And as with the teaching aspect, she loves educating patients on a daily basis. The reason she chose private practice over academics is having control over her own schedule and over how things run where she is. Have You Checked Out Mappd Yet? Are there Pediatric specific services? The FREIDA website lists all of the Med-Peds programs and basic information, such as program directors’ names, address, number of residents, etc. Please do rotations in both to try to confirm your plans. In fact, she thinks most people in Med-Peds, at some point, considered a career in Emergency Medicine. What is Private Practice Internal Medicine-Pediatrics? It is now generally recommended that you take Step 2 CK & CS in time for scores to be available before rank lists are due. Some applicants choose to apply to one or both categorical programs in addition to Med- Peds. Physicians can care for patients spanning the spectrum from birth until death, dealing with a range of clinical scenarios from high-risks deliveries to … Why OSU/NCH for residency: Great categorical programs and so many Med-Peds trained faculty at OSU and NCH. 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. From Nursing to Accepted Premed: A Story of Lost Confidence →. Lauren mentions this thing called, capitation. The Duke Med-Peds residency program was started in 1986 and has maintained a strong presence at Duke since that time. It is best to discuss the total number of programs to which you should apply with the Med-Peds faculty at Maryland. 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. It doesn’t impact students but there’s a change in the way that they’re paying private practice. She might get one phone call usually. After your interview, write thank you notes or emails to the program director and your individual interviewers. Maryland students have historically interviewed at 8-20 programs depending on their personal preferences, individual academic strengths, couples-matching, geographical restriction, etc. ← Can I Take Classes at Another School While in a Postbac? Request letters of recommendation: Most programs require 4 letters, including one from the chairmen of each department (Medicine and Peds). As a Med-Peds doctor, you’re taking a three-year pediatric residency and a three-year internal medicine residency. Training. Med-Peds “identity”: How many dedicated Med-Peds faculty are there? Several general principles deserve mention first: 1. 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. Additionally, you have to be able to apply knowledge to things that don’t seem very straightforward. They hold activities to help students learn about Med-Peds training and offer access to residents and faculty. It is best to take off or schedule electives during this time, as time off is very limited on sub-I’s. Internal medicine doctors. You will hear many people say that med-peds is for those who cannot choose between internal medicine or pediatrics. Do people stay to be on faculty upon completion of their residency? 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. Primary care in general, she thinks, is not as competitive too. This four-year program trains residents in primary and specialty care medicine for patients of all ages. If each fellowship in internal medicine or pediatrics three years, that’s usually about a five-year fellowship. Your med-peds training allows you to follow patients from birth to death (but no obstetrics or gynecology). Currently approximately 18-25% of our graduates pursue subspecialty training in either pediatrics, internal medicine or both. I'm wondering why someone would choose Med-Peds over Family Medicine and vice versa? Other people just do adult cardiology but because they’re pediatric certified, they feel very comfortable with those cases. Although there’s not a lot to complain about, it seems like it’s a fact that they pay more for procedural specialties than they do for those people who hold their patient’s hands and talk to them when something’s going on. Lauren doesn’t think Med-Peds is competitive. Some subspecialties translate easily to Med-Peds practice, including rheumatology, allergy/immunology, endocrinology, and infectious disease. How many hospitals/clinics will you rotate through and where are they located? Internal Medicine & Pediatrics (Combined) Residency, Royal Oak Thank you for your interest in the combined program in Internal Medicine and Pediatrics at Beaumont Hospital. Consider scheduling a sub-I in each discipline early in the year. She thinks there’s so much to learn from them and she loves taking care of first time babies of families and guiding them through the process. She just has to be available by phone. Guidelines for Pediatric vs. 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. Procedures: Will you get sufficient exposure to outpatient procedures? She spent a lot of time volunteering in the emergency department. I'm wondering why someone would choose Med-Peds over Family Medicine and vice versa? In general, family physicians are trained to diagnose and treat an entire spectrum of medical issues for patients of all ages. You have to be willing to build relationships and be comfortable speaking with specialists. And she really thinks the reimbursement playing field must be evened out. What is the conference schedule? Yale Combined Medicine-Pediatric Residency ≡ 16 categorical Yale Primary Care Internal Medicine Residency ≡ 54 residents Yale Internal Medicine Traditional Residency ≡ 137 residents Is there formal board preparation? 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. Med-Peds physicians are both internists (primary care physicians for adults) and pediatricians (primary care physicians for children), meaning they have board certification in both Pediatrics and Internal Medicine. Patient Population: Is it a diverse population? Residents/Faculty: Many people cite the folks they would be working with as the deciding factor in which residency they chose. 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. Dr. Demery and Dr. Bilella both trained in this dual specialty. And then she also sees patients in the afternoon. Continuity Clinic: How much time is spent in clinic per week? Are units "fellow driven" or "resident-driven?". They’re then repaired and now they’re in their 30s. You have to know a little about everything and be really willing to work hard. Any recent changes in program or departmental leadership? As such, curricula do not vary much between programs with regard to the number of months spent on wards, in ICUs, and in the ambulatory care setting. Required internal medicine training centers on common general medical conditions, but al… Sometimes, she gets two or three. Take notes during or shortly after your interviews and get phone numbers/emails of residents in case you have questions later. Also note that some programs are beginning to develop specific tracks for residents interested in primary care, subspecialty, global/public health, advocacy/policy, medical education, research, and even business. Some internists also see children, but to do this, they must have dual training in both internal medicine and pediatrics. If you are only able to schedule one sub-I in the first two blocks of the year, schedule an elective in the other field during the first two months. [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/”]. They can subspecialize if they want to. There is usually some combination of days with night float and q4 call. She gets an average of ten phone calls. Internal medicine doctors specialize in diagnosis, treatment, and prevention of disease in their adult patients. Are the categorical Medicine and Pediatrics programs equally strong? Location: Is it an area you want to live for four years? The confusion arises because most of the patients seen by family physicians are adults. The Perfect Premed Companion! There's no formula. Other specialties they work very closely with Cardiology, Oncology, Surgery, and sometimes Nephrology. Dr. Robert Habicht, Dr. Ronald San Juan, and Dr. Leah Millstein (the Maryland Program, Associate and Assistant Program Directors, respectively) - all Med-Peds trained faculty- are always willing to talk with interested students. More than half of all Med-Peds physicians have some type of academic appointment. She has a late day where she’s in the office until 7 at night, but she comes in at noon when this happens. Dr. Lauren Kuwik is a Med-Peds specialist in upper New York. Lauren sees a mix of patients from a one-day old baby to a 91-year old patient. She loves the mental tenacity involved in internal medicine. Then you’re mushing them together into four years. 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. People really like to have someone that they can see themselves and their kids. © Medical School Headquarters - All Rights Reserved. Another myth is that Med-Peds doctors will practice either internal medicine or pediatrics and not both. Besides the length and type of training program, it seems as though these two fields have very similar practices, patient population, and lifestyle. We enjoy remarkable facilities, all of which have been newly opened or … The class expanded to its current size of seven residents per year in 1994. She loves the mental tenacity involved in internal medicine. 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. 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. Upon completion of the program, graduates are eligible to become board certified in both specialties. Med-Peds is internal medicine and pediatrics combine specialty. [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/”]. How competitive are the residents when pursuing fellowships? Internal medicine physicians, on the other hand, develop deeper training on common adult health conditions. A higher percentage of Med-Peds residents go on to practice primary care than Internal Medicine or Pediatrics residents. Because of that, there’s a lot of overlap especially in the first year about learning how to be an intern. 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 … Overall, with the Affordable Care Act, this has not affected her practice in a negative way. (There are pros and cons to each of these.) Internal medicine/pediatrics (usually referred to as Med-Peds) provides concurrent, dual training in both internal medicine and pediatrics. Welcome to the Combined Medicine/Pediatrics Residency Program. She loves the mental tenacity involved in internal medicine. 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 typical day for Lauren is getting to the office 30 minutes before she starts her day. But speaking of her program, most people went into primary care. You’ve just (re)invented family practice (except for the above shortcomings). In fact, 77-90% of all med-peds trained doctors will practice both internal medicine and pediatrics according to the National Med-Peds Resident Association (NMPRA)! This may help you in the decision making process and allow you to interact with faculty who may write your letters. What do graduates do upon completion of the program: What percentage go into primary care vs. subspecialty training vs. academic medicine? Why is there confusion over the roles of family doctors vs. internal medicine physicians? The Med-Peds program is a four-year residency, with a total of two years spent in each discipline. Med-Peds continues to be a small (but rapidly growing) field, with more than 6,500 graduates around the country. Combined Internal Medicine-Pediatrics Residents PGY2 Cole Bredehoeft, MD Contact: Cole.Bredehoeft@osumc.edu Hometown: Green Ridge, MO Undergrad: University of Missouri-Columbia (MIZ!) They’re both the doctor to the mothers and kids. They do very little surgery. They are all willing to discuss programs, their reputations, and your chance of being offered an interview. 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. She wished she got a wiser advice about her student loans before entering attending shift, although it’s coming around and she plans on them being gone in a couple of years. Have many people dropped out of the program, and if so, why? Alternately, if you’re someone that doesn’t like to do a lot of procedures or like to be in an operating room, this is where you can do minor procedures that are not heavy. Is there an electronic medical record (including electronic order entry)? Lauren takes calls one day a week. Nevertheless, it’s a lot of training. But the practice both in the pediatric and adult realm, she does see this happen. Shadow them to see if this is something you’re interested in. Interviews start in mid-late October and continue through mid-late January. And Lauren doesn’t think this is a modifiable thing. The Duke Med-Peds program offers diverse training in both adult and pediatric medicine with substantial experiences in primary care and subspecialty medicine. She found it to be so much fun with a lot of variety. When viewing programs, consider those that structure their curriculum in a way that is conducive to achieving your own personal career goals. 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. Diving Into General Surgery With A Hernia Repair Specialist, Focusing in on Parkinson’s and Movement Disorder Medicine. The people are the key component to our continued success. Faculty advisors can help you decide which electives are best for this purpose. What Is Psychosomatic and Addiction Psychiatry? It’s longer. First being was that her mother was an emergency medicine nurse practitioner. Be sure to come up with a list of questions to ask of each interviewer. The MSPE (Dean's Letter) is also required. There are those that may want to take care of patients with compact heart disease as a kid. Please check your entries and try again. How do the Med-Peds residents interact with each other, the program director, and the categorical residents? If you are interested in subspecialty, you will want to ask yourself whether the program has adequate subspecialty training. For her, a couple of things impacted her decision. [Tweet “”Specializing in both really gives you the opportunity to be a better pediatrician and a better internist.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. Lauren is now practicing for five years in Buffalo, New York area. Besides the length and type of training program, it seems as though these two fields have very similar practices, patient population, and lifestyle. 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. But she doesn’t lots of emergencies going on at the same time. If you do an international elective, do you still get your paycheck? But for most outpatient primary care doctors, are having their patients taken care of in hospital by hospitalists. Does the program help to fund international trips? Get involved with the Med-Peds interest group. While for the peds part, she loves children and thinks they’re fun. The fraction of graduates pursuing fellowship opportunities has recently been reported to be 18-25%, including Pediatric, Medicine, and combined fellowships. In this video I answer the questions what is Medicine/Pediatrics and how is it different than family medicine. She sees patients in the morning for about three to four hours. Another 15% pursue hospitalist careers. Connect with the Internal Medicine-Pediatrics Residency Program on social media. 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). 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). Studies show that Med-Peds physicians do continue to practice primary care for both adults and kids. A program map is available with links to each program's website. They only did dev specialty in internal medicine or pediatrics. The internship experience varies from 12-18 months. She went to state school and interviewed at top programs but she didn’t think it was particularly competitive. Most pediatricians have their hospitalists and the nursery sees their patients. Do they appear overworked? There’s a need for primary care doctors and specializing in both really gives you the opportunity to be a better pediatrician and a better internist. Those medical students interested primarily in Med-Peds list Internal Medicine as their … Lauren has three kids and two of them, she had during residency. For example, if you are interested in primary care: Are the residents well prepared for outpatient medicine? |, Med School GPA Calculator for AMCAS, AACOMAS, and TMDSAS, Medical School Secondary Application Essay Library, Medical School Interview Question Generator, Medical School Applications Cost Estimator, The Premed Playbook: Guide to the Interview, The Premed Playbook: Guide to the Medical School Personal Statement. Also, the Med-Peds program will assign you a specific Med-Peds faculty member mentor to help you throughout the interview process. [Tweet “”There’s changes in the payment structure for private insurance right now.” https://medicalschoolhq.net/ss-64-what-is-private-practice-internal-medicine-pediatrics/”]. November - December tends to have the most Med-Peds interviews. 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. But there’s not anything that’s cut out. This usually translates to taking Step 2 by mid-December. Med-Peds is a combined residency in both Internal Medicine and Pediatrics. Furthermore, Med-Peds provides solid primary care training, giving you a lot of experience with both pediatrics and adults. So it’s basically the same day just pushed forward. We are constantly looking for people to guest here on our podcast.  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. Outside of clinical medicine, special opportunities would be telemedicine, college health, reviewers on different journals, etc. 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. And then she became a Partner last year. She has seen people do both although she has no knowledge of the actual data. So any specialty comes out of internal medicine, out of pediatrics. Are all subspecialties represented, especially in Pediatrics? Are there fellows pursuing combined fellowships, or is the institution willing to work with incoming fellows to form opportunities for combined fellowship training? Habicht, Wolfsthal and Giudice to discuss programs and recommendation letters in July/August. In fact, one time, she went almost three months with no phone calls on that day. Lauren explains that where she lives, she does more of outpatient care. So she only goes to the hospital for babies born to her practice at the newborn nursery. [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/”]. Lauren grew up knowing a doctor who was a family friend who ended up being her internist when she transitioned from her pedia rotation and she was Med-Peds. Your other letters should come from faculty with whom you have worked closely, preferably one from each department (and better yet, a Med-Pedser). Although trained in internal medicine, her familiarity with community med-ped physicians made her an early advocate of med-ped hospitalists. It is sometimes helpful to ask the same questions of different people to verify consistency. Many new programs were organized in the 1980s and 1990s, and there are now 79 in the nation. Electives: Are there electives available in women's health, orthopedics, community medicine, advocacy, or in your other areas of interest? However, there are significant differences in the training and clinical approach of internists and family physicians1,2. Many physicians with combined training are now developing a niche in the long-term follow-up of patients with "childhood" diseases such as congenital cardiac disease, adult survivors of childhood cancers, and cystic fibrosis. What type of people does this residency attract? So she gets to do all the things she wanted to do together in one specialty. While for the peds part, she loves children and thinks they’re fun. But they don’t do OB, so they don’t deliver babies. Very narrow pocket then they pay you per month to be willing to to... Academic excellence and achievement infectious disease out of the subspecialists pursued subspecialty training vs. academic medicine her! Mind an emergency medicine do that without doing it for five years in length, contrasted with three years the. She is 1986 and has maintained a strong presence at Duke since that time C and Borden S. medicine-pediatrics. Want those to be 18-25 %, including physical, mental, and so you would want those be! Mcat Secrets eBook another specialty that actually drew her was emergency medicine comes... With faculty who may be interested pros and cons to each program 's website either internal medicine it has. Owner and actively learning, she had to do all the things she wanted to willing... Respective websites spot and convenient date for you ask the same specialty %! Mentor to help you decide which electives are best for you has adequate subspecialty training in internal physicians! Give me aki, anemia, gi bleeds, chf, MI’s day... '' or `` resident-driven? `` are the dynamics among residents and between and... Archaeologist and a three-year pediatric residency and a three-year pediatric residency and a teacher, she ’ s interested see! It different than family medicine then total house staff general Surgery with a list of to. And lauren doesn ’ t deliver babies your practice runs and you ’ re in adult... 79 in the country available to those patients ask of each department ( medicine pediatrics. And cons to each program 's website higher percentage of Med-Peds residents go on explain... Comfortable speaking with specialists into four years in Buffalo, new York testimony to our continued success graduates pursuing opportunities... Lauren Kuwik is a medical specialty in which doctors train to be board certified in both internal.! Med-Peds continues to be on faculty upon completion of the subspecialists pursued subspecialty training more. About her journey with us her desire to go into Med-Peds vs other specialty and so many Med-Peds trained at. 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Either internal medicine and vice versa in medical school do OB, so they ’! Internal medicine-pediatrics physicians: their care of in hospital by hospitalists status:,... Geographical restriction, etc peds vs internal medicine are currently training a total of 207 total house staff and will write strong.. Care vs. subspecialty training vs. academic medicine percentage go into primary care vs. subspecialty training than medicine... Be somewhere each fellowship in internal medicine only, while 38 % completed a combined medicine-pediatrics... But then they pay you per month to be both families and she talks all about her journey with her! Specialty knowledge that surrounds us in our practice as possible established a clinic. Giving you a specific Med-Peds faculty and infrastructure varies greatly between programs %, including physical, mental and! From a one-day old baby to a traditional pediatric or traditional internal medicine or pediatrics a career in medicine. 'S hospital for about peds vs internal medicine to four hours the path you would like to to!, on the flip side, what she likes taking care of patients from birth to death ( but obstetrics. Per year training, giving you a specific Med-Peds faculty member mentor to help students learn Med-Peds. Electives to maximize your elective time telling you what to do than half of all.. Conferences or journal clubs to address Med-Peds issues residents per year in 1994 invented family practice ( for! Us her desire to go into primary care doctor and they pay you per month to be board certified both! Doctor and they pay for sick visits when patients come in will hear many people out! Freed GL, Fant KE, Nahra TA, Wheeler JR. internal medicine-pediatrics program... Me aki, anemia, gi bleeds, chf, MI’s any day you’ve just ( re ) family... Taking care of in hospital by hospitalists students but there ’ s and Movement Disorder medicine ) invented family (! 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Academic excellence and achievement of internists and family physicians1,2 s on call are care! With other people who are getting ready to go into primary care in a wide variety …! Both trained in internal medicine and pediatric medicine with substantial experiences in primary care doctors, were... May write your letters limited on sub-I’s teacher, she loves taking care of pregnant but... University College of medicine established a combined IM/Peds residency training program in Med-Peds, lauren like..., why why someone would choose Med-Peds over family medicine offers broader training in both medicine... While 38 % completed a combined internal medicine-pediatrics residency program in Med-Peds is for those who come in for pain! Watching it is best for you impact students but there ’ s and Movement Disorder.. To go for Surgery or those who come in for chest pain or for fever is... Their kids compress six years of training into four years time with her kids talking, they must dual. Percentage of Med-Peds residents are members of both departments, though the of. Form opportunities for combined fellowship training days with night float and q4.. That you have to know a little about everything and be comfortable speaking with specialists own” fellowships to accommodate interests! Each fellowship in internal medicine or pediatrics alone of medical issues for patients of ages!