<p>That’s not an internship, that’s a freaking vacation! In MY-Y-Y Day… </p>
<p>Not that I absolutely don’t agree with most of those limits, but what a difference 3 decades makes. I think the longest single ‘day/shift’ I ever worked was from 5am on a Monday until 1 or 2am on Wednesday before I was able to escape then had to restart at 6am again for only an 18 hr shift. Due to some illnesses among the resident/intern staff and other one-off circumstances – I added up that month and figured I was in the hospital for somewhere a bit over 480 hours (and that was far less than some of my buddies on those every other day Surgical call months). It was borderline abusive, I certainly was borderline competent (thank goodness for some understanding nurses/Resp Techs, and even the Chief Resident for helping keep an eye out), and I certainly wasn’t really learning a huge amount in the effort to just survive and not do something stupid. </p>
<p>I did get a 72 hour respite at the end of that month as a reward/apology.</p>
<p>I guess I must have gone through some of the earlier computer matches because I remember that day in March where we all got our official letters. Any idea when the current national Match procedure began?</p>
<p>I am still not clear on the residency-fellowship thing. Are you required to do a complete 3 year Internal Medicine residency before a fellowship in say, neurology, cardiology, infectious diseases, rheumatology, etc.?</p>
<p>And about ECs - do people just not have that many (vs the lists and lists of things people have in college)?</p>
<p>And research - do med students usually join in on an ongoing project at the hospital/research facility? Do you usually work in just the summers or during the year after classes (or both)?</p>
<p>Neuro is it’s own thing, but otherwise yes. The fellowships out of Internal Medicine include: cardiology, pulmonology, Pulmonary/critical care, gastroenterology, rheum, geriatrics, allergy/immunology, Diabetes/endocrine/metabolism, ID, Heme/Onc, Nephrology. There are also further subspecializations after a cardiology fellowship into Electrophysiology and Interventional Cards. There are also programs that separate Heme from Oncology and isolated pulmonary or critical care.</p>
<p>Those from pediatrics include all of those (except for geriatrics), though Heme/Onc is never separated, and Critical Care and Pulmonology are always separate in the pediatric world. There are also fellowships in Adolescent Medicine, Peds ER, Developmental Pediatrics, and Neonatology that come out of Pediatric residencies.</p>
<p>That diversity of subspecialists is one of my biggest criticisms of the USNWR Primary Care rankings. I, and many of my friends, went into Peds or IM residencies without ANY intent of ever being generalists. I think that labeling schools top ranked “primary care” locations gives pre-med students the wrong idea.</p>
<p>As for EC’s, that’s most of it. At lest at my school, there was an overall paucity of school related EC’s other than the subspecialty interest groups (that are really more run by faculty), and our student run clinic.</p>
<p>For research, mainly just getting in on established projects, putting in time whenever it works out. Some individuals may choose to take a year off in order to get more involved in a project.</p>