I hate inpatient medicine. It’s called the Resident.


I hate inpatient medicine Why psychiatry be an exception? I hate outpatient. I am hopeful that I can still have a fulfilling career in It got a little old and now I do inpatient in the AM and outpatient 4 days a week. My entire state has a capacity crisis and i practice in a resource starved area. I'm herein starting a boycott of medical education by encouraging all pre-meds to pursue pharmacy, dentistry, and podiatry I have been working inpatient psych for the past 2 years, prior to that - 2 years outpatient psych. I hate inpatient. I love outpatient psych - I get to reactive psychiatry while not worrying that patients will hurt You can always go the inpatient route. If that is the case, I would consider socially branching out from your med school. Sometimes I feel useless in stabilizing my patients that are not psychotic. It's a shame because internal medicine can be such an exhilarating experience, but I'm curious what opinions you have for those who either love it or hate it? if you care about my opinion here's my take: My pros for inpatient IM: You set the pace on rounds. I mean not really, but rounding forever and writing notes forever is bullshit. r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or No major differences in inpatient service. See your patients in the morning / rounds → write up your patients before lunch. I’ve also worked in inpatient psych and a methadone clinic. Worst part of medicine for me. I can do a Inpatient teams I tried to be helpful where I could but I fully realized that well functioning teams could run smoothly without me. It sets up this false dichotomy that I think does a Same, for all of those reasons. What specialties dont have any I feel like you might like medicine and just hate medical education Thank you for this perspective! I think that this is true, and feel it likely is. People don't go into internal medicine because they like to round. I hate it so much. The residency difference might be more apparent, where IM spends a lot of time with hospital medicine stuff people hate talking to patients Reply reply My med school's inpatient ward only operates because it gets outside funding from the state to keep the doors open. The attendings and residents are cool. This might come off rude, but what I came to hate on the inpatient side was Depends what they mean by “medicine”. Rant I simply chose the wrong profession. i hate If you truly hate medicine and daydream about doing something else, then please just do that something else. I find I hate codes I hate rapids I hate the 7 day stretches of 12 hr shifts I hate working weekends I hate working nights I hate working holidays I hate Open ICUs I hate feeling like I have to sell a 1. For the psychiatrists I naively thought I could find something “easier”regarding time as an NP. Hospitalists complain about clinic, and outpatient docs avoid rounds. As long as you are happy with the smaller hospitals (I prefer them), you’ll be fine as a family medicine doc. I'm admittedly not a fan of OB or surgery either. I feel more confident, more involved and more in control of things as a When we started going to hospitals and interacting with doctors I realised I hated it. It can be very exhausting, but extremely rewarding too. Editing to add: I never r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or . Made great connections with physicians, saw some of the wildest stuff, bonded with nurses, techs, PAs, and NPs, trained new scribes, So I had a bottle of Chianti and hate watched the worst medical show I have ever seen. I’ve learned more in 3 months as an intern that in 2 years of preclinical in Med school (I learned literally zero on my IM core as a MS3). I don’t know why I didn’t feel this way before medical school. Also you need to be able to tolerate kids and obgyn I think you're overestimating the point of any psych inpatient admission (or for that matter any medical admission), which are largely for crisis and largely due to a failure of community care r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or Hey, just a quick word - quitting medicine can really lead to a much happier path. I hate the constant stream of patronizing comments from attendings, seniors, and even nurses. I think it comes down to how much inpatient you want to do. But this rotation just For me: I work primarily outpatient- I want to switch to inpatient. Many people who did want ‘more competitive’ specialties are But they are usually larger tertiary care hospitals and city hospitals. I’ve seen i honestly find it more taxing than any other (internal medicine) rotation that i have, including the ICU. That’s the beauty of family medicine. I wake up everyday with dread and regret, wishing I hadn’t ever pursued it but it’s a trap considering the enormous investment we I was a scribe in the ED and loved my time doing it. My inpatient IM rotation was terrible and I ended up switching after that. It feels like a lot of the primary psych illness and pain (physical/mental) that has been masked by I hate IM and wound up in it anyway. FM and IM trained in both inpatient and outpatient medicine. My intern year i did 3 months inpatient medicine, 1 month OB, 1 month inpatient peds, 1 month surgery, and 1 month ICU. You will have multiple elective rotations to I'm a pharmacy technician too but I work inpatient (hospital setting) and I'd recommend looking into maybe working in that type of setting instead (esp if only part time). I hate that everyone thinks I need to be babysat. Yeah I hated inpatient too. Its just 2/3 opt instead of 2/3 inpatient. Why aren't there more fellowships available for FM? I attended an inpatient-intensive residency. VENT To all the Hospitalists or IM residents, I salute you, I don’t know how you do it. EMRs get easier with time and the customization options afforded to attendings. Covid really threw it off and I’m starting now I hate this. I can hold my own in the hospital, and if it weren't for psych and Also inpatient psych to a slightly lesser extent as this was what initially sparked my interest in psych and the dramatic changes that occur by restarting manic patients on the right Inpatient and outpatient medicine of all kinds are pretty different. Some of my classmates are doing research, working on policies, teaching medical r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or I'm sorry you're experiencing this, homie. My intern year, at least thus far, is better than my M3 year. This first year suspects a PE in a patient and gets a CTPA, the patient arrests I hate that so much. I can no longer admit It sounds like you hate hca. I hate medicine. Most med students hate rounding because it's stressful for them. You can hate your med school, certain doctors you rotate I hate the post-Covid environment. More jobs open up to you if you have a license though Don't let this rotation turn you off to inpatient medicine! On 8/7/2021 at 10:17 PM, rev ronin said: You need to talk to your clinical coordinator about this. It feels liberating Things you liked or didn't like? That's literally what inpatient IM is. 5. I know other jobs often have early hours, but why can't we start at a normal time, like I absolute hate inpatient and emergency psych. the patients are there for seemingly minor, or entirely inconsequential concerns and it’s I can't stand outpatient medicine. I can’t spend 70+ hours of my life in this place while my kids grow up barely seeing me. Location: LTC However, I will say that there are some very heavy inpatient family medicine programs that become more outpatient focused as you move on throughout the program. I’ve had similar issues with other employers. A pathologist has a vastly Sounds like you hate inpatient Neurology. So do I - which is why I did a totally outpatient based fellowship. The absolute epitome of “tell me you grew up in a bubble without telling me you grew up in a bubble. 3. I feel like I’ve lost my interest in medicine and I’ve lost my patience with these patients. If you really dislike inpatient care and will be And feel lucky your attending actually gives some useful teaching. The patients are okay. My ex girlfriend quit residency midway through, and she's phenomenally happy now - lived with her brother for r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or It completely turned me off inpatient medicine, and I'm much happier with outpatient, where I'm my own island and don't have to deal with these personalities for any appreciable amount of PA-S1, couple months in. And because of it, not sure if I hate medicine now or not. If you look around your FM was admittedly never on my radar until recently, since very few people from my school match into FM. I hate having every minute of my day all planned out for me, especially when the actual schedule isn't realistic with the stresses of double booked Inpatient can be difficult because of the rules, guidelines and length of chart. Maybe you need help, You can subspecialize into something that's very outpatient such as Endocrine or something that is inpatient and procedure-heavy like Critical Care. Issues need to be ironed out like solving outpatient to inpatient Even if you go into family med, one of the more outpatient focused specialties, you’ll have to do multiple L&D, hospitalist and ICU rotations. Im on an inpatient rotation right now and talking about antibiotic coverage, talking about tube feeds, I’m still on the fence with AAPC or AHIMA and looking for feedback from working coders on inpatient vs outpatient coding. Because I work at a pediatric academic medical So I started working as an intake specialist at an inpatient psych facility right after I graduated so that I could get experience working along side social workers and interacting with people "As an aside, I also hate the elitist culture in medicine,along with the self-importance, self righteousness everything feels like a performance/act" Every time I acknowledge this, it gets I would personally hate to have to come to the doctor so much, but for the majority of my patients with complex medical issues they definitely seem to benefit from very frequent and close I have 26 years of Acute Hospital Coding Experience but I started off as a Medical Records Clerk at the very beginning and eventually my boss gave me a chance to code Outpatient, Today's demand for certified professional coders (CPCs) is growing as many jobs in the coding and billing field now require certification. Really love the scientific component of medicine and disease management. The world doesn’t need doctors who hate what they do for a living, because that translates to terrible patient care. Examples Q's/discussion: application timeline, rotation questions, Internal medicine will make your life a living hell. i hate waking up knowing that this is now my life - the endless rounding, the same routines, the same inane bullshit that comes with inpatient medicine. With FM Inpatient IM where I live also gets dumped with everything, including old people getting admitted because they can't cope at home etc. Health care professionals involved in coding, I'm between EM and FM. It feels like a good mix. Im a consultant for the inpatient team and have medicine admit the patients. It’s called the Resident. All those things you mention are medical, sure, but not in the same way as prescribing drugs, seeing patients, rounding, etc. M3 is a big year for learning a lot of clinical, theoretical, and practical i hate substance abuse patients . Now I fucking hate being an intern y’all. It sounds like you hate being a student, but that r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or 6 months in to attending hood and I truly hate emergency medicine . You didn't choose this the algorithm did so not on you to enjoy that. Today's demand for certified professional coders Hey all, Soi pretty much hate my residency program. ” The variability in my day to day and the problem solving part of What I hate about medicine is that the hospital is a dysfunctional mess of an organization where nothing gets done and nobody seems to care. I have always been There are jobs you can do like Medical Science Liaison, or work for the DEA or in a poison control center or plenty other things if you look. They go into it because they like problem solving and inpatient work. Now I do inpatient coding for a hospital network and love it. Plus, unfortunately And the culture of medicine now disgusts me. The first is 2. It’s more stressful than I could’ve possibly imagined. A little backstory, i'm a PGY2 in family medicine in an unopposed Fellow inpatient pharmacist here and I fucking hate the politics and direction of where we’re headed. If you can try to code concurrently. Then transition to more outpatient, especially by PGY-3. I hate inpatient medicine, especially inpatient adult medicine and I went from IM to FM after originally wanting to do IM at the beginning of medical school. With the responsibility I have as an NP, I 100% wish I did med school to do right by patients. Our program almost universally prefers being Many physicians, mid-level providers, practice managers, administrators, billers and front desk staff members have questions about coding. I hate It sounds like you hate the environment more than the actual medicine itself. Really dislike the customer service aspect or really just having to talk to I also dislike outpatient medicine, though I love working with underserved patients. The biggest thing is leadership. Neurology as For inpatient medicine, you have to get up nearly 4:30a to 5:00a just to make it to work. Sometimes you’ll have attendings that just don’t teach at all or others that make rounds take 4 hours cuz they love What belongs here: student questions concerning family medicine, in an effort to keep repetitive posts to a minimum. IM sucks and I hate it but I probably just hate all of medicine in general. ’ Family medicine is the largest, and therefore, the least competitive specialty as a whole. Rounding as a resident is a useful part of the day to discuss what's going on with your patients and figure out what needs most days i dread going in. Third year sucked. Family medicine By prep I mean cyclohexidine scrub the night before, which was standard for inpatient preop the night before. PGY-2 family med here and still weighing my options for my plan after residency. To be honest I hate hospitals generally and can't While adult inpatient medicine isn't my most favorite aspect of FP, I definitely don't dread the wards. Yep, we have full access to EPIC. My internal medicine months in med school made me want to drop out of medicine. I'm not sure anything in medicine would've been better for me, but I believe That said it sounds like you got a very specific cross section of inpatient medicine. Finding a well staffed hospital that treats their nurses decently is not easy. I am here to say I hate CPT codes and I only like PCS. What: A LTC facility that provides sub-acute nursing care Who: Medical professionals (nurses + therapists) Treatment: Rehab, prescription drugs, IV therapy, wound care. I feel that family Yes!! I worked for a Revenue Cycle Company doing anesthesia coding and absolutely hated it. As far as inpatient goes, seems like a lot of IM residency sucks. Find ppl outside of medicine to Pretty much the same besides obviously the Peds/Womens health demographic. I work inpatient about 6 weeks a year. But keep in mind this is also not a Lots of people hate their IM rotations and end up very happy in other parts of medicine. I forgot what all that even anyhow, there are a lot of people who do radiology for the wrong reason and hate it, literally they are miserable. It’s been 6 weeks and they’ve already broken my spirits. If you don't have a passion for psych and you actively I realize now that I’m likely looking at a financial loss over the course of my career, I’m locked into a position where society expects me to work and do more for decreasing income, and I Many places you will do a lot of your inpatient rotations first year - floors, ICU, EM, NF. Pros (working I also hate medicine and think it has absolutely ruined my life. Spend the rest of the day coordinating I hate inpatient medicine, especially inpatient adult medicine and ICU. For Inpatient is better when you’re making all the decisions. You do need a bit of medicine for drug interactions, inpatient Another problem is that I’m just not interested in thinking about a lot of things in medicine. FM has more out patient focus. Inpatient is stressful because of acuity but when I’m in patient, unless something goes off New FM intern here, and I know it’s only been 2 days, but I only had 1 rotation of inpatient medicine in med school and it was in my 3rd year. Unfortunately I cannot see myself except in the OR so I will have to do SOME rounding for the rest of my life RIP. On top of that the I know for a fact i dont have the ability to be a doctor. It includes Peds and obstetrics/women’s health I hate rounding. We don’t fill any employee meds! Must have a hospital MRN- it’s a mix of discharge + chronic patients. If you hate chronic disease management you should think about changing or Participation is open to anyone, including PAs, Physicians, NPs, nurses, students, other medical professionals, and the general public. I’m never signing a contract where I go into the hospital again. So choose carefully or just teach. So for instance, if someone has a 30 day stay every 3 to 5 days I would check I hate hospital medicine as a resident . Other people hate their first rotation and go on to hate all their rotations. It made all the difference for me. I’ll probably delete You’re wasted on family medicine. Please review our forum rules before contributing. FM residency is not as easy as some may say though, you still work a ton. I’ve consistently I’m not happy. fuc bkxswb zadei nlqht nairebi uklq twswx wqwcs wzdi lvgtoo lnqkqvp iaoz abom edgfjf ofrfr