<p>I'm sick of busy work during third year. Do I care about critiquing my own discharge summary? HELL. NO.</p>
<p>Did I really want to be spending time doing chart reviews for data collection? Of course not. </p>
<p>I loved my family medicine rotation, but the amount of busy work is ridiculous.</p>
<p>BDM, Shades...let's hear what you've got...</p>
<p>This is not from experience (yet), but from med students I have talked you are the scut monkey for all the attendings and residents in you 3rd year. It isn't till 4th year that you get some respect, but still low on the totem pole. Its interesting that you like FM, do you plan on doing a primary care field (IM, FP, peds, etc) or are you one of the people who like primary care but want to go into a more lucrative and respective field (based on hierarchical stereotypes in medicine)? Whats you next rotation? Good luck with the current one.</p>
<p>Depends on what your notion of scut work is. I haven't had to go get coffee for anyone or anything I've felt as truly meaningless, and feel like my respect is appropriate for my level of training. But then again, I've been away from my university hospital A LOT during this year. (1 month of Gen surg at a community hospital, 2 weeks peds ortho at the children's hospital, a month of peds away at various sites, 8 weeks of family in a rural community). I've really only been at my university hospital for 6 weeks out of this semester - 2 on ENT, 2 on outpatient peds, 2 on inpatient peds. And my residents on peds were awesome...so not so much scutting.</p>
<p>I loved fm because of the people I worked with and the amount that I learned - not because I want to do it. I'm just tired of the on-line cases (which resulted in two surprise essays being done), the on-line case discussion group which we had to post on for 7 consecutive days, the simulated patient exercises in telephone and e-mail management, the community health intervention (which necessitated chart reviews of at least 30 charts, plus full review of literature etc), and then a critique of one patient's hospital care including discussion of the discharge summary we dictated, the care relative to the "cutting edge" of treatment guidelines, and then an analysis of itemized costs for the length of stay. All this on top of trying to study for the shelf exam.</p>
<p>Going peds (possibly med/peds residency), but looking towards a fellowship in pulm, cardio, or GI.</p>
<p>Next clerkship is internal med - 6 weeks inpatient at the VA, then 3 weeks out patient at University clinic, then 3 weeks of Admitting/ER at the VA (not really true ER, but accepting transfers to the VA).</p>
<p>I find it very disappointing that "med/peds" is not pronounced in a way that rhymes.</p>
<p>Sorry, I forgot you told me a couple months ago you wanted to do peds. Med/ped would keep options open. Would you consider EM with peds fellowship?</p>
<p>Emergency? no. I'm not crazy (see standard "how to choose a medical specialty" chart that is out there like on the "You might be in med school if..." group on facebook). </p>
<p>The main impetus for med/peds (it would be better if this rhymed), is that so many kids who need specialists are living into adulthood (when they didn't before) and the adult specialists are reluctant to take care of them...so they end up staying with the peds specialists they've been seeing for years. Whether it's Cerebral palsy, CF, or congenital heart defects this is becoming a pretty big concern. Some of the peds cardio fellowships are recruiting nearly exclusively from med/peds graduates. </p>
<p>I've talked to the wife of a guy who did med/peds and is now doing peds endocrine fellowship at Hopkins, and she mentioned he was really for med/peds because of the training in evidence-based medicine that involvement with medicine residents affords. He loved kids, but was bothered by the general attitude of most peds that they treat certain ways because "that's the way it's always been treated". So that was a little bit different angle, but an important one I think...</p>
<p>Ok, I know for some combine residencies you are not able to get boarded in either specialty. Would you be able to get board certified in one or another (or both if you're up to it) in med/peds ? </p>
<p>I'll added to your thread: Many hate getting pimped on obscure details and getting humiliated by attendings/residents on rounds, in the OR, and in front of patients.</p>
<p>No you can be board certified in both coming out of med/peds.</p>
<p>I don't have much to vent about, now that I'm done with exams for the semester. But I am really tired, and a nap sounds great.</p>
<p>End of week two for Internal medicine. I'm on inpatient service at the VA. The good news: I'm on service with one of my really good friends. The bad: Our interns are two of the most immature people I've ever met. They seriously spend about 90% of their time whining about EVERYTHING. One of them is an awesome guy, and by himself, would be great to have, but he lets the other one drag him down into shenanigans...The other one, when he is serious, knows his stuff, but holy tits is just a bitter, bitter individual.</p>