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Given my personality, do you think I should go for IM?

Discussion in 'Internal Medicine and IM Subspecialties' started by medsend, Aug 6, 2011.

  1. medsend

    7+ Year Member

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    Can a person who does not enjoy long rounds and writing up extensive H&P survive with a career in medicine? I like having short (but some) patient interactions, formulating a diagnosis and a plan. I don't care for long-term patient interactions. Should I reconsider this career choice? or is there a specialty in medicine that I could prosper in?
     
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  3. medicine4me

    7+ Year Member

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    Perhaps you would enjoy emergency medicine or outpatient medicine?
     
  4. jdh71

    jdh71 epiphany at nine thousand six hundred feet
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    You sound more like emergency medicine

    Or was there are particular area of IM that you liked?
     
  5. medsend

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    well, my thoughts were to pursue something procedure oriented like GI. I really enjoyed the GI elective I took in 3rd year and have liked the pathology since early med school.

    I enjoy medicine in theory, formulating a diagnosis, thinking of a plan. I just dont like the endless rounding, going to see patients all the time...
     
  6. medsend

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    was thinking against EM because I would feel overwhelmed with multitasking. The ER is chaos, I'm not that type of person that wants to live off an adrenaline rush everyday...
     
  7. desijigga

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    Looked into Rads, or Anesthesia?... Are you sure you can put yourself through 3 years of IM residency, with 3 more years of GI fellowship.
     
  8. medsend

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    I am on my anesthesia elective and have not completely enjoyed it. I posted on the anesthesia forum and it kind of reaffirmed my decision that the field isn't for me. I don't thrive in acute care setting.

    I am starting to think of radiology, but competitiveness will be an issue.
     
  9. IMdocT

    IMdocT Retired
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    hmmm do you want to be in the surgical field? ophtho?
     
  10. theneh

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    Very few of us LOVE writing H&Ps and stalking the floors day after day after day, LOL. But,
    exercise in differential thinking, executing treatment plans and academic discussions help make up for the other crap. In my case, I have a specialty in mind and I would say definitely more than 50% of my intern categorical class does as well.
     
  11. NDESTRUKT

    NDESTRUKT Fadeproof
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    I'm not a morning person and I have little patience for eternally talking on rounds. I went into IM because I loved the study of medicine, being able to take care of most all pathologies (or at least play a role in them) and wanted to do cardiology.

    I did IM and did fine. Of course there were some rotations that I was absolutely hating especially if it was an attending that rounded forever. Not every IM person does that (keep that in mind).

    EM is good but utter chaos. In addition, they know slightly more than a good ED nurse who's been at it for 20 years.

    ICU may be a good specialty for you...or cards...or GI.
     
  12. frikarika

    frikarika RADIOHEAD
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    Gotta love the obligatory EM insult, as someone who is currently weighing going into EM vs IM this is utterly ridiculous. Sorry but ED nurses do not put in chest tubes, intubate, LPs, central lines, conscious sedation, manage traumas, and code people daily. Sure anyone can order CBC, Chem 12, UA, lipase, urine hcg on any female with abdominal pain, it's brainless. And Yes and a nurse can order ekg, serial troponin, asa, nitro, morphine, oxygen on chest pain, but that doesn't mean she can manage an acutely decompensating patient. EM deals with EVERYTHING in medicine, children, adults, OB, geriatrics, psych, ortho, ect.

    IM is much different, and has it's positives and negatives, like any field of medicine. I like the intellectualism/workup in IM that is somewhat lacking in EM, but don't kid yourself, more often than not the diagnosis is made in the ED before it hits the floor, and a lot of IM is spent deferring to specialists to help manage the patient.
     

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