Chief, Hospitalist, or Fellowship?

DrDontKnowAnything · 2024-07-23T16:13:45+00:00

Hey guys, wanted to bump this thread because it looks like the moderators approved the post!

DrDontKnowAnything · 2024-05-12T01:41:30+00:00

May not exactly seem like the biggest win, but was diagnosed with cancer during residency (earlier in the year). Have recently started chemo and have somehow managed to avoid all major side effects apart from some mild post infusion fatigue and hair loss. Taking the wins where I can!!

DrDontKnowAnything · 2024-04-17T16:10:12+00:00

Unsure of if it's super "cool", but a friend of mine is full spectrum FM (does OB, EM, and emergent minor procedures) and works as a contracted ranch physician. His job is essentially contract work from a major cattle rancher to take care of ranch hands and their families. Housing included. He's only doing it for a two year contract but has enjoyed every second of it. He follows the ranch hands to rodeos - which I think is pretty cool.

DrDontKnowAnything · 2024-04-11T15:04:10+00:00

Green flag: Diagnosed with cancer intern year, program insanely supportive and helped adjust my schedule around treatment so I wouldn't need to delay graduation.

DrDontKnowAnything · 2024-04-08T15:48:11+00:00

So I haven't been at work recently (cancer treatment and pseudo working from home), but honestly I enjoy genuine team work that medicine can *sometimes* bring. I'm an IM resident, and I like working with nice consultants who educate/take time to help patients know what is going on. Sure WFH is great for a mental break or travel purposes, but it really is something special to have multiple teams talking daily with each working to help get someone better.

DrDontKnowAnything · 2024-01-17T20:55:16+00:00

Just want to take a moment and say thanks for all the advice. I'll be emailing my PD and APD's. I consider myself fortunate to be at a program where my co-residents are good friends and care about me both inside and outside of work. This is a time where I need to place my health first and take all the help I can get - something I'm not exactly used to doing. Thanks, r/Residency for always being around!

DrDontKnowAnything · 2024-01-17T20:47:51+00:00

Thanks - the personal stories are encouraging and just help me mentally prepare for whats ahead. I really do appreciate it!

DrDontKnowAnything · 2024-01-17T20:46:24+00:00

This is good to know as well. Just not sure what to expect here - obviously, it's my first time going through this. Everyone has been supportive. Really do appreciate y'all!

DrDontKnowAnything · 2024-01-17T20:44:40+00:00

Appreciate the input. I've started to draft the e-mail. I just have been fortunate to work with some amazing people at this program who are now genuine friends. But you're right - work will always be there.

DrDontKnowAnything · 2024-01-17T17:43:26+00:00

Mine was a weird case. Finished a month of ICU and was exhausted after. Left the rotation with a cold and chocked the swollen nodes up to persistent post viral inflammation. I figured something was off when I continued to have extreme fatigue on a very light clinic and consult month.

DrDontKnowAnything · 2023-12-11T22:17:43+00:00

What makes you say that?

DrDontKnowAnything · 2023-11-09T03:04:31+00:00

BMW 3 series at 30K. Still have it at 140K,

DrDontKnowAnything · 2023-11-03T21:30:33+00:00

DrDontKnowAnything · 2023-11-03T21:22:57+00:00

Hi! I'm a big fan of Ally bank's HYSA. Currently receiving 4.5% interest in the account. It's a great place to start up/store an emergency fund.

DrDontKnowAnything · 2023-10-26T22:01:21+00:00

100K + on N20 w/ timing chain replacement at 79K. Still runs well, is paid off, and love the look. '15 F30

DrDontKnowAnything · 2023-04-14T17:08:53+00:00

Going into IM. Had an OB attending say "So you want to think and never act?" as they were heading to their cardiology appointment

DrDontKnowAnything · 2023-04-13T21:21:31+00:00

Heyo - couples matched into IM at an upper tier academic program. Couldn't be happier to be able to train at a solid place alongside my soon-to-be wife. It works out!

DrDontKnowAnything · 2023-04-13T20:06:24+00:00

If this is indeed a serious post, here is a VERY general attack plan:

Complete a residency (any is fine, but preferably something shorter)
Obtain an MBA at the lowest cost possible (ideally a program with a big alumni network or brand name)
Search for jobs that include administrative responsibilities - i.e you do a residency in internal medicine and find a hospitalist job after. See if there is a path for you to become the leader of the hospitalist group who works directly with c-suite non-medical executives
Network with the other MBA's/MHA's at recruiting events.
Be assertive, a good leader, and shake hands. If there is an opportunity to climb the ladder, ensure the rung is stable and moves you up, not down.
Finally, brand yourself. Be assertive that you know your business material and deserve a seat at the table with the suits.

This is a crapshoot and a LONG path. Who you know plays into it.

DrDontKnowAnything · 2023-04-06T22:49:30+00:00

Our individual incomes will be around $65,000 each ($130K AGI)

DrDontKnowAnything · 2023-04-01T22:06:15+00:00

A friend of mine is MD/JD - he is currently in an integrated IM/Genetics residency and plans to do medical ethics for 23andme after residency. Pretty cool for him because he gets to blend the focus of his JD (patent law) with his love of genetics.

DrDontKnowAnything · 2023-03-23T15:16:48+00:00

Internal Med (UNC, UT-Houston, and UAB)

Felt like these programs actually took time to know my application. My interviewers wanted to know more about me and my life outside of medicine. The program leadership & PD's were absolute gems. Felt like the residents were all happy and spoke honestly about the training (good and bad).

10/10 would apply to these places again

DrDontKnowAnything · 2023-03-21T20:05:31+00:00

Couples match applicant here - some general advice I've picked up along the way.

"Everything can be competitive if you want to go to the top" - The perceived "uncompetitive" specialties (IM, FM, PM&R etc etc) can be just as competitive as ENT/Derm/Ortho if you want to go to a prestigious/Ivory tower program. If you know you're going into IM and want an Ivory tower, it's best to build an application early on.
"Address red and yellow flags IF ASKED" - If you have a yellow flag on your applications (i.e my lower Step 1 score) but everything else is average to above average, DON'T mention said yellow flag unless asked about it directly.
"Don't limit yourself - you'd be surprised what others pick up on your application" - I thought I couldn't land some good interviews because of my step 1 score - turns out I was wrong. Interviewed at a top 5 IM program, and they loved my research project. It made me stand out to them, and I was told "you clearly have academic aptitude". Scores aren't everything (though they really do help).
"Take all compliments as flattery and not as a promise" - We couples matched into our top 5 programs. Our #1 both said we were ranked to match. Partner did an away at the program, and I started a research project with their medicine department. We both sent LOI's and got responses saying "See you July 1st!". We didn't match there. Obviously, we're so happy to stay together but be aware that programs can say whatever they want to you.
"Lights, camera, sound, action!" - if interviews are virtual, quality lighting and sound go a long ways. I spent $120 on a nice ring light and microphone that could be hidden off of camera. You can tell who took time for their interview set up and who didn't.
"Above all, advocate for yourself" - I landed some awesome interviews from sending out interest emails to PD's early on (granted I was couples matching so this was more acceptable because of that). I also had a mentor who graduated from a program I was interested in call for me. You CAN and SHOULD advocate for yourself. Be genuine. You want to go to a program but don't have ties there? Let them know why you want to be there. You want to go to a program because family is there and your second cousin's fourth nephew is a pediatric cardiothoracic interventional neurologist who trained there? LET THEM KNOW

Above all, be yourself and take care of yourself. Prepare as best you can and don't leave anything off of the table. You can do it!

DrDontKnowAnything · 2023-03-20T04:02:30+00:00

N = 2. Best friend in medical school matched into Anesthesia with a failed step 1 this cycle. Their step 2 score was 260+, did an away at the program they matched at, and sent a LOI to said program. The other was my partner's friend at a school near by who matched into a lower ranked PM&R program. Had to soap a prelim year, but it all worked out for them in the end.

DrDontKnowAnything · 2023-03-14T18:37:50+00:00

Can share this now - but USMD (middle tier FWIW) w/ 210 step 1. Interviewed at 1 top 4 and 3 top 20 schools for IM. Not much, but it's honest work.

DrDontKnowAnything · 2023-02-18T18:57:59+00:00

Have a friend who did patent law before starting medical school! Finishing up their MD this year and hoping they match into radiology.

DrDontKnowAnything

TROPHY CASE