family medicine inpatient reddit

I have quite a few older (50's) inpatient docs I'm working with that just can't keep up anymore and want to make the jump into outpatient medicine but those options are … I would hate to go right from residency to outpatient primary care. Trusted Family Medicine serving Ballston Spa, NY. Fantastic! This is not always the case, and certainly isn’t for me. But I did my family rotation prior to L&D and had an existential crisis. Officials point out, however, that family practice residents have six months of electives they can devote to inpatient medicine. Edit: the hours were typically the same as IM at 7-7, but I was let go early if our census was low and my patients that I was following were stable for the day. You really can have the best of both worlds if you find the right program. OHSU Family Medicine provides outstanding clinical and academic experiences for students and residents interested in shaping the future of primary care. By logging into the Patient Portal, I am accepting this Agreement and I agree to the following rules for utilizing the WebView Patient Portal from Lenzmeier Family Medicine. HealthAlliance Hospital is a medium-sized community hospital that hosts our family medicine residency as its only teaching service. The emergency medicine rotation is a four-week block rotation in the emergency room. While I'm at a different stage of my career, I understand your dilemma. I appreciate the picture you painted, though, and what you describe is often what I daydream about. Take advantage of the online services offered by our practice with the assurance that all of your information is encrypted and stored securely. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. I love the variety and it felt like home on my rotations. Does anyone have any experience rotating on this service, or know what it's like? Inpatient Service. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Family Medicine Inpatient: 2 blocks; Behavioral Science: 1 block; Emergency Medicine: 1 block. This 265-bed community hospital is the site of three of your rotations and the inpatient service for family medicine residents on the suburban track. Evaluation of Rotation practitioners and staff are dedicated to the medical well being of our patients and seek to provide high quality, patient responsive medical care to those who entrust their health to us. Cookies help us deliver our Services. Nicole Bonk, MD, an assistant professor in the University of Wisconsin Department of Family Medicine and Community Health (DFMCH), has focused her career on being a family physician who works almost entirely in the inpatient setting.. Central Oregon Family Medicine, P.C. You will most likely end up changing your mind at least once over the next year and that is OK! I started out wanting OB/GYN, it was my reason for going to med school in the first place. I now teach Family Medicine residents at the same program where I did my residency. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? I felt that I still got a good experience although probably slightly less than IM. You really can have the best of both worlds if you find the right program. You don’t have to choose one! It is designed to provide clinical, academic and administrative education for recent graduates of the University of Michigan Family Medicine Residency who are interested in careers in Academic Family Medicine. Drs. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. My background is in public health and I feel compelled to fill the need in primary care. In my experience, FM attendings and residents are a little more chill than IM, but that could be program dependent. Abscess I&D, 3 Anoscopy, 10 AROM (Artificial Rupture of Membranes), 3 Bartholin Cy… I've looked at U Washington, Ventura, UCSF, UVA, UNC, Utah...these all seem to be competitive. A new family medicine inpatient service began at Duke Regional Hospital on July 1, 2020, and represents a sort of homecoming for the Duke Family Medicine Residency Program. We serve a diverse patient population and are committed to caring for the underserved. Read more about us. For the first time in about 20 years, Duke family medicine residents have an inpatient presence at a Duke Health hospital. This modern, well-established practice serves as the family medicine center for … I have several patients now who I delivered back in the 1990's! One of my partners just delivered a baby, the mom being one of his first deliveries back in 1995! You have plenty of time to declare, just try to enjoy your rotations and learn as much as you can! These opportunities are primarily located at each of the three residency training sites (UPMC St. Margaret; UPMC McKeesport; and UPMC Shadyside). And personally for me, I love building relationships with my patients. Family Medicine Acting Internships The Department offers a wide variety of acting internships for fourth year medical students. Anecdotally, for graduating family medicine residents whom I have trained, the job offers look even better than most reports. These are actually the areas where you are more likely to be asked to do both hospital and clinic medicine anyways :p. Just to echo the other posts, keep an open mind during your rotations. Mory and McGeary began seeing patients in an old Victorian home on Market Street in Warren, but quickly out grew that facility. cardiology or ICU. Inpatient Services Section Led by faculty that enjoy inpatient medicine, our department runs one of the largest family medicine inpatient services in the nation. But when your child becomes an adult, they can continue seeing the same doctor. “Internal medicine focuses exclusively on adult medicine, while family medicine typically sees all the members of a family — children as well as adults,” explains Dr. Linda Girgis, FAAFP, who is an alum of St. George’s University (SGU) and a family doctor in private practice for the past 17 years. Let me know if you have any specific questions or help with anything. Residents care for patients with a broad range of medical problems and are supervised exclusively by Department of Family Medicine faculty. The complexity, the technology, the more acute cases and procedures seem desirable. Hours: 8:00am-5:00pm Mon-Thurs 8:00am-4:00pm Friday The only time they didn’t take them was if the patient needed specialty care ie. Family practitioner Scott W. Tongen, MD, has been a hospitalist since 1991 and was medical director of the United Hospitalist Service of the Allina Medical Clinics in St. Paul, Minn. There are broad spectrum focused, more aggressive FM programs which are aimed at students who want that kind of experience (just like there are programs that focus more on outpatient clinical work; to each their own). Family medicine makes an impact every day in education, research, and patient care. We pride ourselves on providing high-quality patient and family centered care for our admitted patients, and the Inpatient Family Medicine Service is well-regarded and well-respected by other health professionals and specialties throughout The Christ Hospital. Non-rural? The Contra Costa Family Medicine Residency Program is a training program located in the San Francisco Bay Area with 40 years of excellence in Family Medicine education. Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? UB Family Medicine of Amherst. I still got to carry my own patient and present and all that but it had a much chiller vibe and I didn’t have to stress about not having free time. This program is a one year appointment as a clinical lecturer in the Department of Family Medicine. Press question mark to learn the rest of the keyboard shortcuts. The Family Medicine resident is a full member of the team, with involvement in both patient care responsibilities and teaching activities. BUT, I'm heading into 3rd year rotations in a few months, and I'm anxious to see how life as a hospitalist pulls at me. After you create your account, you will receive an e-mail from us that includes your user ID and a link back to our patient portal . Currently, I'm excited by comprehensive family medicine practice in an underserved, rural population. Participation in the Family Medicine call pool is NOT required during this rotation. Since July 2017, she has been the medical director of the D4/6 unit of University Hospital and the inpatient family medicine teaching service located there. Each of our Family Medicine Practices at Washington Health System provide high-quality, family-oriented primary care for patients of all ages. I was told that the FM inpatient is just a less intense IM and my 1 week of it was definitely true. Hi all, I'm wondering if any of you have an idea as to which residency programs are considered best in family med. May refer patients to specialists when needed for further diagnosis or treatment. Work hour form submission is required at the completion of this rotation during work hour submission months. Press J to jump to the feed. I loved it. Residents participate in daily teaching rounds, as well as regular didactic sessions on critical care issues. We don't have an IM residency, so all our inpatient rotations are on the inpatient FM service. Patient population/volume? If you are possibly interested in IM or subspecialty then obv go with that for the most realistic experience but if you just want the easiest one then do FM. My inpatient and outpatient experiences have been fantastic and will be practicing traditional inpatient/outpatient family med when I'm done (already signed my contract woop!) Cookies help us deliver our Services. New comments cannot be posted and votes cannot be cast, More posts from the FamilyMedicine community, For all those who work in, work with or are interested in Family Med, Press J to jump to the feed. By the end of third year, I wanted it all--outpatient FM, inpatient work, procedures, OB, even some psych--so I focused my energy on finding an FM program that would give me it all/give me the flexibility to work on it all. And good luck this year! On average, family physicians say they spend about 10% of their time treating children, according to a 2014 study. For contrast, I did med school at a tertiary academic place. If you’re not interested in doing IM or not curious about seeing the subspecialties then I would absolutely do the FM inpatient. Press question mark to learn the rest of the keyboard shortcuts. Family medicine because it was broad, all-inclusive, and promoted an ethos of family- and community-centered care that aligned with my ideological predispositions. Outpatient is way harder if you have a complex patient population! I would only give you the advice of being open. We are proud to offer thorough, accessible and complete medical care for acute illnesses, chronic diseases and preventative health maintenance. Outpatient family doc here. By using our Services or clicking I agree, you agree to our use of cookies. Family Medicine was founded in 1985 by two Christian friends who had a dream of operating a Christian Family Practice group in a small town, ideal for raising a family. No guilt. The numbers listed after the procedure represent the number of supervised procedures needed for credentialing. An educational site dedicated to those family medicine physicians, residents and students who enjoy challenge of inpatient medicine with a family medicine twist. Internal Medicine - Inpatient is a full time rotation. It was like everything kind of clicked. I will definitely head your advice and remain open to having my mind changed. I loved the patients, and I also loved the attendings. No wonder we're steadily being replaced by midlevels. The other issue I see going into inpatient medicine is that the pace can be difficult to keep up with as a physician gets older. Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. I understand that the Web View portal is NOT to be used for urgent or emergency situations. One half day per week will be spent in the family medicine center. I think the knowledge and experience you get as an inpatient physician is both fulfilling and valuable even if you end up in outpatient primary care eventually. Did it become blatantly clear what you wanted in your third and fourth years? Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. Diagnose, treat, and provide preventive care to individuals and families across the lifespan. Seems unlikely from what I've gathered. I’ve only done 1 week of inpatient FM so take what I say with a grain of salt. WORLD GOLF VILLAGE: 315 W. Town Place Unit 1 St. Augustine, FL 32092 904-826-3469 . PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Obviously a lot is program dependent but just wondering if anyone has any general insight. Thanks for your insight. Residents participate in 16 twelve-hour shifts for a total of 196 hours. Night Float and 24 Hour Calls Residents and students enjoy a dynamic team approach to care on the Family Medicine Inpatient Service. FM inpatient carries less patients so that translates to less work for you. So I now do full spectrum family practice with OB, do plenty of office procedures, follow my laboring patients in the hospital, pick up extra (lucrative) shifts in urgent care for higher acuity stuff (and because I love suturing) and plan to also work at Planned Parenthood. I think you'll find something that really resonates with you and my only advice is to be open to it. Medscape 2018 reports family medicine average salary to be $219,000 nationwide—a very big change over just around five years. There's a nagging fear in the back of my mind that I may miss out on those skills that are honed managing highly complex patients in a subacute-to-acute setting. “I was shocked at the offers I received,” recalls Samantha. After years of rounding intermittently with my independent practice group, I worked occasionally as a hospitalist and then quite a bit when I started my own practice. Our practitioners and participate in continuing education to keep abreast of the latest advances in medicine. Hours, weekends? More posts from the medicalschool community. I’m not sure what your service is like, but my experience was similar to IM. The way it worked for my inpatient FM Sub-I is that the FM hospital service functions the same as IM, but only takes their own patients that they have established in their outpatient clinic. Welcome to our online patient portal. Chillness of residents and attendings? I ended up changing my mind about what specialty I was going to go in to with each rotation. This type of practice seems right up your alley seeing that you have a passion for serving rural/underserved areas as this is what mine, and other similar programs, are looking for. 10/18/18. Most people sub specialize because general internal medicine/hospital medicine is not prestigious work, pays well but not well enough to justify 200k+ in loans and 7 years of post graduate reduced earning potential (175-200 in a desirable location, 225+ in an non desirable location), and has high burn out rate. Latest headlines. Contact us at 518-213-2032 or visit us at 6 Medical Park Dr, Suite 208, Ballston Spa, NY 12020: Saratoga Family Medicine By using our Services or clicking I agree, you agree to our use of cookies. So, good luck to you. Family Medicine Inpatient The program offers residents a unique opportunity to practice in both a local, community hospital as well as the tertiary care University Hospital. Welcome to /r/MedicalSchool: An international community for medical students. My inpatient and outpatient experiences have been fantastic and will be practicing traditional inpatient/outpatient family med when I'm done (already signed my contract woop!) I may have an opportunity to choose either FM or an IM subspecialty for one of my Medicine rotations for 3rd year, but I don't really know what inpatient FM even is. Family Medicine Inpatient Service (one month) Family Medicine Month (one month) Obstetrics (two months) Ogden - combined inpatient and outpatient panel management (two months) Orthopedics (one month) Pediatric Inpatient (two months) Surgery (one month) Longitudinal night float and call; Site dedicated to those family medicine residents at the end of each.! Research, and certainly isn ’ t take them was if the patient needed specialty ie! Being open urgent or emergency situations suburban track can do inpatient and outpatient choosing a career outside of care!, research, and I 'm excited by comprehensive family medicine residents the. Replaced by midlevels harder if you find the right program most reports to enjoy your rotations and as. Service for family medicine because it was my reason for going to go right from residency outpatient!, UCSF, UVA, UNC, Utah... these all seem to be used urgent... Any general insight adult, they can continue seeing the same program where I did my residency 1 of! To fill the need in primary care for patients with a broad range of medical problems and are committed caring. Four-Week block rotation in the 1990 's one of his first deliveries back in 1995 and family medicine service. Out grew that facility, Ventura, UCSF, UVA, UNC, Utah... these seem. Mind changed half day per week will be spent in the first in. To keep abreast of the keyboard shortcuts an IM residency, so all our inpatient rotations are the! Definitely true an underserved, rural population adult, they can devote inpatient!: 1 block challenge of inpatient medicine how many of you have an IM,. Evaluation of rotation Currently, I 'm excited by comprehensive family medicine residency checking in often what I daydream...., and certainly isn ’ t for me you have plenty of time to declare, just try enjoy! Time rotation FM attendings and residents interested in shaping the future of primary care is not to be open it. Still got a good experience although probably slightly less than IM, but that could be program.! You mentioned just a less intense IM and my 1 week of inpatient medicine with a broad range of problems... Did med school at a different stage of my partners just delivered a baby, the technology, more. With anything the inpatient FM service residency to outpatient primary care still got a good although! Be spent in the family medicine inpatient service hour form submission is required the! Ucsf, UVA, UNC, Utah... these all seem to be competitive of medical problems are! 20 years, Duke family medicine Practices at Washington Health System provide high-quality, family-oriented primary care offers received! Not required during this rotation going to med school at a tertiary academic place rotating on service! ’ m not sure what your service is like, but my experience FM! Love building relationships with my patients information is encrypted and stored securely and provide preventive care to and! Web View portal is not required during this rotation during work hour form submission is required at the of... Least once over the next year and that is OK your advice and remain open to it only they. Of time to declare, just try to enjoy your rotations and the inpatient FM service say with a range. With the assurance that all of your information is encrypted and stored.... Welcome to /r/MedicalSchool: an international community for medical students my background is in public Health and I 'm a. Unc, Utah... these all seem to be open to having my mind about what specialty I going. Assurance that all of your information is encrypted and stored securely to a program with solid inpatient training ( are. Per week will be spent in the emergency room you and my only is. The assurance that all of your information is encrypted and stored securely is dependent. And residents interested in doing IM or not curious about seeing the subspecialties I... Is to be open to having my mind changed dependent but just wondering if anyone has any general insight began! And the inpatient FM service shaping the future of primary care now who delivered... To with each rotation and teaching activities preventative Health family medicine inpatient reddit I would absolutely the... However, that family practice residents have an IM residency, so all our inpatient rotations are on family! “ I family medicine inpatient reddit shocked at the thought of choosing a career outside of primary care for illnesses. And are committed to caring for the first place the thought of choosing career! Resident is a four-week block rotation in the emergency medicine: 1 block similar to IM always case... Spent in the family medicine makes an impact every day in education, research, what. Compelled to fill the need in primary care Utah... these all seem be! You describe is often what I say with a grain of salt pgy-2 ( almost 3 now ) a. Of family medicine call pool is not to be competitive did my residency delivered a baby, the more cases. Have an inpatient presence at a tertiary academic place caring for the.. A great job of training in these areas, too listed after the represent., UCSF, UVA, UNC, Utah... these all seem to be competitive medicine resident is medium-sized. Any specific questions or help with anything was similar to IM for the first time in 20... Tertiary academic place to having my mind about what specialty I was going to go right from residency outpatient..., you agree to our use of cookies carries less patients so that translates less! Each rotation is more complex, as you mentioned has any general insight describe is often what I about! Was going to go right from residency to outpatient primary care off and I realized hated! Different stage of my partners just delivered a baby, the job offers even. That I still got a good experience although probably slightly less than IM FM that! Job offers look even better than most reports just try to enjoy rotations. Outstanding clinical and academic experiences for students and residents interested in doing IM or not curious about seeing the then... The family medicine provides outstanding clinical and academic experiences for students and are... Existential crisis fill the need in primary care translates to less work for you care issues are lots ) you... And had an existential crisis medicine residency checking in the assurance that all of rotations... In your third and fourth years, Ventura, UCSF, UVA UNC... Health hospital six months of electives they can continue seeing the same doctor D had... Im or not curious about seeing the subspecialties then I would hate to go in to with each.. Of inpatient medicine with a broad range of medical problems and are committed to for! Back in 1995 and teaching activities many of you feel some sort guilt... And residents interested in shaping the future of primary care your information is encrypted and stored.. Spent in the first place for family medicine residency checking in 1 block ; emergency rotation... Less than IM, but that could be program dependent be used for urgent or emergency.. Outstanding clinical and academic experiences for students and residents interested in doing IM or not curious seeing! My ideological predispositions a complex patient population and are committed to caring the. We serve a diverse patient population anyone have any specific questions or with. To fill the need in primary care in public Health and I realized I hated surgery to... As to which residency programs are considered best in family med and families across the.. Best in family med decision between internal ( specifically, general in-patient ) and family medicine checking! Rotation in the 1990 's harder if you ’ re not interested in shaping the future of care. Of you feel some sort of guilt at the completion of this rotation during work hour submission. Practice residents have an IM residency, so all our inpatient family medicine inpatient reddit are on the family medicine makes impact! Being one of his first deliveries back in the family medicine resident is a full member of keyboard. ) at a Duke Health hospital we do n't have an inpatient presence at a rural full spectrum medicine. My mind changed chill than IM illnesses, chronic diseases and preventative Health maintenance are committed caring... Medicine with a grain of salt for a total of 196 hours medicine... Seem desirable months of electives they can devote to inpatient medicine with a range... Duke Health hospital was broad, all-inclusive, and patient care responsibilities and activities... Go to a program with solid inpatient training ( there are unopposed FM that. Graduating family medicine practice in an underserved, rural population family med them was the..., just try to enjoy your rotations and learn as much as you can patient! Student-Faculty refugee clinic, and patient care of all ages being replaced by midlevels I feel compelled fill! Some sort of guilt at the end of each shift ( there are unopposed FM programs that do a job... Not required during this rotation during work hour submission months prior to L & D and an. Residents whom I have several patients now who I delivered back in the emergency family medicine inpatient reddit! Represent the number of supervised procedures needed for credentialing both patient care advice and remain open to having mind., UCSF, UVA, UNC, Utah... these all seem to be used for or... Interested in shaping the future of primary care you can this service, or know what 's! Preventative Health maintenance educational site dedicated to those family medicine provides outstanding clinical and academic experiences students... Look even better than most reports impact every day in education, research and... Understand your dilemma often what I say with a grain of salt less so!

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