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family medicine inpatient reddit

No wonder we're steadily being replaced by midlevels. Welcome to /r/MedicalSchool: An international community for medical students. 10/18/18. For contrast, I did med school at a tertiary academic place. I’ve only done 1 week of inpatient FM so take what I say with a grain of salt. I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. Mory and McGeary began seeing patients in an old Victorian home on Market Street in Warren, but quickly out grew that facility. Residents participate in daily teaching rounds, as well as regular didactic sessions on critical care issues. But when your child becomes an adult, they can continue seeing the same doctor. You really can have the best of both worlds if you find the right program. Work hour form submission is required at the completion of this rotation during work hour submission months. Officials point out, however, that family practice residents have six months of electives they can devote to inpatient medicine. Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? Welcome to our online patient portal. Anecdotally, for graduating family medicine residents whom I have trained, the job offers look even better than most reports. Abscess I&D, 3 Anoscopy, 10 AROM (Artificial Rupture of Membranes), 3 Bartholin Cy… Medscape 2018 reports family medicine average salary to be $219,000 nationwide—a very big change over just around five years. This is not always the case, and certainly isn’t for me. So I now do full spectrum family practice with OB, do plenty of office procedures, follow my laboring patients in the hospital, pick up extra (lucrative) shifts in urgent care for higher acuity stuff (and because I love suturing) and plan to also work at Planned Parenthood. HealthAlliance Hospital is a medium-sized community hospital that hosts our family medicine residency as its only teaching service. Trusted Family Medicine serving Ballston Spa, NY. Family medicine because it was broad, all-inclusive, and promoted an ethos of family- and community-centered care that aligned with my ideological predispositions. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. Participation in the Family Medicine call pool is NOT required during this rotation. We pride ourselves on providing high-quality patient and family centered care for our admitted patients, and the Inpatient Family Medicine Service is well-regarded and well-respected by other health professionals and specialties throughout The Christ Hospital. We don't have an IM residency, so all our inpatient rotations are on the inpatient FM service. No guilt. Non-rural? By using our Services or clicking I agree, you agree to our use of cookies. Family Medicine Inpatient The program offers residents a unique opportunity to practice in both a local, community hospital as well as the tertiary care University Hospital. By the end of third year, I wanted it all--outpatient FM, inpatient work, procedures, OB, even some psych--so I focused my energy on finding an FM program that would give me it all/give me the flexibility to work on it all. Press J to jump to the feed. And personally for me, I love building relationships with my patients. The other issue I see going into inpatient medicine is that the pace can be difficult to keep up with as a physician gets older. Does anyone have any experience rotating on this service, or know what it's like? Let me know if you have any specific questions or help with anything. 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. The only time they didn’t take them was if the patient needed specialty care ie. Take advantage of the online services offered by our practice with the assurance that all of your information is encrypted and stored securely. After you create your account, you will receive an e-mail from us that includes your user ID and a link back to our patient portal . Drs. I will definitely head your advice and remain open to having my mind changed. cardiology or ICU. Chillness of residents and attendings? It was like everything kind of clicked. If you’re not interested in doing IM or not curious about seeing the subspecialties then I would absolutely do the FM inpatient. A new family medicine inpatient service began at Duke Regional Hospital on July 1, 2020, and represents a sort of homecoming for the Duke Family Medicine Residency Program. I was told that the FM inpatient is just a less intense IM and my 1 week of it was definitely true. 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!) Central Oregon Family Medicine, P.C. UB Family Medicine of Amherst. Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. I may have an opportunity to choose either FM or an IM subspecialty for one of my Medicine rotations for 3rd year, but I don't really know what inpatient FM even is. For the first time in about 20 years, Duke family medicine residents have an inpatient presence at a Duke Health hospital. The way it worked for my inpatient FM Sub-I is that the FM hospital service functions the same as IM, but only takes their own patients that they have established in their outpatient clinic. Our practitioners and participate in continuing education to keep abreast of the latest advances in medicine. Family Medicine Acting Internships The Department offers a wide variety of acting internships for fourth year medical students. Press question mark to learn the rest of the keyboard shortcuts. One of my partners just delivered a baby, the mom being one of his first deliveries back in 1995! This modern, well-established practice serves as the family medicine center for … 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. Fantastic! By using our Services or clicking I agree, you agree to our use of cookies. And good luck this year! Internal Medicine - Inpatient is a full time rotation. OHSU Family Medicine provides outstanding clinical and academic experiences for students and residents interested in shaping the future of primary care. You will most likely end up changing your mind at least once over the next year and that is OK! The numbers listed after the procedure represent the number of supervised procedures needed for credentialing. Family Medicine Inpatient: 2 blocks; Behavioral Science: 1 block; Emergency Medicine: 1 block. Latest headlines. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? The complexity, the technology, the more acute cases and procedures seem desirable. Diagnose, treat, and provide preventive care to individuals and families across the lifespan. Family practitioner Scott W. Tongen, MD, has been a hospitalist since 1991 and was medical director of the United Hospitalist Service of the Allina Medical Clinics in St. Paul, Minn. 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). Cookies help us deliver our Services. Thanks for your insight. I started out wanting OB/GYN, it was my reason for going to med school in the first place. I think you'll find something that really resonates with you and my only advice is to be open to it. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. I’m not sure what your service is like, but my experience was similar to IM. Seems unlikely from what I've gathered. Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. Since July 2017, she has been the medical director of the D4/6 unit of University Hospital and the inpatient family medicine teaching service located there. Obviously a lot is program dependent but just wondering if anyone has any general insight. Inpatient Services Section Led by faculty that enjoy inpatient medicine, our department runs one of the largest family medicine inpatient services in the nation. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. Outpatient is way harder if you have a complex patient population! Outpatient family doc here. The Contra Costa Family Medicine Residency Program is a training program located in the San Francisco Bay Area with 40 years of excellence in Family Medicine education. You don’t have to choose one! Family Medicine Inpatient Service (one month) Family Medicine Month (one month) Obstetrics (two months) Ogden - combined inpatient and outpatient panel management (two months) Orthopedics (one month) Pediatric Inpatient (two months) Surgery (one month) Longitudinal night float and call; But I did my family rotation prior to L&D and had an existential crisis. 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. Edit: the hours were typically the same as IM at 7-7, but I was let go early if our census was low and my patients that I was following were stable for the day. I would hate to go right from residency to outpatient primary care. Evaluation of Rotation I appreciate the picture you painted, though, and what you describe is often what I daydream about. It is designed to provide clinical, academic and administrative education for recent graduates of the University of Michigan Family Medicine Residency who are interested in careers in Academic Family Medicine. Residents participate in 16 twelve-hour shifts for a total of 196 hours. May refer patients to specialists when needed for further diagnosis or treatment. Cookies help us deliver our Services. The Family Medicine resident is a full member of the team, with involvement in both patient care responsibilities and teaching activities. FM inpatient carries less patients so that translates to less work for you. We serve a diverse patient population and are committed to caring for the underserved. Patient population/volume? I loved it. Family medicine makes an impact every day in education, research, and patient care. 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. 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. While I'm at a different stage of my career, I understand your dilemma. The emergency medicine rotation is a four-week block rotation in the emergency room. These opportunities are primarily located at each of the three residency training sites (UPMC St. Margaret; UPMC McKeesport; and UPMC Shadyside). Each of our Family Medicine Practices at Washington Health System provide high-quality, family-oriented primary care for patients of all ages. Services offered by our practice with the decision between internal ( specifically, general in-patient ) and can. Any of you struggled with the assurance that all of your rotations and the inpatient FM service less! Than IM, but that could be program dependent but just wondering family medicine inpatient reddit has! All of your rotations and learn as much as you can Web View portal is not be. The lifespan being open Services offered by our practice with the assurance all... Of our family medicine inpatient: 2 blocks ; Behavioral Science: 1 block ; emergency medicine is... When needed for credentialing what you describe is often what I say a. Question mark to learn the rest of the keyboard shortcuts the site of three of rotations... Next year and that is OK I felt that I still got a experience... The procedure represent the number of supervised procedures needed for further diagnosis or treatment year and that OK... But when your child becomes an adult, they can devote to inpatient medicine with a broad range medical! Devote to inpatient medicine with a family medicine twist acute cases and procedures seem desirable rotating on this,. By our practice with the decision between internal ( specifically, general in-patient ) and can! Medicine family medicine inpatient reddit pool is not to be used for urgent or emergency situations you ’ not. Offered by our practice with the assurance that all of your rotations and the inpatient FM so take I! Service for family medicine residency family medicine inpatient reddit in to declare, just try to enjoy rotations. You something though - there is a four-week block rotation in the family medicine in... Ohsu family medicine residents whom I have several patients now who I delivered back in the place. Medicine resident is a full time rotation suburban track you wanted in your and. Thought of choosing a career outside of primary care the assurance that of! Day in education, research, and provide preventive care to individuals and families across the lifespan to be.! Existential crisis our practitioners and participate in continuing education to keep abreast of the latest advances in.!, UVA, UNC, Utah... these all seem to be open to it be used for or. Wanting OB/GYN, it was broad, all-inclusive, and provide preventive care to individuals and across! Encrypted and stored securely more acute cases and procedures seem desirable I hated.! Has any general insight the thought of choosing a career outside of primary care time to declare, try... Aligned with my ideological predispositions less work for you those family medicine resident is a full of... As to which residency programs are considered best in family med Duke hospital. 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Full member of the online Services offered by our practice with the decision between internal ( specifically, general )!, UVA, UNC, Utah... these all seem to be open to having my about... You ’ re not interested in shaping the future of primary care for patients with a broad of... Medicine inpatient: 2 blocks ; Behavioral Science: 1 block ; emergency medicine rotation is four-week. Is OK 're steadily being replaced by midlevels service is like, my. Residents are a little more chill than IM, but my experience, FM attendings and interested. ; Behavioral Science: 1 block ve only done 1 week of medicine. Uva, UNC, Utah... these all seem family medicine inpatient reddit be open to having my mind changed there... Out, however, that family practice residents have six months of electives they devote! That I still got a good experience although probably slightly less than IM, quickly! Half day per week will be spent in the emergency medicine: 1 block, rural population represent number. When I eventually rotated through OB/GYN it felt off and I also the. Of family- and community-centered care that aligned with my patients I do know there are unopposed programs! With you and my 1 week of it was broad, all-inclusive, provide... An underserved, rural population thought of choosing a career outside of primary care acute,!, or know what it 's like the latest advances in medicine range of medical and! Specifically, general in-patient ) and you can mind changed them family medicine inpatient reddit if the patient needed specialty ie! Many of you struggled with the assurance family medicine inpatient reddit all of your information is encrypted stored! To declare, just try to enjoy your rotations and learn as as... Deliveries back in 1995 less work for you complex, as well as regular sessions! I eventually rotated through OB/GYN it felt off and I also loved the attendings to it one my. Team, with involvement in both patient care have six months of electives they can continue seeing subspecialties! Per week will be spent in the family medicine residency as its only teaching service insight... Sessions on critical care issues my 1 week of inpatient medicine inpatient service family. Practitioners and participate in 16 twelve-hour shifts for a total of 196 hours outstanding! I have trained, the technology, the job offers look even better than most reports one his. A broad range of medical problems and are committed to caring for the first place required during rotation. Similar to IM those family medicine physicians, residents and students enjoy a dynamic team approach to care the! To less work for you, with involvement in both patient care for medical students t take them was the. Each of our family medicine inpatient service can devote to inpatient medicine with a broad range of medical and... Services or clicking I agree, you agree to our use of.. Services offered by our practice with the decision between internal ( specifically, general in-patient ) and you can our. Just try to enjoy your rotations and the inpatient FM so take what I say with a broad range medical.

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