Why do internists spend sooooo much time rounding? Rounds that could take 2 hrs tops drag on to almost 4 hrs. It's quite draining. I love the medicine, but the rounding sucks at times.
Why do internists spend sooooo much time rounding? Rounds that could take 2 hrs tops drag on to almost 4 hrs. It's quite draining. I love the medicine, but the rounding sucks at times.
It's mainly for teaching in teaching hospitals, not so much in private practice.Why do internists spend sooooo much time rounding? Rounds that could take 2 hrs tops drag on to almost 4 hrs. It's quite draining. I love the medicine, but the rounding sucks at times.
Because you have to pimp, then pimp and then some idealistic lecture about patients.Why do internists spend sooooo much time rounding? Rounds that could take 2 hrs tops drag on to almost 4 hrs. It's quite draining. I love the medicine, but the rounding sucks at times.
Rads and anesthesia face their own difficulties. They're both still good fields for the right person. But I'm just saying make sure you're that person before you pick either. Do a rotation in each, ask not just residents, but attendings too, and attendings who have been attendings for a long time what they think are the positives and negatives including foreseeable challenges of their respective field, etc. For rads, check out posts by people like @tco and @Gadofosveset and maybe @shark2000. For anesthesia, check out posts by people like @FFP and @BLADEMDA. Just ask around a lot. Read a book like Felson's for rads or Anesthesia Secrets for anesthesia.The rounding is dissuading me from IM. My initial goal was cardio, but Rads or Anesthesia look better now. Although I would probably do intern year in medicine before entering the latter two fields.
The rounding is dissuading me from IM. My initial goal was cardio, but Rads or Anesthesia look better now. Although I would probably do intern year in medicine before entering the latter two fields.
IM rounds at my med school were fine, took 2-3hrs tops.
Usually done by 11am, noon at the latest if we had a huge census or multiple complex patients.
Peds rounds on the other hand...
Family centered rounds plus waiting for all the nurses, social workers, pharmacists, and nutritionists to put their 2 cents into the plan, commonly dragged on for 4-6 hours. Some days we weren't done till 2 or 3pm with no lunch break.
Rads and anesthesia face their own difficulties. They're both still good fields for the right person. But I'm just saying make sure you're that person before you pick either. Do a rotation in each, ask not just residents, but attendings too, and attendings who have been attendings for a long time what they think are the positives and negatives including foreseeable challenges of their respective field, etc. For rads, check out posts by people like @tco and @Gadofosveset and maybe @shark2000. For anesthesia, check out posts by people like @FFP and @BLADEMDA. Just ask around a lot. Read a book like Felson's for rads or Anesthesia Secrets for anesthesia.
Also, if you like cardiology, then I'm guessing you'd probably fit in better with anesthesiology (you can later do a fellowship in cardiothoracic anesthesia too) than with radiology (although maybe interventional rads would suit you).
If you're alluding to the diagnostic process, then I'd say this fits much better with radiology (diagnostic) than anesthesiology. In anesthesiology, you'll already know tons about your patient including various diseases and co-morbidities prior to surgery. You have to in order to make sure they make it through surgery! Not that diagnosis can't happen in the OR, but obviously the diagnostic process is central to radiology in a way that it's not in anesthesiology.I am a cerebral guy who loves solving puzzles.
Personally, I wouldn't give up on IM if it's only or mostly about the rounding. I hate rounding too, but I'd look beyond residency/fellowship, and see what it's like in private practice.That is what drew me to IM/cardio, but the inefficient IM rounding just wear me out. Surgery rounds were sweet/efficient.
Again keep in mind other things as well. For instance, interventional rads is hard to match and you'll be working very hard. Similar with cardiac anesthesia, which in addition involves working with (in my experience) some of the most arrogant surgeons on the planet. In anesthesia you have to not mind sometimes being treated like hired help or something along those lines. You're a service to facilitate surgery, which has its pros and cons.If I pursue rads, I will be hoping to do vascular and interventional rads, and cardiac anesthesia if I pursue ansthesia.
Although these are legitimate concerns, I don't actually think these are the main concerns for each of the specialties. There's too much to type about but again just do a rotation if you haven't already, talk to lots of people at various stages of training and experience, etc.Main worry is rads job market/CRNA issue in anesthesia.
If you're into research, then radiology is probably better. But you can have a research career in both. Although IM again is good too.Also hoping to have a research career eventually in either academia or industry.
Just a few things:@bashwell helpful post. Yes, by cerebral I meant diagnosing and figuring out the problem, especially in complex cases. Rotating in Rads and Anesthesia soon. Talking to many others in both fields as well. Last thing - why do you think rads might be more research friendly?
Why do internists spend sooooo much time rounding? Rounds that could take 2 hrs tops drag on to almost 4 hrs. It's quite draining. I love the medicine, but the rounding sucks at times.
I am a cerebral guy who loves solving puzzles.
Internal Medicine is a cognitive thinking specialty. Part of the way to learn the thinking behind the assessment and plan is to present your entire thinking process from chief complaint on down. The reason why it takes longer than usual is because the interns and residents have to smile and nod on the outside, while MS-3s slowly present their H&P on rounds since they are "learning", when we really want to do this:Why do internists spend sooooo much time rounding? Rounds that could take 2 hrs tops drag on to almost 4 hrs. It's quite draining. I love the medicine, but the rounding sucks at times.
With regards to who does rounds the best--hands down ortho. And the notes....like beautifully ******ed haikus. F'n amazing. They all sound like they're written by Channing Tatum's character on 21 Jump Street. And I love that f'n guy. He's about doing stuff.