There are several differences between family medicine and internal medicine. Many of these are fundamental ideological things, so I would encourage you to think about how you would like to approach medicine.
Internal medicine: disease-focused, treat non-pregnant adults, often easier to pursue specialty training (oncology, GI, nephrology, etc). In my limited experience, internists tend to be very intelligent, very methodical thinkers who enjoy intellectual puzzles.
Family medicine: patient and family-focused, can treat from cradle to grave. Some family physicians practice full-spectrum FM (obstetrics, pediatrics, geriatrics) and some treat only adults, don't do OB, etc. There are some specialty options (sports med, geriatrics, palliative medicine, hospitalist, etc). In my limited experience, family doctors tend to be broad thinkers who look at the whole patient and treat diseases in the context of how the disease affects the patient's life.
I suppose you can take that for what it's worth, if anything.
The bottom line is: do you want to see children and do OB during residency? If so, do FM. If not do IM (an IM resident will see an occasional adolescent, but will only have to see younger kids during an ER rotation, if at all).
OB seems to be the only difference (and most FP don't do OB). Many of the primary care tracks include many of the outpatient procedures and continuity clinics. There is med/peds if you want more peds. I am just trying to weight the pro/cons of IM with the primary care track vs FM. Seems like there are far too many advantages in the IM route with 90% same training.
I am wondering why anyone would still pursue FM if you aren't going to do OB or peds (which is the case most of the time).
I'm curious as to what outpatient procedures are being taught at IM-PC track programs. Can you elaborate?
How often are IM-PC residents in continuity clinic?
For FM, in general, it's:
Intern: 1-2 half days per week (at 4-6 patients per half)
2nd year: 2-3 halves (at 6-10 pts)
3rd year: 3-5 halves (at 8-12 pts)
What are the 90% similarities and what are the advantages from your perspective? Just curious.
For some people, that 10% difference is a big difference. My thing is if you know you're doing primary care, why wouldn't you do FM?
Going based on some of the websites
Most are teaching scopes, derm, injections, ortho, womens health etc...
What I mean is that the curriculum is 90% similar in that they are 'virtually' interchangeable. Perhaps a FM doc will be more thoroughly trained in primary care (larger breath), but my confusion is that if most of what is taught through the primary care track is the same, why limit yourself by pursuing a FM residency. Perhaps later on you decide there was one specific areas you found to be more interesting and you can then do a fellowship. Hospitalist position are also primarily given to IM trained docs. Why reduce your options out of the door. Sure there is ped/ob training missing, but the numbers suggest that few are including this population in their practice. I like primary care, but also want to keep my options open. I am just curious why this isn't considered a better route.
if you are pretty sure you want to do primary care, I would say FM. I don't see many advantages to doing primary care track IM. All it does is limit you to adults. If you want the options for adult specialties, then IM. I'm not sure how else I'd break it down.
To be honest, I'm not sure why you'd do primary care track IM versus regular IM. It seems to me it would make you less competitive for specialties if you wanted to do it. Anyone can do primary care as an IM.
Why would you be less competitive? You still take the same boards and go through the same rotation, but you are also better trained in outpatient care and procedures. I would say you be more sought after because you have a different approach to patient care. I think this kind of mindset would be more valued by a specialty. I will have to look it up, but I came across a study that found pass rates of primary care (IM) students to be higher than categorical students. There are many adults only general practices. You could do med/peds for one extra year and be double boarded and better trained in both areas. I am not dead-set on primary care, just want to keep my options open. I feel like this would be the best path.
I plead a slight amount of ignorance as I don't have a ton of knowledge of how good the training is in primary care track IM programs. I do know that community based IM's are at a relative disadvantage to other IM's because of less acute care experience. I was extrapolating that to be true to primary care track IM programs which may or may not be true. I'd ask some fellowship directors of cards, GI etc. They may or may not care.