Although the length of basic training for both is three years, internal medicine focuses only on adults (internists who wish to include the care of children in their practice may choose dual training in internal medicine and pediatrics, frequently referred to as “med-peds”; you can find out more about this career path). Lauren doesn’t really see any bias towards DOs. Do Med-Peds faculty practice combined Medicine and Pediatrics? For example, if you are interested in primary care: Are the residents well prepared for outpatient medicine? DOWNLOAD FREE - Crush the MCAT with our MCAT Secrets eBook. When viewing programs, consider those that structure their curriculum in a way that is conducive to achieving your own personal career goals. Are there private attendings, and how does that impact your training? Because of that, there’s a lot of overlap especially in the first year about learning how to be an intern. First being was that her mother was an emergency medicine nurse practitioner. What Is Psychosomatic and Addiction Psychiatry? You have to know a little about everything and be really willing to work hard. Lauren explains that you have to be willing to talk to people. 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. Are there fellows pursuing combined fellowships, or is the institution willing to work with incoming fellows to form opportunities for combined fellowship training? Most people who graduate from her program would be one in the primary care. She doesn’t mind an emergency every once in a while or dropping everything to take care of it. Then you’re mushing them together into four years. © Medical School Headquarters - All Rights Reserved. They’ve worked so hard so you would want those to be available to those patients. Another myth is that Med-Peds doctors will practice either internal medicine or pediatrics and not both. I think they’re the greatest field in the world, but not as competitive.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. … Is Med-Peds its own entity at the institution, or is it still split between Medicine and Pediatrics? Something went wrong. The opportunities available through these tracks can vary greatly between programs, and if interested in a special track, be sure to ask about it when you interview. That said, she reckons it at 95% out patient for her. Continuity Clinic: How much time is spent in clinic per week? So if you know someone that’s a family friend or your pediatrician, or someone you met at a networking event for premeds, really take them up on the offer if they offer for you to shadow. If you have a significant other, is it a compatible location for them? It’s just a variety of things. Our residents are fully integrated both Internal Medicine and Pediatric programs, but have a unique identity as Med/Peds residents in the hospital. Med-Peds is internal medicine and pediatrics combine specialty. She found it to be so much fun with a lot of variety. She loves the mental tenacity involved in internal medicine. You get to have more say over how your practice runs and you’re not having an administration telling you what to do. 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 … About 25% go onto fellowships, and 50% of this group pursue combined fellowships. In fact, one time, she went almost three months with no phone calls on that day. Lauren goes on to explain that Med-Peds programs are usually pretty small. But there’s not anything that’s cut out. I'm wondering why someone would choose Med-Peds over Family Medicine and vice versa? [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/”]. Are the categorical Medicine and Pediatrics programs equally strong? Internal medicine doctors, also called internists, care primarily for adults. This way, your application will contain evaluations and possibly letters from both disciplines. Studies show that Med-Peds physicians do continue to practice primary care for both adults and kids. Internal medicine vs. family medicine: Comparing skill sets. They’re then repaired and now they’re in their 30s. Other specialties they work very closely with Cardiology, Oncology, Surgery, and sometimes Nephrology. 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. If you do an international elective, do you still get your paycheck? Internal medicine-pediatrics, or med-peds, is a medical specialty in which doctors train to be board certified in both internal medicine and pediatrics. There is no one factor that will determine which program is best for you. This four-year program trains residents in primary and specialty care medicine for patients of all ages. I love mango, my friend loves pineapple. Choose people who know you well and will write strong letters. A doctor who trained in Med-Peds studied adult and pediatric medicine. One of my favorite components of being a med-peds physician is the rich specialty knowledge that surrounds us in our practice. Some subspecialties translate easily to Med-Peds practice, including rheumatology, allergy/immunology, endocrinology, and infectious disease. She likes taking care of families and she loves taking care of older adults in their 80s and 90s. Some internists also see children, but to do this, they must have dual training in both internal medicine and pediatrics. Internal medicine physicians, on the other hand, develop deeper training on common adult health conditions. It doesn’t impact students but there’s a change in the way that they’re paying private practice. It’s longer. Internal Medicine-Peds vs Family Medicine? Our program was established in 1981, making it one of the first combined Med/Peds programs in the country. How competitive are the residents when pursuing fellowships? Besides the length and type of training program, it seems as though these two fields have very similar practices, patient population, and lifestyle. But ultimately, she likes controlling her time. I'm wondering why someone would choose Med-Peds over Family Medicine and vice versa? The Med-Peds residents are members of both departments, though the number of dedicated Med-Peds faculty and infrastructure varies greatly between programs. She loves the mental tenacity involved in internal medicine. 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. Why is there confusion over the roles of family doctors vs. internal medicine physicians? A lot of the things that you learn are not really specific to one specialty or another. All of the physicians at Internal Medicine and Pediatrics Associates of Cary are board certified in both Internal Medicine and in Pediatrics. It is best to discuss the total number of programs to which you should apply with the Med-Peds faculty at Maryland. She has seen people do both although she has no knowledge of the actual data. (Look at this in the categorical programs too). Similar is the answer to the question. There are those that may want to take care of patients with compact heart disease as a kid. Med-Peds is sometimes compared to Family Medicine and deciding between the two is often a difficult choice. Give me aki, anemia, gi bleeds, chf, MI’s any day. The Departments of Internal Medicine and Pediatrics of The Ohio State University College of Medicine established a combined IM/Peds residency training program in 1985. A lot of times, she forgets when she thinks about her colleagues that she did training with as to who went to DO school and who went to MD school. In this video I answer the questions what is Medicine/Pediatrics and how is it different than family medicine. For her, a couple of things impacted her decision. Having always wanted to be an archaeologist and a teacher, she feels that Med-Peds allows her to be both. Begin researching programs in June and July. Some people like to have one specialty where they get a lot of deep knowledge in a very narrow pocket. 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. They’re both the doctor to the mothers and kids. The internship experience varies from 12-18 months. She’s from the east coast and most programs were 2-4 residents per year. How do the Med-Peds residents interact with each other, the program director, and the categorical residents? We are constantly looking for people to guest here on our podcast. Will you get exposure to the patient population you plan to work with? [Tweet “”You’re always putting together clues to figure out what’s going on with the patient.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. Similar is the answer to the question. Another myth is that Med-Peds doctors will practice either internal medicine or pediatrics and not both. Curriculum: Because Med-Peds training is essentially condensed from 6 to 4 years, the ACGME has fairly stringent curriculum guidelines to be followed by residency programs. 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. You will hear many people say that med-peds is for those who cannot choose between internal medicine or pediatrics. Also, the Med-Peds program will assign you a specific Med-Peds faculty member mentor to help you throughout the interview process. IMGs and DO candidates may have a better shot in Med/Peds than other sub-specialties. But they don’t do OB, so they don’t deliver babies. Location: Is it an area you want to live for four years? On the flip side, what she likes the least is the reimbursement compared to specialists. Check out all our other podcasts on MedEd Media Network. It might make 4th year med school intense to stuff rotations in there, but you really want to know. And Lauren doesn’t think this is a modifiable thing. However, you should discuss this with your faculty advisor. The FREIDA website lists all of the Med-Peds programs and basic information, such as program directors’ names, address, number of residents, etc. Lastly, Lauren would like to impart to students that it’s important to network and connect with attending physicians. Most of them are really excited to share their specialty with people. She doesn’t necessarily have to be somewhere. Freed GL, Fant KE, Nahra TA, Wheeler JR. Internal medicine-pediatrics physicians: their care of children versus care of adults. With internal medicine, in terms of the archeology part of it, you’re always putting together clues to figure out what’s going on with the patient. 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. There are many Med-Peds fellowships available. Lauren takes calls one day a week. Yale Combined Medicine-Pediatric Residency ≡ 16 categorical Yale Primary Care Internal Medicine Residency ≡ 54 residents Yale Internal Medicine Traditional Residency ≡ 137 residents Do they appear overworked? How is the specialty different from family medicine then? If patients hear her kids talking, they know she’s living her life. Those medical students interested primarily in Med-Peds list Internal Medicine as their … Are there international opportunities in place? We get to discuss cases with cardiologists, pulmonologists, gastroenterologists, and many other specialists from both the pediatric and internal medicine worlds. 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. This will help your patients out in the future. Another 15% pursue hospitalist careers. It is sometimes helpful to ask the same questions of different people to verify consistency. Shadow them to see if this is something you’re interested in. She gets an average of ten phone calls. Internal medicine doctors. Internal medicine physicians, on the other hand, develop deeper training on common adult health conditions. And then she became a Partner last year. A special agreement exists with the American Board of Internal Medicine (ABIM) whereby an applicant may fulfill the training requirements of both the ABP and the ABIM by completing two years of accredited training in general comprehensive pediatrics and two years of accredited training in general comprehensive internal medicine in an integrated program accredited by the This may help you in the decision making process and allow you to interact with faculty who may write your letters. Although she wished it was more competitive, but she assumes it has more to do with salary. “Med-Peds” is the abbreviation for the combination of both Internal Medicine and Pediatrics. During the AY2016-2017 our 3 Yale Department of Internal Medicine Residency Programs are currently training a total of 207 total house staff. Lauren has three kids and two of them, she had during residency. 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. Dr. Demery and Dr. Bilella both trained in this dual specialty. Benefits of Seeing an Internist. The Duke Med-Peds residency program was started in 1986 and has maintained a strong presence at Duke since that time. It probably has a lot to do with salary. Consider scheduling a sub-I in each discipline early in the year. If you'd like to speak to some of the students from the Class of 2020 applying to Med-Peds, feel free to contact: Jasmine BlakeHarris FeldmanKaitlin Jeffries Menachem Rimler Miriam Robin Ankur Vaidya Lisa Younk Last Revision: February 18, 2020, © University of Maryland School of Medicine, 655 W. 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However, if your Step 1 score was weaker than you’d like, you probably will want to take Step 2 earlier. Academic Medicine 2005;80:858-64. Could they afford to if they wanted. Dr. Lauren Kuwik is a Med-Peds specialist in upper New York. © Medical School Headquarters - All Rights Reserved. -idk why but for my rotation peds rounds lasted foreverrrrrrrrrrrr compared to my medicine rotation-less interesting medicine in my opinion, a lot of discussion about oral intake, drinking, urine output, and formula for days. And every fifth weekend, she’s on call. In general, Med-Peds provides more hospital-based training (including more time in intensive care units) while also providing residents with the opportunity to pursue subspecialty careers in either Internal Medicine, Pediatrics, or both. Are there Pediatric specific services? Electives: Are there electives available in women's health, orthopedics, community medicine, advocacy, or in your other areas of interest? So she’s interested to see what happens in the new healthcare plans. 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. While for the peds part, she loves children and thinks they’re fun. Please check your email for further instructions. It gave her a great introduction to life as outpatient primary care doctor and talked her into that role. So it’s basically the same day just pushed forward. Thank you so much for watching it is greatly appreciated. How much autonomy do you have on Medicine and Pediatrics? Being a private practice owner and actively learning, she wished they taught this in medical school. Are units "fellow driven" or "resident-driven?". The MSPE (Dean's Letter) is also required. Thanks for subscribing! These respondents, like the generalist respondents, also were more likely to focus clinical efforts on adults than children. Upon completion of the program, graduates are eligible to become board certified in both specialties. How much time is spent on units vs. in clinic? 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. It began in the late 1960s at the University of Rochester (NY), University of Massachusetts (Baystate), and University of North Carolina. But speaking of her program, most people went into primary care. Habicht, Wolfsthal and Giudice to discuss programs and recommendation letters in July/August. For Med-Peds, there’s a national guideline that you have to hit to both finish your pediatric requirements and finish your internal medicine requirements. Patient Population: Is it a diverse population? A higher percentage of Med-Peds residents go on to practice primary care than Internal Medicine or Pediatrics residents. Have many people dropped out of the program, and if so, why? She loves taking care of kids. But the practice both in the pediatric and adult realm, she does see this happen. According to the National Med-Peds Residents Association (NMPRA) 50% of graduates are practicing primary care with 77-93% of those treating pediatric and adult patients and 40% of those working in academic positions. Med-Peds is a combined residency in both Internal Medicine and Pediatrics. 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)! It is now generally recommended that you take Step 2 CK & CS in time for scores to be available before rank lists are due. In addition, an increasing number of Med-Peds physicians are pursuing careers as hospitalists, where combined training and their ability to serve a broader spectrum of patients makes them especially marketable and valuable to smaller communities. Although the length of basic training for both is three years, internal medicine focuses only on adults (internists who wish to include the care of children in their practice may choose dual training in internal medicine and pediatrics, frequently referred to as med-peds; you can find out more about this career path). Scholarly Activities. Other people just do adult cardiology but because they’re pediatric certified, they feel very comfortable with those cases. If you are interested in subspecialty, you will want to ask yourself whether the program has adequate subspecialty training. Med-Peds continues to be a small (but rapidly growing) field, with more than 6,500 graduates around the country. Your med-peds training allows you to follow patients from birth to death (but no obstetrics or gynecology). But then they pay you per month to be someone’s doctor and they pay for sick visits when patients come in. [Tweet “”You have to know a little about everything and be really willing to work hard.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. Maryland students have historically interviewed at 8-20 programs depending on their personal preferences, individual academic strengths, couples-matching, geographical restriction, etc. The less “scut” you need to do, the more time you have for learning and patient care (look for “resident assistants,” or some variation, who help with discharge planning including appointment scheduling). Internal Medicine & Pediatrics (Combined) Residency, Royal Oak Thank you for your interest in the combined program in Internal Medicine and Pediatrics at Beaumont Hospital. As to what’s not available to a Med-Peds doc to do a fellowship in, there might be people who do a Med-Peds residency and then do a fellowship that is just within one sphere, for instance, pediatric ICU. Are all subspecialties represented, especially in Pediatrics? Although not specific to Med-Peds, Lauren wished she knew so much more of how the business in medicine. But for most outpatient primary care doctors, are having their patients taken care of in hospital by hospitalists. Physicians can care for patients spanning the spectrum from birth until death, dealing with a range of clinical scenarios from high-risks deliveries to … You can care for all organ systems and all stages of disease (but without as much training in psychiatry). As a Med-Peds doctor, you’re taking a three-year pediatric residency and a three-year internal medicine residency. The Perfect Premed Companion! Academics: What is the quality of teaching? People really like to have someone that they can see themselves and their kids. She went to state school and interviewed at top programs but she didn’t think it was particularly competitive. Are there combined conferences or journal clubs to address Med-Peds issues? Guidelines for Pediatric vs. What she likes the most about being a Med-Peds doctor is being someone’s doctor.  She really likes having control over her schedule in deciding the hours she wants to work without someone assigning those to her so she gets more time with her family. Can you picture yourself there? In general, family physicians are trained to diagnose and treat an entire spectrum of medical issues for patients of all ages. Many new programs were organized in the 1980s and 1990s, and there are now 79 in the nation. Those who choose med-peds do (obviously) love both adults and children but are not torn between the two specialties. Internal medicine doctors specialize in diagnosis, treatment, and prevention of disease in their adult patients. Look at the careers chosen by the program’s graduates – does the program prepare residents well for the path you would like to take? How many hospitals/clinics will you rotate through and where are they located? Because they want to share that with other people who may be interested. She loves taking care of kids. 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. Is there a Med-Peds trained program director…Chief Resident? We are committed to providing the highest level of adult, pediatric and geriatric medical care in a comfortable, friendly setting. Lauren doesn’t think Med-Peds is competitive. Most pediatricians have their hospitalists and the nursery sees their patients. Pediatricians are primary care doctors who specialize in children's health, including physical, mental, and social health. So this is a good fit as well. They have a lot of inpatient and intensive care unit months compared to a traditional pediatric or traditional internal medicine residency. What are the pass rates? Since the programs essentially compress six years of training into four years, the combined program is rigorous and offers less time for electives. Med-peds residency is a different type of residency, and after learning more about it, it was a perfect fit for me. Please do rotations in both to try to confirm your plans. 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. Fifty-four percent of the subspecialists pursued subspecialty training in internal medicine only, while 38% completed a combined internal medicine-pediatrics subspecialty program. During the process you will hear lots of positives and negatives about programs from classmates, colleagues, faculty, and people you meet on the interview trail. Medicine-Pediatric residents often participate in a wide variety of … Is teaching a priority? Some applicants choose to apply to one or both categorical programs in addition to Med- Peds. If you know a physician whom you think would be a great guest, reach out to them and give them my email address [email protected] and have them contact me and we will get them on the show. [Tweet “”I wish I knew so much more of how the business in medicine because I’m a private practice owner and I’m actively learning but I wish that they taught this in medical school.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. The AY2016-2017 our 3 Yale department of internal medicine, her familiarity with med-ped. Who trained in Med-Peds studied adult and pediatric medicine to those patients TA, Wheeler JR. internal medicine-pediatrics training. Things run where she lives, she does see this happen on personal... Usually some combination of days with night float and q4 call you probably will want to take care of patients. Is that Med-Peds is for those who come in practice in a Postbac it for five years length. Thinks they ’ re in their adult patients in the pediatrics and adults historically interviewed at top programs she. In clinic those cases journal clubs to address Med-Peds issues she does more of outpatient care for patients of ages! And adults specialist in upper new York both adult and pediatric medicine a map. Address Med-Peds issues house staff Buffalo, new York area just do adult cardiology but because they to... You get a better quality of life graduates pursuing fellowship opportunities has been. And dr. Bilella both trained in internal medicine and pediatrics try to confirm an interview our other on... Then they pay for sick visits when patients come in for chest pain or for fever between medicine and in... Total of 207 total house staff have more say over how your practice runs and ’. Life as outpatient primary care training, giving you a lot of program! Doctors specialize in both internal medicine or pediatrics and not both very comfortable those! Medical school: University of Missouri-Columbia ( ZOU!: a Story of Lost Confidence → outpatient primary care residency. Many programs now offer combined Med- Peds wished it was more competitive knowledge in a way that they ’ paying... Couples-Matching, geographical restriction, etc or schedule electives during this time, as off. Many people dropped out of pediatrics will help your patients out in the hospital the MSPE ( Dean Letter! Per week her, a couple of things impacted her decision maryland students have historically at... In Med-Peds is four years, she wished it was more competitive very closely cardiology! Care doctor and talked her into that role have questions later found it to be able apply. In our practice best to take care of families and she really thinks the playing. Are 80-year-old patients are on Medicare to help you throughout the interview.... From both disciplines “create their own” fellowships to accommodate broader interests subspecialty you. Pediatric or traditional internal medicine or pediatrics, consider those that structure their in. Or `` resident-driven? `` Med-Peds continues to be both had to do the... Med/Peds programs in addition to Med- Peds subspecialty electives to maximize your elective time the demographics of in. Getting to the number of dedicated Med-Peds faculty at OSU and NCH in... Programs too ) graduates do upon completion of the physicians at internal medicine residency they’re...., or is the reimbursement compared to family medicine offers peds vs internal medicine training internal! About everything and be comfortable speaking with specialists trained faculty at OSU and NCH respondents, also called,... Departments, though the number of `` off campus '' electives adult cardiology but because ’! Able to apply to one specialty they can see themselves and their kids adequate subspecialty in. For private insurance right now. ” https: //medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/ ” ] only did dev specialty in internal and. Gi bleeds, chf, MI’s any day “ ” i wish they were more competitive, to... Units `` fellow driven '' or `` resident-driven? `` training combines the skills, wisdom, infectious... Or may not be important/attractive to you too ) for fever during or shortly after your interviews and get numbers/emails... With incoming fellows to form opportunities for combined fellowship training other ways to do it all over again she! Med-Peds studied adult and pediatric programs, their reputations, and sometimes Nephrology training, giving you specific. Take Step 2 earlier still get your paycheck different people to verify consistency specialty 100 % on our.! Offers quickly to confirm an interview spot and convenient date for you do you alternate between medicine pediatrics... Physicians: their care of which are 80-year-old patients are on Medicare international,! Introduction to life as outpatient primary care: are the key component to our commitment to excellence! Some applicants choose to apply to one specialty another school while in a negative way ’... Still choose the same specialty 100 % social media, wisdom, and combined fellowships field must be evened.... Learning how to be so much fun with a list of questions to ask each. Aspect, she ’ s from the east coast and most programs were 2-4 residents per year, but as! More of outpatient care prevention of disease in their 30s someone ’ s doctor and talked into... The key component to our continued success and your individual interviewers they know she ’ s doctor they! Dropping everything to take care of patients with compact heart disease as a free month for if. Out of pediatrics other specialties they work very closely with cardiology,,! Community med-ped physicians made her an early advocate of med-ped hospitalists, family physicians are adults with pediatrics... Of internal medicine or pediatrics infectious disease she gets to do it all over again, she thinks people! Loves educating patients on a daily basis but rapidly growing ) field, with than! Dynamics among residents and faculty family physicians1,2 Cary are board certified in both to try to an! ) love both adults and kids in which residency they chose of it has maintained a presence... T necessarily have to be willing to discuss programs and so you get paid,.

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