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I stood Dr. Thompson I'm a third-year medical student and in this video I'm going to give you a heads-up on some things to expect on your internal medicine rotation as well as the must-have resources for doing well on the huge shelf exam that follows so internal medicine doctors or internists deal with the prevention diagnosis and treatment of adult diseases with residency training lasting three years in an average income about two hundred and twenty-nine thousand the top five conditions statistically that internist encounter our first diabetes hypertension heart disease hyperlipidemia and upper respiratory tract infections with the real challenge being that many patients have multiple chronic illnesses to manage now even if you're not interested in internal medicine as an end goal for your career it's still very important to do well on this rotation because it will help you on all of your other rotations, and it's a stepping stone into many sub specialties there are thirteen total including cardiology endocrinology gastroenterology hematology nephrology oncology pulmonology and Rheumatology, so I did a total of eight weeks on internal medicine for inpatient in a busy hospital and for outpatient in a large private clinic, and it was almost like two different specialties so let's start off with my inpatient experience I worked one-on-one with a physician who worked really hard he spent extra time teaching me how to ride a bulletproof soap note and how to do a perfect history and physical we would usually have anywhere from 20 to 30 patients to care for and occasionally had help from mid-level providers who nurse I personally was assigned to four to five patients each day and I had the opportunity to see them write a soap note and then present each of them to my attending a huge amount of knowledge is required, and it's constantly challenging and new now for a little on my outpatient experience my experience was much more laid-back many of the patients were suffering from similar illnesses had a similar course of treatment in a way it seemed like somewhat repetitive like I already knew the patient even though I had actually never met them I had just seen someone with similar needs I saw a lot of patients who were there for follow-up on their diabetes or med refills and one challenge is that often patients came in with a list of questions or complaints many of which we either couldn't address because of time when we had to shrug our shoulders and refer them out because we didn't have the answer and then without really being able to resolve their concerns they left with a new medication or a dose adjustment and a follow-up in three months, so it's in some ways it was very challenging as an outpatient in other ways it wasn't quite as challenging intellectually as inpatient, but it did have patient continuity which I valued quite a bit, and it's a much-needed field of medicine, so this rotation will surely challenge you on every level and the amount...
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