There are already those type of IM programs - they're called fast track programs, I believe.
Jinx!
No, but you explained it well. I believe the reason there aren't more is bc the fast-track programs are HEAVILY skewed towards people with a lot of publications in med school (usually in that area) or MD/PhDs. I guess the program figures if they're going to lose you for a year, then at least you can make them look good by cranking out publications.
Yea it does. IM has some awesome subspecialties. Unfortunately, a lot of people don't want to go through 3 years of IM residency and the risk of not getting one. However, if you go to a very good program like top 20 and work hard/keep your head down, from what I know, your chances are pretty good at getting a fellowship somewhere.
Are they less than the typical 3+3 years?
I believe it knocks off 1 year of IM.
How do they streamline it? Are their electives already decided for them - I guess in their subspecialty? What's the point in doing the research if you already have the fellowship? Or I guess it's more to build up an academic/physician-scientist CV?
According to this at Pitt: http://www.residency.dom.pitt.edu/program_overview/tracks/abim.html
While I do not know your parents (reminds me of the family guy Asian doctor clip):I've heard of those. the ABIM research pathway. Often times they can end being LONGER than the actual path. 2 years IM + 2 years cards clinical + 3 years research (lolz). I'm actually interested in academics so it's something I might look at. The problem is none of my current research is dedicated towards a certain field (let alone IM) as of right now, although I'd say I'm much more productive research-wise than the average IM applicant.
I have told my parents that I wish to specialize if I do IM, and they pretty much don't seem to hear it. The next I bring it up, it's like they never heard that part. The actual part of applying through and going through IM would be super awkward. And I can already hear them during my IM fellowship app season... "See, now you have to go through this whole process and move all over again! You should have done xxx!"
Serious case of the feels right now
Yes, that's the fast-track part. Guaranteed fellowship, no app process, and only 2 years of General IM (heck 1 year can feel like an eternity, so 3 years must be painful - it's nothing like a General Surgery internship, of course, but nothing really is).
I've heard of those. the ABIM research pathway. Often times they can end being LONGER than the actual path. 2 years IM + 2 years cards clinical + 3 years research (lolz). I'm actually interested in academics so it's something I might look at. The problem is none of my current research is dedicated towards a certain field (let alone IM) as of right now, although I'd say I'm much more productive research-wise than the average IM applicant.
EDIT: What I'm thinking of may be different? You apply during PGY-2 for that one.
I have told my parents that I wish to specialize if I do IM, and they pretty much don't seem to hear it. The next I bring it up, it's like they never heard that part. The actual part of applying through and going through IM would be super awkward. And I can already hear them during my IM fellowship app season... "See, now you have to go through this whole process and move all over again! You should have done xxx!"
Serious case of the feels right now
Except ENT, Ophtho, Neurology, Radiology are already specialties in themselves, in which subspecialization doesn't make that much of a difference.
Oh definitely. I meant in terms of his parents giving him **** for sending in more apps lol. A lot of people will be sending in more apps.
They'll probably ask why he wants to specialize even further when he's already at a good point - like doing Ophtho and then want to specialize even more.
lol
Even if you don't do a facial plastics fellowship, ENT is quite good from a lifestyle perspective. I guess that's more the case for Rads, however, the lifestyle of IR is actually worse than for regular DR.
My point is that a fellowship is not that much of a gamechanger in certain specialties. Quite a different scenario of going IM and not getting Allergy, GI, Cards, etc.
Yes, but even if they didn't get the fellowship they got a pretty damn good deal. I'm sorry, but if someone is in Derm and doesn't get their Mohs Surgery fellowship, I'm not going to be crying tears for them bc they still got a pretty **** good deal.
Again no. In terms of lifestyle (and really even salary), you're doing pretty darn good by doing Rads (either DR or some other fellowship) or Ophtho (without doing retina).
Yes, the difference between doing general IM and all it encompasses (ICU, Wards, etc. along with weekly outpatient clinics where while you're seeing patients you have to have worry about what's going on on the inpatient floor) vs. doing Allergy, GI, etc. is very different.
No. General medicine floors at the VA is where hopes and dreams truly go to die.
The VA is also where all decency and organization go to die. And of course, as a result, our vets.
lol
Yes, and it's quite utterly annoying. It's also not fair bc they get a bully pulpit to medical students that other specialties don't get. Who is the one doing clinical lectures in different organ systems blocks in Pathology? Usually IM subspecialists bc they're subdivided by organ systems. Who is the one who is usually running the Physical Diagnosis course taught in the first 2 years? IM.
It's bc most of their institutional gravitas comes from obtaining NIH research grants esp. with hardhitters like CV disease, colon cancer, etc. I noticed that more with IM vs. Surgery in which research was more an adjunct, but those Surgeons were still participating in clinical care (even the ones with more of a laboratory research focus).
