Medical Residents Quitting Bad Programs

“Hi, I am a Neurology PGY-1 at an academic University Hospital, realized I like IM much more. Is it possible to switch to IM, if I am willing to repeat Intern year? Can I try with the IM program at the same hospital? Would greatly appreciate help! submitted by /u/Exact-Customer9566 [link] [comments]”

“I am a PGY 1 and would like my knowledge to grow. Can you please post your favorite PIMP questions or something you saw today that you feel would be good for a resident to learn? If you can include your answer that would be much appreciated, but if not I will gladly go look it up. submitted by /u/Even-Bicycle-151 [link] [comments]”

“P. 16 of the current acgme requirements see attached image. Ive seen numerous hospitals turn away FM boarded hospitalists because of "they have IM residents and need IM boarded drs" The requirement for hospital medicine designation should be removed as it is no longer offered. There is no ACGME accredited HM fellowship or designation for FM. submitted by /u/drkuz [link] [comments]”

“Prospective peds applicant here, non visa requiring. I'm willing to hear about the program from current or former residents, can DM if comfortable. submitted by /u/Fit_Educator1019 [link] [comments]”

“Hello everyone, I’ve been a primarily silent reader for years. While I’m not becoming a family physician, I find great value in the insights offered in this forum and I’ve always aimed to retain a broad perspective on medicine and the lived experiences of my colleagues in healthcare regardless of specialty or function. After a long period of internal conflict, I now wonder if perhaps some strangers from the internet with more life experience than me could offer me some new perspectives I might h”

submitted by /u/KimJongShowerHandle [link] [comments]

“how are we doing?? any tips how to balance these next few weeks before ABIM exam while adjusting to fellowship responsibilities? most highest yield resources during crunch time with limited brain space?? by end of this week, will have completed uworld once with a very average score, appreciate any tips for remainder of prep ~1 month out from exam date thank you and Godspeed submitted by /u/Hungry-Section-2716 [link] [comments]”

“Wondering how rough this seems. Planning places to apply. 4.5 months wards (16 pt cap, each intern carries up to 8, days starts 7AM, admit until 3 or 6 alternating short/long, weekend long. Cap at 4 admits a day.) 1 month ICU (8 bed) 1 month nights (cover up to 32 beds, admit usally 1-5) 6.5 months elective (1 month PTO during elective, with Xmas and thanksgiving off). Can do 1 month of research or admin/study on elective submitted by /u/Time_Lock1637 [link] [comments]”

“Is it even worth applying as ORM? Open to both MD and DO. For MD, I can see the 10 and 25th percentiles but for DO I think only median or average is available? submitted by /u/Traditional_Top6337 [link] [comments]”

“Good evening, I am currently an IM intern in midwest, i decided that IM is not the best fit for me and would like to go into neuro. what should i do exactly right now ? ask neuro programs first if is it feasable to transfere this year ? or wait and apply next cycle. submitted by /u/hostellboy [link] [comments]”

“can any residents comment? How is the toxicity? submitted by /u/Ok_Speaker_4042 [link] [comments]”

“Hey all, currently an IM doctor who recently started a new job in primary care in NYC. Im from NYC and have family here and this is the only place I know and call home. My mom is also dealing with a chronic illness and I want to live near her... I live in NYC and I'm currently living with family, so I don't have to pay rent at all. So I'm in my 2nd year of working as an IM doctor, I complete 1 year with another company and It was decent for NYC standards and had to leave due to a bad”

“I remember there being a name and shame post about their IM program for being too malignant. If you had the opportunity to join on an off-cycle position, would it be worth it? submitted by /u/drowning_in_med [link] [comments]”

“If anyone is aware of any open PGY 2 IM positions, will sincerely appreciate if you can kindly share. Thank you submitted by /u/Fit_Western_3534 [link] [comments]”

“PGY-3 in IM interested in primary care and I generally love my clinic patients… when I actually get to see my own. I feel like so often when I’m in clinic, the majority of my scheduled patients for the day are patients of my colleagues. Having to conduct efficient follow up visits or hospital discharge follow ups for what are essentially all new patients with complex problems is so draining. Having gotten to work with some IM trained PCPs in the community and seeing their patient population/work”

“So how do you learn or study during IM residency? What was your approach? They say learn from patients but like how do you do that? Sometimes UTD feels kinda dense? Any resource recommendations? submitted by /u/happyminpin [link] [comments]”

“interviewed for a specialty role recently and am hoping to hear good news soon. i currently work in primary care and i love the patients and what i do, but benefits are subpar and burnout is no doubt creeping in. has anyone left family medicine for specialty and miss it so much you tried to go back? Or is specialty care really where it’s at? for context i am in the running for a cardiology position submitted by /u/VastChampion7919 [link] [comments]”

Questions about medicine as a career, about which specialty to go into, or from practicing physicians wondering about changing specialty or location of practice are welcome here. Posts of this sort that…

“Hired a new doc. They’re a d-school grad and a GPR grad (with some specialty school training/left a specialty program to come back to general). Personality wise they’re good looking and pretty likable. We get along great. Open to mentorship. Not afraid to ask questions… Ehhhh. Their skills are still hot trash six months in. Like I was not sprung forth Zeus like from John Kois’s head the moment I got a license… but I don’t remember my work regularly falling out (it didn’t), two out of six pts nee”

“Title. As a med student who wants a decent lifestyle but thinks IR looks awesome. Is it worth it and can you make lifestyle work? submitted by /u/negimmokalee [link] [comments]”

“Hi everyone, I'm a PGY-2 IM resident and I'm looking for research collaborators who have access to databases such as TriNetX, NIS, or anything that's ideal for heme/onc research. I'm happy to join an existing project or help develop a new one. If you have access to any of these databases—or know someone who does—I'd really appreciate hearing from you. I'm also interested in joining or forming a small research group focused on producing abstracts for national conferences (”

“I’m a PGY-2 in IM, and my program went through a complete upheaval. Last year, I had two attendings who always pushed me to be better, to think deeper, and to be more efficient. They are both gone. The other attendings who are still left don’t really care about teaching. They put in the minimal work, put in their own notes, if we haven’t done our note by noon, so never get feedback on our notes. I’m realizing they won’t help me get to the next level. I don’t know what to do to get better.”

“Hi all- I apologize if this question is asked to death here. I am a current USMD M4 in a strong position for this upcoming match cycle. I’ve never really been in a position to have a ton of agency over where I’ve ended up but just received a surprisingly high step 2 score (265-270). Obviously this isn’t the end all be all but the rest of my application and SLOEs also put me in a good position. With all that said I am curious what everyone would look for in a residency if they could do it again.”

“This is last minute, but any advice appreciated! ORM, 520 and 3.85 cGPA/4.0 sGPA, young nontrad applicant, NC resident, strong interests in primary care, women's health, working w/ underserved populations, ending back up in SE United States. 1700+ clinical hrs, 600+ nonclinical volunteering, 150 clinical volunteering, 700+ leadership, around 250 of research (1 poster + 1 pub forthcoming), will be employed full time in clinic this gap year. Submitted primaries to Wake Forest UNC ECU Yale UVA”

“Curious if anyone had any advice or had any opinions on any portion of my app whether that be my school list, areas for improvement, or opinions on schools to prioritize! Thank you!! ORM MA Resident First Gen 3.92 GPA & 508 MCAT (128/126/127/127) Paid Clinical: 3500hrs as EMT-B, approx. 1500hrs IFT & 2000hrs 911 300hrs as MA at UC Clinical Volunteering: 350hrs as Medical Advocacy Leader at Womens Center Paid Nonclinical: 400hrs as Childcare Leader 550hrs as Server at Catering Company Non”

“This is a field that interests me. Although, I have heard its not ideal for a new grad as a lot of what we learn in school will be lost. For those in it, a few questions: - What's the schedule like? Is it feasible to do 4-10's? - Is there a path for telemed - or most of the time is spent in clinic - How much of it is dealing with long-term pulm issues vs. CPAP adjustments? And what disease processes are you guys dealing with (other than OSA)? - Is pay based on salary? In my head, not a l”

“Hi, asking on behalf of a friend. Does anyone know of an open IM position for a PGY-2? Resident is in good standing, completion of ED PGY-1 year, with excellent letters of recommendation, who parted ways with their program for non-academic and non-professionalism related reasons and is looking to start in IM. Would be open to starting anew in PGY-1 but if possible comes with full credits to be able to start as a PGY-2. I don't know details, but offered to help look. If you know of any within”

“Rising M4 starting to look at the fine print of residency program curricula. I've come across a few programs that ship residents out of state to Shock Trauma et al for a month-long rotation. The home programs are located at Level 1 trauma centers themselves, which makes me wonder why they do this. Is the home trauma exposure deemed inadequate or narrow in scope? Or is this designed as a bonus month/extra perk of an already strong program? submitted by /u/toucandoit23 [link]”

“I currently work at a county hospital on a med surg floor and have tried everything to get transferred to the psych unit I originally wanted to do my residency in. I applied for residency->no response, asked for a psych TL as a “mentor” as part of the residency program->ghosted, waited a year and applied for a transfer to 2 different psych floors that we have-> 1 rejection and 1 pending response, asked my residency instructors who said they let the managers and department head know->”

“Hey starting pccm fellowship in a couple of weeks. I’m a little concerned about the CCM aspect because it’s a mixed ICU and PCCM are the minority of fellows and attendings even in the MICU. I also noticed a lot of of the third years in my program are scheduled for anesthesia rotations. Why would you want to intubate in the OR as a third year fellow unless your airway experience sucks? We also have very little actual required time in the icu. Obviously the role is different but I will have done 9”

“I have a question about ACGME accreditation and resident graduation. I’m considering joining a residency program that currently has Initial Accreditation . My understanding is that its initial accreditation period is expected to end around the time my class graduates, and the program will undergo another ACGME review. Because of the J-1 visa process, I may have to start 1–2 months late, which would likely mean I need a 1–2 month extension at the end of residency to complete all my required train”

“Couple questions from a struggling IM intern :( I’m not performing well as a IM pgy 1 resident so my Pgy 1 year got extended 6 months. My Pd says he will see how I do first three months starting July and then decide on the next three months of rotation during the extension. I missed out on a clinical decision/reasoning today and I feel really bad. I am also scheduled to take step 3 in August but I haven’t been able to prepare much. I don’t know if this is a good question but Am I supposed to foc”

“As mentioned in the title. I’m ending PGY1 at a well established institution in IM with a solid EM program (4year). After my rotation through it I found I loved the pace, procedure heavy lifestyle, and patient population (despite the somewhat similar problems that patient present with). Now after looking up the post grad lifestyle it’s definitely for me. My med school EM rotation got cancelled bc of some scandal so I never got to experience it. Before I go to my PD about swapping specialties I w”

“Hey everyone! I’ve gotten really interested in EM/IM and would love to connect with some current residents. I’d love to hear what drew you to combined training, what day-to-day life in the program is actually like, and what you all are hoping to do after residency. Just trying to learn more and would really appreciate any insight. submitted by /u/Old-Literature-7455 [link] [comments]”

Questions about medicine as a career, about which specialty to go into, or from practicing physicians wondering about changing specialty or location of practice are welcome here. Posts of this sort that…

“Trying to decide between primary care and palliative care. Would appreciate some outside perspectives. I'm finishing IM residency and genuinely enjoy both. I feel like I could be happy in either career, which almost makes the decision harder. Primary Care Pros: - Long-term relationships with patients - Broad medicine - I can continue doing OMM, dry needling, injections, etc. - 4-day clinic week + 1 dedicated admin day - Opportunity to teach residents and medical students - Opportunity to wor”

“Please DM is you know a spot. Would love to transfer due to family being in Miami submitted by /u/Routine_Collar_5590 [link] [comments]”

“really want to be an oncologist physician scientist and really want to work with kids. bad idea to mention this interest in my secondaries? submitted by /u/Electronic-Food4226 [link] [comments]”

“​I am curious about the dynamics between internal medicine and orthopedics/surgery in the USA. How are you handling requests to transfer patients from orthopedics to IM wards due to bullshit reasons like hyponatremia or mild COPD exacerbations? In my country we are pushing really hard to make Ortho the primary for an old lady after an FCF and a mild pneumonia. They often use weaponized incompetence, saying that these old patients are too complex for them, and we frequently encounter zero blood t”

“Hi everyone, I was wondering if anyone knows of any open categorical PGY-1 Internal Medicine positions. I am interested in potentially pursuing a fellowship in the future and would ideally like to join a program with in-house fellowships, but I’m flexible and open to considering all opportunities. I do not require visa sponsorship and am able to relocate on short notice. If anyone is aware of available positions or has any leads, I would greatly appreciate it. Thank you! submitted by”

“I’m about to start FM residency and am wondering how realistic it is to continue attending group fitness classes. During med school, I belonged to a strength and conditioning gym and really enjoyed the structured workouts, accountability of having scheduled class times, and the sense of community. For those who have gone through residency, were you able to maintain a group fitness membership and attend consistently? Or did you find that a more flexible and affordable 24/7 commercial gym membersh”

“How hard is it to switch from rads to IM? Like what is the process gonna be like? submitted by /u/tammaicirtap [link] [comments]”

“Hello all, Starting IM residency in a few weeks. I've talked to mentors and all that. I know the first year will be rough-I am ready for it/not shying away from it. I've also read a few posts on how to be a good resident, and they've suggested things like learning ECGs by reading a book on it, resources for free lectures and podcasts, etc. I want to know in 2026, what are some tangible pieces of advice that you all can give me to be a great IM resident. Can be as general or as specif”

“What's the go to website to look for IM or FM off cycle positions? Other than residency swap submitted by /u/Low_Economist591 [link] [comments]”

Questions about medicine as a career, about which specialty to go into, or from practicing physicians wondering about changing specialty or location of practice are welcome here. Posts of this sort that…

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“Anyone have insight into hours, starting salary, work conditions, ect. Also how competitive is the fellowship? What ABSITE scores are they looking for submitted by /u/No_Release6810 [link] [comments]”

“Yes you need experience, but you also need attendings and seniors willing to teach. This is the basis of medical education for physicians and why they do a minimum of 3 years supervised practice.”

“Your post or comment was removed because it violates Rule 6: no PA school questions. Specific questions about PA school (rotations, clinicals, studying, taking the PANCE, building a first resume/CV, etc) should be posted to r/pastudent . There are practicing PAs there to answer these kinds of questions.”

“I'm also an incoming intern. Don't worry about it. Talk to your third year residents and ask them about job offers. I promise you it'll calm your nerves about job prospects.”

“I’d start with the physiopathology of the disease, classification and then move on to the clinical exam and patient history. I would then exemplify a few cases (ahf from ischeamia, arrythmia and so on) to highlight that the treatment is not furosemid to all pac.”

“I am currently a pgy 1 IM but I haven’t performed so well in my rotations based on attending feedback so my PD at first told me “either repeat entire pgy 1 year or terminate contract” a couple months ago. Fast forward to May, he told me that my performance have improved based on what my attendings have said about me but I am still not ready for pgy 2 so he said “6 months repeat but we will see how you do during the first three months and then decide on wh”

“I worked in clinical medicine for over 12 years, 10 of those in heme/onc. I would not recommend PA school now and have no desire to return to clinical care whatsoever. My daughter wants to be a physician and I basically told her medicine can be great, but healthcare sucks. Now I have a sweet gig in pharma which I never would have gotten without sacrificing my sanity at a poorly run cancer center for the past decade of my life so 🤷🏻‍♀️”

“wait i thought hospital transporting isnt considered clinical hours”

“Job 1: Not a fellowship. They are calling your onboarding a fellowship. Don’t have dedicated didactic time, set rotations, data listed exams and formal review periods? If you do, then I’ll eat my first sentence. Job 2: a rapidly expanding department taking on 8 new hires without a structured on boarding program sounds like a recipe for “day 91 you’re on your own” Also, very difficult to give advice when we don’t know what specialty you’d be worki”

“Job market is saturated? And we’re sitting on 4 vacancies on my unit alone. Send good people please. Our last 2 I have no idea how they made it through the test for NP school.”

“Good luck! Been doing FM with OB for 15 years now. Finding a program with a 4 year track or a fellowship is certainly the easiest way to do what you want. The other option is finding a good practice that will let you get practice and numbers after leaving residency. IMHO, you will not be ready to go it alone doing surgical OB after 3 years. I say this as someone who did 200+ deliveries in residency and about 30 cesareans in those 3 years. I went to a good group”