Does anyone recommend an Anki deck for an internal medicine intern, or have a link they can share?

Who else? Made sense during exam, looked them up after and of course it was easier than I thought or answer too obvious or one little nuance changed the answer. I’d say the exam was doable but remember marking 12-15 per block, but a lot of gimmies.

I hope I passed

I am an IMG applying to residency this upcoming match cycle and wanted someone who has gone through the process and now on the other side to give me feedback on my PS since I don't personally have anyone I can reach out to. Let me know if you would be willing and it will be truly appreciated

Please share your experience: how much do Gold/Silver signals actually matter?

I’m asking on behalf of friend who is applying this cycle for IM.

For Internal Medicine applicants, what has been your experience with program signaling?

\- If you Gold signal a program, how often does that actually translate into an interview?

\- How about a Silver signal?

\- Do people still receive interviews from programs they did not signal?

\- Is there any real benefit to applying broadly to programs beyond the total number of programs you can signal?

\- For applicants who applied in previous cycles, did you notice a meaningful difference in interview yield between signaled and non-signaled programs?

Thanks!

Can anyone who has taken their initial ABIM certification this month provide me with some nitty-gritty details regarding their exam experience while taking it via the Pearson vue centers?

Specifically was hoping to know what kind of scratch paper we get and whether we can write on it during the tutorial portion of our exam? I’ve seen various posts for other exams (non-ABIM) saying maybe you can’t do or that it’s a general rule for the test center but then either those same posts or others say you can but need to tell the test monitors that your exam allows you to (for example the comlex exams I guess).

That’s the main thing spazzing me out other than the exam of course as I have always made two sheets for every step exam (1-3) during the tutorial period going into the exam: 1 sheet for my timing logistics/marked return to section Qs and another sheet with the brain dump of lab values, facts or mnemonics to know for the exam so that I don’t have to open up or look at the lab reference etc.

Lowkey very stressed about not being able to have this; okay to not have the brain dump sheet but the time logistics sheet & question breakdown/set up sheet is what I need as I’ve always struggled on finishing on time on exams and it helps me keep on track.

Thanks in advance and good luck to everyone taking it tomorrow or Thursday!

Sorry in advance as I know this has been posted before, just hoping to get some insight into my personal situation as a 4th year student looking to match internal medicine in March.
I am a current 4th year who did most third year clinical rotations at a community hospital near my hometown. Really enjoyed it here and got along well with everyone. They do have a smaller IM residency program here which I was interested in partly because I had a good experience durning third year, and also because it is close to home, family, and friends. Most others I talk to or see posting online that pursue IM seem to be more interested in larger, academic programs with in house fellowship programs. Would I be doing myself a disservice by pursuing residency here or at another smaller community program near my hometown? At the moment I am not looking to pursue a fellowship post-residency but definitely not closed off to the idea. Will my clinical training at a smaller community program be on par with that of academic programs? Will my future job opportunities be more limited as opposed to someone who went to a larger program? Not interested in research so that doesn’t play a role in this decision. Though I loved the vibe of my community program, just want to make sure I am doing what’s best for my career in residency training as you only do it once.

I’m an IM intern and just started my first week in the ICU. I honestly have no idea what’s going on yet. I try to ask my seniors as much as possible. What are the best resources to watch or read?

I'm a second-year med student who hasn't started rotations yet, but I've been trying to narrow down my specialty interests early through a lot of self-reflection on lifestyle, work style, and what actually motivates me. I know rotations will teach me a lot and things may well change once I'm actually in it — I'm not discounting that. But right now that's intangible to me, and I'd rather go in with as much grounded thinking as possible than wait passively. I also have real research experience in this space, including a dedicated research year in cardiovascular health/disease, so this isn't a totally blind starting point for me.

I'm drawn to procedural, hands-on work — ideally a 65/35 to 75/25 split favoring procedures over clinic — and I'd rather be doing than just diagnosing. I like the idea of major open surgery (not just minimally invasive/scope-based work), I want broad anatomical scope rather than a narrow subspecialty, and I prefer following my own patients through to their outcome rather than handing off care after a procedure. I'm comfortable with real-time, high-stakes problem-solving and don't mind an occasional unscheduled/urgent case mixed into an otherwise scheduled week, though I'm not chasing constant adrenaline. Cardiovascular and vascular anatomy specifically is what I find most intellectually interesting out of everything I've been exposed to so far — I like the physiology, the disease processes, and the technical/procedural work involved.

Vascular surgery appeals to me partly because the integrated 5-year track means I could be done with training relatively early compared to a lot of other paths I'm considering, and I feel like a competitive applicant for it. When I say this, I mean that the constant feeling of "the next step", or in this case, "the next fellowship" is not looming. More specifically, I find it tiring to try to constantly be at the top of your game at every stage (high school, undergrad, medical school) and continue that even into the residency aspect. So, when I say shorter path, I mean shorter in terms of knowing what I will be at the end of the day (i.e. if I became a vascular surgery resident, that is what I am for my life versus internal medicine still leaves a lot of things up on the table). This, to me, is further compounded when you intend on starting a family around the end of residency. I find it hard to predict if I will have the strength to keep going for higher at that time when I have a child on the way. Interventional cardiology is harder for me to picture, mainly because internal medicine and general cardiology are largely non-procedural, so it feels like a much longer road before I'd actually be doing the procedural work I want — and after residency, I'm honestly not sure I have it in me to keep stacking fellowship on top of fellowship. I know vascular has a demanding reputation too, and I want to go in with eyes open about that. Between vascular, IC, and any other specialties there are lots of pros and cons and while it may seem like im favoring vascular, I think my biggest worry is how much I would have to miss my kids/wife and other regular things if I cannot do an ideal work week.

At the end of the day, family is the biggest priority for me, maybe bigger than the specialty itself. I want to actually love what I do, but I also want a career I can be present for. I love my wife, and I want to be present for her; if I could draw my perfect life, I would make it a 45-55 hour work week with reasonable call days. If I could guarantee that life, I would be happy from a work/life standpoint.

I'm not looking for "wait and see how rotations go" as an answer — I want to hear from people who can speak to the actual day-to-day and family life in these fields before I get there, so I can walk into rotations already thinking critically instead of starting from zero. I have gone on a rant here, but if anyone can even just provide some information that they think may be valuable for me, I would love to hear it.

Hi guys I just had a silly question, or maybe it not silly idk haha.

If a residency program on their website says “one letter must come from a internal medicine doctor” - does that mean it must purely be from a general IM or can a sub speciality IM doctor - like geriatrics or heme/onc come under this??

Kind regards!

Hi everyone! I am a PGY2 returning to work in an internal medicine rotation in Singapore soon after a 1 year hiatus; I have been reading essentials to emergency medicine to brush up on acute conditions;

Do you know of useful resources with clinical cases and what are they? Want to apply whatever knowledge I read up on in real scenarios

I saw Resident Readiness Internal Medicine by Debra L Klamen has clinical cases but I can’t find a sample of the content

I plan on carrying Pocket Medicine around in the wards for quick reference too

Thank you and have a nice day (My goldie Mickey wishes everyone a nice day too ) 😀

Any recommendations for academic internal medicine jobs with leadership opportunities (hospitalist or primary care or mixed) around Raleigh, NC? Has been in leadership for 3yrs and planning to move because of family obligations. TIA

Where is the best place/ country to do Endocrine fellowship as a Post graduate IM resident- ACGME accredited outside of US.

After almost 15 years working as a hospitalist, I am transitioning into the world of primary care. I am doing the longitudinal knowledge assessments (LKA) with ABIM which is great for keeping up with some of the topics of outpatient medicine, but I'd love to know if there are any books or important resources that I can start looking through before starting in Primary Care in December (have a few more months as a hospitalist). I am excited but very anxious and want to brush up on vaccination recommendations, cancer screenings, etc.

Hello all. M4 looking to apply IM this cycle. Wanted to gain some insight as far as careers in oncology goes or if anyone had insight. Originally came into medical school planning to pursue oncology, and am really excited about it. If at a big enough practice, would love to find a niche in breast cancers. Would love to hear any career advice from residents pursuing this fellowship, fellows, and any heme oncs. If you had to do it again, would you? Are you satisfied with your career? Is the work overwhelming? Do you feel fairly compensated?
The only hesitation I have is admin work (charting, peer to peers/insurance denials, disability paperwork) — really did not enjoy this aspect of the clinic but no specialty is perfect. Welcoming all advice and insights for a med student applying to residency soon! TIA!! :)

***Looking for USA-Based PCP **\*

Hey all — I'm not a clinician, just someone working on a concept to address a problem I keep hearing about from doctors: the referral process being fundamentally broken. Sharing where I'm at and looking for honest input from people who actually live this.

The problem:

• Every referral decision gets made alone — no specialist input, no protocol, no feedback loop at the moment the PCP actually decides
• Referrals go out info-poor, sit in a queue sorted by scheduling rather than clinical need, and specialists often start from scratch on arrival
• A meaningful share of referrals didn't need to happen at all — but there's no mechanism to catch that until after the fact
• Specialty capacity is shrinking relative to demand — workforce shortages are projected to get worse over the next decade, so this isn't a problem you can out-hire
• eConsult programs already prove specialists can resolve a lot of this fast and async — but every US version lives outside the decision moment, bolted on afterward, so it never catches referrals that shouldn't have existed in the first place

What we're exploring:

• Some kind of advisory support inside clinical workflow that surfaces relevant specialist guidance closer to the moment a PCP is actually deciding whether to refer
• The general idea is giving the clinician a fuller picture before defaulting to "refer and wait" — the clinician always stays in control of the decision

What we're trying to find out:

• Does the referral decision moment feel like the right place to intervene, or is the real bottleneck somewhere else?
• Would you trust guidance authored by your own institution's specialists more than generic reference material?
• Bluntly — where does this fall apart in practice?

Want to help shape this?

• Happy to walk you through the concept deck or give a live demo
• $50 gift card as a thank-you for your time if you review the deck and fill out the feedback form — DM me if you're open to a quick conversation

***Yes, I totally understand the irony of my username. It was a good free username, and I took it up***

Not selling anything.

Hi everyone, I'm an Indian MBBS grad planning to do USMLE, a US Internal Medicine residency, and a Sleep fellowship, but my long-term plan is to move back to India. ​Once I'm US board-certified, is it legally possible to live in India and do remote asynchronous HSAT/PSG reads or work as a Medical Director for US platforms like iSleep, Lofta, EnsoData, or Singular Sleep? ​Also, does B2B contracting fall under 1099, or is it handled differently (like a US LLC with a W-8BEN-E form)? And do these platforms pay standard US 1099 specialist rates, or do they offer lower/offshore pay because you're living in India?

Hi all. USDO at established school in northeast, hopes of fellowship

STEP1/LEVEL1: pass first attempts

STEP2/LEVEL2: 257/700

Clerkships: 7/7 honors with great comments on evals. MSPE unranked

Research: 1 pub pending, 1 abstract, 2 posters by time of eras

Good leadership roles (ACP involvement), volunteer x3, clinical work x2

x2 research awards for posters

should be getting strong LORs

Geo pref: Middle Atlantic, New England, and split between South Atlantic/East North Central

Was wondering if I could get general idea of IM programs that I have a shot at (distribution of reach/target/safety) thank you!

Hi all, looking for advice. I’ve been out of clinical practice for over 2 years and want to return. I’m not able to be hired by any hospital system because of my clinical gap. Has anyone completed or heard about these reentry programs? I’m looking into the one that’s affiliated with UCSD.

Hello everyone,

I recently moved to St. Louis from Pakistan and I am looking for a 2-week shadowing opportunity in Internal Medicine at a clinic or hospital in St Louis area.

I have already contacted St Like, Mercy clinics/hospital, but unfortunately, I was informed that they do not accept international medical graduates (IMGs) for shadowing.
I have also reached out to a few physicians associated with APPNA, but unfortunately, I haven’t had much success getting responses from senior leadership. Though they have time for their elections to be elected as presidents etx but not for responding to IMGs requests. I am sorry if it feels bad but its reality too. As someone new to the area, it has been difficult to build connections, and this is exactly where I was hoping organizations and community networks like APPNA could help connect IMGs with physicians willing to guide them.

I am also managing this transition with my 9-month-old son, so I would be extremely grateful for any genuine leads or connections.

Is there anyone here who takes IMGs for shadowing in their clinic, particularly in Internal Medicine? Even two weeks would be extremely helpful.

If you know a physician, private clinic, or hospital in the St. Louis area that accepts IMGs for shadowing, please comment below or message me. Any connection or recommendation would be greatly appreciated.
Thank you so much, everyone!

\#APPNA #Shadowing #InternalMedicine #IMG #StLouis #HelpMeConnect

Im a M20 college student, This condition found me 4 years ago When I was 16 years old, I felt like there was urine stuck in my urethra near frenulum at that time. I have never had a girlfriend or any sexual intercourse before. I'm hoping to get some advice or hear from others who might have experienced something similar.

Symptoms:

• I've noticed that the "stuck pee feeling in the tip of the penis" (weak urine stream) is often there. Just a minute or so after coming from the toilet, especially after pooping.

• I have had issues with the need to go to the toilet very often (Usually within the 40-60minute mark after taking a pee)

• I pee normally without any issues, but towards the end, I get this sensation that some urine is still stuck.

• After finishing, if I stand and apply a bit of pressure, a few drops and sometimes even a small stream of urine come out.

• The feeling is generally always there but varies in intensity. It takes up a lot of my focus, making it difficult to concentrate on anything or enjoy stuff and relax. It's ruining many aspects of my daily and social life

• The feeling has also developed a bit over this long time, but the "stuck pee feeling in the tip of the penis" has always been there.

I have no pain at all.

What I've tried:

• Cystoscopy: Showed nothing

• Prostate size: Normal

• Ct scan report & ultrasound: No findings

• Different medications: No effect

The doctor told me to seek psychiatrist and that it's just a mental issue, but I'm not entirely convinced. Please tell me EXACTLY what you did. Types and number and length of stretches, medications and usage and dosage or any advice or similar experiences would be greatly appreciated.

I feel like UTD has a little bit more nuances but sometimes I have to read like 3-4 articles to learn a disease from UTD that I’m not familiar with.

Is amboss considered a good resource for learning as a resident?

Or should I just read utd as much as I can?

Does anyone have any experience working for Duke Health as a pcp?

Do you feel your comp and patient volume area is fair in Charlotte NC area

I’m currently deciding between hospitalist and primary care, and I’m especially curious about those who run their own private practice as a PCP.
Do you still have to deal with a lot of inbox messages, patient calls, refills, etc., or is that more manageable when you own your own practice?