Internal Medicine vs Family Medicine

Not sure whether you should specialize in Internal medicine or Family medicine? This video will help you make the decision. I will discuss the differences between the two fields and tell you about the pros and cons of each specialty.

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00:00 Introduction
01:09 Patient’s Age Range
01:44 Worksite
02:40 Roles
04:29 Opportunities
05:58 Procedures
06:51 Admin Roles
08:02 Hours
09:22 Salary
10:56 Job Outlook
11:37 Happiness

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WHO AM I:
I’m Lakshya (pronounced Luck-sh) and I’m an internal medicine physician. I love making videos about medical school, study tips, productivity, motivation, and making your life a bit easier through my failures and lessons.

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Disclosure: Some of the links in this description are affiliate links that I may get a kickback from 😜

Until next time my friends...😀

#medicalschool #doctor #themdjourney

[WeirDoctor]

In the opportunities section, you forgot to mention hospitalist for family medicine, which statistically is among the most popular career choices for family medicine physicians.

[AaronTrillo]

This was a great breakdown! I am a soon to be a Family Med Resident interested in underserved populations, rural health, maternal child health care, and hospitalist care! Match in a little over a month!

[ek]

As a med student who is torn between these two, I am very thankful you made this.

[epistleofdude]

Generally speaking (which of course allows for exceptions), here's how I'd put it:

FM

Pros and/or Cons (depending on person)
* Generalist, not specialist
* More outpatient than inpatient focus
* More peds/ob/gyn/msk/derm training than IM
* Outpatient procedures (e.g. abscess drainage, lacerations, cysts, stitches, joint injections, punch biopsies, Paps/IUDs)

Pros:
* Relatively easy to move internationally
* Residency tends to be more chill at least on outpatient
* FM culture tends to be warmer and friendlier than IM in general
* No need to recertify

Cons:
* Fellowships not as radically different career paths like in IM (e.g. sports)

IM

Pros and/or Cons (dependent on person)
* More inpatient than outpatient focus
* Specialist, not generalist, i.e., specialist in adult medicine or the possibility to become a subspecialist (e.g. cardiologist, oncologist)
* No OB/peds
* Limited MSK/derm training compared to FM
* Limited outpatient procedures and sometimes even limited inpatient procedures at many places (though not everywhere) with most residents only required to do a handful of inpatient procedures
* Culture is more eggheady (e.g. long rounds, grand rounds, research projects)

Pros:
* Fellowships (e.g. hem/onc, pulm/ccm, cards, GI)

Cons:
* Harder to move internationally
* Residency is usually more intense since lots of inpatient
* Need to recertify boards every 10 years

[amardave]

Good video but could've been better if you collaborated with a family medicine doctor. Also, you didn't include that a family medicine doctor can specialize in sleep medicine and hospice and palliative medicine as well.

[nevertheless]

Thank you for this! I’m trying to decide between the two and this is helpful. Good luck on your fellowship!

[araelemarinv]

Thanks for the video, I have been a big fan of your content throughout my medical school journey, can't believe I'm finally at the end stage and fiddling with my rank order list now.

I'm having a difficult time with my ROL here in Canada choosing between FM vs IM.
As of now... I am interested in doing hospitalist work, and not so much of a particular sub-speciality.
Fortunately I received some invitations to strong IM programs here, but something I never considered until now was what my work life balance would be like.
From the IM programs, such as Toronto (Big city with all hospitals at the core of downtown - I have two young kids and living in downtown with them would be near impossible to meet their needs)
So, I am considering going the FM route (Options to rank less big cities, not live in downtown, etc) with electives tailored towards hospitalist but I worry that I will not be well prepared especially with knowledge and procedural skills in my career. I have hopes to practice in a more community hospital setting.

[MadAboutMedicine]

Excellent breakdown! Thank you for this ✅

[zainmohammad]

Do you have a link for the "salary by region" tool at the 10:00 mark?

[crammyhandleman]

The NP creep on FM is very real. In Canada, one of our provinces is proposing a 300k pay model with no overhead for NPs. FM is a dying specialty imo. In clerkship rn, and I've peaced out of my FM aspirations which sucks because it's such a liberating specialty that allows you to see patients from cradle to grave and gives you the privilege of being their for your patients in the most critical moments of their lives. Medical or otherwise. My FM rotation was incredible, I'd wake up every day genuinely excited to hit the clinic. But now I gotta say, considering everything, no respect from your colleagues in other specialties, often no respect from your patients, and now no respect from your own government.

[gzxszsh]

great video!!
super super super helpful

[AmericanFUBAR]

The biggest difference is 6 more months of inpatient training in IM and FM see peds and OB. There u go.

[lonewolf-nfub]

Hey can you make a video comparing internal medicine and emergency medicine as the way as this video !

[Zeerr]

What name of website to see average compensation with home prices on map

[vasylpryshliak]

Very nice put video. What website did you use to look up salaries for different specialties?

[yyaazz]

family medicine more free time and a good pay, 3 years residency and a piece of cake life !

[peteromoifo]

Please can you tell me about clinical Pharmacologist and therapeutics

[usmleislife]

Hey can u make video on pathology. ? Like this IM and FM. …

[nourabdelnour]

Can someone apply for a family medicine residency, then after completing it, apply for a plastic surgery residency?

[Krishna-vwhe]

Time hrs is it during residency or after getting job in that respective fields of specialisation?