u/ive_been_up_allnight. You may need to contact programs individually if you are in or below this range, to ask them to take a special look at your application. Please comment, may remove. In some programs, this generates a culture that is unfriendly to primary care generally and a lack of mentors in primary care. no field in medicine is perfect. Day 1 weâre expected to make clinical decisions so I honestly donât do that much âscut workâ besides cross cover, notes, getting consents, and procedures no one else wants to do like diagnostic paras (even worse large volume) and ABGs. Well-known among IM residency’s end-points are the subspecialties, which can be practiced in a private office or academic setting. The following opening words are from him. Majority of the first year is devoted to inpatient medicine. Approximately 2/3rds of your 36 months are inpatient and 1/3 is outpatient. unless u can do derm. I guess at this point I am not sure...the only other specialty that I haven't done a rotation on and may be interested in is radiology. http://www.practicalclinicalskills.com/ekg.aspx /u/collidge. Medicine is about learning and relearning. This however has no free version and costs 96$ a year. NF = Nightfloat Cross-Cover (5 p.m. - 7 a.m., Sunday to Thursday); ED = Emergency Department; Wards = General Medicine Inpatient. MICU And CICU. How and when to use them, dosage, timing and other pearls. Initial work-up and treatment of oliguria/anuria. Dr. Shah also serves as the Internal Medicine liaison for the categorical anesthesia residents. Innovative academic half-day every Thursday, where residents are free of clinical duties and spend the entire afternoon in core curriculum learning. pm&r is depressing. Above you see part of the schedule for a resident in Clinic Group C and Clinic Group B. I haven't really liked much that I have seen during M3, I suspect this is due to being a student and not having real responsibility but hard to say. Review of fluids (not how to use them per se) by Dr. Strong /u/ericstrong. Loyola is ranked nationally in 5 Adult Specialties: Gastroenterology & GI Surgery, Nephrology, Pulmonology, Cardiology & … However, just like the categorical internal medicine interns, the first month of residency has been split to provide experiences at our two primary sites (Banner – University Medical Center Phoenix and the Phoenix VA). management of electrolyte derangements is pretty broad). Unique 4+2+2 block schedule system allows for predictability, consistency, work-life balance, and balanced inpatient/ambulatory exposure across our ambulatory sites. A sensible initial approach to suspected ileus. Free youtube samples are here. Other Internal Medicine subspecialties discussion forum. Emory's internal medicine residency program is named for John Willis Hurst, MD (1920-2011), a devoted medical educator and an international leader in cardiology. Do what you find cool and interesting. Outpatient rotations are 40-50 hours per week with the weekends off. Y'all know you can save posts on reddit, right? hopkins bayview internal medicine residency reddit February 15, 2021 posted by Category: 0 Comment Eric Strong has an excellent video course for free on youtube, Step-by-step guides to basic CXR interpretation, The Radiology Assistant: Chest X-ray - Basic interpretation, Radiology Masterclass step-by-step basic CXR, University of Virginia's step-by-step basic CXR. More malignant programs and ICU rotations may have you hitting your 80 hour cap from time to time. ABG interpretation generator. Programs do NOT typically offer interviews in the 200-205 range. which I personally donât mind doing but it can take a long time or be a substantial part of your day on ICU. It improves as you progress with approximately 50% being medical decision making/patient care and 50% being the aforementioned as a senior. When, why and how to shift or replace. Graduates of the Internal Medicine Residency program have a greater than 95 percent pass rate for internal medicine boards and have their choice of the most sought-after fellowships and internal medicine jobs. Jan 26, 2021. wamcp. Conference And Educational Programs. It was an amazing resource and since most of us are going to start freaking out real soon I was thinking if we could finish what he started. The full course can be found here https://www.ecgacademy.com. The list is as follows: Fluids. 260+ step 1, just about all honors, and bunch of publications. I love internal medicine but I know itâs not for everyone and not every program is like mine. Here are some of the benefits of block scheduling (X+Y): New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Mostly inpatient, ~50-80%, of our months are inpatient; 80% during PGY1, PGY2 and PGY3 depends on your clinical interest how much inpatient you do but usually half the months are inpatient. Resident lectures from U of Buffalo: Approach to Dyspnea. If you need to âjust get throughâ the 3 years then it may not be the career for you because 3 years is a long time to be miserable in a field youâre not happy in. The quality is amazing. I planned to do jack shit until first day of intern year but this looks so helpful I am going to schedule it into my calendar. 4+1 schedule that comprises of four weeks of uninterrupted in-patient experience or electives followed by one week of ambulatory clinic blocks. I wanted a cool and interesting job. Welcome to /r/MedicalSchool: An international community for medical students. Amazing case-of-the-weekemergency medicine EKG videos on youtube by Dr. Amal Mattu -- If you like Dr. Mattu's cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. Current ACLS guidelines. do what u think would make u happy and pays enough for u to carry on. Please, never delete this. EKG blogs. The Internal Medicine Residency program has a rotation schedule for student in the categorical track program. iâd get burnt out being the first line provider in the ED. Would love a video series, interactive cases etc. Also, 60 hours a week doesn't sound (that) terrible. Press J to jump to the feed. donât get me wrong. You know, knowing this stuff will help you hold your own as a 3rd year. The ambulatory week consists of 5 half days of continuity clinic, 2 half days of specialty clinics, an educational half day focused on ambulatory medicine, ultrasound, Threads 1.1K Messages 23.5K. Thank you! Internal Medicine (IM) residency is a three-year program that prepares its participants for a wide variety of future careers. Nephrology Teaching Service 2ELL. ASJH IM Instagram. As a third-year resident, you will continue to expand your skills on core inpatient services (inpatient medicine, CCU, MICU, cardiology) and take advantage of numerous elective and selective opportunities in medicine and non-medicine subspecialties. An ambulatory didactic curriculum supports the educational program throughout the year ensuring ambulatory medical knowledge is made available to residents in every year of residency. Less than 30% of internal medicine residents choose primary care as a field. Initial work-up and treatment of dyspnea. The Internal Medicine Residency at Mayo Clinic in Rochester, Minnesota, is one of the world's longest-running formalized physician training programs. Thanks OP! Schedule. Expect 4-6 months of elective time mostly in 3rd year to explore your professional and academic interests. Jokes aside amazing resource. In general, is it the case that top programs (i.e. everyone here telling u im is a dump has their own bias. It is largely a thank less job. Also behind paywall. Established in 1915, this program is recognized as one that transforms medical students into outstanding physicians, educators and scientists. The paid course is available on http://www.ecgteacher.com/. IM residency is front loaded with intern and 2nd year being very intense and 3rd year being less so. It costs 4 starbucks coffees a year and is going to save someones life. Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong (/u/ericstrong), Practice makes perfect. Hyponatremia in the Critically Ill: Dr. Richard Savel. Applicants who have applied for our categorical training track with our Yale Internal Medicine-Traditional Residency Program will be invited to participate in one of the 2020-21 applicant interview dates listed below.. All interview days will be conducted via Zoom. i hate social issues as much as the next, but there is no prize pig in medicine (except derm). In your opinion what has been the best and worst part of IM residency? Our SW/CM takes care of most of the social stuff like calling families and setting up appointments and transportation. Intestinal obstruction - Diagnosis and treatment - Mayo Clinic. Now that there is a tentative consensus about what interns would most benefit from brushing up on/memorizing prior to the beginning of their internship, I wanted to collect advice, articles, lectures, blogs etc. ... Short term hospitalist work after residency. The art and science of thoracic imaging All inclusive resource for all things thoracic! Most programs have a q3 or q4 call schedule where you will work 24 + 4 hours or 16 hours (if there is dedicated night coverage) ICU rotations can be q2 at smaller programs with less coverage. heart failure, pulmonary edema, embolism, COPD, pneumonia). Current Page: Schedule Virtual Tour A Day in the Life FAQs Folder: Program Details. The first year r… EDIT: Any and all comments, suggestions, pearls, resources would be very much appreciated. Can you explain on what makes PMR depressing? reddit residency spreadsheet 2021 emergency medicine. 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. Loyola Universities excellent CXR Atlas Most outdated look but amazing content. During the second year of residency, our residents focus on gaining proficiency managing ambulatory medical problems. i canât imagine staring at a computer screen all day in rads. I will first post the list without any links to resources and then add them with edits. Hopefully, I will have some crowdsourced help from meddit. Am an IM resident. pick what u wanna do. canât deal with the parents in peds. 311 9th St. N. Suite #201 fm is too broad for me. standing in one spot for hours on end for surgery is mind numbing for me. Press J to jump to the feed. Dr. Shah is an Assistant Professor of Internal Medicine, part of the teaching faculty here at Westchester. Potassium. Visit http://ecgmadesimple.com and http://ecg.bidmc.harvard.edu/maven/mavenmain.asp for this. As much as 50% of the first 10 blocks are spent in continuity clinic to ensure residents gain adequate exposure and time learning how to manage medical problems in the outpatient setting. I am probably going to end up applying to IM and shoot for the top programs to give myself as much flexibility in my future career as possible. Most common electrolyte disturbance, commonly mismanaged. Your day will start around 6:30-7 and end around 430- 5 on non call days and much later than that on call days. W. M. Teladoc and NPDB reporting- My Experience. This is helpful, thank you for the response. In addition to inpatient service at all associated hospitals, he/she spends one month as the Night Float, one month in the Medical Intensive Care Unit (MICU), one month as Jeopardy and one to two months in electives. Practice makes perfect. on each topic. https://feedly.com/) and subscribing to the following EKG blogs: http://hqmeded-ecg.blogspot.is (Dr. Smiths ECG blog). ABG interpretation generator. I have modified the list a little bit for clearity - I feel the points should be fairly specific as the original idea was to find specific things an intern should brush up on (e.g. Overnight o-shit-what's-that Head CT interpretation, Midnight radiology: Emergency CT of the head, University of Virginia's guide to the Head CT", UIC Adult Critical Care IV Medication Infusion Sheet, St. Mary Medical Center Houstaff Survival Guide, Where is the OMM? It was an amazing resource and since most of us are going to start freaking out real soon I was thinking if we could finish what he started. It is largely a thank less job. "This is a follow up to meddit's amazing advice to interns post from yesterday. Hyponatremia. A link will be sent to each applicant interviewing with our program a few days before your scheduled date. Most people sub specialize because general internal medicine/hospital medicine is not prestigious work, pays well but not well enough to justify 200k+ in loans and 7 years of post graduate reduced earning potential (175-200 in a desirable location, 225+ in an non desirable location), and has high burn out rate. In contrast, internal medicine programs are known for emphasizing preparation for fellowship and sub-specialization. Will update accordingly. It is amazing. I have been taught that pedal pump can solve anything, Only if you open that thoracic inlet and transverse those LE myofascial restrictors first brah. At any given time, 25% of our residents are in the Clinic Block. ir is the procedure lackey where i train. POCUS Curriculum. Optimal management without inducing narcosis. Continuity Clinic - Internal Medicine Specialty Center. Press question mark to learn the rest of the keyboard shortcuts. "Reflex" antibiotic choice for routine inpatient infections. Inicio > Compresores > hopkins bayview internal medicine residency reddit. Application Process. I recommend signing up for some kind of RSS feed (e.g. Pretty thorough review of fluid management on openanesthesia.org, Intern Content: Approach to IV Fluids from OnlineMedEd, Intravenous Fluid Therapy in the Critically Ill. derm is money. I'd suggest taking a look at this stuff in M-3 after you're done with the nonsense that is step 1. I've tried to update all the links and add some that were empty. Here are 6 basic sample videos on youtube. Whether your study schedule for internal medicine boards is shaping up to be a sprint or a marathon can inform how you apply these principles of learning and retention. I did gas because no clinic, many procedures, critical care skillset, and minimal patient follow up. ACLS institute: this channel uploads really good ACLS videos. E. How Competitive is Infectious Disease? Most people sub specialize because general internal medicine/hospital medicine is not prestigious work, pays well but not well enough to justify 200k+ in loans and 7 years of post graduate reduced earning potential (175-200 in a desirable location, 225+ in an non desirable location), and has high burn out rate. The schedule adopted by the University of Iowa Internal Medicine Residency is a 4+1 model. Red font = Elective blocks (Flexible schedule based on your interests; No overnight call or weekend responsibilities on these blocks) I feel this. I have hated waiting around on people/patients and long hours the most during M3. This can be a 6+ 2, 4 + 1, or some other model depending on the program. Residents rotate for 4 weeks on an inpatient rotation or consult service followed by a 1 week ambulatory experience. 80% or more of your day is administrative, data entry, and disposition planning as an intern. 5 blocks inpatient general medicine Life in the fastlane has a nice resource to look up a specific EKG finding, criteria or concept. 12 weeks "get your shit together". ... Residency Schedule Overview. Hurst began teaching at Emory in 1950, believing that his interests in teaching, writing, and research could best be pursued in the setting of academic medicine. Residency 2 years ago /u/ankihelp tried to compile a list of useful things for starting interns to know. E.g. Resuscitation aka commit the ACLS algorithms to memory. On average, CMC internal medicine categorical interns will have two 2-week blocks (Sunday-Thursday) plus an additional two weekends of this night float "cross-coverage" in the first year Preliminary interns are not scheduled for a night float rotation but are scheduled for approximately 4 weekends / … M4 here trying to make/solidify last minute decision on what to apply to. Each year in residency is divided into 26 2-week blocks, with residents rotating into their clinic block every 8 weeks. yes itâs very difficult, but everything in medicine is difficult. Back. Managing cancer pain: Frequently asked questions: CCJM. Work on average 60-65 hours per week on wards and 70-80+ on ICU and nights. He completed his residency at Drexel University followed by serving as faculty at Temple University. I have to admit I haven't used this course personally but his free youtube videos are on-point and he seems like a good teacher. Take a look at PM&R if your school has a rotation. Watching videos isn't enough, you still have to grind out EKGs to keep your game strong. anesthesia is a no go for me. i canât stand listening to psych patients drone on about nonsense... obviously im exaggerating, but u get the idea. Thank you! What other specialties are you considering besides IM?
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