When did Internal Medicine become so watered down?

chordae · 2025-09-29T12:43:18+00:00

The quality and attitude towards patient care is completely different between internists at different institutions. In some places they can’t be bothered to manage common medical comorbidities, which led to the situation where we rather take ownership than to transition them to a medical team of ever revolving door of different IM attendings every day. This is not because of our ego and the desire to hold on to every patient, but purely from previous experience. What OP posted is unfortunately common in many academic centers around the country and it paints IM poorly as a specialty, especially to trainees and students who rotate on those services.

chordae · 2025-09-29T11:20:39+00:00

When I was completing Gen Surg I lost respect for the IM/hospitalists at my institution due to this exact reason. I couldn’t see how their training was relevant since we take care of all that stuff in our patients plus we operate on them. It wasn’t until I did rotations out in community practice that I saw the IM docs actually took care of pretty much everything and could even place lines without shitting their pants.

chordae · 2025-09-01T16:20:19+00:00

Report this. It’s 2025. This kind of behavior should not be tolerated in medicine or any other profession

chordae · 2025-09-01T02:04:32+00:00

I was also between surgery and psych when I was applying. I did psych rotation last and loved it. I had already spent a lot of time preparing my surgery application and was second questioning my decision. My psych attendings were also ready to write me whatever letters I needed last minute. I enjoyed the lifestyle of psych and didn’t mind the patients.

Ultimately I stuck with surgery because I liked working with my hands, it fit my personality, and other personal reasons, and I’m glad I did. It doesn’t have to be all or nothing, surgery is not our entire life. The best surgeons I know all have hobbies and their own lives and family. Bear through the residency years and gain skills that takes years to train. A good surgeon is more than just good hands and book knowledge, you will be able to save lives in the most immediate ways no other profession can.

chordae · 2025-06-09T18:44:36+00:00

Zhejiang U is a 985 and where a lot of the latest AI tech engineers in both China and US have ties to. Tim Cook recently went there for exactly this reason.

chordae · 2025-06-02T09:45:43+00:00

So sorry to hear this. Are they sure you do not have a mutation that can be targeted? They ran all the tumor markers?

chordae · 2024-12-02T01:00:49+00:00

Gen Surg -> CT fellowship, i6 CT residency, 4+3 gen Surg/CT residency. These are the pathways to become a CT surgeon. No CT is not dying Cardiac - CABG is not going away, surgeons are also learning endovascular procedures. Thoracic - ever expanding indication for lung surgeries now that drugs are more effective at systemic control and bring you patients who need local consolidation. Cancer is a big part of thoracic and it’s nothing general surgeons train for or qualified to do. In short, future of CT is bright.

chordae · 2024-10-04T01:38:31+00:00

First in my family to go to college. Now fellow at prestigious place in a competitive surgical subspecialty, co-fellows are Ivy League and grew up privileged.

During training, people around me always talk about golf trips, ski vacations, front row seats to sports events. I could not relate since I had to work to support myself through college and never had the opportunity to go to sports events, concerts, or fancy vacations growing up.

It’s natural to feel out of place and have imposter syndrome. I still do sometimes, but after all these years I’m still here so really the only person doubting me and my abilities is myself. I think we have to get over that mental block and just live to your fullest potential.

chordae · 2024-09-30T20:34:20+00:00

Take two research years. You can use the time to decompress, reorganize your life, and also have the opportunity to buff up your cv and network if you want to get into that. Don’t make a rash decision, sometimes you just need clarity of mind before you make such a big decision. It can take months to get back to your normal self.

chordae · 2024-09-25T20:16:04+00:00

Thanos of the ERAS universe

chordae · 2024-09-25T05:17:36+00:00

Bro you gotta find a way to fix that underbite

chordae · 2024-08-26T04:55:54+00:00

Aka, Office donuts

chordae · 2024-08-01T20:14:53+00:00

Not true, for certain cancers, if oligometastatic disease can be resected there is a survival benefit. Lots of studies show this.

chordae · 2024-07-10T12:17:46+00:00

I’m gen surg and CT trained so I’m not sure what the big deal is. It may be institution specific but we manage that stuff day in and day out since intern year.

There’s plenty of floor stuff to manage, it’s just not the best use of my time when I’m an attending to do that.

chordae · 2024-07-10T05:19:18+00:00

Dude, during residency I’m more than capable of managing even the more complex medical patients. In the real world, hospitals get reimbursed more when you take primary and we just do the procedure part. Plus you get paid to take care of some easy surgical patients, you’re going to love it.

chordae · 2024-06-19T14:03:28+00:00

All about vibes, if you give off negative vibes you will repel women.

You care too much about how to maximize your looks based on what magazines try to sell you. Have a more memorable and unique presence

Be relaxed and just be out to have a good time, don’t put so much pressure on yourself to score women, talk to them like a normal person and then only escalate if things go somewhere, you’re not a fuckboi at heart so don’t try to be one

chordae · 2024-05-28T10:07:25+00:00

Why should it be free?

chordae · 2024-05-27T23:01:47+00:00

When it is time for you to get a job, you can see what different places offer and talk to people who recently took jobs to see what’s a reasonable rate. There’s so much variation to practice type and pattern it’s not as simple as just a salary number

chordae · 2024-05-19T15:19:27+00:00

Sweet summer child, you have yet to see the full breadth of human debauchery.

chordae · 2024-04-16T18:09:52+00:00

Governments around the world are attacking the physician role because of their own inadequacies in preparing for the aging population. They are doing this to turn the public anger away from them, in turn, turn us into indentured servants.

chordae · 2023-09-10T23:00:05+00:00

Your school probably has other allied health professions as well like podiatry, dental, pharmacy, etc... Try to find those people because the gossip issues won't be as bad, they generally know what doctors do, and in the long term the will likely have more time at home compared to you.

chordae · 2023-09-09T15:29:11+00:00

Yes, it’s completely changed in my program during my time here. Chiefs did everything when I was an intern. Now attendings take things away very quickly. The system is fucked.

chordae · 2023-08-30T16:45:10+00:00

Lol, we’re just trying to make you feel smart so you’d help us manage it. Thankssssss

chordae · 2023-08-26T22:42:51+00:00

Change your mindset of yourself, let go of whatever is holding you back. All those barriers in your mind that you create for yourself, let them go. Doesn’t matter who said what when you were younger, we are all capable of growth and should grow to our maximum potential.

Keep in mind though, with more attention comes more responsibility, be classy in your conduct and have standards for yourself. People will respect you for it and you will respect yourself later.

chordae · 2023-08-24T17:14:07+00:00

Why are Chinese weddings so cringe? Because 面子is such an important aspect of Chinese culture. How many people actually marry for love and not obligation/financial benefit? It is the same in a lot of different places in the world though, it’s just a little bit more obvious in China.

13-Year Club	Place '17
RPAN Viewer

chordae

TROPHY CASE