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A bit from my first week of residency at Stanford! I got lucky and started initially with clinic, which means that my hours were not as bad. IT was a good transition into residency, and I am now in the middle of an INTENSE inpatient rotation.
I hope all of this shows you a bit more about the different types of medicine there are and the realities of residency. The goal is to increase transparency and be as forthcoming as possible about my challenges.
FAQ that individuals often have:
What is residency?
Residency or postgraduate training is specifically a stage of graduate medical education. It refers to a qualified physician (one who holds the degree of MD, DO, MBBS, MBChB), dentist (DDS or DMD) or podiatrist (DPM) who practices medicine, dentistry, or podiatry, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant.
Some general tips I've gotten from my seniors about the first month of residency:
- Try your best to make it to month 2.
- Take advantage of your opportunities.
- You succeed with support.
- Voice your concerns.
- Embrace uncertainty.
- Practice self-care.
- Grow your knowledge every day.
How many hours do residents work?
According to ACGME work hour rules, interns never work longer than 16 hours at a time, and must have a minimum of eight hours out of the hospital between scheduled shifts, and an average of one day off per week. Second years and beyond are not supposed to take call more often than Q3 (every three days) and are not supposed to work longer than 24 hours at at time with an extra four hours allotted for patient care handoffs and educational opportunities (so up to 28 hours total at a time).
What kind of physicians are Internal Medicine doctors? (via ACP)
Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness.
Internists are physicians specializing in internal medicine, a discipline focused on the care of adults emphasizing use of the best medical science available in caring for patients in the context of thoughtful, meaningful doctor-patient relationships as exemplified by the life and work of Sir William Osler, the "father" of internal medicine in the United States.
At least three of their seven or more years of medical school and postgraduate training are dedicated to learning how to prevent, diagnose, and treat diseases that affect adults. This basic training qualifies them to practice internal medicine, and you may see these physicians referred to by several terms, including "internists" or "doctors of internal medicine." But don't mistake them with "interns," who are doctors in their first year of residency training. Internists are sometimes referred to as the "doctor's doctor," because they are often called upon to act as consultants to other physicians to help solve puzzling diagnostic problems.
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