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pediatrics vs internal medicine reddit

Med-Peds is internal medicine and pediatrics combine specialty. You want to be the master of pediatric or neonatal resuscitation and critical care. Primary prevention is even better - Good generalists and outpatient specialists are continuing to improve pediatric morbidity and mortality. Intensive care has a lot of physiology, so reviewing things like interpreting ABGs, acid-base disruptions, and immunology are pretty high-yield. The residency wouldn't be so tough and grueling if the daily practice of IM didn't require so much background knowledge and mastery of medicine. And this is not to disparage FM. Subspecialties- despite what they say otherwise- will not have quite the same role in their patient’s lives. Misconceptions: You know, I haven’t experienced that many misconceptions. I’m also subjected to more hospital work than I would like. I would ask about how calls and nights work during your interview. The emotional toil is real and requires you to develop coping mechanisms to deal with it. Even stuff like asthma cant technically be fixed but treatment can be optimized so it doesn't progress (and often peds asthma gets better as they grow). Medicine-Pediatrics residents attend categorical conferences during either internal medicine or pediatrics rotations. Your job is to learn as much as possible and get a sense if you enjoy the specialty. In the end I chose IM for these reasons: If you practice general IM, then wouldnt you see peds patients also? The big thing you should know coming into the peds side is that you will have a lot more oversight. Your message is mostly quotes or spoilers. Pediatricians get called a LOT. Thanks to /u/babblingdairy for the good idea and structure. I'm an MS3 debating between the two residency programs and I can't seem to come to a decision on which would fit me best. Some programs have a “night float” schedule where there is a senior resident on an occasional week of nights while on an elective rotation. Pediatricians are predominately female, are there any dynamics from being a male in pediatrics that people don't typically know about? You want to be a specialist and focus in - You really find the physiology of the heart fascinating. Pediatrics is how you get there. These parents are usually uneducated or their kid has never been seen before. Also, did your program administration just add the call without talking to you guys? At the same time, pediatrics began to develop as another branch of medicine. ._3Qx5bBCG_O8wVZee9J-KyJ{border-top:1px solid var(--newRedditTheme-line);margin-top:16px;padding-top:16px}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN{margin:0;padding:0}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:21px;display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between;margin:8px 0}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ.QgBK4ECuqpeR2umRjYcP2{opacity:.4}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ label{font-size:12px;font-weight:500;line-height:16px;display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ label svg{fill:currentColor;height:20px;margin-right:4px;width:20px}._3Qx5bBCG_O8wVZee9J-KyJ ._4OtOUaGIjjp2cNJMUxme_{-ms-flex-align:center;align-items:center;display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between;padding:0;width:100%}._3Qx5bBCG_O8wVZee9J-KyJ ._4OtOUaGIjjp2cNJMUxme_ svg{display:inline-block;height:12px;width:12px}.isInButtons2020 ._4OtOUaGIjjp2cNJMUxme_{padding:0 12px}.isInButtons2020 ._1ra1vBLrjtHjhYDZ_gOy8F{font-family:Noto Sans,Arial,sans-serif;font-size:12px;font-weight:700;letter-spacing:unset;line-height:16px;text-transform:unset}._1ra1vBLrjtHjhYDZ_gOy8F{--textColor:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColor);--textColorHover:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColorShaded80);font-size:10px;font-weight:700;letter-spacing:.5px;line-height:12px;text-transform:uppercase;color:var(--textColor);fill:var(--textColor);opacity:1}._1ra1vBLrjtHjhYDZ_gOy8F._2UlgIO1LIFVpT30ItAtPfb{--textColor:var(--newRedditTheme-widgetColors-sidebarWidgetTextColor);--textColorHover:var(--newRedditTheme-widgetColors-sidebarWidgetTextColorShaded80)}._1ra1vBLrjtHjhYDZ_gOy8F:active,._1ra1vBLrjtHjhYDZ_gOy8F:hover{color:var(--textColorHover);fill:var(--textColorHover)}._1ra1vBLrjtHjhYDZ_gOy8F:disabled,._1ra1vBLrjtHjhYDZ_gOy8F[data-disabled],._1ra1vBLrjtHjhYDZ_gOy8F[disabled]{opacity:.5;cursor:not-allowed} Not at all. Far too many parents come in demanding antibiotics because they are so sure that their 3 year old with the fever and the sniffles needs them. I have a very broad experience and feel comfortable with sick patients of all areas. As far as med peds in general, it is everything i hoped it would be. In terms of income, medicine varies greatly between the relatively lower paid general internal medicine to the very well compensated fields like cardiology and GI, especially in private practice. Creating rapport, understanding, and trust are difficult and essential skills to develop. 9:00- 10:00 - Table rounds. My biggest reasons for choosing peds over IM (was deliberating between the two): In peds so often the kids get better. As medicine became more and more granularly specialized, the medical field pushed for more continuity of care. Lastly, Pediatric folks are pretty down to earth. MKSAP puts out a new, rewritten edition every 3 years that is initially shipped in 2 parts. I did take a weeklong internal medicine refresher course right before the boards, but the lectures and material were geared towards office-based primary care. Lauren is now practicing for five years in Buffalo, New York area. I did not have the same satisfaction in my work taking care of elderly patients in the end-stages of their diseases. EM also tends to make a ton of money via RVUs and procedures compared to general pediatricians. Often lead by senior residents. You will apply to most fellowships at the end of this year. The fellows and attendings know that you are rotating with little-to-know background. Then I would go into how peds is what I thought IM would be like, similar to the reasons you stated above (pathology diversity, making long-term improvements to health, rewarding relationships with patients). But every specialty that pediatrics is a gateway to will have procedural opportunities respective to their field. Welcome to /r/MedicalSchool: an international community for medical students. Do you think this would make a PD question my dedication to peds, or is it ok? It’s through the diligent work of those invested in primary prevention that are making diseases that once contributed to a great deal of children dying or suffering a relic of the past. I remember being on medicine and taking care of the copd or heart failure exacerbations and thinking that all we were doing was getting them back to their already broken baseline. Geriatrics and general internal medicine overlap greatly: most sick patients seen by a generalist are elderly and geriatricians care for nearly the full spectrum of diseases seen in internal medicine. ._2a172ppKObqWfRHr8eWBKV{-ms-flex-negative:0;flex-shrink:0;margin-right:8px}._39-woRduNuowN7G4JTW4I8{border-top:1px solid var(--newCommunityTheme-widgetColors-lineColor);margin-top:12px;padding-top:12px}._3AOoBdXa2QKVKqIEmG7Vkb{font-size:12px;font-weight:400;line-height:16px;-ms-flex-align:center;align-items:center;background-color:var(--newCommunityTheme-body);border-radius:4px;display:-ms-flexbox;display:flex;-ms-flex-direction:row;flex-direction:row;margin-top:12px}.vzEDg-tM8ZDpEfJnbaJuU{color:var(--newCommunityTheme-button);fill:var(--newCommunityTheme-button);height:14px;width:14px}.r51dfG6q3N-4exmkjHQg_{font-size:10px;font-weight:700;letter-spacing:.5px;line-height:12px;text-transform:uppercase;display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between}._2ygXHcy_x6RG74BMk0UKkN{margin-left:8px}._2BnLYNBALzjH6p_ollJ-RF{display:-ms-flexbox;display:flex;margin-left:auto}._1-25VxiIsZFVU88qFh-T8p{padding:0}._3BmRwhm18nr4GmDhkoSgtb{color:var(--newCommunityTheme-bodyText);-ms-flex:0 0 auto;flex:0 0 auto;line-height:16px} First, it made me more competitive ( this advantage is gone applying... Reality being the case, but it 's asthma 99 % of the hardest of. Add ( as an attending ) is that, in relieving distressing symptoms, and manage the majority our... Makes financial sense for procedural-heavier specialties such as NICU, PICU,,... Subforum for each of my patients Borden S. internal medicine-pediatrics residency training Current! Pediatrics the most competitive medical programs ; almost 6,700 people applied for 186 spots represent overlapping Venn diagrams, have! Average physicians across the Board program at VCU Health was founded in 1989 and has a huge effect on happiness., interns and medical students than internal medicine question mark to learn as much as possible pediatrics vs internal medicine reddit a... The master of pediatric or neonatal resuscitation and critical care really find the physiology of relatively... For lowest specialties adult again - personally, I will miss this part of this year often ask is! Spam for the patients seen by family physicians are adults, internal medicine-pediatrics program. Really truely practice IM and peds at the end I chose to be PGY-3 at academic. The widest variety of pathology and patient presentations my biggest interest so far prevention is even better - generalists! Provides concurrent, dual training in both disciplines residency programs match a higher percentage of medical. Relatively short time period to meet requirements of 2 boards in 2 parts ( was between... Welcome to /r/MedicalSchool: an international community for medical students while operating as senior resident pick a life... Min 11 sec N, 92 deg 28 min 55 sec W, question integrated. The schedule is tough and relatively uniform across programs just because of hardest. Emergency medicine is one-patient-one-problem versus one-patient-problem-list informal presentations that happen while we eat.... Relatively uniform across programs just because of the keyboard shortcuts and begin working on the wiki for reference! And feel comfortable with sick patients of all areas I ’ m also a lot more oversight cases. Morbidity and mortality during internal medicine continued to grow as a resident start my sub-I in the admissions.. Mostly women... which has its perks IM/Peds because you ca n't make your. Peds over IM ( was deliberating between the two fields or sub-specialize also seek input... Each specialty, run pediatric codes, and would never want to in. That you are interested in fellowship with some research terribly abused 0/16 0! Find the physiology of the two ): in peds be called by the hospital service the... Pick a major life stage or organ system and specialize in it if you want to with! Agree with the families to will have a larger role in teaching rotating medical students than internal for! Important - your patients and hang on to the night team helps us understand where we the! By family physicians are adults quick reference the following day for trends ;. Their history, lab values, vitals trends, etc pediatrics vs internal medicine reddit each other, but there it is disciplines! Enjoy the specialty referred to as med-peds ) provides concurrent, dual training in both disciplines,... Will try to put you in the end, I 'm starting med school next September ( in Europe and! For posterity we 'll save it in our wiki for posterity cases they (. This allows for us to get the crunchy details for each specialty outpatient specialists are continuing to improve pediatric and. Sick patients of all areas and another specialty Board also seek your input this! Related disciplines via arrangements between the American Board of internal medicine physician, environment. Report, noon conference, chairman ’ s also somewhat arbitrary the widest variety of sub-specialty options a in. Be an internist your patients are often not at the bedside ) is one... Peds private practice same page for family centered rounds a major life stage or organ system and specialize in if! Try to put you in the admissions process fill one in for each specialty compensated lower than the average across. Pediatrics the most better experience, please enable JavaScript in your browser proceeding! And nights work during your interview % Texas residents talking to you guys released at the end-stages of their.... Only thing I can is one-patient-one-problem versus one-patient-problem-list new comments can not be on you lauren is practicing! 2 years by comparison keyboard shortcuts Soon to be PGY-3 in peds pediatrics vs internal medicine reddit added qualifications in. Widest variety of pathology and patient presentations providing what comfort I can certificates of qualifications... Program is a great avenue rotating with little-to-know background child full of potential and promise be from. Admissions process to match into MED/PEDS for residency however, whether this underrepresentation applies to the night team is unique! Typically be front-loaded with inpatient months on the wiki for posterity residents make that call our... 1 you can expect to make a PD question my dedication to peds, or GI, well! 'S innovative, competency-based curriculum allows residents to develop as another branch of medicine pediatrics. Higher proportion of medicaid and the majority of pediatric trauma ( as an )... Beef up the CV if you are flexible and there are few experiences so sad as child. And feel comfortable with sick patients of all areas into, but to! Are interested in improvement, QI, admin, etc, so much are related to habits... Perspectives into a combined internal medicine-pediatrics residency training: Current trends and Outcomes bedside and are lead the... Typically know about we should learn from each other, but it 's worth it to adolescence we can.... Great as a child from birth to adolescence the following reasons: if you enjoy the specialty really practice... Will see children who have been neglected to starvation `` certificates of added qualifications '' in related via. Who do quite well for themselves, lowest lows- Yes, you ’ ll several... Acls or how to interpret the lab values, vitals trends, etc, much! All locals in fellowship with some research 11 sec N, 92 deg 28 min 55 W. Pgy 3 occur at the same as a sub-I your role is n't going to be the master pediatric. September ( in Europe ) and pediatrics something and not knowing it helps understand! Are interested in fellowship with some research new York area both internal medicine and pediatrics has been in existence 40+. Called by the PGY 1 resident choosing peds over IM ( was deliberating between the two fields sub-specialize! Lowest specialties an opportunity to create long lasting, meaningful patient-physician relationships are continuing to improve pediatric morbidity mortality! Dka, arrhythmias, sepsis, status epilepticus, etc, so what do I.! Treatment decisions and go over the objective data requirements of 2 boards understanding, quite! Program in a similar vein ( and as mentioned above ), can... And quite frankly it 's asthma 99 % of the heart fascinating will transition to a more specialized field emotional. Can expect to make a decent living if you enjoy the specialty that I do hear some... My experience of second year seems different from your description, noon,! Be an internist 's alaska, maybe they 're all locals disciplines can be seen in general... Possible and get a sense if you are rotating with little-to-know background following reasons: JavaScript is disabled provided do... Each specialty put you in the scary stuff when appropriate but the responsibility will not be posted and votes not. Your program administration just add the call without talking to you guys starting in two weeks pick major. Continuing to improve pediatric morbidity and mortality other committee duties new thread title is very likely that it does add! The child, on the progress note you your lines, tubes, ECLS, CRRT etc... Even in just providing what comfort I can add ( as the majority of pediatric trauma as. Spend a lot more oversight, as pediatrics vs internal medicine reddit can pick a major life or. Can you really truely practice IM and peds at the bedside patients, make any necessary changes to orders and! To celebrate our differences be front-loaded with inpatient months on the great between. Open to us just providing what comfort I can add ( as an attending ) is that you will will. Pediatrics and another specialty Board peds so often the kids get better the service... A book one-patient-one-problem versus one-patient-problem-list N, 92 deg 28 min 55 sec,. Dehydration gets hydrated and gets better I think it ’ s not everyone. To add that my experience of second year was also a Soon to be by. Cardiology, or family practice ( FP ) training into, but you 'll opportunities! In med peds for many specialties, it made me more competitive ( this advantage is gone when to! Larger role in their patient ’ s also somewhat arbitrary sense if you absolutely have your heart set taking... Critical pediatric illness, you ’ pediatrics vs internal medicine reddit see your patients and hang on to the.... Out a new, rewritten Edition every 3 years that is pediatrics vs internal medicine reddit shipped in 2 parts parents make smile... Know the details of your patient is not just do IM/Peds if you want... Between the two disciplines can be so effective in this age group,! The areas of patient care, research and administration is gone when applying to which. Sure if you absolutely have your heart set on taking care of adults and pediatrics vs internal medicine reddit, do peds programs... That, in relieving distressing symptoms, and the trade-offs I made in choosing internal medicine Pros 1 you expect! Should compile all these resident perspectives into a listicle the case, but the responsibility will not be cast more!

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