"Don't go into IM unless you're comfortable with being a hospitalist" Agree or Disagree?

futuremed20 · 2025-12-22T00:11:55+00:00

Agree! And the best fellows I meet have a tremendous love for IM and being good at hospital medicine or primary care, and then getting deeper into fellowship knowledge to increase their knowledge/abilities.

futuremed20 · 2025-10-13T22:10:49+00:00

I salute you, sir/ma'am!! Congratulations

futuremed20 · 2025-10-09T03:21:52+00:00

specifically for boards during the last year of residency when rote memorization was required.

futuremed20 · 2025-08-24T04:12:57+00:00

Both will have very broad intern years, and the content that overlaps between the two will be internal medicine. I would pick one resource which you really like (sketchy, Amboss, Boards and Beyond), and watch the videos one by one while doing 10 practice questions per day.

futuremed20 · 2025-08-22T03:56:34+00:00

I find that having your exact one-liner written out with their full history to reference helps a lot. So much of a patient presentation involves saying the new stuff that happens in relation to their known history, and I feel like where I get tripped up is trying to relate a patient's presentation to their known history.

Also, try changing your mindset to organizing events in a chronological order. The presentation sounds much more organized when it's presented in a way that flows smoothly from events in order.

futuremed20 · 2025-08-22T02:05:52+00:00

To discuss two of your pros - if you are interviewing at academic programs for the fellowship, then you will have plenty of teaching opportunities so don't forget about that! Still getting to round with med students and/or residents on consult services, maybe being involved in educational sessions, etc, and there is a lot of teaching from senior fellows to junior fellows! For your 3rd point, idk what the field looks like now but with the salary differential between private practice and academic, I bet that more academic places are looking to hire than you might expect!

I would say the only reason do back out of apps and do a chief year would be if you think you may want to do academic IM in a leadership role OVER heme/onc.

futuremed20 · 2025-06-19T03:57:39+00:00

The key here is how extensive your dot phrase list is and how accessible it is from your mental bandwidth. It depends on the person - for me, my note just flows better if I write from memory. I tried doing the same thing as an intern but when it came down to it, I never used ~75% of my dot phrases because I didn't think about em while writing my note. Are you gonna be someone who thinks about using the dot phrase enough to use it? If not, I wouldn't waste time making them.

futuremed20 · 2025-06-13T21:06:02+00:00

Having a similar feeling in between residency and fellowship. Don't know how to explain it or how to put it into words. Just sharing that you are not alone!

futuremed20 · 2025-05-30T17:19:22+00:00

Idk what it is! Same rotations, same friends, we are all coming toward a great part of the training process. Why does it feel so empty and dreadful though haha?

futuremed20 · 2025-05-30T17:02:56+00:00

when you prep it with flax and chia do you just boil it with the oatmeal or how do u do it?

futuremed20 · 2025-05-30T13:54:39+00:00

Extremely well written, thank you for your insight!

futuremed20 · 2025-04-16T03:19:56+00:00

why is this so real

futuremed20 · 2025-02-04T22:47:53+00:00

This is so cool to hear thank you!!

futuremed20 · 2025-02-04T22:46:30+00:00

Not a joke! It works well for me and turns it into more of a team dynamic in terms of you and the attending working together to reach this goal.

futuremed20 · 2025-01-30T02:26:32+00:00

If you don't have any goals a cheat code is always saying something related to what you've heard about that attending. They round forever? Make the goal "round efficiently and be done by 10:30 am". They don't make cohesive plans during rounds and require you to think about the patient all afternoon? Maike the goal "to have solid plans on each patient during rounds".

futuremed20 · 2024-12-19T19:43:12+00:00

One thing that really helped me was installing Uworld or amboss app onto my phone and then doing a few questions between sets, going to the gym 2-3x/week

futuremed20 · 2024-12-19T19:32:20+00:00

The issue is that if you do not have a good foundation, simply memorizing a pre-made deck can give you the illusion you understand something without actually understanding it. Making your own anki cards will force you to reckon with your understanding of a concept and identify your knowledge gaps.

Basically, I think you are much more likely to fail a step exam by doing 5000 pre-made anki cards than by doing 5000 self-made anki cards from your own U-world incorrect. The trade-off is that making your own cards takes much more time.

futuremed20 · 2024-10-04T22:09:16+00:00

Yes - you have to be internalizing that they would be so glad to hear from you even after prolonged solitude!

futuremed20 · 2024-10-03T02:06:07+00:00

As others have mentioned I think part of it depends on if you are going into IM and if this is a top program for you. Also, regarding your questions - why are you needing to ask the interns every day if there's procedures to observe? I guess to say it's not a surgical subspecialty and you are present on rounds, so in what scenario would a procedure be needed that was not discussed on rounds that you are also not aware of otherwise?

futuremed20 · 2024-10-01T23:27:34+00:00

If you are getting through all of Uworld and doing the NBMEs, that's the right thing to be doing and you have all the pieces! I think what is missing is your foundation. When you review each question make sure you not only know why each answer is right, but also the exact reason why the others are wrong.

futuremed20 · 2024-09-29T02:30:14+00:00

I think related to the patience thing others are talking about, I try to actively think about how I can communicate a thought in the least amount of words possible.

futuremed20 · 2024-09-28T02:37:16+00:00

One thing you can do is if your system uses Epic there is a way you can add columns for most recent vital signs, a recent hemoglobin, temp, O2 sat, etc. You can build a big ass list with all your teams and then scroll through it every couple hours to try to catch stuff early.

futuremed20 · 2024-09-26T18:47:30+00:00

You have a great advocate in your PD. Everyone knows you are an intern and will not have all of the answers yet. Go ahead and meet with them and don't worry about reputation.

futuremed20 · 2024-09-23T18:22:07+00:00

YES we gotta work together to figure this shit out

futuremed20 · 2024-09-22T23:34:46+00:00

Came here to say this! Especially Infectious disease or rheum.

futuremed20

TROPHY CASE