Multiple board certification after FM residency??

[music89]

Hi! Is it possible to become board certified in FM and Peds after FM residency? I know FM basically sees everything in residency, but I don't think the general public REALLY knows that. I'm worried that when I go into private practice I may miss out on not seeing many children. With additional board certification I think the general public will be more "comfortable" bringing their children to me.

What's the point of doing a FM residency if I'm just going to end up seeing basically just adults in private practice? I might as well have done a IM residency...

Thoughts/advice??? Thanks!

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[VA Hopeful Dr]

You can do as many residencies as you want. That being said, only the first will paid for by CMS so its not easy to get a 2nd.

You definitely won't likely see as many children as family doctors did 20 years ago, especially if you're urban/suburban. You can see have a decent pediatric population though - lots of families like a single doctor doing everything. Plus, its not about families "comfort" level with our pediatric training. Its that pediatricians pick up the families in the nursery and keep the kids from there. If you do nursery rounds and provide vaccinations, you'll be able to get plenty of kids in your practice.

 

[DrBeenThere]

It really depends on where you're hired. If you work at Kaiser then yes, you will only see adults. If you join a large multi specialty practice, same thing.

In Urgent Care as a Family Doc I see a lot of kids, but the reality is kids mostly just have ear infections and rashes and although they're cute, the medicine part can get a little repetitive. There is so much to know in peds that we aren't prepared for in residency, so I really only want to see kids for easy ailments (or well child checks) as an outpatient doc.

There is absolutely no way you'd want to do a peds residency after family medicine. So do some extra peds rotations and really know your peds rashes, and get a job where you'll see peds. You'll do lots of peds working in a community clinic, for example.

 

[Ericslv]

You can do an IM-Peds residency and then you will board certified in IM-Peds.

 

[Lee Ik-jun MD]

Hi! Is it possible to become board certified in FM and Peds after FM residency? I know FM basically sees everything in residency, but I don't think the general public REALLY knows that. I'm worried that when I go into private practice I may miss out on not seeing many children. With additional board certification I think the general public will be more "comfortable" bringing their children to me.

What's the point of doing a FM residency if I'm just going to end up seeing basically just adults in private practice? I might as well have done a IM residency...

Thoughts/advice??? Thanks!

i'm in California and my daughter's Pediatrician have 3 PA working in his practice.
and most of the parents don't mind.
you'll be fine.

 

[deleted87716]

There is absolutely no way you'd want to do a peds residency after family medicine.

Agree, unless you want to be a pediatric subspecialist.

I know one guy who did both residencies, but he did peds first, then FM.

 

[deleted87716]

You can do an IM-Peds residency and then you will board certified in IM-Peds.

Being boarded in IM-peds involves two entirely separate boards (IM and peds), with two exams and different MOC requirements.

 

[simpler2]

i'm in California and my daughter's Pediatrician have 3 PA working in his practice.
and most of the parents don't mind.
you'll be fine.

Public comfort with your training will really depend on where you practice. With current shortages in primary care in most parts of the country, I think most patients are simply thrilled to see a doctor (if they even care that much). If you want to be seeing celebrity children or do some sort of concierge medicine in Berkely then yes, you will need to be triple board certified in pediatrics, oriental medicine, pediatric cardiology AND have fellowship training in infant/early-childhood/adolescent/preadult care (and any other non-residency required "board-certification" you can find). Also, you may not want to mention you trained in family medicine first because that could harbor prejudice against you. After all of that, you will likely be an inferior primary care provider due to lack of patient experience you suffered due to all of your training, but at least you will get to improperly treat one or two of Brangelina's adopted children!

(just trying for light hearted humor, not intending to demean or poke fun at OPs question)

 

[Ericslv]

Being boarded in IM-peds involves two entirely separate boards (IM and peds), with two exams and different MOC requirements.

In that case it's not worth it at all.

 

[cabinbuilder]

Hi! Is it possible to become board certified in FM and Peds after FM residency? I know FM basically sees everything in residency, but I don't think the general public REALLY knows that. I'm worried that when I go into private practice I may miss out on not seeing many children. With additional board certification I think the general public will be more "comfortable" bringing their children to me.

What's the point of doing a FM residency if I'm just going to end up seeing basically just adults in private practice? I might as well have done a IM residency...

Thoughts/advice??? Thanks!

You can gauge your practice however you want. Be sure who you work for advertises you as an FP with PEDS emphasis or something to the like. Do your electives in residency with PEDS emphasis to get the extra training. Do an inpatient peds rotation so you see the really sick kids, or do an ER rotation at a peds hospital, etc. You will be fine. Plenty of kids out there. The young, poor, and uneducated seem to be the most prolific procreators.

 

[primadonna22274]

In that case it's not worth it at all.

Biggest reason I chose NOT to do Med-Peds lol.
The fact that I really strongly dislike OB and wanted to avoid it apparently wasn't strong enough to entice me to deal with two boards....

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[deleted87716]

Biggest reason I chose NOT to do Med-Peds lol.
The fact that I really strongly dislike OB and wanted to avoid it apparently wasn't strong enough to entice me to deal with two boards....

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I'm sure maintaining dual boards sucks, especially if one of them is IM.

According to their web site, 25% of IM-peds grads end up in sub-specialties of either IM or peds. 50% "flourish" (whatever that means) in primary care. I'm not sure what happens to the other 25%...

https://medpeds.org/medical-students/faq/