Anesthesia or IM

[mm78]

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Hello

Being a MS4 with a few months to go before casting my vote, I started a thread in the IM forum to get an idea of what makes up IM and hopefully on this forum anesthesia.

http://forums.studentdoctor.net/showthread.php?t=552339

I know residency is tough either way, but looking forward to 20 years of my life after the sodomy. What are the pros of anesthesia in private practice? What are the negatives? How many hours do you end up working every week including the calls? How do you compare those negatives to your colleagues on the floors doing medicine? Any of you would ever pick IM if you could again?

Just looking to work out the pros and cons with both. I wish I was the guy gunning for ortho all along.

 

[cockblockandrun]

Hello

Being a MS4 with a few months to go before casting my vote, I started a thread in the IM forum to get an idea of what makes up IM and hopefully on this forum anesthesia.

http://forums.studentdoctor.net/showthread.php?t=552339

I know residency is tough either way, but looking forward to 20 years of my life after the sodomy. What are the pros of anesthesia in private practice? What are the negatives? How do you compare those negatives to your colleagues on the floors doing medicine? Any of you would ever pick IM if you could again?

Just looking to work out the pros and cons with both. I wish I was the guy gunning for ortho all along.

Do you want to round until the cows come home? Do you want to get consult after consult? Have to talk to social workers about discharge planning? Screw that. As a PGY1 I am loving my month of anesthesia and not looking forward to the 2 more months of medicine floors.

 

[deleted50478]

Any of you would ever pick IM if you could again?

Oh God no! No! Never.

 

[scotchnwater]

Oh God no! No! Never.

Agreed.

 

[lord_jeebus]

Any of you would ever pick IM if you could again?

 

[CanGas]

Haven't you done rotations in both?

I mean what did you prefer? Your month on the wards or your time in anesthesia. Go with the one you liked.

The hours and lifestyle between these 2 options should not even be an issue! Personality types been these two are generally very, VERY different. I don't get hardons debating things like benefits of beta blocking 100 patients for 10 years to prevent 1 heart attack. I like seeing high BP and wacking it IV labetalol then and there, or narcotics if pain, or propofol for light anesthesia, or.... I want instant results and instant gratification on practical, truly important issues. Abuse yourself for 60 years and I am supposed to fix you now on the wards because you have degenerated to the point of hospitalization? Heck no, but I will get you through your surgery.

I wouldn't care if I only worked 8am - Noon every day on the wards as an Internist, I would rather die than write another discharge summary or consult social working for discharge planning, or, or, or, or, or, or, or, or, or, or, or, or.

Anesthesia all the way. 👍

CanGas

 

[Trisomy13]

i'd pick internal bleeding over internal medicine.

 

[milrisome]

I want instant results and instant gratification on practical, truly important issues.

Gotta agree. There are some cool things about IM, like managing diabetic ketoacidosis, titrating pressors/other drips in ICU, etc. But again, these are the kinds of things that are acute and you get to see the results of your actions relatively quickly. Even so, it's not you giving the drugs. You write an order, the nurse takes the order and does it. You check back a little later or the nurse calls you. In anesthesia, you see the problem, you do the action, you see the result. Then you let someone else take care of the irritating stuff like adjusting their psych meds, beta blockers and coumadin or telling them to stop smoking.👎

 

[me454555]

How is this even a debate? These 2 specialties are about as different as night and day. Pick the one you enjoyed more