Least/Most Favorite Part of Internal Medicine

[Strength&Speed]

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Curious to see what your least favorite parts of internal medicine are. Also, if you'd like to share, your favorite parts.

 

[RTrain]

Least: Long-term "just-keeping-head-above-water" management of chronic conditions

Most: Diagnostic dilemmas

 

[chameleonknight]

Fave: Evidence based medicine


Least: PLACEMENT.

 

[buckley]

least: taking care of numbers and too many labs

fave: pulling a patient through a diagnostic dilemma -- myxedema coma!

 

[orientedtoself]

favorite part- teaching patients about their health conditions in a way they can understand. making pathophysiology accessible to the average joe.

least favorite- the two hours i spent after my last continuity clinic going through random memos, phone calls from concerned family members, outside hospital information, orders for home care, and best of all, an x-ray of a tooth that a patient had sent in from his dentist. i don't read tooth films, what am i supposed to do with it?! i left it in the mailbox of one of our np's that manage our patients while we are gone. kind of like a gift for the tooth fairy.

 

[Strength&Speed]

favorite: talking to people about social issues. because that's what real life is about.

least favorite: this is a work in progress

 

[yippyskippy]

fave: rounding and getting into deep, intellectual, discussions of the differential for infinite amounts of time.
least fave: rounding for infinite amounts of time.

 

[Geri_Gal]

Favorites: establishing long-term patient-physician relationships in continuity clinic, diagnostic challenges, the endless learning...

Least Favorites: "work" rounds with a lot of discussion but little work done 🙂) during MICU, I remember staring at a septic patient's MAP, while it slowly trended down from the 60's to mid 50's...while our pulm fellow passionately spoke at length about pathophys of sepsis...map was 45 when an intern spoke up, the attending laughed and said, "you mean you want us to treat a patient during work rounds?")
/she was sarcastic
//pt was fine, but pulm fellow looked pretty disappointed to not finish his 20min spiel while we were starting pressors

 

[velo]

I remember staring at a septic patient's MAP, while it slowly trended down from the 60's to mid 50's...while our pulm fellow passionately spoke at length about pathophys of sepsis...

that's fantastic...so ridiculous and yet so believable...