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. No guilt. 10/18/18. If you’re not interested in doing IM or not curious about seeing the subspecialties then I would absolutely do the FM inpatient. An educational site dedicated to those family medicine physicians, residents and students who enjoy challenge of inpatient medicine with a family medicine twist. More posts from the medicalschool community. 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.. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. 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. May refer patients to specialists when needed for further diagnosis or treatment. Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. I appreciate the picture you painted, though, and what you describe is often what I daydream about. Chillness of residents and attendings? Press J to jump to the feed. 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. Hours: 8:00am-5:00pm Mon-Thurs 8:00am-4:00pm Friday Let me know if you have any specific questions or help with anything. 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. Drs. Residents participate in daily teaching rounds, as well as regular didactic sessions on critical care issues. Currently, I'm excited by comprehensive family medicine practice in an underserved, rural population. Residents and students enjoy a dynamic team approach to care on the Family Medicine Inpatient Service. Did it become blatantly clear what you wanted in your third and fourth years? 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. I think you'll find something that really resonates with you and my only advice is to be open to it. Outpatient family doc here. We are proud to offer thorough, accessible and complete medical care for acute illnesses, chronic diseases and preventative health maintenance. Anecdotally, for graduating family medicine residents whom I have trained, the job offers look even better than most reports. I have several patients now who I delivered back in the 1990's! Fantastic! You really can have the best of both worlds if you find the right program. The only time they didn’t take them was if the patient needed specialty care ie. 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; WORLD GOLF VILLAGE: 315 W. Town Place Unit 1 St. Augustine, FL 32092 904-826-3469 . I ended up changing my mind about what specialty I was going to go in to with each rotation. 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. We don't have an IM residency, so all our inpatient rotations are on the inpatient FM service. No wonder we're steadily being replaced by midlevels. Non-rural? Our practitioners and participate in continuing education to keep abreast of the latest advances in medicine. So, good luck to you. For the first time in about 20 years, Duke family medicine residents have an inpatient presence at a Duke Health hospital. 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!) The numbers listed after the procedure represent the number of supervised procedures needed for credentialing. Residents participate in 16 twelve-hour shifts for a total of 196 hours. Participation in the Family Medicine call pool is NOT required during this rotation. 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. Obviously a lot is program dependent but just wondering if anyone has any general insight. I now teach Family Medicine residents at the same program where I did my residency. 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. Press question mark to learn the rest of the keyboard shortcuts. But when your child becomes an adult, they can continue seeing the same doctor. Central Oregon Family Medicine, P.C. I’m not sure what your service is like, but my experience was similar to IM. Take advantage of the online services offered by our practice with the assurance that all of your information is encrypted and stored securely. The Family Medicine resident is a full member of the team, with involvement in both patient care responsibilities and teaching activities. UB Family Medicine of Amherst. 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. Inpatient Services Section Led by faculty that enjoy inpatient medicine, our department runs one of the largest family medicine inpatient services in the nation. Residents care for patients with a broad range of medical problems and are supervised exclusively by Department of Family Medicine faculty. You really can have the best of both worlds if you find the right program. This modern, well-established practice serves as the family medicine center for … You don’t have to choose one! PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Each of our Family Medicine Practices at Washington Health System provide high-quality, family-oriented primary care for patients of all ages. HealthAlliance Hospital is a medium-sized community hospital that hosts our family medicine residency as its only teaching service. I started out wanting OB/GYN, it was my reason for going to med school in the first place. I've looked at U Washington, Ventura, UCSF, UVA, UNC, Utah...these all seem to be competitive. I felt that I still got a good experience although probably slightly less than IM. Read more about us. Medscape 2018 reports family medicine average salary to be $219,000 nationwide—a very big change over just around five years. This program is a one year appointment as a clinical lecturer in the Department of Family Medicine. 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. 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 would hate to go right from residency to outpatient primary care. One of my partners just delivered a baby, the mom being one of his first deliveries back in 1995! 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. And personally for me, I love building relationships with my patients. Cookies help us deliver our Services. Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. I’ve only done 1 week of inpatient FM so take what I say with a grain of salt. 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!) This is not always the case, and certainly isn’t for me. I understand that the Web View portal is NOT to be used for urgent or emergency situations. The emergency medicine rotation is a four-week block rotation in the emergency room. One half day per week will be spent in the family medicine center. Diagnose, treat, and provide preventive care to individuals and families across the lifespan. Mory and McGeary began seeing patients in an old Victorian home on Market Street in Warren, but quickly out grew that facility. 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). We serve a diverse patient population and are committed to caring for the underserved. Internal Medicine - Inpatient is a full time rotation. Family Medicine Inpatient: 2 blocks; Behavioral Science: 1 block; Emergency Medicine: 1 block. The complexity, the technology, the more acute cases and procedures seem desirable. cardiology or ICU. I would only give you the advice of being open. 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. For contrast, I did med school at a tertiary academic place. 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 using our Services or clicking I agree, you agree to our use of cookies. Welcome to /r/MedicalSchool: An international community for medical students. I will definitely head your advice and remain open to having my mind changed. Thanks for your insight. In my experience, FM attendings and residents are a little more chill than IM, but that could be program dependent. I loved it. These opportunities are primarily located at each of the three residency training sites (UPMC St. Margaret; UPMC McKeesport; and UPMC Shadyside). Work hour form submission is required at the completion of this rotation during work hour submission months. 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. “I was shocked at the offers I received,” recalls Samantha. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. OHSU Family Medicine provides outstanding clinical and academic experiences for students and residents interested in shaping the future of primary care. And good luck this year! Hours, weekends? 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. 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. Contact us at 518-213-2032 or visit us at 6 Medical Park Dr, Suite 208, Ballston Spa, NY 12020: Saratoga Family Medicine 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 . Outpatient is way harder if you have a complex patient population! I loved the patients, and I also loved the attendings. 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. Latest headlines. Welcome to our online patient portal. Night Float and 24 Hour Calls 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. While I'm at a different stage of my career, I understand your dilemma. Cookies help us deliver our Services. But I did my family rotation prior to L&D and had an existential crisis. Does anyone have any experience rotating on this service, or know what it's like? By using our Services or clicking I agree, you agree to our use of cookies. Seems unlikely from what I've gathered. Press question mark to learn the rest of the keyboard shortcuts. Patient population/volume? Family Medicine Acting Internships The Department offers a wide variety of acting internships for fourth year medical students. On average, family physicians say they spend about 10% of their time treating children, according to a 2014 study. FM inpatient carries less patients so that translates to less work for you. You have plenty of time to declare, just try to enjoy your rotations and learn as much as you can! 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.