This is the exact point I always bring up when people say we need to focus more on preventative primary care. Most of the things that people can do to prevent disease, they already know! Everyone knows not to drink alcohol, eat junk food, or smoke, and to increase exercise, etc. You don't need a doctor to tell you that and a doctor can't force you to change your lifestyle.
You would be surprised how many people actually do not know about a healthy lifestyle. And even if they do know, many won’t follow the recommendations unless there is someone constantly pressuring about it. It has been shown that reminding patients of the importance of avoiding smoking every single follow up consult helps with adherence.
couldn't agree more, too many people complain that doctors are just pill-pushers and don't focus on prevention, when we all know what a good lifestyle looks life, and when you turn up with a heart attack the doctor can only prescribe pills, he cant rewind time and force to to exercise
As a 3rd year IM resident i can pretty much say what you're telling is the truth. IM is very wide. Most of the time i think of myself as a detective. Many people think the same way. Aside from diagnosing on a wide range of disease best part of the IM for me is having too many options. Options of fellowship, continuing as a IM specialist etc. It also gives some free time as opposed to specialities of surgery. Thus one is able to pursue other topic of intrest. IMO, IM is the best residency for someone who is not very fond of planning and spontaneous. There is always more options to it.
I'm an intern (in my country intern year is not part of the residency). I fell in love with internal medicine almost 4 years ago, and despite many people telling me to really re-think that decision, assisting during night shifts and so on only made me want to do it more. It really often is like real-life doctor House and as someone who's really fascinated by medicine the variety is just unmatched (except maybe pediatrics, but I prefer working with adults). Hope by this time next year I'll be IM resident. I do HATE rounds though. I like talking with my patients obviously, but spending hours going after 10+ people refering their own patients for me is a waste of time and unneseccery stress for the patients. From my, very limited of course, experience I think discussing difficult cases and the nuances before rounds and bringing in additional people to those patients who may benefit from them is better than going from bed to bed when half of the time it's 'This is Mr X, day 4 of i.v. antibiiotics for urosepsis, inflammatory markers continue to drop' and everyone nodding. Also, it's fascinating to me to hear the differences between US and EU. What you said about clinic is handled mostly by family medicine specialists where I live. IM doctors can do that too, but what you said about it being a bit tedious is why I decided against family medicine, despite the lifestyle being REALLY good. And I agree for many people IM becomes a default speciality and from what I observed... it often ends badly, because despite IM being a heart of medicine it really is under-appreciated even by other physicians.
Canadian Internist here. For Canadian students or those intending to practice in the Great White North, it is important to be aware that internal medicine is a somewhat different specialty here. It is still the root training for subspecialties of medicine including oncology, nephrology, respirology etc, but general internal medicine is a specialty in its own right and involves a residency period of a minimum of 4, but usually 5 years. General internists DO NOT provide primary care in Canada, but instead serve as either providers high acuity inpatient care, or some type of complex outpatient consultancy and management of complex, usually multimorbid clinical conditions. So bottom line, internal medicine is a longer, somewhat more specialized path up here. Still lots of career choices and breadth of practice.
My biggest problem with IM is that it felt the vast majority of it was just managing chronic conditions of either very ill or very unhealthy people. Not a lot of thinking about diagnostics for the vast majority of patients. They are here for COPD and CHF. They get the same treatment roughly, but may have to change it a bit if they also have kidney failure. Sure there are many fellowships, but if you don't have time or circumstances change... You are stuck doing that. This makes FM more appealing where your options are more broad as a generalist.
Thank you for these *Why I didn't..* videos, they are super helpful and interesting and I like your subjective opinions, since I feel like, a lot of times it is similar to my own... could you do the next *why I didn't...* about ophthalmology or gynaecology, please
I’d argue EM actually sees the widest variety. Bc everything that goes to medicine comes through the ED. It we also have to see peds and OB and trauma.
Ex-wife is an internist; I'm a radiologist. Used to thank [insert your preferred imaginary sky-friend here] that I ended up in radiology whenever we'd have the "So, how was your day?" talk over dinner.
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🚨Use code "WIDINTERNALMEDICINE" for 20% off Premed Roadmap course: medschoolinsiders.com/all-courses/premed-roadmap-to-medical-school-acceptance/
This is the exact point I always bring up when people say we need to focus more on preventative primary care. Most of the things that people can do to prevent disease, they already know! Everyone knows not to drink alcohol, eat junk food, or smoke, and to increase exercise, etc. You don't need a doctor to tell you that and a doctor can't force you to change your lifestyle.
You would be surprised how many people actually do not know about a healthy lifestyle. And even if they do know, many won’t follow the recommendations unless there is someone constantly pressuring about it. It has been shown that reminding patients of the importance of avoiding smoking every single follow up consult helps with adherence.
couldn't agree more, too many people complain that doctors are just pill-pushers and don't focus on prevention, when we all know what a good lifestyle looks life, and when you turn up with a heart attack the doctor can only prescribe pills, he cant rewind time and force to to exercise
easier said than done.
As a 3rd year IM resident i can pretty much say what you're telling is the truth. IM is very wide. Most of the time i think of myself as a detective. Many people think the same way. Aside from diagnosing on a wide range of disease best part of the IM for me is having too many options. Options of fellowship, continuing as a IM specialist etc. It also gives some free time as opposed to specialities of surgery. Thus one is able to pursue other topic of intrest. IMO, IM is the best residency for someone who is not very fond of planning and spontaneous. There is always more options to it.
I'm an intern (in my country intern year is not part of the residency). I fell in love with internal medicine almost 4 years ago, and despite many people telling me to really re-think that decision, assisting during night shifts and so on only made me want to do it more. It really often is like real-life doctor House and as someone who's really fascinated by medicine the variety is just unmatched (except maybe pediatrics, but I prefer working with adults). Hope by this time next year I'll be IM resident.
I do HATE rounds though. I like talking with my patients obviously, but spending hours going after 10+ people refering their own patients for me is a waste of time and unneseccery stress for the patients. From my, very limited of course, experience I think discussing difficult cases and the nuances before rounds and bringing in additional people to those patients who may benefit from them is better than going from bed to bed when half of the time it's 'This is Mr X, day 4 of i.v. antibiiotics for urosepsis, inflammatory markers continue to drop' and everyone nodding.
Also, it's fascinating to me to hear the differences between US and EU. What you said about clinic is handled mostly by family medicine specialists where I live. IM doctors can do that too, but what you said about it being a bit tedious is why I decided against family medicine, despite the lifestyle being REALLY good. And I agree for many people IM becomes a default speciality and from what I observed... it often ends badly, because despite IM being a heart of medicine it really is under-appreciated even by other physicians.
So how you doin?
Canadian Internist here. For Canadian students or those intending to practice in the Great White North, it is important to be aware that internal medicine is a somewhat different specialty here. It is still the root training for subspecialties of medicine including oncology, nephrology, respirology etc, but general internal medicine is a specialty in its own right and involves a residency period of a minimum of 4, but usually 5 years. General internists DO NOT provide primary care in Canada, but instead serve as either providers high acuity inpatient care, or some type of complex outpatient consultancy and management of complex, usually multimorbid clinical conditions. So bottom line, internal medicine is a longer, somewhat more specialized path up here. Still lots of career choices and breadth of practice.
My biggest problem with IM is that it felt the vast majority of it was just managing chronic conditions of either very ill or very unhealthy people. Not a lot of thinking about diagnostics for the vast majority of patients. They are here for COPD and CHF. They get the same treatment roughly, but may have to change it a bit if they also have kidney failure. Sure there are many fellowships, but if you don't have time or circumstances change... You are stuck doing that. This makes FM more appealing where your options are more broad as a generalist.
you can be just as reductive about FM as you were about IM
Thank you for these *Why I didn't..* videos, they are super helpful and interesting and I like your subjective opinions, since I feel like, a lot of times it is similar to my own... could you do the next *why I didn't...* about ophthalmology or gynaecology, please
It’s about time that you film “why I didn’t ophthalmology” fam! Cheers!
So you wanted to be series on
Infectious disease and
Hematology oncology
He literally just dropped a vid on infectious diseases
Thank you for the series once again! Could you please please do an ophthalmology one? Thank you very much Dr. Jubbal !
Awesome video as always! Can you do Why I didn’t do psychiatry next?
I love this series! Please do pediatrics next
Why I didn't CT surgery next
Make one about Intensive Care Medicine 🙏🏻
this Video made me choose Internal medicine more than So you want to be Internal medicine, Ironic
Did IM, now I regret it. It’s all about social shit.
Do you mind Sharing more on this?
I’m a social worker at our hospital so much of medicine floor is dementia and homeless population
Thank you for another amazing video!! Was wondering if ophthalmology could be included in 5 riskiest doctor specialties” video?
Always love the intro as a “mostly useless” series 😂😂
That hand movement at the very beginning... why doc whhhhyyyy
Babe wake up new Why I Didn't dropped
Would love to see a radiology episode!
Can you make a video of your thoughts on the current health care system in America vs. a single payer healthcare system in Canada for example?
Make one about Intensive Care Medicine
What did you do in the end?
Rounding should be done sitting down with free food like donuts or pancakes 😉
Forget the donuts I still don't understand why do they need to *stand* in the hallway for hours when sitting down and discussing is an option...
Please make “Why I didn’t do Urology” next
I’d argue EM actually sees the widest variety. Bc everything that goes to medicine comes through the ED. It we also have to see peds and OB and trauma.
Hello doc, pls make a video abt psychiatry residency!
Do neurology next
Totally irrelevant I know but I love your voice ❤
It would be appreciated if you talk about rgeumatology
Now do why I didn't Rocket surgery....
Why I didn’t do neurology pls
Please do psychiatry.
I am! Haha did you put this here for people considering IM to have another specialty they should consider if they’re thinking IM?
Why didnt i intensive care medicine pls
lol no hospitalist makes 250k outside of academics.
Ex-wife is an internist; I'm a radiologist. Used to thank [insert your preferred imaginary sky-friend here] that I ended up in radiology whenever we'd have the "So, how was your day?" talk over dinner.
Internal medicine sucks
"Mental masturbation"