How many of the current EM residents enjoyed "clinic" rotations as a student?

[EC3]

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I'm talking about things like peds outpatient, IM outpatient, FM, etc. Did you guys find that you enjoyed these rotations? Reason I'm asking is because i'm doing peds clinic currently and if I have to do another well-child visit, I'm going to commit myself to the psych ward. Same goes for bread and butter diabetes, lipids, and htn that you see in IM/FM.

Is this a common feeling or am I going to be in for a surprise with EM.

thx.

 

[membsr-8890]

I think most EM people would rather stab their own eyes out with a very dull pencil than do outpatient medicine for more than a week at a time. Or ever.

 

[Maple]

AMEN!

I am not a resident...yet...but I can honestly tell you that I HATE my ambulatory month! Its just so freaking boring...and time just doesn't pass in clinic. I'm glad others feel this way too...As important as post-hospital admit f/u and lipid checks are...they just don't turn me on!😴

 

[emrevue]

i believe the answer to the "how many" would be zero.

 

[trkd]

i believe the answer to the "how many" would be zero.

Sorry to kill the numbers. I will be the odd one out. I liked FM because of the variety (one of the reasons I like EM). The other stuff like peds, etc didn't do much for me. But I agree that most in EM seem not to so you are not really different from most.

 

[deleted109597]

One of the reasons I chose prelim surgery over prelim medicine for the scramble. Seriously, I am not a fan of the clinic.

 

[beanbean]

I enjoyed my outpatient medicine clinic because it was basically an urgent care center. All walk-in patients....like a mini-ED. Some days it was a bit heavy on the pelvic exams, but much better than regular clinic.

I worked with some very nice docs in FM and peds outpatient, but it's just not my thing. Glad somebody else is out there cheering on the masses decreasing their HTN and lipids and doing all those well-child checks.

 

[Hard24Get]

Sorry to kill the numbers. I will be the odd one out. I liked FM because of the variety (one of the reasons I like EM). The other stuff like peds, etc didn't do much for me. But I agree that most in EM seem not to so you are not really different from most.

Yeah, I liked the FM problem visits alot as well.

The 'cause I was told to follow up' are a little boring but you can kind of micromanage (tell people to lose weight, etc) so that's cool for maybe 2 days.

I just can't dig the well-child exams - they are cute the first day or so but after a short while 😴 And the parents are like, "I am worried because 2x in the last 6 mos Jimmy ate too much, then regurgitated some of his food" 😕 shoot me. I feel your pain.

The outpt peds rotation is there to teach you respect for the kind, patient, pediatrician that you are NOT going to be. 👍

 

[awdc]

Well, I'm not a resident yet, either. And hate to break it to you guys, but I actually enjoyed my family medicine clinic. In fact, I'd rather be in clinic than the floors. I liked the variety of problems and ages. In-office procedures kind of cool. Obviously I found something even better. If I didn't match into EM and unsuccessful again the next year, I'd probably go FM and do urgent care.

 

[c.bear]

Sorry for answering this as I will not be a resident till July 1st (but all the msIVs are awake late due to nerves I think). Ok...ummm...hoping to never step foot in clinic again...but my fp outpt was okay when it was busy but it felt most of the time like medicine lite (maybe just where I did it). I absolutely totally respect people that can tolerate it, but it just seems slow to me.

 

[Apollyon]

One of the reasons I chose prelim surgery over prelim medicine for the scramble. Seriously, I am not a fan of the clinic.

If that is your reason for choosing surgery over IM, this may come back to bite you in the ass - BIG. Most (but not all) prelim IM programs do NOT have their interns do clinic (mine was one of the few that did). Second, if you think 4 hours a week sucks, well, now you're into 6 days a week of suck worse.

Also, when you re-apply, it is not unreasonable to foresee more difficulty getting time off to interview with prelim surgery than with prelim IM.

 

[deleted109597]

If that is your reason for choosing surgery over IM, this may come back to bite you in the ass - BIG. Most (but not all) prelim IM programs do NOT have their interns do clinic (mine was one of the few that did). Second, if you think 4 hours a week sucks, well, now you're into 6 days a week of suck worse.

Also, when you re-apply, it is not unreasonable to foresee more difficulty getting time off to interview with prelim surgery than with prelim IM.

I made sure and looked at the program I'm going to, and it isn't that bad. 2 weekends off per month, 3 weeks vacation, 2 months of elective. Plus, there weren't a lot of prelim IM spots to go around this year. The state of NC had 0.

 

[docB]

How many of the current EM residents enjoyed "clinic" rotations as a student?

Not me.

As for well visits we've talked on this forum about how the "worried well" visits are a source of easy money in EM. The well visits in primary care are similar in that they are a source of quick, easy (relatively)reimbursement.

 

[Jeff698]

Count me out on clinic as well. The real point of those well child visits is to teach mom how to be a parent. Sadly, we can't require completion of parenting 101 prior to birth so this is the next best opportunity.

Thank God I don't have to do it.

Thank God there are those who do it well.

Take care,
Jeff

 

[DrQuinn]

Peds clinic was a snoozer for me, didn't like it at all.

I didn't mind FM actually. Kind of like "EM-lite." My attendings generally took more of the well visits, so I didnt' see too many of those, but I wouldn't mind that, either. I like actually getting to know my patients (I ask each of my pateints what they do or did for a living, I think it builds rapport and gives me something to talk about).

Also, I LOVED the drug reps. Yummy yum.

Q

 

[Sweet Tea]

It depends on the clinic. Problem clinic visits? AWESOME. You're sick? You have a hurt toe? Acute allergy exacerbation? Funny-looking rash? I'm your girl. HTN or DM visit/WCC/Yearly physical? Kill me now. Please.

They were nice enough to let me only do the sick visits when I did my peds clinic rotation, which made it much better than it could have been. But oh, health maintenance visits make me crazy.

 

[met19]

Peds clinic was a snoozer for me, didn't like it at all.

I didn't mind FM actually. Kind of like "EM-lite." My attendings generally took more of the well visits, so I didnt' see too many of those, but I wouldn't mind that, either. I like actually getting to know my patients (I ask each of my pateints what they do or did for a living, I think it builds rapport and gives me something to talk about).

Also, I LOVED the drug reps. Yummy yum.

Q

I have to second this one....Had a really cool preceptor at my outpatient IM experience. made sure I got the really cool cases at the VA. Though really cool and VA don't often go together. And DrQ is right about knowing your patient. Just ask a few "what do you do", tell a few stories and it feels pretty sweet. Of course, 10-15 item problem lists are no fun....

But, you would be surprised at how many patients let something fester till their clinic appoitment rather than move the apt up or go to the ED. I had enough ED referals....

t-16 hours and 39 minutes till the moment of truth