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  1. #1
    maa
    maa is offline Member
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    Please help me guys IM vs FM

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    I had a terrible erperience with my IM core at CMC; thus i have no LOR for it. the point is im getting very confused now; im thinking about either going into IM or FM. i actually prefer a better lifestyle; not sure which one has to offer that btn these two?? does both of thsese require same work? on call?? im really interested in something that has a better lifestyle like i said. please help me clarify as to which one is should go for.
    i actually thought about applying for EM as well as FM; and now after speaking to a friend of mine; he was saying i would be better off going for IM; b/c i may have a shot for cardiology/GI/pul fellowship but still its hard to go into it unless you have really good contacts; is it well worth the effort going into it .??

    now that i have a terrible experience with IM; i have no LOR; the thing was when i was finishing up my IM; the attendings wife had died; and i was told by the secretery not to request LOR at the time; in fact; i did my core in november 2005 and i just got the evaluation turned in to ross. the whole thing is a big mess; do i have to have a LOR from IM attending if i were to go into IM; how about if i do SUB-I and then try to get a nice letter; even if i do this i might have to do this right before my graduation; so i would get the letter very late. would that be okay?? as long as you turn one in. anyway guys please help me choose IM or FM; thats my priority depending on the lifestyle.

    thanks in advance.good luck everyone

  2. #2
    jim
    jim is offline Elite Member
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    fm takes care of less sick people. more office type work. call exists. IM, can be two tracks. clinic type, office work, some hospital, call, more complicated sicker overall patients. other track is hospitalist. only inpatient. the sickest of the sick. some critical care work expected.(usually i take care of ALL critical patients for the first 72 hours, after that i if they are on a vent i have to consult critical care)thats what i do. i only work about 14 days a month. 12 hour shifts. work hard when i am there. when i am off, no beeps or calls. at all. pay is VERY good to start for hospitalist. clinic type work pays less to start, but over time can make a bit more. IM is gateway to specialties. FM is not(well, nothing really big name..you can do sports med). i would say do a sub-I asap. or do a subspecialty and get a letter. rearrange your schedule if you have to. do whatever it takes. good luck, hope that helped

  3. #3
    maa
    maa is offline Member
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    thanks a lot jim

    thank you very much jim; that was very helpful; i will go for IM. im doing a cardiology elective. would that be ok for LOR or would you suggest SUB-I?

  4. #4
    jim
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    cards would be good. if you can squeeze in a sub i for a LOR, that would be good too. good luck!

  5. #5
    Swaydaa is offline Member
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    Fm Vs.im

    I agree with the above post. IM is the gateway to a vast majority of fellowships in different areas....Some of which are highly competitve and others are very easy to get into. Family Med people are awesome physicians, but they focus "sub-acute patients". Either way you are practicing medicine. You cant pick primary care in IM or FP, but IM will give you the chance to do fellowships....MANY of my friends love bread and butter medcine and love family practice.

  6. #6
    grace's Avatar
    grace is offline Elite Member 510 points
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    The previous posts are correct that IM is better if you want to specialize in Cardiology/GI, etc. However, if you like OB and/or Pediatrics IM isn't the best specialty, unless you shoot for an IM/Peds combined program.

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