Why Reddit Hates Internal Medicine

This is why r/residency isn't particularly fond of internal medicine as a specialty - but are they right or wrong? Let's go over some of the reasons together in this video!

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[jdohma]

Regarding the “IM just consults everyone” argument: One of the best pieces of advice I got in my residency was “you have to protect your patients from your consultants”. Specialists are necessary. If you are in an academic institution then chances are many of your patients are there because they are too complex and need specialized care not possible at community hospitals. That said, specialists are often myopic. You should NOT blindly follow their recommendations. It is not infrequent one specialist will recommend something that is contraindicated due to another aspect of the patient that the consultant isn’t actively managing. So, it becomes your job to think about the entire picture and advocate for your patient.

[Soriyou]

18:20 I considered rads heavily but ultimately decided it was not for me. All the cons that the post mentioned were negative aspects of rads residency that did not work well with my circumstance. Bad locations (worse when you are older than typical medical graduates), 6-7 years of residency, and most importantly, the type of work rads perform was just not my type. I needed some patient interaction to get me going throughout the day. I also HATED the dark room and thought it was quite depressing. Medicine is not all about money. People need to understand that each specialty has ups and downs. IM is a great specialty because it is the backbone of medicine with lots of flexibility. Be proud of whatever field you choose and try not to compare yourself to what others are doing. I realize that is easier said than done, but at least give a good attempt. At the end of the day, you are never going to be truly satisfied with your career if you continuously compare yourself with others.

[OmarAbdulMalikDHEdMPASPACPAPro]

Greetings from Washington, DC! What wonderful insight! I enjoyed listening to this. I just subscribed! 🙂👋🏽👨🏽‍⚕️

[josechacon]

DPC= Direct Primary Care. Basically, a type of Primary Care ( although other specialties have considered, including surgical) that take cash only( although there are many ways to set up payment approaches and even payment deals) and dont't depend on insurance for reimbursement. They do take insurance if they want to but majority of the time they won't. The best thing is that you are more control and spend as much time you want with your patients( instead 10-15 minutes per patient it can be 30 minutes or even 1 hour or even more). I have meet some of these DPC and you can see how more enjoyable and excited they are. As a med student myself, with interested in DPC, only a handful of med students and residents knew this type of practice and many won't know about it until later on when they are practicing. There is an organization that support this style and having doctors to have more control they are called American Association of Physican and Surgeons (AAPS) and I highly recommeded to check it out.

[blindsurgeonc]

Nice video.. curious - are you still a resident or hospitalist or outpatient

[marushla]

New jacket for the new year? 😄 I thought you had a signature blue one!

[detailed]

can you also make a video on different years of residency and what you learn during them

[detailed]

can you make a video on hospitalist medicine?

[Soriyou]

6:04 treating the patient rather treating than EMR. This is so hilarious yet painful to hear.

[fly]

I have read all these posts on my own independently and had the exact same thought processes for almost all of them lol

[monsieurok]

There is some disrespect but I feel like people get humble when someone has hypertension or diabetes. Or sometimes when a procedure goes wrong.