Need specialty elective w/ much IM

[carpe diem]

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I need a specialty IM elective that gives most GENERAL IM exposure. I know this is institution/service dependent, but overall which specialty IM services seem to do most of the general care for their patients also. thanks.

carpe

 

[GeneGoddess]

I need a specialty IM elective that gives most GENERAL IM exposure. I know this is institution/service dependent, but overall which specialty IM services seem to do most of the general care for their patients also. thanks.

carpe

Hmm... I did Cardiology, which meant mostly seeing people with diabetes, CHF, and other things. You might want to try maybe Inf. Disease or Endocrinology.

 

[Jaded Soul]

Subspecialty IM services generally won't give you a good general IM exposure because they are subspecialty. Doing a medicine sub-I would be a good experience. Generally, the subspecialty services will be focused on consults and clinics. You don't manage the patients at all when consulting--you just leave your recs and see if the primary team follows up. In clinics you'll be dealing with diseases very specific to the subspecialty.

I didn't think endocrinology or ID give good general medicine exposure. Both of those services at my hospital work like I described above. I haven't done a cards rotation, but that could be more encompassing.

An intensive care rotation (MICU, CCU, pulmonary critical care) would be really good for learning management of the complete patient. You are the primary team, the patients are really sick, and multiple organ systems are frequently involved.

 

[obecalp]

Carpe,
I second infectious diseases. Do it at Rush University Medical Center in Chicago cuz it's particularly strong there. I might be in Chicago at that time too, so we'll hang out!

jp

 

[souljah1]

I would say ID or Rheumatology. I'm on Peds Rheumatology right now and the differentials require a strong understanding of IM.

 

[carpe diem]

Thanks for the advice everyone.

Hey obecalp ( the SDNer formerly known as Ole Yeller ---- btw, need explanation of your new username) unfortunately, I have to do this elective next Feb but your idea is excellent.

Btw, are you back in Chi town? So many folks the other day I didn't see the other day when everyone was departing. Take care and get crackin' on that lesson for Sunday.

Carpe

 

[obecalp]

Nope, I'm still here in KC. I'm getting ready for a retreat with my youth group kids. Have to give a seminar on postmodernism. Gotta do some research for that one. I might be in Chicago in February, so we'll hang out for a little bit before I leave for Kenya (again, that is if I get that leave of absence). But, yeah, ID at Rush is great. I believe that the author for the ID section of Harrison's was written by the chair of the department at Rush. Plus, you can't beat Chicago. Let me know about your decision.

ps. spell obecalp backwards