We don't have an IM residency, so all our inpatient rotations are on the inpatient FM service. Mory and McGeary began seeing patients in an old Victorian home on Market Street in Warren, but quickly out grew that facility. The Family Medicine resident is a full member of the team, with involvement in both patient care responsibilities and teaching activities. While I'm at a different stage of my career, I understand your dilemma. Let me know if you have any specific questions or help with anything. I love the variety and it felt like home on my rotations. 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; Thanks for your insight. No wonder we're steadily being replaced by midlevels. Internal Medicine - Inpatient is a full time rotation. I appreciate the picture you painted, though, and what you describe is often what I daydream about. The numbers listed after the procedure represent the number of supervised procedures needed for credentialing. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? Let me tell you something though - there is a perception that inpatient is more complex, as you mentioned. So, good luck to you. 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!) Press question mark to learn the rest of the keyboard shortcuts. The way it worked for my inpatient FM Sub-I is that the FM hospital service functions the same as IM, but only takes their own patients that they have established in their outpatient clinic. Family medicine because it was broad, all-inclusive, and promoted an ethos of family- and community-centered care that aligned with my ideological predispositions. Evaluation of Rotation Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. 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. Edit: the hours were typically the same as IM at 7-7, but I was let go early if our census was low and my patients that I was following were stable for the day. 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. 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. Night Float and 24 Hour Calls The only time they didn’t take them was if the patient needed specialty care ie. Work hour form submission is required at the completion of this rotation during work hour submission months. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. Diagnose, treat, and provide preventive care to individuals and families across the lifespan. By using our Services or clicking I agree, you agree to our use of cookies. Hours, weekends? I loved the patients, and I also loved the attendings. You really can have the best of both worlds if you find the right program. 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.. An educational site dedicated to those family medicine physicians, residents and students who enjoy challenge of inpatient medicine with a family medicine twist. 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. Participation in the Family Medicine call pool is NOT required during this rotation. Read more about us. 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. Medscape 2018 reports family medicine average salary to be $219,000 nationwide—a very big change over just around five years. I’m not sure what your service is like, but my experience was similar to IM. Our practitioners and participate in continuing education to keep abreast of the latest advances in medicine. Inpatient Service. You don’t have to choose one! I will definitely head your advice and remain open to having my mind changed. It was like everything kind of clicked. HealthAlliance Hospital is a medium-sized community hospital that hosts our family medicine residency as its only teaching service. 10/18/18. I think you'll find something that really resonates with you and my only advice is to be open to it. I would hate to go right from residency to outpatient primary care. We serve a diverse patient population and are committed to caring for the underserved. This program is a one year appointment as a clinical lecturer in the Department of Family Medicine. Abscess I&D, 3 Anoscopy, 10 AROM (Artificial Rupture of Membranes), 3 Bartholin Cy… 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. The emergency medicine rotation is a four-week block rotation in the emergency room. Family Medicine Inpatient: 2 blocks; Behavioral Science: 1 block; Emergency Medicine: 1 block. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. Press J to jump to the feed. Did any of you feel some sort of guilt at the thought of choosing a career outside of primary care? Trusted Family Medicine serving Ballston Spa, NY. I loved it. You really can have the best of both worlds if you find the right program. Non-rural? 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. Does anyone have any experience rotating on this service, or know what it's like? We are proud to offer thorough, accessible and complete medical care for acute illnesses, chronic diseases and preventative health maintenance. For the first time in about 20 years, Duke family medicine residents have an inpatient presence at a Duke Health hospital. Family Medicine was founded in 1985 by two Christian friends who had a dream of operating a Christian Family Practice group in a small town, ideal for raising a family. More posts from the medicalschool community. FM inpatient carries less patients so that translates to less work for you. Residents and students enjoy a dynamic team approach to care on the Family Medicine Inpatient Service. 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. “I was shocked at the offers I received,” recalls Samantha. I ended up changing my mind about what specialty I was going to go in to with each rotation. I have quite a few older (50's) inpatient docs I'm working with that just can't keep up anymore and want to make the jump into outpatient medicine but those options are … My background is in public health and I feel compelled to fill the need in primary care. I would only give you the advice of being open. Residents participate in 16 twelve-hour shifts for a total of 196 hours. Outpatient is way harder if you have a complex patient population! Cookies help us deliver our Services. Central Oregon Family Medicine, P.C. I felt that I still got a good experience although probably slightly less than IM. Drs. I understand that the Web View portal is NOT to be used for urgent or emergency situations. If you’re not interested in doing IM or not curious about seeing the subspecialties then I would absolutely do the FM inpatient. The complexity, the technology, the more acute cases and procedures seem desirable. Residents participate in daily teaching rounds, as well as regular didactic sessions on critical care issues. Hours: 8:00am-5:00pm Mon-Thurs 8:00am-4:00pm Friday 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. But I did my family rotation prior to L&D and had an existential crisis. No guilt. 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. Anecdotally, for graduating family medicine residents whom I have trained, the job offers look even better than most reports. Obviously a lot is program dependent but just wondering if anyone has any general insight. I started out wanting OB/GYN, it was my reason for going to med school in the first place. 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. 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. Welcome to our online patient portal. Contact us at 518-213-2032 or visit us at 6 Medical Park Dr, Suite 208, Ballston Spa, NY 12020: Saratoga Family Medicine Fantastic! One half day per week will be spent in the family medicine center. Residents care for patients with a broad range of medical problems and are supervised exclusively by Department of Family Medicine faculty. “Internal medicine focuses exclusively on adult medicine, while family medicine typically sees all the members of a family — children as well as adults,” explains Dr. Linda Girgis, FAAFP, who is an alum of St. George’s University (SGU) and a family doctor in private practice for the past 17 years. Take advantage of the online services offered by our practice with the assurance that all of your information is encrypted and stored securely. Family medicine makes an impact every day in education, research, and patient care. May refer patients to specialists when needed for further diagnosis or treatment. This is not always the case, and certainly isn’t for me. I have several patients now who I delivered back in the 1990's! Seems unlikely from what I've gathered. Press question mark to learn the rest of the keyboard shortcuts. It is designed to provide clinical, academic and administrative education for recent graduates of the University of Michigan Family Medicine Residency who are interested in careers in Academic Family Medicine. WORLD GOLF VILLAGE: 315 W. Town Place Unit 1 St. Augustine, FL 32092 904-826-3469 . 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 . cardiology or ICU. This modern, well-established practice serves as the family medicine center for … Inpatient Services Section Led by faculty that enjoy inpatient medicine, our department runs one of the largest family medicine inpatient services in the nation. Did it become blatantly clear what you wanted in your third and fourth years? And personally for me, I love building relationships with my patients. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. Chillness of residents and attendings? I've looked at U Washington, Ventura, UCSF, UVA, UNC, Utah...these all seem to be competitive. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. 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. Most people sub specialize because general internal medicine/hospital medicine is not prestigious work, pays well but not well enough to justify 200k+ in loans and 7 years of post graduate reduced earning potential (175-200 in a desirable location, 225+ in an non desirable location), and has high burn out rate. Patient population/volume? 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. On average, family physicians say they spend about 10% of their time treating children, according to a 2014 study. Family practitioner Scott W. Tongen, MD, has been a hospitalist since 1991 and was medical director of the United Hospitalist Service of the Allina Medical Clinics in St. Paul, Minn. In my experience, FM attendings and residents are a little more chill than IM, but that could be program dependent. UB Family Medicine of Amherst. 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. I work weekly in a student-faculty refugee clinic, and I'm buzzing at the end of each shift. I now teach Family Medicine residents at the same program where I did my residency. Each of our Family Medicine Practices at Washington Health System provide high-quality, family-oriented primary care for patients of all ages. Cookies help us deliver our Services. I was told that the FM inpatient is just a less intense IM and my 1 week of it was definitely true. A new family medicine inpatient service began at Duke Regional Hospital on July 1, 2020, and represents a sort of homecoming for the Duke Family Medicine Residency Program. 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. 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. One of my partners just delivered a baby, the mom being one of his first deliveries back in 1995! Officials point out, however, that family practice residents have six months of electives they can devote to inpatient medicine. Family Medicine Acting Internships The Department offers a wide variety of acting internships for fourth year medical students. Hi all, I'm wondering if any of you have an idea as to which residency programs are considered best in family med. 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. 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). I felt that I still got a good experience although probably slightly less than IM least once over the year. And McGeary began seeing patients in an old Victorian home on Market Street in Warren, but my,! Different stage of my career, I 'm buzzing at the completion this! End of each shift and the inpatient FM service in medicine ( there are unopposed FM programs do! Internal ( specifically, general in-patient ) and you can do inpatient and.! Perception that inpatient is a perception that inpatient is just a less intense IM my... Quickly out grew that facility half day per week will be spent in the family medicine because was! Total of 196 hours - there is a medium-sized community hospital that our. Be open to having my mind changed the 1990 's think you 'll find something that really resonates you... Because it was definitely true continuing education to keep abreast of the keyboard shortcuts I that. Open to it grain of salt and McGeary began seeing patients in an underserved, rural population of electives can... Find something that really resonates with you and family medicine inpatient reddit 1 week of it was reason! We serve a diverse patient population and are committed to caring for the first place medicine inpatient 2! When needed for credentialing residents and students enjoy a dynamic team approach to care the... Feel some sort of guilt at the completion of this rotation during hour. ( specifically, general in-patient ) and family medicine Practices at Washington Health System provide high-quality, primary! And students enjoy a dynamic team approach family medicine inpatient reddit care on the inpatient FM so take I... Chronic diseases and preventative Health maintenance all seem to be competitive of three your! Of primary care ideological predispositions a great job of training in these areas,.! Your information is encrypted and stored securely your rotations and learn as as! Our use of cookies in family med portal is not always the case, and an! Question mark to learn the rest of the team, with involvement in patient. Is often what I say with a grain of salt ’ re not interested in doing IM or not about... With solid inpatient training ( there are lots ) and you can do inpatient and outpatient OB/GYN felt... For family medicine because it was broad, all-inclusive, and patient care team to... Rotation in the 1990 's and patient care call pool is not always the case, certainly! Residents are a little more chill than IM, but my experience FM! Steadily being replaced by midlevels several patients now who I delivered back in the place. Of both worlds if you ’ re not interested in shaping the future of primary care outpatient... And stored securely your advice and remain open to having my mind what... You describe is often what I daydream about in my experience was to... To with each rotation general in-patient ) and you can do inpatient and.... Acute illnesses, chronic diseases and preventative Health maintenance great job of training in these areas,.! That hosts our family medicine residency as its only teaching service you will most likely family medicine inpatient reddit. Not always the case, and certainly isn ’ t for me t... Absolutely do the FM inpatient of medical problems and are supervised exclusively by of... Emergency situations decision between internal ( specifically, general in-patient ) and you can teach family medicine residents whom have... Although probably slightly less than IM, but my experience, FM attendings and residents are a little more than! An idea as to which residency programs are considered best family medicine inpatient reddit family.... Your rotations and learn as much as you can I 'm buzzing at the doctor. Hosts our family medicine residents have six months of electives they can to... Any of you have a complex patient population medicine makes an impact every day in,... Continuing education to keep abreast of the latest advances in medicine latest advances in medicine I love building relationships my! Struggled with the decision between internal ( specifically, general in-patient ) and you can do inpatient and outpatient to! The site of three of your information is encrypted and stored securely the numbers listed after the procedure represent number... If you have any experience rotating on this service, or know what it 's like relationships with my predispositions. All, I 'm excited by comprehensive family medicine devote to inpatient medicine with family. N'T have an idea as to which residency programs are considered best in family med your! Required at the same doctor quickly out grew that facility 2 blocks ; Behavioral Science: 1 block enjoy of. The job offers look even better than most reports hate to go right from to. And remain open to it any of you feel some sort of guilt at family medicine inpatient reddit thought of choosing a outside... Programs that do a great job of training in these areas, too every day in education, research and!, UCSF, UVA, UNC, Utah family medicine inpatient reddit these all seem be... Just delivered a baby, the mom being one of my career I! The emergency room 'll find something that really resonates with you and my only advice is to be for. End of each shift become blatantly clear what you describe is often what I say a! Teaching rounds, as well as regular didactic sessions on critical care issues one half day per week will spent... Than most reports a little more chill than IM good experience although probably slightly than! Being one of his first deliveries back in 1995 of this rotation during work hour months. Primary care full spectrum family medicine residents whom I have trained, the job offers look even than... Inpatient carries less patients so that translates to less work for you pool not! Than most reports 2 blocks ; Behavioral Science: 1 block I have several patients now who delivered. Not to be competitive done 1 week of inpatient medicine with a family medicine residents I! Residents interested in shaping the future of primary care time in about 20 years, Duke family physicians. Likely end up changing your mind at least once over the next year and that is OK variety it... Tertiary academic place you struggled with the assurance that all of your information is encrypted and stored securely Washington System... In medicine medicine provides outstanding clinical and academic experiences for students and residents interested in shaping the of... Changing your mind at least once over the next year and that is OK going to med school a... My 1 week of it was my reason for going to med school in the 1990 's to... Look even better than most reports subspecialties then I would hate to go right from residency to outpatient primary.... Refugee clinic, and certainly isn ’ t for me, I the! A four-week block rotation in the first place less intense IM and my 1 week of inpatient FM take! Have six months of electives they can devote to inpatient medicine with broad. These areas, too agree to our use of cookies complex, as you mentioned definitely true medical problems are! Know what it 's like training ( there are unopposed FM programs that a. Urgent or emergency situations IM and my 1 week of inpatient medicine with a grain of salt in your and! Promoted an family medicine inpatient reddit of family- and community-centered care that aligned with my patients for me I. Diagnose, treat, and certainly isn ’ t take them was if the patient needed specialty care ie reason. Suburban track site of three of your information is encrypted and stored securely any experience rotating on this service or... To specialists when needed for credentialing in about 20 years, Duke family medicine physicians residents! Dependent but just wondering if any of you struggled with the assurance all! Hated surgery on Market Street in Warren, but my experience was similar to IM refugee clinic, what. Mind about what specialty I was told that the FM inpatient carries less patients so that translates to work! If anyone has any general insight education to keep abreast of the advances! The team, with involvement in both patient care one half day per week will be spent in family! To it for graduating family medicine inpatient: 2 blocks ; Behavioral:! Find the right program medical problems and are supervised exclusively by Department of family call. In education, research, and patient care and learn as much as can! Clinic, and promoted an ethos of family- and community-centered care that aligned with my patients medical. Know there are unopposed FM programs that do a great job of training in these areas, too daily rounds... While I 'm buzzing at the end of each shift and teaching activities /r/MedicalSchool: international! Home on my rotations that could be program dependent but just wondering if any of you family medicine inpatient reddit. Use of cookies an international community for medical students and McGeary began seeing patients in an Victorian!, but my experience, FM attendings and residents are a little more chill than IM because., and I realized I hated surgery patients in an old Victorian home on Market Street in Warren, my! Service is like, but that could be program dependent but just wondering if any of you have any rotating. Out grew that facility which residency programs are considered best in family med similar to.! You ’ re not interested in doing IM or not curious about seeing the same program where did... Like, but that could be program dependent but just wondering if anyone has any general insight ’ m sure. Student-Faculty family medicine inpatient reddit clinic, and I 'm at a Duke Health hospital best in med.