Career Route

[bannie22]

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Okay. Dumbest question ever. I have never understood how the career route works.

Bachelor->MD->Residency->Fellowship?->Internship?

Residency depending on specialty.

What is fellow and internship?

I am confused because the MBBS route is usually 6 years + 2 years internship or something like that...

What position is a fellow really? or an intern? or a resident?
Leading doctor?



What is the MD route like?

 

[Hifey]

Okay. Dumbest question ever. I have never understood how the career route works.

Bachelor->MD->Residency->Fellowship?->Internship?

Residency depending on specialty.

What is fellow and internship?

I am confused because the MBBS route is usually 6 years + 2 years internship or something like that...

What position is a fellow really? or an intern? or a resident?
Leading doctor?



What is the MD route like?

to the best of my knowledge

BS/BA --> MD --> Intern (basically, first year of residency) --> resident --> fellowship.

the only part of this that is optional is the fellowship.

 

[JLknights61]

Hifey is right you get your BA/BS first than Med school internship is your first year of residency, residency is where you specialize in the type of medicine you want to practice (internal, emergency, pediatric etc.) and a fellowhip trains you in a sub-speciality. An example of this would be say you want to be a interventional radiologist. You do your residency in radiology after that you would do a fellowship generally lasting 1 to 2 years to become an interventional radiologist.

 

[Bernoull]

to the best of my knowledge

BS/BA --> MD --> Intern (basically, first year of residency) --> resident --> fellowship.

the only part of this that is optional is the fellowship.

👍👍👍 And fellowship is more specialized training within a specialty (say corneal specialist VS ophthalmologist..

 

[FloatOn]

to the best of my knowledge

BS/BA --> MD --> Intern (basically, first year of residency) --> resident --> fellowship.

the only part of this that is optional is the fellowship.

Yup yup. Intern year is also called PGY-1 (post-graduate year 1). Second year of residency is PGY-2, and so on. Also, some programs do not have the intern year and the rest of the residency combined. The post-intern years have other acronyms, like second year anesthesia is CA-1.

 

[Narmerguy]

So everyone has to be an intern at one point?

 

[FloatOn]

So everyone has to be an intern at one point?

Yes. An intern is above the med student in the grand hierarchy of medicine, but is still everyone's b!tch, or so I hear.

Click here for a visual guide: http://3.bp.blogspot.com/_e85U4QbYG...AXA/hjYVI29_8ts/s1600-h/medical+hierarchy.jpg

Intern is missing, but anyway, you get the point.

 

[JJMrK]

So everyone has to be an intern at one point?

Read up on the difference between categorical, preliminary, and advanced residency programs.

 

[bannie22]

So in teh grand scheme of the things. you do not need to be a fellow to be an attending.

you become an attending after ure done residency, but after residency u can choose to become a fellow?

 

[scrambizle]

In order to be licensed, you must complete an internship. For some residencies (internal medicine, surgery, EM, Family Med, Peds, orthopedic surgery, urology, ent, pathology, psych) that year is built into the residency. You basically just work harder and have less elective time as an intern. In other specialties (optho, derm, radiology, anesthesia, rad onc(i think), neurology, physiatry, probably forgetting something) you do a transitional or preliminary internship in surgery or medicine to get a good foundation, and then go on to your residency. Many people do their internship at a different institution than their residency. Some people (usually foreign grads) won't get a residency and will reapply during their preliminary year.

Many people do fellowships after their residency. Some are very competitive, and others are easy to get. You usually apply during your second to last year of residency. An example would be someone goes into internal medicine (3 year residency) and then goes into endocrinology (2 year fellowship). Another example would be someone who goes into ophthalmology: transitional or prelim internship, then a 4(or 5?) year residency, then he/she decides to do a fellowship in cornea surgery.

and yes, you need to graduate college to go to med school.

 

[Catalystik]

So in teh grand scheme of the things. you do not need to be a fellow to be an attending.

you become an attending after ure done residency, but after residency u can choose to become a fellow?

You don't need to complete a residency either, to become an attending. After you complete one year of internship or residency and pass your USMLE Step III, you can become an independently-licensed physician and practice in the real world as an attending. In today's world, however, you are unlikely to be able to acquire malpractice insurance or hospital privileges without completing a residency, unless you work for the government (Indian Health Service, US armed forces, VA hospital, state-run clinic, public health service clinic) or plan to practice in a privately-owned walk-in clinic. Or maybe in a very rural area desperate for a doctor. I'm sure there's other exceptions I haven't thought of too.

 

[J ROD]

So in teh grand scheme of the things. you do not need to be a fellow to be an attending.

you become an attending after ure done residency, but after residency u can choose to become a fellow?

simple answer "yes".