Class of 2015!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Hoody said:
I just think its weird that family medicine and internal medicine do virtually the same three year residency (other than internal medicine doesn't generally rotate through OB unless they take it an elective) yet family medicine cannot sub specialize in anything like internal meds do.


medicine can be straight up ******ed silly. :shrug:
Click to expand...
It's cause the American board of internal medicine controls the fellowships.

FlowRate said:
Can family med definitely not subspecialize? It's weird cuz I know an EM who was offered a cards fellowship, so I figured FM could pick up that sort of stuff too.
Click to expand...
They can subspecialize in a few things (sleep med and sports med, for example) but nothing boarded through IM.

Rules do change though, IM recently decided to let EM board through them for CC. EM--> card is weird though, I've never heard of something like that.
 
DrYoda said:
It's cause the American board of internal medicine controls the fellowships.
Click to expand...
sucky.
DrYoda said:
Rules do change though, IM recently decided to let EM board through them for CC.
Click to expand...
This would explain the new ER doc floating around my ICU....honestly, I would rather have FM managng crit care then EM. EM doesn't really seem to have the grasp on continuity of care and managing chronic illness over a continuum. just my opinion/experience though.



friendly reminder, the more specialized care becomes, the worse patient outcomes are. lil odd, eh?
 
DaisyBuchanan said:
Easy there Trio, someday your prince will come!

Oh yeah, Raffle and I decided that all of us SoCal kids should meet up sometime. It would be a party. :hardy:
Click to expand...


Haha, hopefully it's true...but Mr. Flappety McFlapFlap and my other previous boys are kinda just..well...mega-lame...there is someone who I think is trying to pursue me, but I'm just too tired and not in the mood to deal with him. He's kinda oddly clingy..and just..not my type overall-considering that I may be leaving Cali in like..5 months.


Also, that meetup sounds like it would be awesome! Cougs and I, as OC people, should totally meet/see y'all. It'd be fun! 🙂

MB333999 said:
yea all you SoCal kids should meet up.....in Toronto =D
Click to expand...

Sadly enough, that can be arranged haha...I'm heading to Montreal on Tuesday and will be there for a week because of a McGill interview. I have been debating whether I should run off to Toronto in that time, since I've already played in Montreal once already. My hesitation is due to not having a place to stay and not knowing a thing about the city, other than I wouldn't have to speak French to everyone (or get rudely treated, or not treated at all, because je ne parle pas francais).


FlowRate said:
Or ya'll could meet in the middle in Reno 😎
Click to expand...

I'm laying over in Las Vegas...which isn't really that close to Reno...but we could all have a Class of 2015 Vegas party! lol.
 
:luck:
Geekmama 🙂 🙂
Hoody said:
🙁


Cougs, keep the faith....its worth it. Even on the worst of days, my guy wouldn't change his life for anything. 👍
Click to expand...

Yeah...I'm just having financial misgivings at the moment🙂 Not that they would ever have anything to do with what specialty I went into. But they might have something to do with if or when I went to medical school. Deferring has been on my mind lately.....

That is the first time I have even sort of said it out loud.





I ventured over to the Allo board....and was rewarded by a thread about butt crack sweat👎
 
what up kiddos?

i don't know how i partied like this pretty much all the time in college. i'm exhausted. don't tell my friends, but if they want to go out tonight, i don't know if i'll survive. :laugh:
 
Geekchick921 said:
Fixed that for me.
Click to expand...

No way!!! Holy awesomeness Batman!


Boo, I'm back in LA 🙁. But yay, I'm back in my comfortable bed 🙂. But boo, I have work soon 😡. But yay, its warm 😀. But boo, I have to wait until March to find out about Cornell :scared:! Very conflicted 😕
 
CougarMD said:
Yeah...I'm just having financial misgivings at the moment🙂 Not that they would ever have anything to do with what specialty I went into. But they might have something to do with if or when I went to medical school. Deferring has been on my mind lately.....

That is the first time I have even sort of said it out loud.
Click to expand...
😱 Whattttt??? Why didn't you tell me this when we were talking last night?
rafflecopter said:
No way!!! Holy awesomeness Batman!


Boo, I'm back in LA 🙁. But yay, I'm back in my comfortable bed 🙂. But boo, I have work soon 😡. But yay, its warm 😀. But boo, I have to wait until March to find out about Cornell :scared:! Very conflicted 😕
Click to expand...
So you made it back with no bedbugs?

I'm sure Cornell loved you Raffle! And March isn't all that far away, especially since February is the shortest month!
 
I bought a pair of Uggs from Jax today. Slightly irked to find out they are made in China. In the whole store, they had one pair of shoes made in the US....they were $800. But they were sure proud that all their socks were US.


I don't know why the govt doesn't impose a fair trade law. Oh wait, I do know why....cause that would be logical.
 
[YOUTUBE]http://www.youtube.com/watch?v=QXWB4S4KhPs[/YOUTUBE]

i thought this was pretty sweet.
 
Hoody said:
I just think its weird that family medicine and internal medicine do virtually the same three year residency (other than internal medicine doesn't generally rotate through OB unless they take it an elective) yet family medicine cannot sub specialize in anything like internal meds do.


medicine can be straight up ******ed silly. :shrug:
Click to expand...
From what I understand, they don't virtually do the same residency. IM puts a lot of emphasis on inpatient care whereas FM puts the emphasis on outpatient and chronic care. Pretty big difference. However, anyone better versed than I am about IM/FM residency can feel free to correct me if I'm wrong.
 
DaisyBuchanan said:
As far as why FM can't specialize, I dunno... maybe they want to keep primary care docs doing primary care?
Click to expand...

I think even IM has a primary care track, rather than the usual IM > possibly fellowship track.

FlowRate said:
That's a bummer. I'm not a big fan of rules in general. The only up side of random rules in medicine is that it keeps the supply of doctors artificially low. Unfortunately they also control our pay. Meh, don't feel like talking about that much more right now tho.
Click to expand...
I'm a little confused. Isn't the number of physicians controlled by the gov't via funding for residency spots? Unless that's what you're referring to...then, ignore me! 🙂
 
Kaushik said:
I think even IM has a primary care track, rather than the usual IM > possibly fellowship track.


I'm a little confused. Isn't the number of physicians controlled by the gov't via funding for residency spots? Unless that's what you're referring to...then, ignore me! 🙂
Click to expand...
Licensing, board certs, medicare reimbursements, and residency slots, which are all government entities to one degree or another.
 
Kaushik said:
From what I understand, they don't virtually do the same residency. IM puts a lot of emphasis on inpatient care whereas FM puts the emphasis on outpatient and chronic care. Pretty big difference. However, anyone better versed than I am about IM/FM residency can feel free to correct me if I'm wrong.
Click to expand...
I'm getting my information from my guy who has completed resideny. He said the only difference was when FM did thier OB rotation, IM's did an IM rotation. FMs rotate through ER, ICU, IM, as well as outpatient settings. etc. I guess it could vary program to program.

And i just noticed several FMs work as hospitalists at my facility...which i thought was reserved for IMs only. Not sure if that's facility dependent or what. :shrug:
Kaushik said:
I think even IM has a primary care track, rather than the usual IM > possibly fellowship track.
Click to expand...
IM falls under primary care (as does peds, em, and fm). some just do IM with no fellowship. they act as PCPs in an outpatient clinic setting or as hospitalists.
 
Hoody said:
I'm getting my information from my guy who has completed resideny. He said the only difference was when FM did thier OB rotation, IM's did an IM rotation. FMs rotate through ER, ICU, IM, as well as outpatient settings. etc. I guess it could vary program to program.

And i just noticed several FMs work as hospitalists at my facility...which i thought was reserved for IMs only. Not sure if that's facility dependent or what. :shrug:
Click to expand...

From the Family Medicine FAQ:

What is the difference between family medicine and internal medicine?

The main difference is that internal medicine is the specialty that deals with ADULT disease and treatment ONLY. Nobody under 18 (generally), and no OB. Family medicine deals with adult medicine, but also includes all other age groups (from newborn to elderly) and may or may not include an OB component (depending on region and personal preference of the practitioner). First, let me compare the residency training.

For IM residents, ALL rotations are in adult medicine and subspecialties. There is NO OB or peds. The only interaction with pregnant patients will be as a consultant for women in labor & delivery who develop a medical problem on top of their pregnancy (e.g., out-of-control diabetes, cardiac problems, etc.). As an IM resident, you will get more ICU exposure then the FM residents, and you will get to do more of certain procedures then the FM residents (central lines, Swan-Ganz catheters, etc.)

FM residents not only do adult medicine rotations, but pediatric rotations as well. They also have to do certain months of Labor & Delivery, where they not only play an active role in delivery and management of pregnant women, but also the management of medical conditions on top of the pregnancy that may occur (with the appropriate consultations, of course). Another difference is what occurs after residency. IM residents can do a fellowship in the various subspecialties, whereas FM has a limited number of fellowships. These have been described earlier in this document.

Here is the interesting twist...
In the world of PRIVATE PRACTICE, these differences are not as profound as in residency. The reason being is that as a private practitioner, your malpractice insurance as well as your hospital privileges WILL NOT cover the broad range of things you once did as a resident, especially when there are enough specialists around to do them. YES, an IM resident has put in more central lines than an FM resident, and floated more Swans, etc., but in private practice, you will be HARD PRESSED to find ANY private practice general internist who does those things for the reasons described above.
In a nutshell, when it comes to the private practice world of an IM doc vs. an FP, basically BOTH FPs and IMs on a daily basis handle the SAME bread & butter type of adult cases (hypertension, diabetes, thyroid disorders, upper respiratory infections, gastroenteritis, heart disease, rashes, etc. - which will make up 90+% of your office day), and are reimbursed the SAME from Medicare and managed care insurance companies. A level 3 outpatient visit (there are 5 possible levels) - (a.k.a. 99213) is reimbursed the SAME whether you are an internist or an FP. Anything beyond bread & butter management is referred out for the SAME reasons as I described in my peds vs. FM comparison.

When it comes to inpatient medicine in the PRIVATE PRACTICE world, FM and IM function the same way as well. Both handle bread & butter admissions (exacerbation of CHF, chest pain-r/o MI, sepsis, MI, altered mental status, pneumonia, nursing home "trainwrecks", etc.) and BOTH will obtain the appropriate consults when warranted - no difference. Did the internist get more experience managing a vent in residency? YES, but again, you are going to have a VERY hard time finding an internist in private practice who manages his own vents without calling pulmonology consult, because if there is a bad outcome because you didn't get a consult, you WILL get nailed!

FM and IM are both employed interchangeably by hospital staffs as well as managed care companies. ONE exception is in places that do not have any IM sub-specialists (cardiology, pulmonology, gastroenterology, etc.), the local internist may be the one who has to do certain procedures (reading echocardiograms, placing central lines, floating Swan-Ganz cathethers, stress tests, bone marrow biopsies, etc.), primarily because there is no one else around to do it. This phenomenon exists primarily in small towns with NO sub-specialists.
Click to expand...

I guess it answers both our questions! 🙂
 
Kaushik said:
From the Family Medicine FAQ:



I guess it answers both our questions! 🙂
Click to expand...

That was an amazing post man! The "real world" description matched my understanding...because all of my primary care physicians have been IMs--my cousins that are IM (one inpatient, one outpatient in a large downtown clinic) all do what FPs do..more or less. They all just see the same basic stuff as FP would.
 
2011-01-06-Bruises.jpg
 
dear world

we talked about this last time, but seriously, unless you're a medical school, you are not permitted to use large envelopes. i'm an understanding person, but don't test my patience. also, if you're a real estate agent, i will personally pull out all lawn signs from the homes contained in the full sized brochure you keep sending me. please stop.

thanks
bleargh


ps. thanks world, for giving everyone else an awesome holiday.
 
I was visiting my parents this past weekend and my mom asked me on Sunday, "So you're staying over tonight, right?" I had to remind her that I don't get MLK Day off. 👎 In fact... the first five months of the year are horrible holiday-wise--after New Year's, we have no scheduled holidays until Memorial Day in May. By my reckoning, that's over 20 weeks straight.
 
FlowRate said:
Shadowing the specialty I think I'm most interested in today, if all goes as planned.
Click to expand...

RadOnc? I think I remember you saying something about that in another thread. I hope you end up liking it a lot! Best field, IMHO! 😀

I'm still going into lab today. Just didn't have to be there by 9 like usual. Although that might have been better because I'm still in bed right now and will be in lab for the next 6hrs. /sadface
 
Geeks' status made my day😀😀😀

You're going to make me go to school in Philly just for you, aren't you.
You suck.



So, I went to the gym for 2 hours.....came home, texted my boss telling her I was going to shower and leave for work. She calls me and goes "I think we should stay home today"


Hahahaa awesome.


Considering going into my other job though to get some more lame paperwork done so that it isn't hanging over my head. Feel free to vote on this idea.
 
Geekchick921 said:
0🙂 You love me. And you loved it there, why for do I suck? 😛
Click to expand...
'Cause its all 'spensive there🙂 I did like it there.

Except, um....for the MS2 that actually said, to the entire interview group:

"Yeah, so, you guys are way more prepared than I was. When i interviewed....I totally thought med school was like, 3 years. And they kept talking about what you do in the 4th year. And I was like, '4th Year? What?' But I looked around and no one else was surprised. So I pretended to no be surprised either and just nodded. But inside I was freaking out, and like 'What?? Med school is 4 years????'"

Don't tell that story to a whole group of interviewees. It makes you, and, by extension, your school, look stupid.
 
Geekchick921 said:
Status as in the little blurb between your username and avatar, like how yours says "Little Miss Sunshine". But you already knew about it. 😀
Click to expand...
Haha ah, very cute. And yes I did know about it, I'm so excited for the Geek family! 🙂

CougarMD said:
Geeks' status made my day😀😀😀
So, I went to the gym for 2 hours.....came home, texted my boss telling her I was going to shower and leave for work. She calls me and goes "I think we should stay home today"


Hahahaa awesome.


Considering going into my other job though to get some more lame paperwork done so that it isn't hanging over my head. Feel free to vote on this idea.
Click to expand...
I vote nay. I think you should just enjoy the unexpected free day and do something fun!
 
CougarMD said:
'Cause its all 'spensive there🙂 I did like it there.

Except, um....for the MS2 that actually said, to the entire interview group:

"Yeah, so, you guys are way more prepared than I was. When i interviewed....I totally thought med school was like, 3 years. And they kept talking about what you do in the 4th year. And I was like, '4th Year? What?' But I looked around and no one else was surprised. So I pretended to no be surprised either and just nodded. But inside I was freaking out, and like 'What?? Med school is 4 years????'"

Don't tell that story to a whole group of interviewees. It makes you, and, by extension, your school, look stupid.
Click to expand...

LMAO! I remember when you told that story at dinner with me and Jersey. Too funny.

And yeah, it's pricey, but all the schools I applied to are, so it's not even a thing for me. I'm boned no matter what. :laugh:
 
CougarMD said:
"Yeah, so, you guys are way more prepared than I was. When i interviewed....I totally thought med school was like, 3 years. And they kept talking about what you do in the 4th year. And I was like, '4th Year? What?' But I looked around and no one else was surprised. So I pretended to no be surprised either and just nodded. But inside I was freaking out, and like 'What?? Med school is 4 years????'"
Click to expand...

Wowowowow.

CougarMD said:
Considering going into my other job though to get some more lame paperwork done so that it isn't hanging over my head. Feel free to vote on this idea.
Click to expand...

Misery loves company, so I vote yea.

Geekchick921 said:
I'm boned no matter what. :laugh:
Click to expand...

Because everything reminds me of a pop culture quote: http://www.imdb.com/title/tt0584439/quotes?qt0268357
 
You must log in or register to reply here.

Similar threads

hommefatale
Elective Class Pass/Fail
Replies
3
Views
476
Goro
Goro
L
pass/no pass physical education class
Replies
4
Views
252
LizzyM
LizzyM
H
Not taking planned calculus class anymore
Replies
2
Views
394
holajola
H
aprilandaflower
Course classification of design courses
Replies
1
Views
280
wysdoc
wysdoc
A
Marking an audited class as a repeat?
Replies
1
Views
280
Mr.Smile12
Mr.Smile12
Top