Internal medicine

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allendo

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Do most people hate their internal medicine rotations? I would rather have a digit chopped off every day than show up and round and round and round and round!!!!!!!!!!!!!
 
It's like surgery...some people love it and some people hate it. I don't like rounding forever, but there's a lot of other aspects to IM that I loved.
 
peds= human veterinarian
 
Do most people hate their internal medicine rotations? I would rather have a digit chopped off every day than show up and round and round and round and round!!!!!!!!!!!!!

Although I probably won't go into IM, I overall enjoyed my rotation. We also did not round for hours. Most of the rounding took an hr or less. I learned by far the most out of all the rotations and there was actual teaching done by both the residents and the attendings. The attendings were particularly great at my site and what I really liked was the opportunity to be allowed to be a student and learn/ask questions without them humiliating me or making me feel like I knew nothing. Not to mention, IM is the foundation for any specialty, so in my opinion, probably the most important rotation. 👍
 
Do most people hate their internal medicine rotations? I would rather have a digit chopped off every day than show up and round and round and round and round!!!!!!!!!!!!!

Well I for one thought that everyday on IM was like passing a kidney stone. Its still worked hard and sure I learned a lot about medicine...but I swear we had lengthy circular conversations about patients that never lead to any decisions.

Then IM ended and I started surgery withing two days It was though I had found Jesus. I guess somehow it just fit me, even though I knew nothing about it. So perhaps this is just a message to you that you will not be a medicine doctor.
 
Well I for one thought that everyday on IM was like passing a kidney stone. Its still worked hard and sure I learned a lot about medicine...but I swear we had lengthy circular conversations about patients that never lead to any decisions.

Then IM ended and I started surgery withing two days It was though I had found Jesus. I guess somehow it just fit me, even though I knew nothing about it. So perhaps this is just a message to you that you will not be a medicine doctor.

You nailed it! I've learned a lot but it's just not for me.
 
I spent more time rounding on Surgery than I did on Internal Medicine.

On Surgery, they make students come in at 5:30 or earlier to preround on their patients. Then you round with the team at 6. Surgeries start at 7:30. Then in the evening, the attendings all seperately want to round on their patients with the team, so you go back and round multiple times in the evening with different attendings. Because of this, we usually didn't get out until 6 or 7.

On the IM services I was on, I would come in at 7, see my patients, and then round with the attendging between 10-12. It was pretty chilled out, and there was no rounding on the patients again in the evening. The rest of the afternoon, you're free to go write your notes or do whatever.

I think at a lot of schools they typically make medical students do either General Medicine or Infectious Diseases for one of their medicine months. These services are typically known for lengthier rounds than most IM services.
 
Do you think there are very many surgery residents out there who say, "gosh, I love to wake up at 4am!"

Do you think many ER docs get out of bed in the morning just hoping they get to wrestle a drunk or get pimped for some Vicodin?

Do you think there are many radiologists who say, "man, I hope I have a STACK of chest films just waiting for me when I get to work!"

No one likes to round for hours. Even people who love IM don't go into it saying, "you know what, I really love to walk around the hospital for 3 hours a day talking about patients." It's the bad part about the specialty that people just get over if they like the subject matter.

This perception among med students that IM = rounding is silly.
 
Bear in mind that although the characteristics of residency are important, far more important is what your life will be like in the decades that follow.

Most internists aren't in teaching hospitals rounding with residents and students for hours every day.
 
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