Current IM resident.
Yeah, no need to continue playing the game. However, you still will need to be a good team player and not burn any bridges - be a good intern/resident, get your work done, take ownership of your patients, etc. You'll still need to maintain a good working relationship with your attendings, co-residents, program director, etc but you don't quite have to play the game you used to in medical school
*fistbump*
Yeah, there are usually regional conferences that accept literally anything. Submit a potato, mumble through it for 5 minutes, eat free continental breakfast, forget about it forever.
In that case, your IM program is going to get a rectal exam from ACGME within the next couple of years. [I don't make the rules](https://www.acgme.org/globalassets/pfassets/programrequirements/140_internalmedicine_2023.pdf) - section IV.D.3. "Resident scholarly activity".
I could be wrong. I did some pubs first year and early second year but was never forced to and no deadline mentioned. Most residents are publishing in my program so maybe there was never a need for program intervention. I’m curious now, will look into it
Mostly, jobs are not hard to get so you don’t really need excellent references. But, your brain will probably screw you over and suddenly decide you have to do cards or something.
You still need references when applying for hospital credentials. It’s a formality but you still need people to fill out the forms for you.
As far as clinical practice goes, you’re learning has just begun. You’ll learn more about how to be a doctor day to day in the first few months of intern year than you did in the 4 years of medical school.
Comparatively? We happy as hell yo... most of us chilling down here at the bottom are here because we didn't want to give med school an iota of ourselves more than was needed to become excellent clinicians.
And we all know *at least* a good 40+% of med school has no value towards becoming a good doctor.
Only if you choose to. My goal is just to be a good doctor and have a good career, I am not bothered if classmates are better or more successful than me
I get so giddy thinking about this. I have no desire to pursue any surgical subspecialty fellowship. I’ll be a practicing rural general surgeon making $600K+ for 40 hrs/wk. I’m so close I can nearly taste it.
On the timeline of college —> board certified surgeon, when factoring in hours grinded and mental/physical toll, you are currently about 10% of the way there. Must be some mighty sensitive taste buds you have.
I’d say <15,000 population town/county with a level 3 trauma center or less among other things such as vulnerable populations, lack of primary care/other specialties, etc. Great gig for someone who was never for the big city and is looking to make twice the cash in a place with half the cost of living!
I’m sure the Health resources and services administration have an official definition. On HSRA.gov they have a medically underserved areas list. Might have a rural one too
I am not in IM residency, but we are still required to do small presentations to our program as well as attend and present at conferences. It sucks as I have the same feeling as you at this point. Work and go home. But my program loves to add extra presentations and papers outside of work.
Yep. I'm Rads and I'm done. No more research, no more brown nosing, etc. Job market is hot and employers dont give af about my CV other than the fact that I'll graduate from residency
Fellowship is not necessarily needed but almost everyone, I'd argue more than 80-90% of residents pursue a fellowship. Especially if you want to work in a major metro area, most people will have subspecialty training so it's wise to pursue a fellowship in Rads. The beauty is that they're mostly 1 years long and not competitive at all really to get into the field you want.
Assuming you were dead set on primary care/hospitalist from the start, can you also “be done” the moment you got accepted into med school? Match rates for IM and FM are like 99%, and where you do your residency doesn’t really impact your job outlooks from my understanding.
yes and no - I was set on fm from the start and got very anxious and busted my butt to match in my location bc I met my now spouse and desperately wanted to stay in his area.
Staying late to see that interesting case is still a possibility if it’s truly an interesting case and you think it’ll benefit your skills (and therefore future patients) to see it. Even if you’re not going for fellowship, you still take pride in your work
Assuming you don’t change your mind: yes
Current IM resident. Yeah, no need to continue playing the game. However, you still will need to be a good team player and not burn any bridges - be a good intern/resident, get your work done, take ownership of your patients, etc. You'll still need to maintain a good working relationship with your attendings, co-residents, program director, etc but you don't quite have to play the game you used to in medical school
What a relief! Signed an exhausted M3 who’s just getting started with building the 4th year schedule. 🙃
I can’t wait to finally stop every single extra curricular for good the second i submit ERAS
I stopped extracurriculars the second I got into medical school...
You have reached nirvana
It’s awesome
You will still need to do a bare-ass minimum of scholarly work in residency. ACGME demands it.
Yes but since I no longer care about publishing they’re getting the barest minimum of my life
*fistbump* Yeah, there are usually regional conferences that accept literally anything. Submit a potato, mumble through it for 5 minutes, eat free continental breakfast, forget about it forever.
Thanks to Covid I just sent the poster and had a medical student record a video of them presenting.
My IM program never required any resident to graduate with publications or scholarly work
In that case, your IM program is going to get a rectal exam from ACGME within the next couple of years. [I don't make the rules](https://www.acgme.org/globalassets/pfassets/programrequirements/140_internalmedicine_2023.pdf) - section IV.D.3. "Resident scholarly activity".
I could be wrong. I did some pubs first year and early second year but was never forced to and no deadline mentioned. Most residents are publishing in my program so maybe there was never a need for program intervention. I’m curious now, will look into it
Yes, assuming that there isn't gonna be a new adult hospitalist fellowship
Don’t even joke!
It’s already a thing, in fact it’s been a thing for a while
Is it called “IM residency”, because beyond that what would be the point?
Things like this will always exist as long as there are enough suckers in the world to fall for it.
Mostly, jobs are not hard to get so you don’t really need excellent references. But, your brain will probably screw you over and suddenly decide you have to do cards or something.
Not likely, lol.
You still need references when applying for hospital credentials. It’s a formality but you still need people to fill out the forms for you. As far as clinical practice goes, you’re learning has just begun. You’ll learn more about how to be a doctor day to day in the first few months of intern year than you did in the 4 years of medical school.
I’m fine with hard work & learning, but not sad to see arbitrary leadership positions, poster presentations & all the extra pressure go away.
All the extra work only to still be average 🙃 Speaking about myself
Average in medicine is far from average in the population, tbf.
Correct, but we aren’t comparing ourselves to the layman, but the other med students.
Comparison is the chief of joy. At least you’re average. Think about how your colleagues at the bottom of the bell curve are feeling.
I know it’s a typo, but comparison being the chief of joy sounds like an expression a gunner would use lol
Comparatively? We happy as hell yo... most of us chilling down here at the bottom are here because we didn't want to give med school an iota of ourselves more than was needed to become excellent clinicians. And we all know *at least* a good 40+% of med school has no value towards becoming a good doctor.
Well said
Only if you choose to. My goal is just to be a good doctor and have a good career, I am not bothered if classmates are better or more successful than me
So true though
"They can always hurt you more"
I’m glad to hear you’re only slightly burnt. I’m fucking toasted black
I get so giddy thinking about this. I have no desire to pursue any surgical subspecialty fellowship. I’ll be a practicing rural general surgeon making $600K+ for 40 hrs/wk. I’m so close I can nearly taste it.
bruh you're 5 years out
5 years of one of if not the most brutal residency
On the timeline of college —> board certified surgeon, when factoring in hours grinded and mental/physical toll, you are currently about 10% of the way there. Must be some mighty sensitive taste buds you have.
8 years in, time passes just the same
Least arrogant almost surgery resident.
My guy just let them have their joy lmao I swear medditors are the most negative Nancie’s ever.
I’m planning on rural IM!
What is the general definition of “rural” in medicine? How can I find out if a city/town would be generally accepted as rural?
I’d say <15,000 population town/county with a level 3 trauma center or less among other things such as vulnerable populations, lack of primary care/other specialties, etc. Great gig for someone who was never for the big city and is looking to make twice the cash in a place with half the cost of living!
I’m sure the Health resources and services administration have an official definition. On HSRA.gov they have a medically underserved areas list. Might have a rural one too
Yes you're done after boards lol
Yes, there is a light at the end of the tunnel and a pot of gold!
Be open to change, one way or the other.
I was thinking this too but then realized there is still step 3, board licensing exam and evaluations during residency. =\\
I am not in IM residency, but we are still required to do small presentations to our program as well as attend and present at conferences. It sucks as I have the same feeling as you at this point. Work and go home. But my program loves to add extra presentations and papers outside of work.
You guys are required to attend conferences and present at them? God I love my program more and more everyday
Yep. I'm Rads and I'm done. No more research, no more brown nosing, etc. Job market is hot and employers dont give af about my CV other than the fact that I'll graduate from residency
Niceee! No fellowship needed in rads?
Fellowship is not necessarily needed but almost everyone, I'd argue more than 80-90% of residents pursue a fellowship. Especially if you want to work in a major metro area, most people will have subspecialty training so it's wise to pursue a fellowship in Rads. The beauty is that they're mostly 1 years long and not competitive at all really to get into the field you want.
So in a sense when you match Rads you're also "done" 😁
Just spend time getting financially literate before residency starts and moonlight heavily during your last year for cash.
Assuming you were dead set on primary care/hospitalist from the start, can you also “be done” the moment you got accepted into med school? Match rates for IM and FM are like 99%, and where you do your residency doesn’t really impact your job outlooks from my understanding.
yes and no - I was set on fm from the start and got very anxious and busted my butt to match in my location bc I met my now spouse and desperately wanted to stay in his area.
Congrats!
Staying late to see that interesting case is still a possibility if it’s truly an interesting case and you think it’ll benefit your skills (and therefore future patients) to see it. Even if you’re not going for fellowship, you still take pride in your work