Weird Sub-I

[haavingfun1]

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So I signed up for a general internal medicine Sub-I and just found out that I'm assigned to the heme/onc floor rather than a general medicine floor for the month (I guess there were a lot of students that signed up for this month so some of us got sub-specialty floors).

Although I've heard good things about the heme/onc service at this hospital, I'm pretty disappointed and surprised that I didn't land on one of the gen med floors.

I'm not going into IM, but the PGY1 year of the field I am going into is basically an IM internship. So naturally, I'm somewhat concerned that I'm not going to get enough exposure to bread and butter IM before residency considering this is my only medicine floor month of fourth year. I was also hoping to get a LOR from this month.

So, how do I make the most out of this month? Is this a big deal or does it not really matter in your opinion?

 

[redpanda]

Sounds like you'll end up being a boss when it comes to neutropenia, immunosuppression, and infectious disease and maybe some good training in dealing with end-of-life sorts of issues.

 

[Qester]

Sounds like you'll end up being a boss when it comes to neutropenia, immunosuppression, and infectious disease and maybe some good training in dealing with end-of-life sorts of issues.

Wow very optimistic, it's good to see this!

In regards to the op I can't really advise I just wanted to give Redpanda props

 

[235009]

Your experience will depend on the admission criteria of the team. If they take any patient with actively treated cancer no matter their reason for admission then you will get exposed to a much wider range of pathology than you think.

 

[NickNaylor]

I don't think this is unusual, and clearly if it's not unusual I wouldn't worry about. At my institution, the people that do an IM sub-I can do it in just about any of the fields.

You'll get plenty of exposure in residency. And if it's really that important to you, then do an elective on the general medicine service.

 

[Kahreek]

heme/onc can be more interesting than gen med, if you like pathology, but i do agree you'd come at bit disadvantage, not because of the learning process, but it is a missed chance to see internal medicine routine to make a residence decision later.

Although all different medicine wards have things that crossover into each other. You'll see definitely many more bone marrow biopsies and focus on hemogram analysis than the usual IM ward, were things are a bit broader. Although on the bright side, a lot less gommers are there.