._3Im6OD67aKo33nql4FpSp_{border:1px solid var(--newCommunityTheme-widgetColors-sidebarWidgetBorderColor);border-radius:5px 5px 4px 4px;overflow:visible;word-wrap:break-word;background-color:var(--newCommunityTheme-body);padding:12px}.lnK0-OzG7nLFydTWuXGcY{font-size:10px;font-weight:700;letter-spacing:.5px;line-height:12px;text-transform:uppercase;padding-bottom:4px;color:var(--newCommunityTheme-navIcon)} People are just more protective of kids. These are often informal presentations that happen while we eat lunch. Internal medicine continued to grow as a field solely devoted to adult patients. Not discounting your story, but I've seen far too many parents thinking like you without the slightest idea what is going on and making things worse rather than better using stupid wives tales (i.e., "starve a fever feed a cold") and come in with a child that is damn near comatose from dehydration. At the same time, pediatrics began to develop as another branch of medicine. You don’t mind never seeing an adult again - Personally, I don’t miss it. Years in practice: Three. But every specialty that pediatrics is a gateway to will have procedural opportunities respective to their field. Any questions the PGY 1 might not know the answer can be freely bounced up to the senior resident. Why is there confusion over the roles of family doctors vs. internal medicine physicians? It was very practical; not oriented towards internal medicine boards review. I hated rounding with a bloody passion, and would never want to work in a hospital ever again. Intensive care has a lot of physiology, so reviewing things like interpreting ABGs, acid-base disruptions, and immunology are pretty high-yield. The child, on the other hand, has one problem usually, and quite frankly it's asthma 99% of the time. MPPDA Annual Meeting with American Board of Internal Medicine and American Board of Pediatrics. Internal Medicine Pros 1 You can directly communicate with your patients and relate to them. The early residents will often leave around this time. These are the “meat and potato” rounds where we discuss the very specific treatment decisions and go over the objective data. Internal medicine-pediatrics, or med-peds, is a medical specialty in which doctors train to be board certified in both internal medicine and pediatrics.A residency program in med-peds is four years in length, contrasted with three years for internal medicine or pediatrics alone. Primary prevention is even better - Good generalists and outpatient specialists are continuing to improve pediatric morbidity and mortality. Some lazy bender at buzzfeed will compile them all into a listicle. The emotional toil is real and requires you to develop coping mechanisms to deal with it. Call: Again, this will vary pretty dramatically from program to program and I would encourage you to ask about call schedules during your interviews. In the end I chose IM for these reasons: If you practice general IM, then wouldnt you see peds patients also? The Med-Peds program is a four-year residency, with a total of two years spent in each discipline. Dude you need to learn more about specialties. The NRMP conducted a survey to determine what factors Program Directors consider when deciding which candidates to interview and rank for their residency program. Top 25 internal medicine residencies, ranked by physicians . This allows for us to get the crunchy details for each patient settled and keeps us on the same page for family centered rounds. These parents are usually uneducated or their kid has never been seen before. Rounding- I recognize the irony of a future critical care fellow not enjoying rounding so much, but it's here to stay and serves an important function. I read somewhere that doing a fellowship in paediatrics does not make economical sense as the compensation of a specialization does not make up for the potential earnings during those training years. Do you have any thoughts on the combined field? Specialty: Internal medicine and pediatrics. MKSAP puts out a new, rewritten edition every 3 years that is initially shipped in 2 parts. You will often have one or two months for electives, a rotation in the ED, NICU, and often some form of primary care month. Your reply is very short and likely does not add anything to the thread. It also is a medical-student friendly opportunity for them to present on patients they are following and have a chance to learn a little bit more about the patient. Bronchiolitis kids come in with respiratory failure and leave fine. Academic Medicine. Welcome to /r/MedicalSchool: an international community for medical students. And I think that the adult experience ._3bX7W3J0lU78fp7cayvNxx{max-width:208px;text-align:center} In terms of income, medicine varies greatly between the relatively lower paid general internal medicine to the very well compensated fields like cardiology and GI, especially in private practice. Pick it because you see yourself doing both or the inbetweens, adolescents medicine etc. As I look at fellowship and job opportunities, everything is open to us. 3. Physicians can care for patients spanning the spectrum from birth until death, dealing with a range of clinical scenarios from high-risks deliveries to adult and pediatric intensive care. Similar is the answer to the question. Any advice on how to shine in that environment or any resources I should use to get a better background on how to manage some of those conditions? PGY-3: Senior Resident- This will likely be the most laid back of your residency years. I do not see how you can say that general IM is "easier" than general pediatrics. Peds is awesome guys. Those heart failures, t2DM, copd, etc, so much are related to poor habits early on. 2) Okay, this probably deserves a full out PM, but here's my advice: Here's your single best resource: learnpicu.com. IM docs do not have to bother with a ton of phone calls like this at every hour of the day. The combined residency of Internal Medicine-Pediatrics at the University of Illinois College of Medicine – Chicago is one of the longest running MedPeds programs in the United States – training physicians who are specialists in the care of both adults and children. They let the residents make that call at our program. Critical care will give you your lines, tubes, ECLS, CRRT, etc. Internal Medicine Primary Care Residency = 1/54, 1.85% 3. I was on the fence for a while too. Essentially you can pick a major life stage or organ system and specialize in it if you would like. I love mango, my friend loves pineapple. .Rd5g7JmL4Fdk-aZi1-U_V{transition:all .1s linear 0s}._2TMXtA984ePtHXMkOpHNQm{font-size:16px;font-weight:500;line-height:20px;margin-bottom:4px}.CneW1mCG4WJXxJbZl5tzH{border-top:1px solid var(--newRedditTheme-line);margin-top:16px;padding-top:16px}._11ARF4IQO4h3HeKPpPg0xb{transition:all .1s linear 0s;display:none;fill:var(--newCommunityTheme-button);height:16px;width:16px;vertical-align:middle;margin-bottom:2px;margin-left:4px;cursor:pointer}._1I3N-uBrbZH-ywcmCnwv_B:hover ._11ARF4IQO4h3HeKPpPg0xb{display:inline-block}._2IvhQwkgv_7K0Q3R0695Cs{border-radius:4px;border:1px solid var(--newCommunityTheme-line)}._2IvhQwkgv_7K0Q3R0695Cs:focus{outline:none}._1I3N-uBrbZH-ywcmCnwv_B{transition:all .1s linear 0s;border-radius:4px;border:1px solid var(--newCommunityTheme-line)}._1I3N-uBrbZH-ywcmCnwv_B:focus{outline:none}._1I3N-uBrbZH-ywcmCnwv_B.IeceazVNz_gGZfKXub0ak,._1I3N-uBrbZH-ywcmCnwv_B:hover{border:1px solid var(--newCommunityTheme-button)}._35hmSCjPO8OEezK36eUXpk._35hmSCjPO8OEezK36eUXpk._35hmSCjPO8OEezK36eUXpk{margin-top:25px;left:-9px}._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP,._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP:focus-within,._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP:hover{transition:all .1s linear 0s;border:none;padding:8px 8px 0}._25yWxLGH4C6j26OKFx8kD5{display:inline}._2YsVWIEj0doZMxreeY6iDG{font-size:12px;font-weight:400;line-height:16px;color:var(--newCommunityTheme-metaText);display:-ms-flexbox;display:flex;padding:4px 6px}._1hFCAcL4_gkyWN0KM96zgg{color:var(--newCommunityTheme-button);margin-right:8px;margin-left:auto;color:var(--newCommunityTheme-errorText)}._1hFCAcL4_gkyWN0KM96zgg,._1dF0IdghIrnqkJiUxfswxd{font-size:12px;font-weight:700;line-height:16px;cursor:pointer;-ms-flex-item-align:end;align-self:flex-end;-webkit-user-select:none;-ms-user-select:none;user-select:none}._1dF0IdghIrnqkJiUxfswxd{color:var(--newCommunityTheme-button)}._3VGrhUu842I3acqBMCoSAq{font-weight:700;color:#ff4500;text-transform:uppercase;margin-right:4px}._3VGrhUu842I3acqBMCoSAq,.edyFgPHILhf5OLH2vk-tk{font-size:12px;line-height:16px}.edyFgPHILhf5OLH2vk-tk{font-weight:400;-ms-flex-preferred-size:100%;flex-basis:100%;margin-bottom:4px;color:var(--newCommunityTheme-metaText)}._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX{margin-top:6px}._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._3MAHaXXXXi9Xrmc_oMPTdP{margin-top:4px} 2 IM has many fellowships associated with it and there are more opportunities in IM 3 It's far easier to practice general IM vs general Peds if you choose not to do fellowship Cons For a better experience, please enable JavaScript in your browser before proceeding. Some real downsides to the field: MedStudy’s 19 th Edition for Internal Medicine released at the end of 2020. Geriatrics and general internal medicine overlap greatly: most sick patients seen by a generalist are elderly and geriatricians care for nearly the full spectrum of diseases seen in internal medicine. Fortunately there is some flexibility in this as well as career paths (general pediatrics, adolescent med, EM, etc) that do not require rounding. And i was surprised how fewer slots Family Medicine has compared to Internal Medicine. Someone should compile all these resident perspectives into a book. PGY 4: Many programs offer a PGY 4 chief resident year. Misconceptions: You know, I haven’t experienced that many misconceptions. I'm a nearly third year in med peds. You may not quite know how to interpret the lab values yet, but you'll pick it up. Or even family medicine, provided you don't want to specialize. I did take a weeklong internal medicine refresher course right before the boards, but the lectures and material were geared towards office-based primary care. Can you really truely practice IM and Peds at the same time? It's okay to not know something and not knowing it helps us understand where we can teach. Only thing I can add (as an attending) is that being an outpatient Pediatrician is so much easier than residency. Thx for sharing and writing this out OP! .FIYolDqalszTnjjNfThfT{max-width:256px;white-space:normal;text-align:center} You will make life-saving decisions, run pediatric codes, and manage the majority of pediatric trauma (as the majority is non-operative). I find that there is always at least one or more patients on any service that benefits from my combined training, which also helps a lot with standing out from fellow residents (not gunning, everyone wants to look good). But you are absolutely right, if earnings are a major priority the majority of sub-specialties will pay a little more (but not enough to justify the potential income-loss during training), the same, or even less than general pediatrics. Something about it is inherently wrong and you will cry with the families. Specialty boards sometimes partner to oversee combined training programs (eg, internal medicine-pediatrics). After internal medicine, pediatrics was the most popular residency choice for 2018 Baylor College of Medicine MDs, with almost 20 choosing to match into the specialty. [01:50] An Interest in Med-Peds. As a PGY 1, you can expect to work a Saturday, Sunday, and one week of nights (Sun-Fri) during each inpatient month. Misconceptions: You know, I haven’t experienced that many misconceptions. Welcome to the Combined Medicine/Pediatrics Residency Program. I’m happy to answer any questions you may have about the specialty that I love. 3-year Fellowships - a Pediatric EM fellowship out of EM training is 2 years by comparison. For example, MKSAP 18 Part A was released in July of 2018 and Part B was released that December. /*# sourceMappingURL=https://www.redditstatic.com/desktop2x/chunkCSS/IdCard.de628c13230c59091a5d.css.map*/._2JU2WQDzn5pAlpxqChbxr7{height:16px;margin-right:8px;width:16px}._3E45je-29yDjfFqFcLCXyH{margin-top:16px}._13YtS_rCnVZG1ns2xaCalg{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:18px;display:-ms-flexbox;display:flex}._1m5fPZN4q3vKVg9SgU43u2{margin-top:12px}._17A-IdW3j1_fI_pN-8tMV-{display:inline-block;margin-bottom:8px;margin-right:5px}._5MIPBF8A9vXwwXFumpGqY{border-radius:20px;font-size:12px;font-weight:500;letter-spacing:0;line-height:16px;padding:3px 10px;text-transform:none}._5MIPBF8A9vXwwXFumpGqY:focus{outline:unset} Additionally, you will encounter the very frustrating reality of a parent who disagrees with your recommendation (the most infamous example of being anti-vaccine). You want to be called by the hospital service when the patient has some rare zoonotic disease. This post will be cataloged on the wiki for posterity. I'll try to PM you the template I used. Sure. Board-certified pediatricians earn "certificates of added qualifications" in related disciplines via arrangements between the American Board of Pediatrics and another specialty board. (The top two being “What is internal medicine?” and “What’s this thing growing on my genitals?”) So I thought that I would pull back the curtain and show how I made my decision. Hope that helps a bit. I would ask about how calls and nights work during your interview. And the best part of this is that, in general, kids get better. GI, endoscopy. Not at all. The first half of MKSAP 19 should be available in July of 2021. I do think there are some people who take Pediatrics a little less seriously than they do adult medicine, but this disappears once you put a sick kid in front of them (or when it’s their kid that’s sick). By now, you’ll have a much greater comfort level in overseeing junior residents and effectively delegating responsibilities. The Houston, Texas medical school is made up of 85% Texas residents. 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