I'd quit medicine immediately if I had to work in the ED every single day. Try to do a couple of EM rotations before you decide, even if that means scheduling aways well into fall and dual applying- like I did. Surgeons love to cut, but hate slow OR turnover or bogus 2am calls (who doesnt). the evals are less like letters and more like a form they fill out that ranks you against other EM students. That's awesome! I like emergency medicine. When I'm on a longer string of ED shifts I forget what day and time I'm in at times. Sometimes I feel bad about what I'm admitting to the hospitalist, but the patient is slightly too sick or unsafe to go home. Sure, I meet some mean and bitter people, but usually I just give them a sandwich and move onto the next one. I don't think people have as many regrets as maybe there might be people who wanted something and couldn't grab it; and it's hard to accept that. Disposition. Laughter. Get ready to be crushed by Administration when they want you to continue to increase your efficiency and improve your greeting time. Stupid people are stupid. Wow you really wrapped up everything! do you have SLOEs for EM? have you done the video interview yet? SLOEs are standardized letters of eval that is used in EM. Oh yes. That extra money won't make you hate your life less when you are working a job you don't want to be working. AANA Annual Meeting On Demand 2018. It is true in emergency medicine you get paid more per hour seeing patients because you can Bill much more critical care time. New comments cannot be posted and votes cannot be cast. What it comes down to is what specialty do you like enough to put up with its bullshit? tl;dr- I think I have the best job in the world. I don't undervalue that, at all. At this point I'm learning towards doing IM but I … What do you know now that you wish that you could tell your younger self? My benefits include health insurance, matching retirement etc. Check out the best of /r/instant_regret today. Yea.... if you want to apply EM you're already behind. if you dont have any, you will not be matching EM. What is super exciting on your first EM rotation quickly becomes routine, algorithmic and/or just tragic after a few months. Despite these positive emotions, however, I would be lying if I said that within the gratitude and pride there isn’t a dose of regret. 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. Or, "the patient needs placement, and we don't have a social worker, so can you admit them and figure it out?" 41st Annual Intensive Review of Internal Medicine. This is a playlist of all of the currently published internal medicine lectures in one place. Which I kind of understand for self preservation purposes...but recently I had an IM guy tell me just how shitty it is. AAOS-OTA Trauma On Demand 2018. Dr. Coffey plans to work part time with Mt. Now let’s get to the tips to honor your internal medicine rotation1. Not to discount "life putting us where we need to be" since I actually do believe in an intelligent Creator that can shake shit up when he wants to, but I think that the biggest determiner is attitude. We get to do loads of cool things under ultrasound guidance. With that said, I wouldn't trade being in EM for anything. I'd stay until 10 pm helping the night shift stabilize a crashing patient cause I knew them, and loved shooting the shit with my team and the nursing staff. Any tips on managing life with a rotating schedule? degree. Does it slow me down? You make pretty good money in IM too. Patients. I would also want to go into cards if I were to pick a specialty, and that is another 3 year residency. Leave a LIKE and SUBSCRIBE for more content! Sometimes we have to consult because our attending directly instructed us to (I'm sorry Neurology and Psychiatry). It delivers 500 USMLE-style questions and answers that address the clerkship’s core competencies along with detailed explanations of both correct and incorrect answers. Im 25, have a bachelors in MIS, and have spent the last year taking the prereqs for PA school part-time at a community college. I’m starting my internal medicine residency as of this writing. Very cool. Press J to jump to the feed. It's both! I did a few days of ER here and there and really enjoyed it and saw that the ER docs were super happy. Sometimes life puts you where you're supposed to be. I can manage acute medical conditions, and I also get to do a lot of acute interventional procedures. Finally a video my parents can relate to! Press question mark to learn the rest of the keyboard shortcuts. Looking for a diagnosis in an undifferentiated patient is really fun (and undervalued by our colleagues upstairs). But I go see the new patient in room 12 with 2 mo of toe pain instead! You can't change that. gave up my med offer Medicine vs Dentistry Why rejection from med was a positive for me show 10 more Starting uni at 23? Our PDs, aPDs, and PC are extraordinarily supportive. Inpatient, outpatient, subspecialty, SNF work , Etc. In EM you see all the good and evil in the world and there's little time to process it. Not a resident yet but good point. Just curious. For IM: I love the knowledge you have to know, I love the slower pace, and I like that you have the option of going into a subspecialty if you choose be, but then the idea of knowing a lot of about one thing and knowing a lot less about everything else scares me. As the medical student, you have the most time with your patients. Woo, me too! After a while it just rolls off you. You can make great money as an internal medicine doctor. I still think taking care of an undifferentiated, critically ill patient is super interesting, but I have a totally different view about trauma than I did as a third year med student. Residency was great and I never regretted my decision. Just an observation as a student, but I rarely see people who hate their specialty. Things havn't been great for a generation or two, and are going downhill rapidly. 3 years ago. You made the best of your situation, grew into it, and excelled. Movement. But really, I am very happy in the ED. I get to "see it all." implanting spinal/nerve stimulators). Same. After almost 3 years of IM I can tell you it's what I was born to do. In reality it's a soul-sucking endeavor that often frustrates both ends. I am just scared that I will pick IM, not go into a subspecialty, and be stuck doing something for $150k-200k less than another specialty I would have also been happy in. Thank you for watching. I live in a city with a relatively lower cost of living and my SO is a resident as well. Shel Holtz, ABC (Accredited Business Communicator), is director of Internal Communications at Webcor, a commercial general contractor headquartered in San Francisco. I submit my residency application in a few months and I keep going back and forth between the two specialities. The headaches and my profession are the unfunded patients that have nowhere to be discharged to and administration pushing for improved metrics including earlier discharge times. 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