Originally posted by Iron Horse
Overall, IM does seem more challenging in terms of the breadth of knowledge required, the complexity of cases, and the challenges that continuity presents (caring for a patient with multiple illnesses/Rx, e.g. the 55 y/o w/diabetes, HTN, depression, etc.). Obviously EM presents its own set of challenges, but again, IM seems more intellectually challenging. Several of my profs have said as much, and it makes sense to me based on the little I have seen. I don't know how one arrives at "90% of IM patients are seen in the ER first". I guess this may be true if you're referring to hospitalists, but a non-hospital based internist sees most patients without having them go through the ER first.
Curious to hear what others have to say.