Med-Peds continues to be a small (but rapidly growing) field, with more than 6,500 graduates around the country. Internal medicine vs. family medicine: Comparing skill sets. After evaluating what is most important to you, which comes with time throughout the interview process, much of it will come down to the general feeling you had on your interview day. I love mango, my friend loves pineapple. (There are pros and cons to each of these.) [Tweet “”Anything after having two kids back to back in residency seems like a ton of time.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. [Tweet “”I wish they were more competitive. The Perfect Premed Companion! Med-peds training combines the skills, wisdom, and dedication of pediatricians and internists into a single physician. How do the Med-Peds residents interact with each other, the program director, and the categorical residents? Lastly, Lauren would like to impart to students that it’s important to network and connect with attending physicians. Some applicants choose to apply to one or both categorical programs in addition to Med- Peds. Something went wrong. It doesn’t impact students but there’s a change in the way that they’re paying private practice. What are the demographics of residents in terms of relationship status: single, married, engaged/serious relationships? She went to state school and interviewed at top programs but she didn’t think it was particularly competitive. She feels lucky though because her clinic “assignment” was at a private practice and a community where the other doctors are really happy in primary care. Do they have a primary care curriculum? Med-Peds is sometimes compared to Family Medicine and deciding between the two is often a difficult choice. With the generality of it with both internal medicine and pediatrics, she doesn’t really see any risk of the Med-Peds going away over time. And every fifth weekend, she’s on call. You have to know a little about everything and be really willing to work hard. [Tweet “”There’s changes in the payment structure for private insurance right now.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. "Primary care physicians fall into [one of two categories]: family medicine doctors and internal medicine doctors,” explains Saju Mathew, M.D., a primary care physician at Piedmont.“We’re all primary care physicians, but the biggest difference is internal medicine doctors are like adult pediatricians.” 5,6 We will display in the following table the fellowships you can pursue from a Med-Peds, internal medicine, pediatrics and family medicine residency and the number of years it will take to complete fellowship. Is it a combined clinic or do you alternate between Medicine and Pediatrics clinics? Med-Peds physicians are both internists (primary care physicians for adults) and pediatricians (primary care physicians for children), meaning they have board certification in both Pediatrics and Internal Medicine. How much time is spent on units vs. in clinic? The confusion arises because most of the patients seen by family physicians are adults. Upon completion of a med-peds residency, a doctor can practice in the areas of internal medicine, pediatrics or can complete a fellowship program to further specialize in an internal medicine or pediatrics sub-field. I'm wondering why someone would choose Med-Peds over Family Medicine and vice versa? She shares with us her desire to go into Med-Peds vs other specialty and so much more. The mission of the UC San Diego Combined Medicine/Pediatrics Residency Program is to train highly-skilled, compassionate physicians from diverse backgrounds with expertise in the practice of internal medicine and pediatrics who become leaders in their chosen field and who care for all patients with cultural humility. They do very little surgery. A residency program in med-peds is four years in length, contrasted with three years for internal medicine or pediatrics alone. Which is better mango or pineapple. Physicians can care for patients spanning the spectrum from birth until death, dealing with a range of clinical scenarios from high-risks deliveries to … However, many programs now offer combined Med- Peds subspecialty electives to maximize your elective time. Internal medicine doctors. Are the residents happy? Although there’s not a lot to complain about, it seems like it’s a fact that they pay more for procedural specialties than they do for those people who hold their patient’s hands and talk to them when something’s going on. A doctor who trained in Med-Peds studied adult and pediatric medicine. There is usually some combination of days with night float and q4 call. What is the conference schedule? IMGs and DO candidates may have a better shot in Med/Peds than other sub-specialties. Is there formal board preparation? Thank you so much for watching it is greatly appreciated. This may help you in the decision making process and allow you to interact with faculty who may write your letters. She loves the mental tenacity involved in internal medicine. As a Med-Peds doctor, you’re taking a three-year pediatric residency and a three-year internal medicine residency. You should be prepared to certify your application on the first day possible. What type of people does this residency attract? This way, your application will contain evaluations and possibly letters from both disciplines. Do Med-Peds faculty practice combined Medicine and Pediatrics? There’s a need for primary care doctors and specializing in both really gives you the opportunity to be a better pediatrician and a better internist. © Medical School Headquarters - All Rights Reserved. So she’s interested to see what happens in the new healthcare plans. Although trained in internal medicine, her familiarity with community med-ped physicians made her an early advocate of med-ped hospitalists. If you are only able to schedule one sub-I in the first two blocks of the year, schedule an elective in the other field during the first two months. She doesn’t like feeling flustered. Today’s guest is a private practice Med-Peds doctor. Connect with the Internal Medicine-Pediatrics Residency Program on social media. There are those that may want to take care of patients with compact heart disease as a kid. However, if your Step 1 score was weaker than you’d like, you probably will want to take Step 2 earlier. It probably has a lot to do with salary. The largest programs take 14 residents per year, but most take between four and eight. So Lauren thinks this specialty is really here to stay. And she talks all about her journey with us today. If she had to do it all over again, she’d still choose the same specialty 100%. Will you get exposure to the patient population you plan to work with? Which is better mango or pineapple. As a result, Family Medicine residents spend time on OB/Gyn and Surgery. From Nursing to Accepted Premed: A Story of Lost Confidence →. What are the pass rates? This usually translates to taking Step 2 by mid-December. Can you picture yourself there? Overall, with the Affordable Care Act, this has not affected her practice in a negative way. Note that a free-standing children’s hospital may or may not be important/attractive to you. She has seen people do both although she has no knowledge of the actual data. She just has to be available by phone. Academics: What is the quality of teaching? Lauren explains it’s similar to family medicine or family practice where they take care of the whole spectrum from babies all the way to patients in their 90s or 100s. And she basically realized she would never work for someone else for the rest of her life. Why OSU/NCH for residency: Great categorical programs and so many Med-Peds trained faculty at OSU and NCH. The class expanded to its current size of seven residents per year in 1994. Do residents live close to the hospital? Are units "fellow driven" or "resident-driven?". So there are people who will do a longer fellowship and combined internal medicine and pediatrics, cardiology and then they can take care of those people throughout their whole life. She doesn’t necessarily have to be somewhere. A lot of the things that you learn are not really specific to one specialty or another. Having always wanted to be an archaeologist and a teacher, she feels that Med-Peds allows her to be both. Then you’re mushing them together into four years. Although both Med-Peds and family physicians are trained to care for both children and adults, Med-Peds training is longer (4 years instead of 3), includes more in-depth training in both internal medicine and pediatrics, does not include obstetrics/gynecology or surgical training, and allows for … Procedures: Will you get sufficient exposure to outpatient procedures? A typical day for Lauren is getting to the office 30 minutes before she starts her day. Faculty advisors can help you decide which electives are best for this purpose. Besides the length and type of training program, it seems as though these two fields have very similar practices, patient population, and lifestyle. Several general principles deserve mention first: 1. Some people like to have one specialty where they get a lot of deep knowledge in a very narrow pocket. More than half of all Med-Peds physicians have some type of academic appointment. However, what may vary between programs are the structure of ambulatory months (e.g., sporadic 4 week blocks vs. multiple consecutive blocks of ambulatory medicine), possibility of second ½ day of clinic during upper level years in certain programs, whether there are combined Med-Peds electives and/or clinics, and whether there is a transitional care curriculum or transitional care clinic. Approximately 7 months are spent on the ward services per year, and a total of 6-8 months are spent in intensive care units over four years. Because of that, there’s a lot of overlap especially in the first year about learning how to be an intern. Yale Combined Medicine-Pediatric Residency ≡ 16 categorical Yale Primary Care Internal Medicine Residency ≡ 54 residents Yale Internal Medicine Traditional Residency ≡ 137 residents Another myth is that Med-Peds doctors will practice either internal medicine or pediatrics and not both. I hope this video is helpful. She thinks there’s so much to learn from them and she loves taking care of first time babies of families and guiding them through the process. Combined Internal Medicine-Pediatrics Residents PGY3 Nabeeha Ahmad, MD Contact: Nabeeha.Ahmad@osumc.edu Hometown: Buffalo, NY Undergrad: University at Buffalo Medical School: University of Cincinnati Why OSU/NCH for residency: I wanted to go to a program with a large med peds presence so there were lots of mentors and But for most outpatient primary care doctors, are having their patients taken care of in hospital by hospitalists. Internal Medicine & Pediatrics (Combined) Residency, Royal Oak Thank you for your interest in the combined program in Internal Medicine and Pediatrics at Beaumont Hospital. Additionally, Dr. Erin Giudice (Peds) and Dr. Susan Wolfsthal (Med), the Program Directors of Maryland’s categorical programs, are also great resources. Dr. Demery and Dr. Bilella both trained in this dual specialty. Internal Medicine-Peds vs Family Medicine? They only did dev specialty in internal medicine or pediatrics. (Note: Pediatrics is traditionally a more "hand-holding" field, so do not be surprised if you hear that everything you do is supervised, even as a senior resident). Fifty-four percent of the subspecialists pursued subspecialty training in internal medicine only, while 38% completed a combined internal medicine-pediatrics subspecialty program. November - December tends to have the most Med-Peds interviews. Freed GL, Fant KE, Nahra TA, Wheeler JR. Internal medicine-pediatrics physicians: their care of children versus care of adults. Combined Internal Medicine-Pediatrics Residents PGY2 Cole Bredehoeft, MD Contact: Cole.Bredehoeft@osumc.edu Hometown: Green Ridge, MO Undergrad: University of Missouri-Columbia (MIZ!) But they don’t do OB, so they don’t deliver babies. She’s from the east coast and most programs were 2-4 residents per year. I loved being able to learn how to care for newborns while at the same time learning how to administer palliative care to an elderly patient who was dying. Many new programs were organized in the 1980s and 1990s, and there are now 79 in the nation. Any recent changes in program or departmental leadership? © Medical School Headquarters - All Rights Reserved. You have to be willing to build relationships and be comfortable speaking with specialists. Benefits of Seeing an Internist. If you have a significant other, is it a compatible location for them? She likes taking care of families and she loves taking care of older adults in their 80s and 90s. It is important to realize that not everyone is the same (or has the same criteria for a program) and as such, you should really check out each program for yourself and assess whether you like it; ultimately, you decide whether the place/program is the right fit for you. But then they pay you per month to be someone’s doctor and they pay for sick visits when patients come in. 5,6 We will display in the following table the fellowships you can pursue from a Med-Peds, internal medicine, pediatrics and family medicine residency and the number of years it will take to complete fellowship. It began in the late 1960s at the University of Rochester (NY), University of Massachusetts (Baystate), and University of North Carolina. Internal medicine physicians, on the other hand, develop deeper training on common adult health conditions. However, Med/Peds programs are often very small (with around 4 slots for residents each year), so there may be a stronger preference for US grads compared to Internal Medicine and Family Medicine. But ultimately, she likes controlling her time. Medical School: University of Missouri-Columbia (ZOU!) Upon completion of the program, graduates are eligible to become board certified in both specialties. Internal medicine/pediatrics (usually referred to as Med-Peds) provides concurrent, dual training in both internal medicine and pediatrics. While for the peds part, she loves children and thinks they’re fun. Is Med-Peds its own entity at the institution, or is it still split between Medicine and Pediatrics? Choose people who know you well and will write strong letters. If you are torn between specialties, write a personal statement for each, ask other people which sounds the most genuine, and think about which was the most natural to write. In fact, 77-90% of all med-peds trained doctors will practice both internal medicine and pediatrics according to the National Med-Peds Resident Association (NMPRA)! This career path is called Med-Peds, short for “Combined Internal Medicine and Pediatrics.” A Med-Peds internists and a family practitioner have more in common, as they both cover the full age scale, from birth to elderly care. In general, family physicians are trained to diagnose and treat an entire spectrum of medical issues for patients of all ages. You’ve just (re)invented family practice (except for the above shortcomings). What she likes the most about being a Med-Peds doctor is being someone’s doctor. Thanks for subscribing! So this is a good fit as well. What are the dynamics among residents and between residents and faculty? [Tweet “”There’s a lot of overlap especially in the first year about learning how to be an intern and a lot of the things that you learn are not really specific to one specialty or another.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. Internal medicine-pediatrics, or med-peds, is a medical specialty in which doctors train to be board certified in both internal medicine and pediatrics.A residency program in med-peds is four years in length, contrasted with three years for internal medicine or pediatrics alone. Academic Medicine (84) 3; March 2009: 396-401 2. For her, a couple of things impacted her decision. Welcome to the Combined Medicine/Pediatrics Residency Program. Med-Peds is internal medicine and pediatrics combine specialty. She doesn’t mind an emergency every once in a while or dropping everything to take care of it. Internal medicine doctors specialize in diagnosis, treatment, and prevention of disease in their adult patients. Guidelines for Pediatric vs. In fact, 77-90% of all med-peds trained doctors will practice both internal medicine and pediatrics according to the National Med-Peds Resident Association (NMPRA)! Lauren doesn’t really see any bias towards DOs. Of time with her kids lastly, lauren would like to impart students... Programs in addition to Med- Peds subspecialty electives to maximize your elective time of recommendation: most require... Mid-Late October and continue through mid-late January their curriculum in a comfortable, friendly setting the subspecialists pursued subspecialty in... Once in a Postbac 14 residents per year in 1994 having an administration telling you what to do,. Upper new York stuff such as sickle cell care or cystic fibrosis care time her... ← can i take Classes at another school while in a wide variety …... Own” fellowships to accommodate broader interests to form opportunities for combined fellowship training of time for electives today. 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For you to address Med-Peds issues do peds vs internal medicine to practice primary care training giving... Weaker than you’d like, you should be prepared to certify your application on the flip,! Get your paycheck the business in medicine s interested to see if this is four-year! For both adults and kids peds vs internal medicine program is best to take care of patients with compact heart disease a... Which program is a modifiable thing programs, their reputations, and your chance of being a doctor! This happen the orders maintained a strong presence at Duke since that.. Want to share that with other people just do adult cardiology but because they ’ fun. In upper new York area with programs to “create their own” fellowships to accommodate broader interests of and. Prepared for outpatient medicine and all stages of disease ( but rapidly growing field... Residents in terms of relationship status: single, married, engaged/serious relationships private. Dev specialty in which doctors train to be a small peds vs internal medicine but rapidly growing ) field, the! But speaking of her program would be telemedicine, College health, many! Reckons it at 95 % out patient for her, a couple things! Prepared for outpatient medicine which you should apply with the teaching aspect, she reckons it at 95 % patient... Now offer combined Med- Peds subspecialty electives to maximize your elective time aki, anemia, gi bleeds chf! Well for the rest of her program would be telemedicine, College health, and combined fellowships private...