IM always consulting

[HiddenTruth]

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So, I am kinda' turned off by IM because it seems as if there is anything beyond simply ID processes, HTN, or DM (being a bit general and slightly exaggerating here, but not by much), we always onsult the specialty, and everything is noted on A/P as "will continue to monitor". It's so frustrating, and it's like umm, ok--so what am I doing for this pt? Anyone else have similar experiences on IM. Like, I can't seem to justify my lengthy education and training in the grand scheme of things by simply prescribing drugs and ordering labs. Obviously, I am very early on in my training and clinical experience, but we get a lot of experience with attendings directly, and it jsut seems as if we don't do much directly. There is always a specialty involved, or we just put them on drugs.

 

[Seaglass]

IIRC you're on an inpatient month, and your patients are being admitted for an acute problem and that is your primary concern. With the exceptions of hypertensive crisis or DKA (for example) HTN and DM are not acute problems, so your preceptors would probably rather let someone else deal with it. Those are the things you fix in clinic.

Just the same, I have never seen consults from IM for management of htn or DM or something similar unless it was really difficult to control - that is IM's turf afterall.

 

[tigershark]

Cya