Anyone do FM then IM residency?

[Step1EKG]

Or really, any other residency to IM? Then possibly fellowship?

I'm a PGY1 at an FM program with strong inpatient medicine in a major city. Turns out I love medicine wards and critical care way more as a resident than as a med student. I know I can do hospitalist work as FM but after speaking with my mentors, it sounds like the pickings are getting slimmer in my area as hospitals/groups prefer IM trained docs.

Is there anyone here who's completed FM training then did a second residency in IM? My ideal situation would be to complete my FM training, get boarded, match into a PGY2 IM spot in my area, and consider CCM fellowship. Though I'd be perfectly happy being double-boarded in FM/IM, doing hospitalist work and having my own FM practice (I like peds too). As a side note, I'm realizing I should have gone med-peds but those spots are so few and I'm highly prioritizing location.

I appreciate any insight or direction, thanks!

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[deleted480308]

Or really, any other residency to IM? Then possibly fellowship?

I'm a PGY1 at an FM program with strong inpatient medicine in a major city. Turns out I love medicine wards and critical care way more as a resident than as a med student. I know I can do hospitalist work as FM but after speaking with my mentors, it sounds like the pickings are getting slimmer in my area as hospitals/groups prefer IM trained docs.

Is there anyone here who's completed FM training then did a second residency in IM? My ideal situation would be to complete my FM training, get boarded, match into a PGY2 IM spot in my area, and consider CCM fellowship. Though I'd be perfectly happy being double-boarded in FM/IM, doing hospitalist work and having my own FM practice (I like peds too). As a side note, I'm realizing I should have gone med-peds but those spots are so few and I'm highly prioritizing location.

I appreciate any insight or direction, thanks!

How many hours do you intend to work?

Hospitalist and your own practice?

 

[tantacles]

Or really, any other residency to IM? Then possibly fellowship?

I'm a PGY1 at an FM program with strong inpatient medicine in a major city. Turns out I love medicine wards and critical care way more as a resident than as a med student. I know I can do hospitalist work as FM but after speaking with my mentors, it sounds like the pickings are getting slimmer in my area as hospitals/groups prefer IM trained docs.

Is there anyone here who's completed FM training then did a second residency in IM? My ideal situation would be to complete my FM training, get boarded, match into a PGY2 IM spot in my area, and consider CCM fellowship. Though I'd be perfectly happy being double-boarded in FM/IM, doing hospitalist work and having my own FM practice (I like peds too). As a side note, I'm realizing I should have gone med-peds but those spots are so few and I'm highly prioritizing location.

I appreciate any insight or direction, thanks!

I'm certain it's possible, but if your hospital has a med-peds program, it might be worthwhile to consider switching into that if combined hospital medicine and primary care for all ages is of interest to you. I think family medicine, based on my experience seeing what family medicine residents see in their clinic, generally does not prepare doctors well to do outpatient pediatrics, but your program may be different. Sometimes programs will have spots open up, so you could even go outside if necessary and maybe find a PGY-2 spot, which might save you some time overall.

 

[Step1EKG]

How many hours do you intend to work?

Hospitalist and your own practice?

I intend to work a lot while I'm young. Early on taking more hospitalist shifts while building my practice the first few years, then scaling back accordingly.

 

[Step1EKG]

I'm certain it's possible, but if your hospital has a med-peds program, it might be worthwhile to consider switching into that if combined hospital medicine and primary care for all ages is of interest to you. I think family medicine, based on my experience seeing what family medicine residents see in their clinic, generally does not prepare doctors well to do outpatient pediatrics, but your program may be different. Sometimes programs will have spots open up, so you could even go outside if necessary and maybe find a PGY-2 spot, which might save you some time overall.

Appreciate the response! My program actually does a great job with outpatient peds. Plenty of our grads go on to do full spectrum outpatient work. As for med-peds, as I said, I'm highly restricted by geography. Can't leave my area for personal reasons, my program doesn't have med-peds, and there's very few spots near me. I'm unlikely to match into it by pure numbers so I'm considering the next best alternative.

 

[Splenda88]

Another option is that you can do a hospitalist fellowship... I was told there are a few of those around the country, but you won't be IM boarded.

 

[mdjo]

Doing two residencies is a terrible idea. Don't waste your life in training. You can't practice every part of medicine that you find appealing. Pick one specialty and stick with it.

 

[singsong575]

Why don't you switch to IM residency program now instead

 

[Egghead34]

I started in FM, decided 6 months in to switch to IM, succeeded, and am now 3 months from starting cardiology fellowship. But it wasn’t easy, ill tell you that.

heres a thread I wrote about it : My success story as a US-IMG applying for cardiology

 

[deleted1025203]

You do not need to switch into IM to work as a hospitalist. You get more than enough inpatient training. If you are worried about job opportunities after a few years of work you can sit for you CAQ in hospital medicine sponsored through the ABFM-ABIM. If you are interested in IM specialities then yes switch over.

 

[AlbinoHawk DO]

Or really, any other residency to IM? Then possibly fellowship?

I'm a PGY1 at an FM program with strong inpatient medicine in a major city. Turns out I love medicine wards and critical care way more as a resident than as a med student. I know I can do hospitalist work as FM but after speaking with my mentors, it sounds like the pickings are getting slimmer in my area as hospitals/groups prefer IM trained docs.

Is there anyone here who's completed FM training then did a second residency in IM? My ideal situation would be to complete my FM training, get boarded, match into a PGY2 IM spot in my area, and consider CCM fellowship. Though I'd be perfectly happy being double-boarded in FM/IM, doing hospitalist work and having my own FM practice (I like peds too). As a side note, I'm realizing I should have gone med-peds but those spots are so few and I'm highly prioritizing location.

I appreciate any insight or direction, thanks!

That's not going to happen like you want it to. They only allow up to 6 months credit for FM. You can get an additional 6 months if you do them under the following circumstances (A) Identical rotation to IM students, (B) Under the supervision of an IM PD, (C) At a place with IM residency, so even if you did a nephrology rotation but technically you were still under the FM PD's eyes, it won't count. The FM PD would have to basically ask the IM PD prior to sign off on taking you under his wing.

Your best bet is to bail on FM and start over as IM with the 6 months credit under your belt, or you can do a 1-year hospitalist fellowship

EDIT: I just realized this is a year old, but i'll leave it up in case someone searches for this topic

 

[Planes2Doc]

We have family medicine boarded hospitalists at our large community hospital in a metro area. We don't discriminate, and neither do a lot of other places. I would finish FM and then see what you can do. Good luck!

 

[Redpancreas]

Or really, any other residency to IM? Then possibly fellowship?

I'm a PGY1 at an FM program with strong inpatient medicine in a major city. Turns out I love medicine wards and critical care way more as a resident than as a med student. I know I can do hospitalist work as FM but after speaking with my mentors, it sounds like the pickings are getting slimmer in my area as hospitals/groups prefer IM trained docs.

Is there anyone here who's completed FM training then did a second residency in IM? My ideal situation would be to complete my FM training, get boarded, match into a PGY2 IM spot in my area, and consider CCM fellowship. Though I'd be perfectly happy being double-boarded in FM/IM, doing hospitalist work and having my own FM practice (I like peds too). As a side note, I'm realizing I should have gone med-peds but those spots are so few and I'm highly prioritizing location.

I appreciate any insight or direction, thanks!

You would likely have to start from PGY-1 as ridiculous as that sounds so you definitely should not do a second residency. If you want to do IM, reapply for IM PGY-1 this year. You will save yourself 2 years.