Concerned about my matched program

[Onewhen]

Hello Everyone.,

I am about to start a residency in a couple of months (IM). I matched at a community/university affiliated program . My concern is that the program is medium sized (300-400 beds), located in a small town with mostly upper middle-class population. I anticipate that I would not see a "variety of pathology" due to the demographic and would be missing on this part of the training. For example, I don't think I would see many HIV/IV drug-related diseases. The hospital is a tertiary referral center (with a large catchment area as I understand) and thus I'm sure I would be taking care of many "complex" patients.

Do you guys think that there would be an issue with pathology exposure? Did any of few train in a similar setting and how did it go? Is there anything/resource I can use to keep myself updated and make up for any potential gaps in training?

Thank You

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[TraumaLlamaMD]

Don’t worry. You’ll see all too many IV drug related issues anywhere you go.

 

[GoSpursGo]

You'll be fine.

 

[evilbooyaa]

Why don't you actually start at the program first and see if that's true.
You thinking you won't see HIV and IVDA in an upper-middle class population is pretty naive IMO.

 

[Raryn]

Why don't you actually start at the program first and see if that's true.
You thinking you won't see HIV and IVDA in an upper-middle class population is pretty naive IMO.

I mean, you'll probably see less than you would in some other environments.

But you'll see enough to know what you don't know - and have the tools to look up what you need.

Every accredited program has enough patient volume to get exposed to the patients you need to become a competent internist (or FM doc, or pediatrician, or whatever specialty you are). The rest is you.

 

[NontradICUdoc]

Socio economic status does not equate with compliance. You will see plenty

 

[deleted480308]

There will be plenty of IV drugs and noncompliant HIV patients

 

[GonnaBeADoc2222]

................

If you don't get your fill you can come rotate in my ER.