Hey, friends! Hope you enjoyed today's video about "Day in The Life as An Internal Medicine Hospitalist". Take advantage of all my favorite med school tips and tricks in this free guide here! (themdjourney.com/med-school-success-handbook/) Good luck on your journey! 💪
I forgot I watched this before. I'm STILL a DC-based hospitalist PA. It's VERY challenging but, rewarding work. I came out of an out-patient clinical setting. So, had MUCH to learn. The RTs were great about helping me with vents. We PAs work under the supervision of MD/DOs, so that's very helpful. Thanks for sharing your experience with us!🙂👋🏽👨🏽⚕️
ER PA here- very sorry for all of our consults. it seems like people are more sick than ever lately. we're boarding about 15-30 on a normal day. we know it's a lot of work for you, & we appreciate our medicine team!!!
This is really helpful video, Thank you. I am PGY 3; Job hunt has been overwhelming. Can you please make a video on tips that would help with a job hunt for a hospitalist and what things to look for?
I'm a new hospitalist after residency as well like you. I would say you are very efficient in terms of seeing 17 pts in an hour!! There are so many questions from pts as well as distractions/constant texts while seeing them, it almost takes 2-3 hours to round on 15 pts.
I've mentioned this in other comments but would say my normal is about 1.5-2 hours. I also try to finish what I'm doing before looking at the next set of messages so I don't lose my flow
Cool, Does hospitalist spend more or less time than primary care with paper work? How many hours? Do you frequently deal with critical cases and death? Thanks!
I am at the opposite end of my career. Turned 70 and retired as a Board Certified hospitalist/nocturnist. I had a PhD and 10 years of research and teaching before doing a PhD to MD program at the University of Miami. After residency I was 43 when I started work as a doctor in 1993. In response to the question by "TheMDJourney". Was it worth doing the MD degree? If you are really keen to do research, the MD doesn't work out too well. First if you spend 8 years in med school and residency you are likely to have big student loans to pay back. Then you are really forced to practice medicine, in my case 5 years, to pay back loans, and that was with my wife working much of that time. That leaves a big hole in your time as a researcher. Generally the pay is significantly lower for research work, compared with medical practice. In my case I never went back to research, although I would have liked to. University positions are usually not great because of the "Triple threat". First look after patients, then teaching, and if you have time slot in some research and spend any spare time publishing and applying for grants. For a lot of people that doesn't really work unless you can get enough grant money to make a deal with the university to do medical and teaching part time. It is a struggle. As a hospitalist the options may be a little better as most programs use the 7on/7off block model described in this video. Theoretically you could do research or start a business during your week off (after a day or two of rest), if you are willing to sacrifice your private life and the business allows you to work that way.. I liked working as a hospitalist/nocturnist but most programs work on 7/7 12 hour shifts. The difference is that 12 hours is always 12 hours or more. You have to be in the hospital all 12 hours. This meant in my case that the hourly pay was significantly less than what the day doctors were earning. My hospital gave a substantial salary increase for doctors with 4 years experience, but refused to apply it to nocturnists who they thought were overpaid. The hourly rate was very good but still less than the day doctors. Salary surveys that I have seen still do not report pay rates for Nocturnists. Once you and your family get established in schools and you buy a house it is not easy to transfer to another city if you don't like the deal your employer is offering and with all the mergers our whole region was taken over by a single monopoly. So choose carefully. What I liked about it was the responsibility and excitement of being in charge of everything with no specialist help unless you called them in to do a procedure and that included looking after about 30 ICU patients (we had 50 ICU beds), looking after problems in 100 medical patients, taking transfers from 21 surrounding rural hospitals, and supervising 2 nurse practitioners admitting patients in the ER and seeing all their patients. When it was really crazy I would stay after my 12 hour shift to dictate notes. I loved the EPIC computer system and its voice recognition. I also spent my first 5 years in the old traditional internist model looking after both inpatients and out patients. It was great for continuity of care but terrible working hours. The next 11 years I was in outpatient-only solo private practice and loved the independence. Four doctors shared call and we cross covered each other for phone calls every 4th night. That is when I switched to working as a hospitalist, quickly becoming a nocturnist, in 2009 to 2020.
@@hk6474 Thanks for your question. I was in solo private practice for 16 years. My office manager ran everything but wanted to retire. She pointed out that I was getting burned out. So I decided to work part time, one week a month in the hospital. I expected a difficult re-learning curve, but found it relatively easy. I enjoyed hospital work and the fact that the shift was over after 12 hours allowed me more free time at home. No more taking home all the labs, xrays and consultants letters to review late at night. No piles of patient requests and prescription refills and insurance documentation to deal with before I went home each evening etc. After 5 years as a hospitalist working 12 hour shifts, I transferred to another hospital with 8 hour shifts at almost the same pay per shift and negotiated 1-2 months vacation every year. I wrote the shift schedules myself while consulting the physicians involved and it all worked very smoothly. After 11 years as a hospitalist I retired. Which did I like best? It is hard to say. There are pros and cons either way. I liked being my own boss in solo practice but as a nocturnist I was pretty much my own boss in the hospital too. I liked the fact that I was always admitting patients at night but did not have to deal with complicated discharges and insurance issues. For me, the initial diagnosis and admission plan was much more interesting. Internal medicine provides a great deal of variety in diagnoses and at night I would only call a specialist if an emergency procedure was needed. On the other hand I missed the personal long-term connections with patients in my outpatient practice.
10-13 old pts from the day before, 2-4 admits from overnight that have been seen at least once and, 2-4 new admits a day. Yeah I used epic before but don't mind powerchart!
Thank you for this video. It was very informative to me in writing up a Clinician interview project for my Bioinformatics program. I'm also an amateur YT streamer and have one piece of advice. For video productions which appear on YT or other video providers, please don't mount the camera on your monitor, it causes the monitor's display to be reflected in your eyeglasses.
Cool, Does hospitalist spend more or less time than primary care with paper work? How many hours? Do you frequently deal with critical cases and death? Thanks!
According to my sources and information a Hospitalist typically earn between 170K to 180K in the east coast. In California where cost of living is much higher as compared to east coast a hospitalist earn between 200K to 300K.
@@hk6474 Can you please tell me what's the average Salary of IM/FM academic hospitalist in upstate New York who just started after completing his/her residency? Thanks in advance😊
Interesting video! I work a non traditional hospitalist schedule. More shifts than 7 on-off but my shifts are typically shorter. We do night shifts, but I take call from home. Some days I work from 9:30 to 1:30 or 2PM depending on patient load and complexity. We're on call every 3rd day. Downside is more shifts and we have to work occasional nights. We also don't get dumped on by other services as much as it sounds you do at our hospitals. ie most non IM docs do their own discharges and don't consult us for bullshit reasons.
Yeah not sure how I'd feel about that change :D Shorter days sounds nice but I'm not sure my wife would like the nights part. Also contrary to belief (including my own) I feel like I'm getting dumped on and more that I get a variety of pts that don't have a primary service for their problem.
Increasingly nearly all specialty services are realizing that they can get rid of a lot of paper work by having IM doctors do all their admissions. They still do their consultation notes and charge so it looks to me like double billing. I hated it when Ob/Gyn persuaded hospital administration that IM could handle all their admissions for pregnant women up to 28 weeks. The question of what drugs can be used safely by pregnant women is so specialized that IM doctors are not well prepared for this, and I decided that I would call the Ob doctor on call to approve every drug other than acetaminophen. I had a new othopedic doctor rant and rage and yell abuse at me for 20 minutes one night because I asked whether he was going to admit the patient to his service or whether he needed me to do it. It was a 21 year old with a broken arm and no medical problems. I did the admission but did not bill for it because there was no medical diagnosis.
Great breakdown and insight into the hospitalist job, Dr. Trivedi! Do you have any insights or opinions on "cardiology hospitalists"? I've heard that term mentioned a few times before.
Glad you enjoyed it! It's becoming more of a common thing. To my knowledge my hospital doesn't have it since all of the medicine doctors cover cards pts - but there are facilities that have a cards or oncology hospitalist that admits and cares for admits from those services with the specialist taking care of just their bread and butter. Just currently not everywhere because it's dependent on being clear of what's considered to be a patient that's I cared of by one hospitalist and not others. That will vary for each institution
Thank you so much for the video! I can't wait to become an IM attending! (no more patient presentations to attendings is mind boggling!) I understand the reasons why you decided not to pursue fellowship from the comments, but does the fact that you didn't immediately apply become detrimental to your future applications to fellowship? (like how residency programs will question gap years) Thanks!
thank you for such an in depth video! Hospitalist seems like such a great lifestyle. Do you feel like its a long term career? and do you ever have to work any nights?
Glad you enjoyed it! Too soon to tell :) 1 month into it. But from what I've seen people who do it long term cut down on how often they work since the long days in a row can be tougher when you're older with a family. At my location - I don't have to. But at my institution I did residency at - they would work 1 night a month at least
I feel like everyone's salary has increased over the years except for hospitalists. Family doctors makes close to hospitalists now. Hell, travel nursing can make as much as a hospitalist now.
Depends on where you are + how your compensation is but I think the salaries will stay stagnant when they'll be plenty of options for anyone to admit and take care of pts. But with every other week off - I'm not gonna complain about the salary of others
did they give you a starting bonus? Usually how much is that? What other kinds of bonuses per year exist and how much are they? I love your videos, I love your channel and your video editing 👍👍
Yes go starting bonus (havent got it yet). I interviewed at place where there was no bonus and others where it was 10-20k. Other revenue models include - a cut of any productivity (seeing more pts) over the number they expect of you. Also sometimes there's a bonus for meeting quality metrics (low readmission rates, earlier discharges during the day, etc.) Thanks for the support
Thanks for the video! Current MS3 interested in IM here. Just curious if you've run across other hospitalist schedules besides the 7 on 7 off schedule? Like rotating weekends, etc?
The other common versions is a 4 on 3 off and then some hospitalist that only work nights (nocturnists) often work 1 week on and 2 weeks off but it again all depends
Hi, I wanted to know whether someone with one hand ( the other hand is amputated transhumeral due to an accident recently ) study medicine in the USA and practice medicine in the USA? The person is already studying in pre-medical 2nd year.
Hope you have been doing well. How has it been working with PAs and NPs if you work with them? I was a cross coverage night PA for 2 years ( with 80-120 census per night as a new a new grad when i started Dec. 2019….. right into a pandemic…..most traumatic experience ive ever had…was given a phone and a pager and they said let us know if you have questions…..after about 3 weeks of orientation…..) and im now about to start day time rounding position after trying emergency medicine for a little over a year. Also, is it the norm for hospitalists to manage ICU level patients? Thanks!
Hey Nick! I haven't been on the APP service yet but think soon. I've met them and they seem great and nice. They see about the same amt of pts as us but just don't admit at my facility. I also would be seeing about 7-10 pts of my own in addition to their 14-15. ICU depends on the hospital. Mine is open so critical care and hospitalist take care of them. If not intubated then it's likely I'm the primary
Thanks for the insight! I am Canadian looking into applying to medical school (as a software engineering/business double major). I have the grades I need to have a solid chance, but I just want to make sure this is what I want before I even take a lot of time to write the MCAT. My internship right now is a lot of desk and I hate it. I helped with biomedical research in college and I loved the science, loving talking to people, and problem solving. While I feel like I want to be an MD and a doctor, I have always also wanted to pursue tech med and have my own start up. I would be great to do have an MD and work on a start up that helps people. Doctors in my family have told me doctors do not have enough time for doing two things at once, what do you think?
I also loved the medical research environment and look back on those years with fondness. At the cutting edge of research you probably know more about the subject than anyone else in the world and it is very exciting and stimulating. Before I did an MD I had a PhD (at age 27 after a double BSc and MSc) and did post-doctoral research on the methods used for haemodialysis. I used computer simulation of human physiology during hemodialysis. This was the highlight of my life, working in New Zealand (where I was born), UK, Germany and South Africa. One highlight was being invited to a three-day meeting with all the Nobel Winners in Medicine and Physiology who have a reunion every 10 years at Lindau in Germany. I met a lot of famous people and could choose which one to sit with at each meal each day. Amazing. The von Humboldt foundation sent my wife and I to a German language school for 4 months full time, with local trips every weekend, and then a 3 week tour of 13 German cities, all expenses paid. When I wanted to try a new dialysis method on a real patient I had to rely on an MD (HOD) to recommend a patient. He made a very bad choice. He did get the patient's consent but it did not go well. I realized that I needed an MD to do this kind of work and after 4 years as a Computer Science Lecturer in NZ, I went to Medical School in Miami, USA. It took 6 years of training (usually more to specialize) and then had to practice medicine to pay off the big debts. After all these delays I never went back to research. So, what is the right answer? If you can develop medical devices without doing formal medical training you are probably best to work with MDs to do the clinical part. It all depends on the types of projects you are working on, and available funding. Those people doing a combined MD-PhD in a 6 year program straight from school have the best of both worlds. Most researches have done an MD first and then add a quick PhD in 1-2 years. If are relying on grant agencies to fund research it is a difficult path keeping up with your research, reading others papers, writing reports and applications for new grants. It is a very busy and stressful life. With grants so hard to obtain you run a very high risk of failing to get funding at some point. If you have a wife and children to support it feels very insecure, and that was one of my issues. Practicing medicine is however a very secure path and with an MD you can always switch or supplement your research income with clinical work. In an academic research environment there are another set of challenges. In Medicine you have the "Triple Threat": First priority on your time is ensuring patients are taken care of properly, including documentation. Second comes teaching medical students and/or residents, and third you are expected to do research and publish. It is a bit of a nightmare!
Hey nice video. Can you please tell me what's the average Salary of IM/FM academic hospitalist who just started after completing his/her residency? Thanks in advance😊
HI Doc, I am bit confused that as medicine Practitioners has to work a week and then a week on vacation so can anyone willing to work 6 months regular and take 6 months vacation, is it possible ?
Not so much at the same position. They can hire providers to alternate weeks but not someone to work 6 months straight. You can do prn and locum jobs where you sign up to work when you want. But your pay or life predictably will be affected
Good question. Not required too and they take time so most hospitalist won't so they can take care of more patients. The critical care team (since we have an open ICU) help with those. Codes - yes if needed I can run those.
I have a gap year between my high school and med school...and i got only 70 percentage in my high school.......do this both cause any issues while doing usmle...plz reply me
It depends on the hospital. At most places, hospitalists do not run codes even if it's their patient. In cases where hospitalist do run codes, it is usually responsibility of one or two hospitalists per day to cover.
Think it depends on where you train but I think residency for me was harder (more complex pts) than what I'm taking care of most of the time now. So 100% yes.
Usually no. Mainly because we're following so many patients during the day- procedures you usually will slow us down. But there are some hospitals where a hospitalist could do procedures such as a thoracentesis or a paracentesis. Less common though
I commented on this above, often rounds go 1.5-2 hours. Some pts are very quick (been waiting for rehab placement for days and don't want to talk in the AM. Others need a lot more attention). So trying to back calculate doesn't tell the whole picture. If the patient needs more time - they should receive it!
@@TheMDJourney There's no way your rounds on 15-17 can be done in 1 hour. Your video is a little misleading in that regard. I'm glad you give your patients what you feel is appropriate time though.
I think that may vary with the policies of the hospital. If you are employed by the hospital they might want to prevent you from working somewhere else during your time off, concerned that you may become over tired. Some contracts say you have to get written permission to work elsewhere. If there are two or more hospital systems competing against each other they may include a clause preventing you from working for the competition. However, if the hospital is desperate to fill shifts they will probably forget about their rules and happily schedule you to work extra shifts in different departments within their system. At one time I worked for a smaller hospital which at the time was not very busy during my night shifts. A larger hospital nearby was short of nocturnists and they were happy for me to work 7/7 at one hospital and 7/7 at the other hospital. So I worked non-stop for 7 weeks. Once I got into the rhythm of nights it seemed to be no problem, but I would not do it again!
Great Video! I had a really quick question to ask on if I should drop this gen chem 2 course. I forgot almost everything from gen chem 1 and honestly don't remember a thing at all since its been awhile. currently, I'm taking gen chem 2 and everything has been difficult especially doing every assignment, lab reports, and just problems in general. I worry that, on exams and quizzes. I won't do so great. What would you advise specifically on what should I do?
Also, I was wondering if you coach for reading/writing skills and taking an general sciences classes especially building like a system for myself because I struggled all my life with these issues and want to take the next step. I just need help on changing my life around and getting more better at my weakness. Thanks
Person by person case frankly. You'll have to take Gen Chem regardless so question is - will it suddenly become easier later or does that just mean you need to spend more time catching up and perfecting the topic for your quiz/exams. What would change if you dropped the class - would just go through the hard class again. We do offer coaching for improving your studying, test taking, and time management among other things ( themdjourney.com/study-transformation/)
@@TheMDJourney It feels like I need to go back and relearn everything from gen chem 1 on my own. It’s just I forgot everything and its been difficult for everything so far. It feels like if I were to drop this class, I would relearn again from gen chem 1 and possible go ahead on gen chem 2. So when I take the class the next semester, it will be much easier because I caught up on everything and I know what I’m doing.
Both have their unique factors. If you want to do an outpatient clinic FM is likely you're best bet although lots of IM grads go into the primary care outpatient route. If you prefer the inpatient side of things and want the option for clinic then IM is likely the best bet. Also I don't prefer to take care of peds and OB/gyn patients as part of future career (but it's all about your interests) so if that's something you'd like to see then again FM would be a good fit.
salary wise is not good to give a range. should tell us which area you're working at and how much you're getting paid. anyone can look online for a range of salary. for example, I'm in Boston, getting paid $270K would be more helpful than to say range 250-300k for IM, that's doesn't help much.
Can you please tell me what's the average Salary of IM/FM academic hospitalist who just started after completing his/her residency in upstate New York? Thanks in advance😊
I was once admitted for very specialized testing related to an acute problem on a weekend at a 1000 bed medical center. They used a hospitalist system. I found the quality of admission H&P, admitting orders, actual IM care (I needed very little) to be deficient and that's generous. And, yes, I am an expert. My personal internist and my cardiologist both warned me that I'd be disappointed and they were right.
Think this will vary where you go. At a 1,000 bed hospital I won't be surprised if their docs are swamped with patients - and thus sacrifices on individual care. I won't speak for myself but most of the time I take over one of my collegue - read their notes - and hear from their patients when I take over - most have had a good experience. So think this will very with location, the doc obviously that's taking care of you (just like in any specialty), and other factors. Sorry you had a bad experience - but don't think it's fair to label that for every hospitalist. Again most of the docs I work with seem to really be invested in their patients and their betterment.
@@TheMDJourney I read your comment twice and think that I have the syntax sorted out. The hospital in question is a major referral and teaching medical center. I quietly listened to the comments and to the decisions made on rounding in the pod where I was staying during my workup. The thought processes were suboptimal and that's generous. The therapeutics were not even at "Washington Manual" level. Now, I'm sure that complex patients were under the care of their own specialists and subspecialists and that care was probably excellent. The hospitalists were then functioning like a "night float" of old. That's a career which would certainly not have appealed to me, but apparently, in the interest of still greater profits, "The Times They Are A-Changin'".
To be more accurate, hospitalists in bigger cities almost always make lesser than hospitalists in bigger cities. Big cities like NYC there are some hospitalists making 140-150K. Solid video though , good overview.
Hi, i have your comment on many medical channel and i would to connect with you, i am an IMG preparing for Usmle and i am done with my step 1. Is there are a way you can connect ? Maybe via e-mail? Thank you
Sure! 1. Wife and I were trying to line up career goals and timing to avoid multiple moves. 2. Wanted to explore life as a hospitalist since that time off let's me work on projects like this 3. Closer to family for at least a short while
I finished my Biomedical Masters in May with a 3.9 using your studying techniques and I just wanted to say THANK YOU! I look forward to using these techniques and more when I’m in med school!
Pulm/ccm team here … hospitalists are basically unfortunately the place where all consultants put their patients to avoid ( discharging notes and orders … ) … I wish icu is closed !! Too many chefs burn the dish … sometimes hospitalists try to manage things with no communication with critical care doctor .. this is the worst that can happen to any patient .. overall my friends who became hospitalists are not happy .. and yes that week off ? Just wait for the group to ask you to work on these days or overwhelming you in your work week so you barely can be able to do anything in your week off besides relaxing
Forget to mention rounding with social workers and case managers … omg and trying to figure out who’s gonna be close to be discharged 😅 today and likely be discharged tomorrow
I think many of these things are known downfalls of the job. Frankly I don't mind the DC notes or the rounds with social workers/case managers (but thankfully I have some good ones). Also haven't felt pressure to work on my weeks off. .. But yes. Wrong group and hospital and these are all issues
I normally don't post on these kinds of things but I didn't want any trainee to get the impression the math here was acceptable. @13:38, 60 min / 16 patients = 3.75 min per patient. As a hospitalist, that is an unacceptable amount of time with your patients. It doesn't matter if you "follow up with one or two later in the day", no patient deserves that degree of inattention
Often rounds go anywhere from 7:20-9ish. Some days quicker/later depending on the list and acuity. Depends on what they are there for some patients want and need a solid update on the morning. Others (waiting on a surgeon to clear them) may not want to be woken up. So I agree - spend time with your patients, don't sacrifice time with them for the sake of efficiency. I wouldn't try to put it to a math equation though. I encourage patient rapport building on this channel and know I live by that advice with my pts as well. Thanks for pointing the need to clarify :)
This is disgusting. Primary doctors and specialists don’t see their patients. You rush to evaluate a complex medical situation that requires the most experienced person. You have the pleasure of going to New York and Hawaii for a week after being on duty for 7 days in a row. This is not sustainable for a career. This is profits over people.
Not sure where the conclusions are coming from. If I have a panel for 15-20 pts, unless the service is really busy, there are some patients. You may not have any changes to their medical plan for that day because they may be waiting or discharge to rehab or an upcoming surgery from a different subspecialty. That's these conversations. What the patients are much quicker if there's no changes, they have no complaints. On the flip side, that extra time from these, non-activations often gets taken up by the second patients on the service for that day, which often will require 20 to 30 minutes depending on how the sick they are. It's likely doesn't include extra time spent in the morning and afternoons speaking with consultants, families, nurses, checking in with the patient's progress. Finally- as a physician, I have no benefit of rushing my work since as a hospice your main jobs to discharge patients, so if you see them too quickly they likely will stay or remain sick. The best patients will be on your service longer increasing your overall workload. Yes, there's still a focus on efficiency because you want to make sure that you can give all the urgent items. You are attention in focus, but it doesn't mean that the process is rushed just to be speedy. But if you're concerned is just about the limited amount of time that a position spends with their patient, then yes even physicians experience that and that's often pressure that comes from the powers and employers for that physician. So that part I can agree with
For an IMG you need to write USMLE step 1, USMLE Step 2 CK and Occupational English Test (OET). DO well to apply for ECFMG certification before 2024 before it becomes restricted to some medical schools.
U can apply for ECFMG certification now & take d steps much later when u're ready. U become ECFMG certified after passing all the exams den u can apply for residency
![My First Month As A Hospitalist [Biggest Lessons]](http://i.ytimg.com/vi/emNy0goofjI/mqdefault.jpg)
![[LIVE] : ONE ลุมพินี 85 | คู่เอก "ยอดเหล็กเพชร vs ผึ้งหลวง"](http://i.ytimg.com/vi/Qq_19bnnxEo/mqdefault.jpg)
![So You Want to Be an INTERNAL MEDICINE DOCTOR [Ep. 19]](/img/n.gif)
Hey, friends! Hope you enjoyed today's video about "Day in The Life as An Internal Medicine Hospitalist". Take advantage of all my favorite med school tips and tricks in this free guide here! (themdjourney.com/med-school-success-handbook/) Good luck on your journey! 💪
See the reply by Evan Lewis BSc, MSc, PhD, MD.
I forgot I watched this before. I'm STILL a DC-based hospitalist PA. It's VERY challenging but, rewarding work. I came out of an out-patient clinical setting. So, had MUCH to learn. The RTs were great about helping me with vents. We PAs work under the supervision of MD/DOs, so that's very helpful. Thanks for sharing your experience with us!🙂👋🏽👨🏽⚕️
I was a hospitalist PA for several years. I worked with a supervising physician. It was a good job; very challenging yet, rewarding.🙂👋🏽👨🏽⚕️
ER PA here- very sorry for all of our consults. it seems like people are more sick than ever lately. we're boarding about 15-30 on a normal day. we know it's a lot of work for you, & we appreciate our medicine team!!!
Happy to help :) I've remember my time in residency in the ER - y'all don't have it easy
Yes! Please make a video about how to be efficient in each role (rounding vs admitting)
This is really helpful video, Thank you.
I am PGY 3; Job hunt has been overwhelming. Can you please make a video on tips that would help with a job hunt for a hospitalist and what things to look for?
Sure I can look into that!
I'm a new hospitalist after residency as well like you. I would say you are very efficient in terms of seeing 17 pts in an hour!! There are so many questions from pts as well as distractions/constant texts while seeing them, it almost takes 2-3 hours to round on 15 pts.
I've mentioned this in other comments but would say my normal is about 1.5-2 hours. I also try to finish what I'm doing before looking at the next set of messages so I don't lose my flow
Helps if they’re all demented
Cool, Does hospitalist spend more or less time than primary care with paper work? How many hours? Do you frequently deal with critical cases and death? Thanks!
As a newer ED doc this is super interesting to watch
I'm sure life as a new ED doc is interesting
I am at the opposite end of my career. Turned 70 and retired as a Board Certified hospitalist/nocturnist. I had a PhD and 10 years of research and teaching before doing a PhD to MD program at the University of Miami. After residency I was 43 when I started work as a doctor in 1993.
In response to the question by "TheMDJourney". Was it worth doing the MD degree? If you are really keen to do research, the MD doesn't work out too well. First if you spend 8 years in med school and residency you are likely to have big student loans to pay back. Then you are really forced to practice medicine, in my case 5 years, to pay back loans, and that was with my wife working much of that time. That leaves a big hole in your time as a researcher.
Generally the pay is significantly lower for research work, compared with medical practice. In my case I never went back to research, although I would have liked to. University positions are usually not great because of the "Triple threat". First look after patients, then teaching, and if you have time slot in some research and spend any spare time publishing and applying for grants. For a lot of people that doesn't really work unless you can get enough grant money to make a deal with the university to do medical and teaching part time. It is a struggle.
As a hospitalist the options may be a little better as most programs use the 7on/7off block model described in this video. Theoretically you could do research or start a business during your week off (after a day or two of rest), if you are willing to sacrifice your private life and the business allows you to work that way..
I liked working as a hospitalist/nocturnist but most programs work on 7/7 12 hour shifts. The difference is that 12 hours is always 12 hours or more. You have to be in the hospital all 12 hours. This meant in my case that the hourly pay was significantly less than what the day doctors were earning. My hospital gave a substantial salary increase for doctors with 4 years experience, but refused to apply it to nocturnists who they thought were overpaid. The hourly rate was very good but still less than the day doctors. Salary surveys that I have seen still do not report pay rates for Nocturnists.
Once you and your family get established in schools and you buy a house it is not easy to transfer to another city if you don't like the deal your employer is offering and with all the mergers our whole region was taken over by a single monopoly. So choose carefully.
What I liked about it was the responsibility and excitement of being in charge of everything with no specialist help unless you called them in to do a procedure and that included looking after about 30 ICU patients (we had 50 ICU beds), looking after problems in 100 medical patients, taking transfers from 21 surrounding rural hospitals, and supervising 2 nurse practitioners admitting patients in the ER and seeing all their patients. When it was really crazy I would stay after my 12 hour shift to dictate notes. I loved the EPIC computer system and its voice recognition.
I also spent my first 5 years in the old traditional internist model looking after both inpatients and out patients. It was great for continuity of care but terrible working hours.
The next 11 years I was in outpatient-only solo private practice and loved the independence. Four doctors shared call and we cross covered each other for phone calls every 4th night.
That is when I switched to working as a hospitalist, quickly becoming a nocturnist, in 2009 to 2020.
Thank you for your insight.
Why do you switch from outpatient private practice to nocturnist? Do you prefer inpatient to outpatient medicine?
@@hk6474 Thanks for your question. I was in solo private practice for 16 years. My office manager ran everything but wanted to retire. She pointed out that I was getting burned out. So I decided to work part time, one week a month in the hospital. I expected a difficult re-learning curve, but found it relatively easy.
I enjoyed hospital work and the fact that the shift was over after 12 hours allowed me more free time at home. No more taking home all the labs, xrays and consultants letters to review late at night. No piles of patient requests and prescription refills and insurance documentation to deal with before I went home each evening etc.
After 5 years as a hospitalist working 12 hour shifts, I transferred to another hospital with 8 hour shifts at almost the same pay per shift and negotiated 1-2 months vacation every year. I wrote the shift schedules myself while consulting the physicians involved and it all worked very smoothly. After 11 years as a hospitalist I retired.
Which did I like best? It is hard to say. There are pros and cons either way. I liked being my own boss in solo practice but as a nocturnist I was pretty much my own boss in the hospital too. I liked the fact that I was always admitting patients at night but did not have to deal with complicated discharges and insurance issues. For me, the initial diagnosis and admission plan was much more interesting. Internal medicine provides a great deal of variety in diagnoses and at night I would only call a specialist if an emergency procedure was needed. On the other hand I missed the personal long-term connections with patients in my outpatient practice.
Twelve admissions in one shift? And I think I saw Powerchart. Same system here. It's rough! So tedious but there are far worse EMRs out there.
10-13 old pts from the day before, 2-4 admits from overnight that have been seen at least once and, 2-4 new admits a day. Yeah I used epic before but don't mind powerchart!
Thank u alot i am incredibly greatfull you can not imagine how much your tips and insights go thanks for your time 👍👍👍
Glad these helped!
Thank you for this video. It was very informative to me in writing up a Clinician interview project for my Bioinformatics program.
I'm also an amateur YT streamer and have one piece of advice. For video productions which appear on YT or other video providers, please don't mount the camera on your monitor, it causes the monitor's display to be reflected in your eyeglasses.
Thanks for the comment and feedback :D
Cool, Does hospitalist spend more or less time than primary care with paper work? How many hours? Do you frequently deal with critical cases and death? Thanks!
You've always been the head honcho to me. The final boss. Woohooo
Haha thanks for the support!
According to my sources and information a Hospitalist typically earn between 170K to 180K in the east coast. In California where cost of living is much higher as compared to east coast a hospitalist earn between 200K to 300K.
Midwest pays the most
170k to 180k? Maybe in academics in a big city.
@@hk6474 Can you please tell me what's the average Salary of IM/FM academic hospitalist in upstate New York who just started after completing his/her residency? Thanks in advance😊
Congratulations, this is an awesome achievement. Very inspirational
Thank you!
Interesting video!
I work a non traditional hospitalist schedule. More shifts than 7 on-off but my shifts are typically shorter. We do night shifts, but I take call from home. Some days I work from 9:30 to 1:30 or 2PM depending on patient load and complexity. We're on call every 3rd day. Downside is more shifts and we have to work occasional nights. We also don't get dumped on by other services as much as it sounds you do at our hospitals. ie most non IM docs do their own discharges and don't consult us for bullshit reasons.
Yeah not sure how I'd feel about that change :D Shorter days sounds nice but I'm not sure my wife would like the nights part.
Also contrary to belief (including my own) I feel like I'm getting dumped on and more that I get a variety of pts that don't have a primary service for their problem.
Increasingly nearly all specialty services are realizing that they can get rid of a lot of paper work by having IM doctors do all their admissions. They still do their consultation notes and charge so it looks to me like double billing. I hated it when Ob/Gyn persuaded hospital administration that IM could handle all their admissions for pregnant women up to 28 weeks. The question of what drugs can be used safely by pregnant women is so specialized that IM doctors are not well prepared for this, and I decided that I would call the Ob doctor on call to approve every drug other than acetaminophen. I had a new othopedic doctor rant and rage and yell abuse at me for 20 minutes one night because I asked whether he was going to admit the patient to his service or whether he needed me to do it. It was a 21 year old with a broken arm and no medical problems. I did the admission but did not bill for it because there was no medical diagnosis.
Great breakdown and insight into the hospitalist job, Dr. Trivedi! Do you have any insights or opinions on "cardiology hospitalists"? I've heard that term mentioned a few times before.
Glad you enjoyed it!
It's becoming more of a common thing. To my knowledge my hospital doesn't have it since all of the medicine doctors cover cards pts - but there are facilities that have a cards or oncology hospitalist that admits and cares for admits from those services with the specialist taking care of just their bread and butter. Just currently not everywhere because it's dependent on being clear of what's considered to be a patient that's I cared of by one hospitalist and not others. That will vary for each institution
@@TheMDJourney Makes sense. Thank you for the insight!
Congratulations Dr. Trivedi
Thank you!
Thank you so much for the video! I can't wait to become an IM attending! (no more patient presentations to attendings is mind boggling!) I understand the reasons why you decided not to pursue fellowship from the comments, but does the fact that you didn't immediately apply become detrimental to your future applications to fellowship? (like how residency programs will question gap years) Thanks!
Being a hospitalist is more and more common. If you show that the interest was still there or you were working on research etc. I should be fine
thank you for such an in depth video! Hospitalist seems like such a great lifestyle. Do you feel like its a long term career? and do you ever have to work any nights?
Glad you enjoyed it!
Too soon to tell :) 1 month into it. But from what I've seen people who do it long term cut down on how often they work since the long days in a row can be tougher when you're older with a family.
At my location - I don't have to. But at my institution I did residency at - they would work 1 night a month at least
I feel like everyone's salary has increased over the years except for hospitalists. Family doctors makes close to hospitalists now. Hell, travel nursing can make as much as a hospitalist now.
Depends on where you are + how your compensation is but I think the salaries will stay stagnant when they'll be plenty of options for anyone to admit and take care of pts. But with every other week off - I'm not gonna complain about the salary of others
Yes every other week off but the in service week is brutal but freedom for 1 whole week😉
What are the criteria (or checklist to make my cv strong) for entering this program?
did they give you a starting bonus? Usually how much is that? What other kinds of bonuses per year exist and how much are they? I love your videos, I love your channel and your video editing 👍👍
Yes go starting bonus (havent got it yet). I interviewed at place where there was no bonus and others where it was 10-20k.
Other revenue models include - a cut of any productivity (seeing more pts) over the number they expect of you. Also sometimes there's a bonus for meeting quality metrics (low readmission rates, earlier discharges during the day, etc.)
Thanks for the support
can you make a video on how to write notes as a hospitalist?
Thanks for the video! Current MS3 interested in IM here. Just curious if you've run across other hospitalist schedules besides the 7 on 7 off schedule? Like rotating weekends, etc?
The other common versions is a 4 on 3 off and then some hospitalist that only work nights (nocturnists) often work 1 week on and 2 weeks off but it again all depends
My institution has 2 on 2 off
Hi, I wanted to know whether someone with one hand ( the other hand is amputated transhumeral due to an accident recently ) study medicine in the USA and practice medicine in the USA? The person is already studying in pre-medical 2nd year.
Hope you have been doing well. How has it been working with PAs and NPs if you work with them? I was a cross coverage night PA for 2 years ( with 80-120 census per night as a new a new grad when i started Dec. 2019….. right into a pandemic…..most traumatic experience ive ever had…was given a phone and a pager and they said let us know if you have questions…..after about 3 weeks of orientation…..) and im now about to start day time rounding position after trying emergency medicine for a little over a year. Also, is it the norm for hospitalists to manage ICU level patients? Thanks!
Hey Nick!
I haven't been on the APP service yet but think soon. I've met them and they seem great and nice. They see about the same amt of pts as us but just don't admit at my facility. I also would be seeing about 7-10 pts of my own in addition to their 14-15.
ICU depends on the hospital. Mine is open so critical care and hospitalist take care of them. If not intubated then it's likely I'm the primary
Thanks for the insight! I am Canadian looking into applying to medical school (as a software engineering/business double major). I have the grades I need to have a solid chance, but I just want to make sure this is what I want before I even take a lot of time to write the MCAT. My internship right now is a lot of desk and I hate it. I helped with biomedical research in college and I loved the science, loving talking to people, and problem solving. While I feel like I want to be an MD and a doctor, I have always also wanted to pursue tech med and have my own start up. I would be great to do have an MD and work on a start up that helps people. Doctors in my family have told me doctors do not have enough time for doing two things at once, what do you think?
Hey
It sounds like for what you are trying to achieve you wouldn't need to have an MD
I also loved the medical research environment and look back on those years with fondness. At the cutting edge of research you probably know more about the subject than anyone else in the world and it is very exciting and stimulating.
Before I did an MD I had a PhD (at age 27 after a double BSc and MSc) and did post-doctoral research on the methods used for haemodialysis. I used computer simulation of human physiology during hemodialysis. This was the highlight of my life, working in New Zealand (where I was born), UK, Germany and South Africa. One highlight was being invited to a three-day meeting with all the Nobel Winners in Medicine and Physiology who have a reunion every 10 years at Lindau in Germany. I met a lot of famous people and could choose which one to sit with at each meal each day. Amazing. The von Humboldt foundation sent my wife and I to a German language school for 4 months full time, with local trips every weekend, and then a 3 week tour of 13 German cities, all expenses paid.
When I wanted to try a new dialysis method on a real patient I had to rely on an MD (HOD) to recommend a patient. He made a very bad choice. He did get the patient's consent but it did not go well. I realized that I needed an MD to do this kind of work and after 4 years as a Computer Science Lecturer in NZ, I went to Medical School in Miami, USA. It took 6 years of training (usually more to specialize) and then had to practice medicine to pay off the big debts. After all these delays I never went back to research. So, what is the right answer?
If you can develop medical devices without doing formal medical training you are probably best to work with MDs to do the clinical part. It all depends on the types of projects you are working on, and available funding.
Those people doing a combined MD-PhD in a 6 year program straight from school have the best of both worlds. Most researches have done an MD first and then add a quick PhD in 1-2 years.
If are relying on grant agencies to fund research it is a difficult path keeping up with your research, reading others papers, writing reports and applications for new grants. It is a very busy and stressful life. With grants so hard to obtain you run a very high risk of failing to get funding at some point. If you have a wife and children to support it feels very insecure, and that was one of my issues. Practicing medicine is however a very secure path and with an MD you can always switch or supplement your research income with clinical work.
In an academic research environment there are another set of challenges. In Medicine you have the "Triple Threat": First priority on your time is ensuring patients are taken care of properly, including documentation. Second comes teaching medical students and/or residents, and third you are expected to do research and publish. It is a bit of a nightmare!
Hey nice video. Can you please tell me what's the average Salary of IM/FM academic hospitalist who just started after completing his/her residency? Thanks in advance😊
HI Doc, I am bit confused that as medicine Practitioners has to work a week and then a week on vacation so can anyone willing to work 6 months regular and take 6 months vacation, is it possible ?
Not so much at the same position. They can hire providers to alternate weeks but not someone to work 6 months straight. You can do prn and locum jobs where you sign up to work when you want. But your pay or life predictably will be affected
Do u do procedures (lines,intubation,vents) or have to run codes?
Good question. Not required too and they take time so most hospitalist won't so they can take care of more patients. The critical care team (since we have an open ICU) help with those. Codes - yes if needed I can run those.
I have a gap year between my high school and med school...and i got only 70 percentage in my high school.......do this both cause any issues while doing usmle...plz reply me
What happens if your patient codes on a day you leave a bit early? Do you have a colleague that stays until 7pm that stands in for you?
It depends on the hospital. At most places, hospitalists do not run codes even if it's their patient. In cases where hospitalist do run codes, it is usually responsibility of one or two hospitalists per day to cover.
do you feel u learn enough in residency to become a hospitalist straight out?
Think it depends on where you train but I think residency for me was harder (more complex pts) than what I'm taking care of most of the time now. So 100% yes.
you get to wear scrubs as an attending? if so thats awesome!
after completing residency
do we have to see both op and ward cases in int med?
Depends on your job but often it's one of the other. I only see inpatient
@@TheMDJourney medical genetics residency possible for old imgs?
Do Hospitalists do any bedside procedures
Usually no. Mainly because we're following so many patients during the day- procedures you usually will slow us down. But there are some hospitals where a hospitalist could do procedures such as a thoracentesis or a paracentesis. Less common though
In an hour you've seen and rounded on ~15-17 patients on your list? so that's 3-4 minutes of time with each patient face to face
I commented on this above, often rounds go 1.5-2 hours. Some pts are very quick (been waiting for rehab placement for days and don't want to talk in the AM. Others need a lot more attention). So trying to back calculate doesn't tell the whole picture. If the patient needs more time - they should receive it!
@@TheMDJourney There's no way your rounds on 15-17 can be done in 1 hour. Your video is a little misleading in that regard. I'm glad you give your patients what you feel is appropriate time though.
Can those weeks off as a hospitalist be used to work as an outpatient physician at the same / different institution?
I think that may vary with the policies of the hospital. If you are employed by the hospital they might want to prevent you from working somewhere else during your time off, concerned that you may become over tired. Some contracts say you have to get written permission to work elsewhere. If there are two or more hospital systems competing against each other they may include a clause preventing you from working for the competition.
However, if the hospital is desperate to fill shifts they will probably forget about their rules and happily schedule you to work extra shifts in different departments within their system. At one time I worked for a smaller hospital which at the time was not very busy during my night shifts. A larger hospital nearby was short of nocturnists and they were happy for me to work 7/7 at one hospital and 7/7 at the other hospital. So I worked non-stop for 7 weeks. Once I got into the rhythm of nights it seemed to be no problem, but I would not do it again!
Great Video! I had a really quick question to ask on if I should drop this gen chem 2 course. I forgot almost everything from gen chem 1 and honestly don't remember a thing at all since its been awhile. currently, I'm taking gen chem 2 and everything has been difficult especially doing every assignment, lab reports, and just problems in general. I worry that, on exams and quizzes. I won't do so great. What would you advise specifically on what should I do?
Also, I was wondering if you coach for reading/writing skills and taking an general sciences classes especially building like a system for myself because I struggled all my life with these issues and want to take the next step. I just need help on changing my life around and getting more better at my weakness. Thanks
Person by person case frankly. You'll have to take Gen Chem regardless so question is - will it suddenly become easier later or does that just mean you need to spend more time catching up and perfecting the topic for your quiz/exams. What would change if you dropped the class - would just go through the hard class again.
We do offer coaching for improving your studying, test taking, and time management among other things ( themdjourney.com/study-transformation/)
@@TheMDJourney
It feels like I need to go back and relearn everything from gen chem 1 on my own. It’s just I forgot everything and its been difficult for everything so far. It feels like if I were to drop this class, I would relearn again from gen chem 1 and possible go ahead on gen chem 2. So when I take the class the next semester, it will be much easier because I caught up on everything and I know what I’m doing.
Is it possible to do an MD after getting a bachelors degree in Respiratory therapy?
Yeah as long as you have the pre reqs to apply for med school
@@TheMDJourney Secondly, which country is best for MD
Depends on where you want to be - if US then would recommend trying to do your training here since it makes the process smoother later on.
I genuinely thought you said your name was love shack....had to re run it...haha
Haha maybe you're not the only one. I'll have to pay attention to reactions to my name from now on ;)
@@TheMDJourney 😂
I’m contemplating applying for IM or FM what should I go for
Both have their unique factors. If you want to do an outpatient clinic FM is likely you're best bet although lots of IM grads go into the primary care outpatient route. If you prefer the inpatient side of things and want the option for clinic then IM is likely the best bet. Also I don't prefer to take care of peds and OB/gyn patients as part of future career (but it's all about your interests) so if that's something you'd like to see then again FM would be a good fit.
Have you finished your 14 year’s?
salary wise is not good to give a range. should tell us which area you're working at and how much you're getting paid. anyone can look online for a range of salary. for example, I'm in Boston, getting paid $270K would be more helpful than to say range 250-300k for IM, that's doesn't help much.
Not sure if 20k-30k up or down from that range makes a difference if you're going to look up the range in your area anyways.
Can you please tell me what's the average Salary of IM/FM academic hospitalist who just started after completing his/her residency in upstate New York? Thanks in advance😊
I was once admitted for very specialized testing related to an acute problem on a weekend at a 1000 bed medical center. They used a hospitalist system. I found the quality of admission H&P, admitting orders, actual IM care (I needed very little) to be deficient and that's generous. And, yes, I am an expert. My personal internist and my cardiologist both warned me that I'd be disappointed and they were right.
Think this will vary where you go. At a 1,000 bed hospital I won't be surprised if their docs are swamped with patients - and thus sacrifices on individual care. I won't speak for myself but most of the time I take over one of my collegue - read their notes - and hear from their patients when I take over - most have had a good experience.
So think this will very with location, the doc obviously that's taking care of you (just like in any specialty), and other factors. Sorry you had a bad experience - but don't think it's fair to label that for every hospitalist. Again most of the docs I work with seem to really be invested in their patients and their betterment.
@@TheMDJourney I read your comment twice and think that I have the syntax sorted out. The hospital in question is a major referral and teaching medical center.
I quietly listened to the comments and to the decisions made on rounding in the pod where I was staying during my workup. The thought processes were suboptimal and that's generous. The therapeutics were not even at "Washington Manual" level. Now, I'm sure that complex patients were under the care of their own specialists and subspecialists and that care was probably excellent. The hospitalists were then functioning like a "night float" of old. That's a career which would certainly not have appealed to me, but apparently, in the interest of still greater profits, "The Times They Are A-Changin'".
Is this 220 - 300k u r talking about gross or net pay?
Gross
@@TheMDJourney thanks
To be more accurate, hospitalists in bigger cities almost always make lesser than hospitalists in bigger cities. Big cities like NYC there are some hospitalists making 140-150K. Solid video though , good overview.
Hi, i have your comment on many medical channel and i would to connect with you, i am an IMG preparing for Usmle and i am done with my step 1. Is there are a way you can connect ? Maybe via e-mail? Thank you
Agreed. There are so many variations on internet regarding salaries
Can you please tell me what's the average Salary of IM/FM academic hospitalist who just started after completing his/her residency? Thanks in advance😊
Camp Sweeney med staffer??? 👀👀👀
Yep!
@@TheMDJourney awesome! What year?
2016 and 2018!
@@TheMDJourney no kidding haha small world!
May I ask why you didn’t pursue a fellowship right after residency pls?
Sure! 1. Wife and I were trying to line up career goals and timing to avoid multiple moves. 2. Wanted to explore life as a hospitalist since that time off let's me work on projects like this 3. Closer to family for at least a short while
I finished my Biomedical Masters in May with a 3.9 using your studying techniques and I just wanted to say THANK YOU! I look forward to using these techniques and more when I’m in med school!
Congratulations that's amazing!
Pulm/ccm team here … hospitalists are basically unfortunately the place where all consultants put their patients to avoid ( discharging notes and orders … ) …
I wish icu is closed !! Too many chefs burn the dish … sometimes hospitalists try to manage things with no communication with critical care doctor .. this is the worst that can happen to any patient .. overall my friends who became hospitalists are not happy .. and yes that week off ? Just wait for the group to ask you to work on these days or overwhelming you in your work week so you barely can be able to do anything in your week off besides relaxing
Forget to mention rounding with social workers and case managers … omg and trying to figure out who’s gonna be close to be discharged 😅 today and likely be discharged tomorrow
I think many of these things are known downfalls of the job. Frankly I don't mind the DC notes or the rounds with social workers/case managers (but thankfully I have some good ones). Also haven't felt pressure to work on my weeks off. ..
But yes. Wrong group and hospital and these are all issues
I normally don't post on these kinds of things but I didn't want any trainee to get the impression the math here was acceptable. @13:38, 60 min / 16 patients = 3.75 min per patient. As a hospitalist, that is an unacceptable amount of time with your patients. It doesn't matter if you "follow up with one or two later in the day", no patient deserves that degree of inattention
Often rounds go anywhere from 7:20-9ish. Some days quicker/later depending on the list and acuity. Depends on what they are there for some patients want and need a solid update on the morning. Others (waiting on a surgeon to clear them) may not want to be woken up. So I agree - spend time with your patients, don't sacrifice time with them for the sake of efficiency. I wouldn't try to put it to a math equation though. I encourage patient rapport building on this channel and know I live by that advice with my pts as well. Thanks for pointing the need to clarify :)
Hospitals ha don't like them think they are a joke
? 👍
Okay Linda.
This is disgusting. Primary doctors and specialists don’t see their patients. You rush to evaluate a complex medical situation that requires the most experienced person. You have the pleasure of going to New York and Hawaii for a week after being on duty for 7 days in a row. This is not sustainable for a career. This is profits over people.
Not sure where the conclusions are coming from. If I have a panel for 15-20 pts, unless the service is really busy, there are some patients. You may not have any changes to their medical plan for that day because they may be waiting or discharge to rehab or an upcoming surgery from a different subspecialty. That's these conversations. What the patients are much quicker if there's no changes, they have no complaints. On the flip side, that extra time from these, non-activations often gets taken up by the second patients on the service for that day, which often will require 20 to 30 minutes depending on how the sick they are. It's likely doesn't include extra time spent in the morning and afternoons speaking with consultants, families, nurses, checking in with the patient's progress.
Finally- as a physician, I have no benefit of rushing my work since as a hospice your main jobs to discharge patients, so if you see them too quickly they likely will stay or remain sick. The best patients will be on your service longer increasing your overall workload. Yes, there's still a focus on efficiency because you want to make sure that you can give all the urgent items. You are attention in focus, but it doesn't mean that the process is rushed just to be speedy.
But if you're concerned is just about the limited amount of time that a position spends with their patient, then yes even physicians experience that and that's often pressure that comes from the powers and employers for that physician. So that part I can agree with
Hi Lakshya, you’ve been a source of motivation for me lately🤍
PS: if I have a green card do I have to give IELTS for USMLE or Matching process ?
Glad the videos help! My experience with IMG stuff is poor but to match for residency- you need USMLE
@@TheMDJourney Gotcha, thanks again
For an IMG you need to write USMLE step 1, USMLE Step 2 CK and Occupational English Test (OET). DO well to apply for ECFMG certification before 2024 before it becomes restricted to some medical schools.
U can apply for ECFMG certification now & take d steps much later when u're ready. U become ECFMG certified after passing all the exams den u can apply for residency