what does an fp, prelim or transitional residency entail?

[gsinccom]

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before I get into the residency I'm wondering what all one is required to do. I mean as a 3rd year med student you can get by with just observing and not participating in procedures if you want. how does this change once you enter primary care residencies or intern years? I don't think I want to be a clinician so much but more of an educator. I'd love to work as a public health director for a county or a wellness director for a corporation. I know I'll need clinical skills but don't want to be too versed in stuff since I don't plan on using it that much anyway in practice. thoughts? maybe I should just consider getting an mph with the MD and forgoing a residency?
sorry for posting twice. slow server 🙂

 

[Amy]

You should consider specialties that don't require patient care, like rad or path. You can definately teach in these specialties, do research, etc. Nice lifestyle, too. For rad, though, you have to do an internship before you start residency.

 

[gsinccom]

path would be of no interest with me; I need patient interaction...information giving...counseling....advising...listening. I have looked at preventative medicine/public health mainly(although I am not sure I can get a job since there are so few in this specialty) and family practice/IM whether these would be a combined route or just one or the other I'm not sure; as I implied in my first post but am also considering just the MD and an MPH with no residency. Rad (or more likely Neuro) might be an option too but likely not. I guess my questions more relate to what one does in a prelim or transitional pgy-1 year. is the following a good description of the difference between transitional and prelim?On ERAS prelim years are listed under Internal Medicine. Beware that some neuro programs want you to do a prelim year (which basically entails doing a medicine internship).On the other hand a transitional year is a hodge podge of rotations (ie radiology, medicine, etc) and is not strictly just medicine. With these PGY-1 years, can one get by with just observing as in the 3rd year of med? If not, can one get by with doing just minimal procedures and if so what are these?


thanks and I hope to get more feedback from you all...

I found this on another thread...what do you all think? "What baffles me is why do people think doing an entire residency is somehow a prereq for a job? Do a part-time internship or better yet a completely office based internship, get an unrestricted medical lic. and open a practice."

are there office based residencies or pgy-1 years where one doesn't go to the hospital or preform procedures?

 

[Wednesday]

What procedures do you want to avoid? And why?

As far as just observing during an internship year, I think you're out of luck. In fact if you're just observing during third and fourth year of med school, you are doing something wrong. Residency (and clinicals) is about on the job training and part of the job is learning some procedures. As an intern you will be the patient's actual doctor (as opposed to as a student) so you are going to have to perform like their doctor and do what needs to be done. Have you been in the hospital yet?

If you want a specialty where you can pretty much avoid procedures, look into psychiatry. They do have to do a few months of medicine (where as an intern you'll probably be responsible for some procedures, except that often they don't take the psych residents seriously on the med service, so you MAY be able to get by without doing much). Lots of patient interaction, teaching and counseling and LOTS of listening. The mental health field desperately needs advocates, which someone with an MPH could very well become.

 

[skypilot]

What you are describing is a residency in Preventive Medicine.

It takes three years. One year of internship (where you will have to learn clinical skills and rotate through the specialties). Then two years of more cerebral work. Check it out:

http://www.acpm.org/residency.htm

 

[gsinccom]

I've been on that website many times.

What are the procedures/clinical skills for the prelim/transition year?