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Although I took an IM prematch, I pay a great respect for FM.
Honestly say, my best interview experiences came from FM interviews. FM people treat applicants more humanly. They provide hotel, give good food, and treat me really well during the IV.
Most IM people tend to look down people:
- University people look down 'community' hospital people
- Subspecialists look down PCP
- More research + pubs look down people with no research
I've just visited an event with a lot of internist, and their questions were mostly where will u be trained?
Once they know that it is a community hospital, I can feel that they're not really interested in me (most of them were university hospital attendings).
I hate it, but I have to be in IM because I want to pursue my dream fellowship and also n my country there's no FM specialty. Again, IM is the field of competition. Don't expect kindness and friendliness in this field.
If you're good, you will get the respect. I'm preparing my self now, since I know being a 'nice' doctor is not good enough in IM community.
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The bottomline is it will depend n your personality!
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You hit the target kura. IM is a cut-throat specialty. Usually internist are mean and arrogant. unless you are trained in Harvad, Mayo, or IVY league residency, you will always be looked down at by the people you arehanging out with (you can always find someone who comes from better shcool, better residency).
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bcomplex, kura, rab-ne
yes, its bad to see some ppl with highscores ridiculing fm.. disgusting since these ppl actually have never tried fm their entire life.. all they know is a stereotype of hardworking, low-waged person who will not find work back in their home country.. insane and ridiculous are the only 2 words that come to my mind
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You guys are so ignorant I am almost tempted to send you back to medschool! You should atleast have the discretion to realize that no physician is the same even if they belong to the same specialty. Likewise, no FM physician is the same because the training is so broad that it all depends on what you are doing, how deep you arer involved and your business skills.
It's not like other specialties in the sense that, Surgeons, Internists end up doing exactly as they are trained as the curriculum is very stryctured; whereas no two FM programs are the same- the curriculum is different in every program so you really have to decide what type of practice you want, and where!
I liked FM because I have done 1 year of IM residency and love outpatient adult medicine but at the same time I love dermatology as well as women's health. You can get all these rotations in FM esp. in a good university program that offers lots of electives.
I also love the autonomy of being able to practice in my own clinic setting without having to deal with heirarchal structure in hospitals, which I cannot stand!
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Shanker patel u are right on everything you said. I truly pity people have unrealistic notions about the specialty of FM. Now for facts.
All my FM friends in texas while in residency have offers for practice after residency with a starting of 300000+ So dont ever think FM does'nt have money. This is excluding OBG. I have my uncle here who at least earns 400000+ yearly excluding OBG and I tell u he has job satisfaction and lots of time compared to my internist uncles who earn less in the NY area than him.
As for fellowship options after FM is few but still available. OBG gyn, hospitalist fellowships, Pain and palliative( a big golden duck for procedures..like a mini anesthetist), Women's health, community cardiology etc.
As for the future in US. the future is not in fellowships, but in PCP. Primary care will be stressed on more and as more and more people are out of jobs the role for the primary care practitioners rule big time
Another aspect of FM is its flexibility. U can moonlight in an ER and besides a ER physician a FM doc is given more preference over an internist for ER moonlighting. And ER as u know is one money minting shackle. one night is over a 1000$. U can have procedural licenses for most procedures and bigtime moeny. I know a FM practitioner in texas who does colonoscopy and egd. Man even a traditional cardio guy cant imagine his income. An internist will have to work his ass out and still cannot earn what a FM earns. In FM the thing is if u are hell bend on making money and ready to sweat for it the options are amble.
Believe me in most programs in Texas and big states a FM practitioner is grabbed by practices before they finish residency with big salaries... so just imagine the demand.
And guys the days of getting an FM residency with a 78 78 is gone. Most FM interviews I attended they grill ur guts out, test ur aptitude well. In my opinion the IM interviews I been to have been so relaxing than a FM interview. Scores wont get u an FM residency now. USCE showing primary care interest and a genuine interest + average to gr8 scores are the norms now. I know friends of mine last year who got into FM...(were IM aspirants) who wanted to shift to IM after 1 year... but now they changed their minds. once u in the game u realise ur folly and how things are. And guys these people are all 92+ scorers and even 2 had 99's too. So dont ever think the fact only weaklings pursue FM. u got it all wrong.
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And guys I am hardcore IM guy... not for lack of respect for FM..... but just for my true passion for IM. In every means on a broad day in a broad field the FM wins over an IM in all means. I was prompted to write this, cos it looks so disheartening to see how people can get carried away in an air of self made pride over unreal facts.
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and internist guys... u will soon realize once in residency that at least 75+ % of cases in medicine are treatable in a clinic. The 85% of the rest remaining (25%) need subspeciality intervention. So now what my friends in this thread say "of not being able to do" is practically what even an internist would'nt dare to touch maybe cos they dont have the board certification for the specialty or even if board certified dont have the procedural license for it. So dear friends the role for a IM primary care practitioner in real terms of treatment in daily life is a meager 15% essentially. That's an explanation why a IM primary care practitioner earns less than his FM counter part on a office day.
With new health care reforms coming in.... they have realized like the NHS of UK that giving less incentives for sub specialty procedures and focus on primary care is the way to reduce costs. Now to implement this is just a matter of time cos the economy will demand cuts be brought in for sub specialty procedures too. So its only a matter of time while internists and subspecialists have to deal with less incentives and pay.
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IM and FM are both leftovers from AMGs..they are the most intelligent people in the world bcz they've made their country attractive enough for IMGs that they will cover spots left in the most undesirable specialties like IM and FM(almost 70% IMG) while AMGs cand do the most desirable ones:derm, neurosx, opth, ortho, etc..
IM or FM? for me is the same..you guys should be more humble
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IM and FM are both leftovers from AMGs..they are the most intelligent people in the world bcz they've made their country attractive enough for IMGs that they will cover spots left in the most undesirable specialties like IM and FM(almost 70% IMG) while AMGs cand do the most desirable ones:derm, neurosx, opth, ortho, etc..
IM or FM? for me is the same..you guys should be more humble
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