You really can have the best of both worlds if you find the right program. I now teach Family Medicine residents at the same program where I did my residency. Trusted Family Medicine serving Ballston Spa, NY. I loved the patients, and I also loved the attendings. Obviously a lot is program dependent but just wondering if anyone has any general insight. The complexity, the technology, the more acute cases and procedures seem desirable. BUT, I'm heading into 3rd year rotations in a few months, and I'm anxious to see how life as a hospitalist pulls at me. If you are possibly interested in IM or subspecialty then obv go with that for the most realistic experience but if you just want the easiest one then do FM. You have plenty of time to declare, just try to enjoy your rotations and learn as much as you can! It was like everything kind of clicked. For contrast, I did med school at a tertiary academic place. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Edit: the hours were typically the same as IM at 7-7, but I was let go early if our census was low and my patients that I was following were stable for the day. My inpatient and outpatient experiences have been fantastic and will be practicing traditional inpatient/outpatient family med when I'm done (already signed my contract woop!) Drs. You will most likely end up changing your mind at least once over the next year and that is OK! Family Medicine Inpatient Service (one month) Family Medicine Month (one month) Obstetrics (two months) Ogden - combined inpatient and outpatient panel management (two months) Orthopedics (one month) Pediatric Inpatient (two months) Surgery (one month) Longitudinal night float and call; If you’re not interested in doing IM or not curious about seeing the subspecialties then I would absolutely do the FM inpatient. OHSU Family Medicine provides outstanding clinical and academic experiences for students and residents interested in shaping the future of primary care. Seems unlikely from what I've gathered. The other issue I see going into inpatient medicine is that the pace can be difficult to keep up with as a physician gets older. I loved it. Family Medicine Inpatient The program offers residents a unique opportunity to practice in both a local, community hospital as well as the tertiary care University Hospital. HealthAlliance Hospital is a medium-sized community hospital that hosts our family medicine residency as its only teaching service. Inpatient Services Section Led by faculty that enjoy inpatient medicine, our department runs one of the largest family medicine inpatient services in the nation. Each of our Family Medicine Practices at Washington Health System provide high-quality, family-oriented primary care for patients of all ages. This modern, well-established practice serves as the family medicine center for … On average, family physicians say they spend about 10% of their time treating children, according to a 2014 study. Central Oregon Family Medicine, P.C. Since July 2017, she has been the medical director of the D4/6 unit of University Hospital and the inpatient family medicine teaching service located there. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. Welcome to our online patient portal. Diagnose, treat, and provide preventive care to individuals and families across the lifespan. It is designed to provide clinical, academic and administrative education for recent graduates of the University of Michigan Family Medicine Residency who are interested in careers in Academic Family Medicine. FM inpatient carries less patients so that translates to less work for you. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? Press J to jump to the feed. This program is a one year appointment as a clinical lecturer in the Department of Family Medicine. Cookies help us deliver our Services. May refer patients to specialists when needed for further diagnosis or treatment. Medscape 2018 reports family medicine average salary to be $219,000 nationwide—a very big change over just around five years. The numbers listed after the procedure represent the number of supervised procedures needed for credentialing. These opportunities are primarily located at each of the three residency training sites (UPMC St. Margaret; UPMC McKeesport; and UPMC Shadyside). Officials point out, however, that family practice residents have six months of electives they can devote to inpatient medicine. Residents participate in 16 twelve-hour shifts for a total of 196 hours. Evaluation of Rotation I still got to carry my own patient and present and all that but it had a much chiller vibe and I didn’t have to stress about not having free time. These are actually the areas where you are more likely to be asked to do both hospital and clinic medicine anyways :p. Just to echo the other posts, keep an open mind during your rotations. More posts from the medicalschool community. We serve a diverse patient population and are committed to caring for the underserved. I have several patients now who I delivered back in the 1990's! By the end of third year, I wanted it all--outpatient FM, inpatient work, procedures, OB, even some psych--so I focused my energy on finding an FM program that would give me it all/give me the flexibility to work on it all. This 265-bed community hospital is the site of three of your rotations and the inpatient service for family medicine residents on the suburban track. For the first time in about 20 years, Duke family medicine residents have an inpatient presence at a Duke Health hospital. Press question mark to learn the rest of the keyboard shortcuts. UB Family Medicine of Amherst. I’ve only done 1 week of inpatient FM so take what I say with a grain of salt. 10/18/18. But when your child becomes an adult, they can continue seeing the same doctor. Most people sub specialize because general internal medicine/hospital medicine is not prestigious work, pays well but not well enough to justify 200k+ in loans and 7 years of post graduate reduced earning potential (175-200 in a desirable location, 225+ in an non desirable location), and has high burn out rate. Latest headlines. There's a nagging fear in the back of my mind that I may miss out on those skills that are honed managing highly complex patients in a subacute-to-acute setting. Our practitioners and participate in continuing education to keep abreast of the latest advances in medicine. Outpatient is way harder if you have a complex patient population! While I'm at a different stage of my career, I understand your dilemma. I've looked at U Washington, Ventura, UCSF, UVA, UNC, Utah...these all seem to be competitive. You really can have the best of both worlds if you find the right program. Night Float and 24 Hour Calls Press question mark to learn the rest of the keyboard shortcuts. I will definitely head your advice and remain open to having my mind changed. So I now do full spectrum family practice with OB, do plenty of office procedures, follow my laboring patients in the hospital, pick up extra (lucrative) shifts in urgent care for higher acuity stuff (and because I love suturing) and plan to also work at Planned Parenthood. Family medicine makes an impact every day in education, research, and patient care. I think the knowledge and experience you get as an inpatient physician is both fulfilling and valuable even if you end up in outpatient primary care eventually. So, good luck to you. No wonder we're steadily being replaced by midlevels. And good luck this year! A new family medicine inpatient service began at Duke Regional Hospital on July 1, 2020, and represents a sort of homecoming for the Duke Family Medicine Residency Program. And personally for me, I love building relationships with my patients. After you create your account, you will receive an e-mail from us that includes your user ID and a link back to our patient portal . I would only give you the advice of being open. I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. Family practitioner Scott W. Tongen, MD, has been a hospitalist since 1991 and was medical director of the United Hospitalist Service of the Allina Medical Clinics in St. Paul, Minn. Read more about us. This type of practice seems right up your alley seeing that you have a passion for serving rural/underserved areas as this is what mine, and other similar programs, are looking for. Residents and students enjoy a dynamic team approach to care on the Family Medicine Inpatient Service. Let me know if you have any specific questions or help with anything. We are proud to offer thorough, accessible and complete medical care for acute illnesses, chronic diseases and preventative health maintenance. Chillness of residents and attendings? I was told that the FM inpatient is just a less intense IM and my 1 week of it was definitely true. cardiology or ICU. Mory and McGeary began seeing patients in an old Victorian home on Market Street in Warren, but quickly out grew that facility. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Nicole Bonk, MD, an assistant professor in the University of Wisconsin Department of Family Medicine and Community Health (DFMCH), has focused her career on being a family physician who works almost entirely in the inpatient setting.. Does anyone have any experience rotating on this service, or know what it's like? Take advantage of the online services offered by our practice with the assurance that all of your information is encrypted and stored securely. I have quite a few older (50's) inpatient docs I'm working with that just can't keep up anymore and want to make the jump into outpatient medicine but those options are … “Internal medicine focuses exclusively on adult medicine, while family medicine typically sees all the members of a family — children as well as adults,” explains Dr. Linda Girgis, FAAFP, who is an alum of St. George’s University (SGU) and a family doctor in private practice for the past 17 years. Non-rural? I understand that the Web View portal is NOT to be used for urgent or emergency situations. Internal Medicine - Inpatient is a full time rotation. Welcome to /r/MedicalSchool: An international community for medical students. Did it become blatantly clear what you wanted in your third and fourth years? I’m not sure what your service is like, but my experience was similar to IM. Hours, weekends? I appreciate the picture you painted, though, and what you describe is often what I daydream about. Thanks for your insight. My inpatient and outpatient experiences have been fantastic and will be practicing traditional inpatient/outpatient family med when I'm done (already signed my contract woop!) An educational site dedicated to those family medicine physicians, residents and students who enjoy challenge of inpatient medicine with a family medicine twist. 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