Internship with no weekends?

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lucidstrength

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Does anyone know of internship programs that do not require working on weekends during the PGY-1 year, or where the minimal hours would be?

I am a mom with 2 small kids and have been accepted to school but am trying to be realistic about what this would mean.

Thanks for your help!
 
hello-

Try Delaware. There are a few hospitals which are extremely good for little overnight and minimum weekend call. I know many people who applied for just this reason. Most were Prelim positions for optho/rads/derm, but there are also family medicine and internal medicine residencies with this requirement. Word to the wise- don't expect or disclose this is what you want. Attendings are busy and want to know you will pick up the "resident/scut" slack, not that you are going to bale and let them miss out time with their own kids.

Also specialties like PM and R as well as pathology have little overnight/weekend work.
 
Does anyone know of internship programs that do not require working on weekends during the PGY-1 year, or where the minimal hours would be?

I am a mom with 2 small kids and have been accepted to school but am trying to be realistic about what this would mean.

Thanks for your help!

The best and I mean the best residencies for time are of course Derm, Rad onc, Radiology, and pathology. Except for pathology, you could do a transitional year (intern year) at a cush program and have the best year of your life as a doctor.

If you go into any of the primary care fields (or surgery), your children will not see much of you during residency especially your intern year.
 
no comment
 
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If you go into any of the primary care fields (or surgery), your children will not see much of you during residency especially your intern year.

Actually, this is also program-dependent, in Family Medicine at least. My program has 2 guaranteed weekends off a month, and you can take call from home. Of course you have to go in if there are admissions, but for minor things or on a slow night, you can be on call and be with your family, at least part of the time.

FM residencies in particular tend to be very family-friendly. Ask about on-site child care, home call, etc.

It is do-able. If you have a good support network (and I mean really good) and this is what you want, you should go for it. No kid should have to have a mom who is bitter or unhappy that she didn't end up following through with something she worked so hard to achieve. They are pretty resilient little people, in the end. 😉

Best of luck.
 
No kid should have to have a mom who is bitter or unhappy that she didn't end up following through with something she worked so hard to achieve. They are pretty resilient little people, in the end. 😉

Yeah, kids understand perfectly why their parents work so much. 🙄
 
Yeah, kids understand perfectly why their parents work so much. 🙄

There are a lot of things kids don't understand. They don't understand divorce, but sometimes, divorce is in the best interest of the parents AND the children, for their safety, happiness, well-being, etc. Same with career choices. If you really feel you won't be happy or fulfilled doing anything but medicine, you owe it to yourself AND your children to find a way to do it.

Making decisions like this based on whether your 5 year old will not understand why you work so much is your choice, but there are many people out there who make it work, and their children survive and are not scarred for life.

Can you do surgery or critical care and make it work? Probably less likely than if you chose primary care. Rads, optho, derm--great choices for lifestyle, but consider that you pay your dues for getting into those specialties up front. I know of someone who actually sent her toddler to live with her grandmother for a year so she could focus on her studies and land a derm residency (and she was married). Hmm, maybe not in the best interest of the child??

Intern year sucks for everyone. After that, consider that you only have 2 years left if you choose general IM, FM, or peds, and your load lightens considerably in those last 2 years at many programs. Furthermore, you have a much more flexible schedule when you do start working.

It's all about time and money. You can have one or the other, rarely both, unless you win the lotto. People get all freaked out about paying back their loans. This shouldn't be a problem for ANYONE making more than $120K a year. Yeah, you might not get the beemer your first year out, but if you are going into medicine for the fabulous money, you better be prepared to have less time with your family. If you value time with your family and don't mind a lower (but still very comfortable) salary, choose something in primary care.
 
This type of reasoning is very negative for children. Part of being a GOOD parent is sacrifice of one's own time, interests, fulfillment, and aspirations for your children. That 5 year old may not "understand" but that doesn't mean he/she will not be dramatically affected. Part of being a physician is understanding that sometimes others (patients) have to come first; I think that should be applied in many areas of life including to one's own children. If you want to be selfish, call it what it is... don't make it sound unselfish... (not that going back to med school is necessarily selfish in the right circumstances)

if the OP had been a dad instead of a mom, somehow i don't think we'd be getting this righteous lecture about the selfishness of going back to school and how "drastically affected" the children will be.
 
if the OP had been a dad instead of a mom, somehow i don't think we'd be getting this righteous lecture about the selfishness of going back to school and how "drastically affected" the children will be.

Wasn't the question here about whether the OP was a single parent?
 
Wrong answer. Thanks for playing.

Exactly what I was thinking. Our path residents take call frm home and if there is a weekend autopsy, they can easily spend the better part of the weekend doing the post and preparing the slides to read on Monday. The CA-1 interns are on every other weekend, although it is home call...read into that what you wish, but its not exactly the cruise fest like Rad Onc or PM&R might be.
 
Even with rad-onc, PM&R, derm, etc, you still need to do a transitional year as a PGY-1. I think it would be very difficult, if not impossible, to do a whole PGY-1 year without working a single weekend. It's not a realistic goal.
 
There was a guy at my school a few years back who (for religious reasons, he was an Orthodox Jew) told places when he was interviewing that he would need every Friday night and Saturday off.

He was apparently pretty abrasive about it on the interview trail, demanding to know if he would be allowed his "required" holiday every week. He was also applying for a decently competitive specialty.

Needless to say, he didn't match.
 
I am in my 3rd year of pathology residency, I go in on weekends at least half the time, sometimes spend upwards of 7-8 hours. When not on call, weekend duty can be flexible for the most part (i.e. you can go in at midnight if you want). But on call you have to do weekends. Most programs would have home call but that doesn't mean you get to stay home the whole day.

Besides, no one should ever pick pathology based on purported benefits of call schedule.
 
There was a guy at my school a few years back who (for religious reasons, he was an Orthodox Jew) told places when he was interviewing that he would need every Friday night and Saturday off.

He was apparently pretty abrasive about it on the interview trail, demanding to know if he would be allowed his "required" holiday every week. He was also applying for a decently competitive specialty.

Needless to say, he didn't match.

Why didn't he just investigate online for residency programs with a Shabbot track? There's a few that have them? I understand Maimonides has one.
 
OP here, I'm not a single parent, my husband is a wonderful dad and a lawyer. He will be at a big law firm (read: working evenings, weekends, etc) for the first couple of years and then might get a law professor job (more time off, flexible schedule, etc.) So it is hard to predict what kind of coverage he will be able to provide.

Thanks for all the replies, I appreciate all your thoughts, especially the brutally honest ones!
 
Exactly what I was thinking. Our path residents take call frm home and if there is a weekend autopsy, they can easily spend the better part of the weekend doing the post and preparing the slides to read on Monday. The CA-1 interns are on every other weekend, although it is home call...read into that what you wish, but its not exactly the cruise fest like Rad Onc or PM&R might be.

radonc is a cruise fest?

i beg to pardon...although we take home call and rarely have emergencies, i find myself studying 2 hours each weeknight and 4 hours every sat/sun to be on top of the literature, studying radiation physics and biology, in addition to putting together presentations. that in addition to the 11-12 hour days that i put in during the week. given that our board exam (4 tests over 3 years) have the lowest pass rate of any other specialty, it def needs that much effort. im just trying to tell you that the grass always looks greener on the other side, but it necessarily is not.

being on call is easy enough (i did medicine, and know what its like) you are there, and much of the work is mindless. people should stop complaining about how much work they dont want to have and just do whatever they want to do.
 
radonc is a cruise fest?

i beg to pardon...although we take home call and rarely have emergencies, i find myself studying 2 hours each weeknight and 4 hours every sat/sun to be on top of the literature, studying radiation physics and biology, in addition to putting together presentations. that in addition to the 11-12 hour days that i put in during the week. given that our board exam (4 tests over 3 years) have the lowest pass rate of any other specialty, it def needs that much effort. im just trying to tell you that the grass always looks greener on the other side, but it necessarily is not.

being on call is easy enough (i did medicine, and know what its like) you are there, and much of the work is mindless. people should stop complaining about how much work they dont want to have and just do whatever they want to do.

I was referring to Rad Onc as being a cruise fest in regards to taking in house call, since that's what the OP was referring to. I could have just as easily picked Derm or some other specialty without in house call on the weekends, but didn't for no other reason that Rad Onc came to mind since I was just talking with one of our Rad Onc residents in the phone before I posted here. I spend a lot of time with Radiation Oncologists and Medical Oncologists and am well aware of what different fields require, at least as much as one can without actually doing it.

No offense meant...I certainly realize that you and many others spend an extraordinary amount of time reading and studying. But I believe your post, directed to me, was misplaced.
 
Besides, no one should ever pick pathology based on purported benefits of call schedule.

No way, man. People pick pathology (and pecks of pickled peppers) every day because of the purported benefits of call schedule (and the purported picking of pecks of pickled pathology peppers). They end up happy. Or at least they don't drag a high power rifle out into the street and blow the tops of their respective heads off via single, self-inflicted intraoral gunshots. It happens all the time. Every day. Even as we speak.
 
There was a guy at my school a few years back who (for religious reasons, he was an Orthodox Jew) told places when he was interviewing that he would need every Friday night and Saturday off.

He was apparently pretty abrasive about it on the interview trail, demanding to know if he would be allowed his "required" holiday every week. He was also applying for a decently competitive specialty.

Needless to say, he didn't match.

your classmate didn't do his research - such residency spots do exist, at least in some specialties. i have a friend who also is Orthodox and she's going for pediatrics next year. she has found programs that accomodate the Orthodox Jewish schedule with respect to both weekly sabbath and the myriad of holidays throughout the year. in exchange for this she will work every Sunday, every Christian holiday, and probably every secular holiday also.

demanding much of anything is a bad idea, but if not working on the sabbath is that important to a resident (and it is to my friend), then there are places that accomodate.
 
OP here again, I am pouring over scutwork.com and trying to understand when a residency program requires regular hours on the weekends (like for anesthesia, if someone writes that the hours are 7 to 6 is that 7 days a week or 5?), vs. having in-house call.

I would love to know peoples' regular hours and call schedules for radiology, derm, pm&r, anesthesia and ER....

I have spoken with several people at the school I am in (have not started yet) and they say that 3rd and 4th years are mostly M-F 6 to 6, except for 2 months of IM and 2 weeks of one surgery subspecialty.

Since I will have a full-time job either way, I am really trying to understand how medicine varies from a 8-6 Monday through Friday schedule... being on call one weekend a month would not be a big deal, but if the understanding with most residencies is that you never have weekends off, then I need to know that now.

Also, what is night-float and what does it mean in practice?

Thanks.
 
OP here again, I am pouring over scutwork.com and trying to understand when a residency program requires regular hours on the weekends (like for anesthesia, if someone writes that the hours are 7 to 6 is that 7 days a week or 5?), vs. having in-house call.

I would love to know peoples' regular hours and call schedules for radiology, derm, pm&r, anesthesia and ER....

I have spoken with several people at the school I am in (have not started yet) and they say that 3rd and 4th years are mostly M-F 6 to 6, except for 2 months of IM and 2 weeks of one surgery subspecialty.

Since I will have a full-time job either way, I am really trying to understand how medicine varies from a 8-6 Monday through Friday schedule... being on call one weekend a month would not be a big deal, but if the understanding with most residencies is that you never have weekends off, then I need to know that now.

Also, what is night-float and what does it mean in practice?

Thanks.

Call? In ER?

LOL.
 
Bottom line-there isn't a way to do this med school/residency process without having an abnormal/weekend/nights/holidays schedule for at least some if not most of the time.

You say you're thinking of it as comparing one full time job to another...that isn't really realistic. I'm in a pretty cushy work hours situation (I'm averaging 65 hours/week over this year), but I also have about 20 additional hours worth of studying a week. I'm in EM. My schedule shifts from days to nights. Nothing regular as to which days of the week, but I work at least half of the weekends. (btw, Fermata, I do occasionally take call when I'm off service & I have a block of call for the general hospital coverage.)

Our radiology residents regularly take call overnight and on weekends, as do our anesthesia folks. I don't know about PM&R and Derm, but you'd still have to do an internship with weekends and call (plus the med school clinical years). BTW, night float is blocks of nights only.

If you want to do medicine, you'll have to deal with the realities of the schedule. If you can't do that, then you really should look elsewhere for your career choices.
 
No offense meant...I certainly realize that you and many others spend an extraordinary amount of time reading and studying. But I believe your post, directed to me, was misplaced.

no offense taken...i know you surgeons work pretty darn hard...the post wasnt directed to you, but to those misinformed about radiation oncology. thanks for the clarification.
 
your classmate didn't do his research - such residency spots do exist, at least in some specialties. i have a friend who also is Orthodox and she's going for pediatrics next year. she has found programs that accomodate the Orthodox Jewish schedule with respect to both weekly sabbath and the myriad of holidays throughout the year.

Great you mind pointing out if there is any TY residencies that do this, and if I can convert to orthodox jew for that year. 😀
 
Well said by Dr. Mom.

She's right, no matter what you choose to go into, you are going to have to deal with an unpredictable schedule that will include nights and weekends. Period. End of story. Sure some specialties are more schedule friendly than others, but they will ALL entail a residency that will eat into your time with the family. Although you can eventually tailor your practice to your schedule, that will be only after doing med school and residency, and since you said you have kids now--well, you are going to have to miss some times of their younger years to go through your training. Your schedule will only even out later, when you are done and the kids are older.

Also consider that many of the more schedule friendly specialties are competitive to begin with, which means you (unless outrageously gifted) are going to have to bust your hump in school to get the grades, board scores, research, face time with attendings etc. to be competitive. Realistically, you need to ask yourself if you can do this with your family commitment. A lot of parents on here and in my class are very open that they had to sacrifice grades for the sake of being with the family.

Not to mention the obvious--whose to say you will even like those few specialties with the hours you are looking for? This is an awfully long and expensive road to end up doing something you don't enjoy.
 
Great you mind pointing out if there is any TY residencies that do this, and if I can convert to orthodox jew for that year.

going into derm i see... big shocker that you don't want to work killer hours based on those comments. also, way to show respect for the deeply held religious beliefs of some of your colleagues by making such a callous (and pretty lame) joke. grow up.

before any other derm people have a hizzy fit and say they're all lazy, relax - that's not what i'm saying. this guy's just a lazy putz, so i'm not surprised he's picked a lifestyle-friendly specialty.
 
going into derm i see... big shocker that you don't want to work killer hours based on those comments. also, way to show respect for the deeply held religious beliefs of some of your colleagues by making such a callous (and pretty lame) joke. grow up.

before any other derm people have a hizzy fit and say they're all lazy, relax - that's not what i'm saying. this guy's just a lazy putz, so i'm not surprised he's picked a lifestyle-friendly specialty.

Was just playin, my bad. No need to get your undies all twisted.

I have the utmost respect for other peoples religions, and never commented on other peoples religious beliefs. I only commented that my beliefs are flexible.
 
going into derm i see... big shocker that you don't want to work killer hours based on those comments. also, way to show respect for the deeply held religious beliefs of some of your colleagues by making such a callous (and pretty lame) joke. grow up.

before any other derm people have a hizzy fit and say they're all lazy, relax - that's not what i'm saying. this guy's just a lazy putz, so i'm not surprised he's picked a lifestyle-friendly specialty.

You are being a playa hater.
 
Well said by Dr. Mom.

She's right, no matter what you choose to go into, you are going to have to deal with an unpredictable schedule that will include nights and weekends. Period. End of story. Sure some specialties are more schedule friendly than others, but they will ALL entail a residency that will eat into your time with the family. Although you can eventually tailor your practice to your schedule, that will be only after doing med school and residency, and since you said you have kids now--well, you are going to have to miss some times of their younger years to go through your training. Your schedule will only even out later, when you are done and the kids are older.

Also consider that many of the more schedule friendly specialties are competitive to begin with, which means you (unless outrageously gifted) are going to have to bust your hump in school to get the grades, board scores, research, face time with attendings etc. to be competitive. Realistically, you need to ask yourself if you can do this with your family commitment. A lot of parents on here and in my class are very open that they had to sacrifice grades for the sake of being with the family.

Not to mention the obvious--whose to say you will even like those few specialties with the hours you are looking for? This is an awfully long and expensive road to end up doing something you don't enjoy.


100% agree. any career where you are destined to make 100k (+)/yr means sacrifice. sacrifice during schooling, during training and during employment (esp if your setting up your own practice or on partner-track). is this not the case for law and business professionals? that's life.

yeah, maybe things level out at some point but who knows how different specialties will look in 5-10-15 years?? what's hot now maybe **** tomorrow. and yes, that includes derm, rad-onc or rad blah blah blah...........not to offend anyone but the reality is that no one knows the direction that medicine (or even medical ed and training) will take in the years to come. who knows what it'll take to land specialty X in 5-10 yrs. to plan on a medical speciality without having even started med school is utter silliness. you don't know what you like, you don't know what you're good at and you don't know what you can get.


the only thing you can count on is that a professional degree will cost you money and TIME.

having said that, people w kids can and do pull it off all the time.

and the irony is that if you (not nec the op, just any avaerage person) didn't have this wonderful opportunity to go to medical school and secure a financial furture for your family at the expense of some time spent with them, you would still be missing out on time with them if you had to work two jobs just to pay the bills!!!! you're basically just damned to work in this culture of ours.

so, if you have to work, you might as well do something you like or find fulfilling, esp if you have that opportunity.
 
As a mom to 3 little ones in a relatively cush specialty (psych) with a spouse who works 32 hr/wk 32 wk/yr, I can tell you it's FREAKING hard. I'm lucky that when I'm on weekend call or overnight or staying until 10pm finishing up consults, it's my husband who's at home being Daddy and Mommy to the brood. I have 2 colleagues I started internship with (they were in internal medicine) - one dropped out after intern year to work outside of medicine due to her perception that she'd be stuck in the hospital for years before she could have reasonable workhours, and the other hired a weekday nanny, a weeknight nanny, and a weekend live-in nanny, because her husband was an associate in a law firm and she could never rely on being able to leave the hospital at a reasonable hour. Frankly, I love my kids very much and now that I'm mostly past the horror of the past 6 years (including MS3 and MS4), it's getting better, but I can't honestly say that I'd ever choose to do it again knowing what I know now.

MBK2003
 
OP here again, I am pouring over scutwork.com and trying to understand when a residency program requires regular hours on the weekends (like for anesthesia, if someone writes that the hours are 7 to 6 is that 7 days a week or 5?), vs. having in-house call.

I would love to know peoples' regular hours and call schedules for radiology, derm, pm&r, anesthesia and ER....

I have spoken with several people at the school I am in (have not started yet) and they say that 3rd and 4th years are mostly M-F 6 to 6, except for 2 months of IM and 2 weeks of one surgery subspecialty.

Since I will have a full-time job either way, I am really trying to understand how medicine varies from a 8-6 Monday through Friday schedule... being on call one weekend a month would not be a big deal, but if the understanding with most residencies is that you never have weekends off, then I need to know that now.

Also, what is night-float and what does it mean in practice?

Thanks.

Look, what we are all trying to say is: most residents work most weekends. There may be one or two super-sweet programs where this isn't the case (although, you'll notice that no one who responded to this thread can offer an example of such a program), but you certainly can't know for sure that you'll be able to land one of these mythical spots before you've even started medical school. And, as several pp's have pointed out, it's going to be even tougher for you to be at the top of your class, because you have other interests competing for the time you could otherwise spend studying.

I'd say, honestly, that if you aren't comfortable with the idea of working most weekends, at least during your MS3 and intern years, you probably shouldn't go to medical school. It's that simple.
 
Look, what we are all trying to say is: most residents work most weekends. There may be one or two super-sweet programs where this isn't the case (although, you'll notice that no one who responded to this thread can offer an example of such a program), but you certainly can't know for sure that you'll be able to land one of these mythical spots before you've even started medical school. And, as several pp's have pointed out, it's going to be even tougher for you to be at the top of your class, because you have other interests competing for the time you could otherwise spend studying.

I'd say, honestly, that if you aren't comfortable with the idea of working most weekends, at least during your MS3 and intern years, you probably shouldn't go to medical school. It's that simple.

If you're smart, you won't be working many weekends as an MS3. Every school has the "cush" rotation schedules and sites.

Now, you'll definitely be studying on weekends, though...
 
If you're smart, you won't be working many weekends as an MS3. Every school has the "cush" rotation schedules and sites.

Now, you'll definitely be studying on weekends, though...

Maybe it's school dependent. I'm an MS3 right now (almost done with this year!) and I've worked nearly every weekend since January. I guess I'm not "smart". *shrug*
 
Maybe it's school dependent. I'm an MS3 right now (almost done with this year!) and I've worked nearly every weekend since January. I guess I'm not "smart". *shrug*

uh..I guess not? :laugh:

Don't take it personally, but you probably didn't learn the game. As a MS3, it's not about being lazy (don't be), it's about being smart. Try to learn it during MS4 year, so you can maximize your chill and minimize your stress.

The max stress you should have during 4th year is stuff related to match..oh, and the sinking feeling in your stomach when you see the lunch provided at Step 2 CS.
 
How come you did not research this thoroughly *before* applying to medical school? bottom line (like others have repeteadly posted) is that NO specialty choice will have cush hours during intern year period. Also, like someone else posted you do NOT know IF you will even be able to match into one of the more time friendly specialties *and* you do not know what you will even like! so ASSUME that you will be working 80 hrs/week and will not get many weekends holidays off. If this does not suit your lifestyle then you serioulsy need to reconsider your choice of going into medicine. I see many folks going in thinking life will be sweet and cush and they are hugely dissapointed and end up NOT practicing. Why go through medical school to then not practice?
 
Medicine is not 8-6 by any means. You have to see patients *and* do tons of paperwork and reading. It is more like 12 hour days (or more depending on specialty) with a smattering of weekends/night call. This is true for practicing physicians AFTER residency/fellowship. During residency the hours may be more (80 hr/week) and the call is worse Q4-6.
 
no offense taken...i know you surgeons work pretty darn hard...the post wasnt directed to you, but to those misinformed about radiation oncology. thanks for the clarification.

Good - friends again? 😀

But you were right to point out that many of the less call intensive specialties have a lot of study time involved. Although not a parent, I can imagine that a weekend at home with small children is not conducive to several hours of reading and exam studying.
 
There are indeed residencies with hours far below 40, some even approaching <20hrs/week with no weekends. Do some homework, its there. In addition, there are shared positions and part-time gigs.
 
radonc is a cruise fest?

i beg to pardon...although we take home call and rarely have emergencies, i find myself studying 2 hours each weeknight and 4 hours every sat/sun to be on top of the literature, studying radiation physics and biology, in addition to putting together presentations. that in addition to the 11-12 hour days that i put in during the week. given that our board exam (4 tests over 3 years) have the lowest pass rate of any other specialty, it def needs that much effort. im just trying to tell you that the grass always looks greener on the other side, but it necessarily is not.

being on call is easy enough (i did medicine, and know what its like) you are there, and much of the work is mindless. people should stop complaining about how much work they dont want to have and just do whatever they want to do.


Ophtho is very similar. At my program the average workday is 11 hours, call is every 3rd night from home, and we are expected to read 2 hours/day during weekdays and 5 hours/day on weekends.
 
There are indeed residencies with hours far below 40, some even approaching <20hrs/week with no weekends. Do some homework, its there. In addition, there are shared positions and part-time gigs.

Examples please?? I haven't heard of any.
 
Examples please?? I haven't heard of any.


Yeah me too. I would love to see at least two examples of this.

Please be specific.

That is a very bold claim. Time to back it up.

I want to see which programs work you 20 hours a week and let you finish on time with everyone else.
 
Yeah me too. I would love to see at least two examples of this.

Please be specific.

That is a very bold claim. Time to back it up.

I want to see which programs work you 20 hours a week and let you finish on time with everyone else.

No specifics here, just hearsay. There is a psych program run by a teaching hospital which just recently lost it's accreditation working their residents less than 20 hours as we speak. So I guess OP could find a psych programm in a dying institution.
 
No specifics here, just hearsay. There is a psych program run by a teaching hospital which just recently lost it's accreditation working their residents less than 20 hours as we speak. So I guess OP could find a psych programm in a dying institution.

hardly seems like a wise choice just for the weekends off (running the risk of losing accreditation and graduating form such a program, or having it fold without completion).
 
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