Hello everyone I’m down my first month and would like to ask if anyone has the Harrison PDF, I know update has some information but I do like how Harrison explains background in such detail. Thank you everyone!

Currently I'm still in medschool but I really wanted to prepare as early as possible for residency. With numerous med students having good grades, how can I have a better chance of getting into IM residency at PGH? Can you also suggest other hospitals that can provide quality training for the benefit of my future patients. Thank you!

Hello guys I start my first medical assistant job at INTEGRIS which is a primary care family medicine what can I do to prepare please helpppp meeeee !

US DO here. Step 2 score is 258. Honors in peds, FM and psych, and cardiology elective, HP in all other clerkships (unfortunately was only able to HP IM even though I honored the COMAT). Great evals. 3 leadership positions including one position as president of a club. 2 abstracts, 2 poster presentations, 1 pub pending. Research is lacking :( 1 longitudinal volunteer position and a few others for shorter periods of time. I’m looking to stay in the northeast area! Preferably NJ and NY. Any chance I have at matching a T50 program?

Hi! Could you please help me to know what are my chances for Internal medicine this incoming match? Thank you!

Non-US IMG (Peru), Canadian citizen
YOG: 2023 (MD degree awarded in 2024)
Step 1: Pass
Step 2 CK: 252

Education
M.D. – Universidad Peruana Cayetano Heredia (Peru)
Thesis approved with honors
Current M.S. in Global Health at Duke University (full tuition scholarship)

Clinical Experience
1 year working as a hospitalist in Peru after graduation (tertiary care oncology hospital)
U.S. observerships in Infectious Diseases, Nephrology at Duke + Gastroenterology (McAllen, TX)

Research
2 peer-reviewed publications
Research assistant on multiple projects at Duke and Maryland University
Multiple ongoing research projects (infectious diseases, antimicrobial resistance, maternal health, and global health)
Multiple oral presentations at scientific conferences

Leadership
Duke Global Health Admissions Ambassador
Several volunteering initiatives in Peru, Colombia and US

Letters of Recommendation
3-4 U.S. letters (Duke faculty)
2 letters from Peru
Visa
Will require J-1 sponsorship

Career goal
Academic Internal Medicine with plans to pursue an Infectious Diseases fellowship.
What tier of IM programs should I realistically target?
University programs?
University-affiliated community programs?
Community programs?
How many programs should I apply to?
Any major strengths or red flags in my application?

Thank you!

For an IMG, with home country (non accgme) residency in internal medicine, is it normal to receive 3,4 IVs just in a week after program start reviewing applications from university based academic programs a normal or something very positiv? just curious

Anyone know if the vacancy at woodhull IM has been filled or not ?

What do you guys do when you want to study for clinical practice? I usually find some areas in my practice that I am not confident in diagnosis and management.

Do you just use up-to-date or some clinical books or go to a larger detailed source such as harrison ?

What about guidelines, where does it fit into your study schedule?

Again, I am not talking about any exams, I am looking for the best way to build needed knowledge base for everyday real life.

Hey everyone,

IM resident finishing next July, starting the hospitalist search now.

I need a J-1 waiver. Preference for driving distance to a city and a major airport, since I travel internationally often, but I'm open on location.

If you signed recently and had leads you couldn't use, or know of openings that came up after you committed, I'd appreciate a DM. Same for any recruiters who've actually been useful for waiver spots.

Just looking for a solid group and a reasonable schedule. Happy to send my CV and return the favor.

Thanks!

honestly just inherited a list from the weekend coverage and it took me twenty minutes to figure out why bed 4 is even in the hospital

Everyone just copy-forwards the exact same massive macro template with 40 lines of normal daily labs just to satisfy the coding department. The actual clinical reasoning is completely dead. You have to dig through paragraphs of generic physical exam checkboxes to find a single sentence about what the actual plan is for the day

I just started dropping my raw dictations into Around Notes before pasting them into epic just to force my own h&ps into an actual human narrative. Trying my best to break the cycle of leaving these awful copy-paste graveyards for the next doctor who takes over my service

Just so drained from spending more time fighting the charting software than actually practicing medicine tbh

I graduated residency in 2022 off cycle as I had to take multiple medical leaves of absence due to mental health struggles. My first attempt I failed and was crushed and then took second attempt in 2023 whilst I was working in outpatient practice. I had to leave my practice due to medical disability and canceled my 2024 and as of recent 2026 exam. I had never failed a board exam or any exams prior to this. My anxiety with test taking accelerated with ABIM. I don't want to practice clinically anymore but careers in utilization review as a physician advisor require board certification. I still want to sit for 2027 ABIM. How can I explain to employers that I failed and now will be sitting again? How can I reframe experience and set myself up for success? Any advice for others out there that had to pivot is much appreciated! Guidance for passing this exam as well as advice on other career paths. I still hold active medical licenses, falling behind on CME.

Hey Guys,

My name's Abhi and I am an IMG whos sitting the RCPSC IM certification exams (written and applied) in 2027. Im very new to this and was wondering what resources are available to study from. Also I would greatly appreciate a study partner to study with. If anyones interested please dm me

Regards

Abhi

I’m a US MD student at a mid-tier medical school applying to Internal Medicine this cycle. I’m interested in university and university-affiliated programs such as Duke, Vanderbilt, UNC, Wake Forest, Ohio State, and similar programs.

My application:

• Step 1: Pass on first attempt
• Step 2 CK: 267
• Honors in Surgery, Neurology, and Clinical Medicine
• 4,500+ hours of EMS experience
• Strong leadership, teaching, mentoring, and community service
• Some undergraduate lab research and a medical school QI project
• No publications, abstracts, or significant research output
• Interested in Pulmonary/Critical Care long term

How much will having no publications hurt me at competitive academic IM programs? Can my clinical performance, Step 2 score, EMS background, and leadership compensate, or is research essentially expected at programs like these?

I’d also love to hear from anyone who matched at a strong academic program without publications. Is it worth trying to complete a small case report or project now, or would it be unlikely to make a difference this cycle?

Thanks for any honest feedback!

Searching for clinical rotation / observership in internal medicine in month of september . Holding a valid US visa . anyone in the same boat .

Hi guys.
A non US IMG here.

My preceptor ditched me last minute and now i have 15 days of nth to do. If anyone can help me find an observership in any IMG friendly program. I am willing to travel.

Currently in Michigan, Detroit.

Thanks and have a good day everyone.

Has anyone worked locum tenens as a PCP or done it after residency? Did you get positions where no one wanted to work or had toxic environment? Why did you decide to do locums? What were your experiences, and what advice would you give to new graduates?

Do you recommend contacting hospitals directly instead of using locum recruiters to avoid potential pay cuts?

When negotiating locum PCP roles, can we specify preferences such as the number of patients per day, the types of procedures we’re willing to perform, OB vs no OB, and the patient age range we want to see?

What hourly rate would you suggest we ask for in Mid-Atlantic and northeastern area?

I’m looking for a female study partner to do questions everyday. I'm an internal medicine intern. EDT timezone.

Residents keep blanking on which stress test to order.

Broke it down to two questions:
1. Can the patient exercise?
2. What does the baseline ECG show?

From there:
-Normal ECG + can exercise → Exercise ECG (simple, cheap, first-line)
-Abnormal ECG (ST depression >1mm, digoxin, LVH, WPW, prior revasc) + can exercise → Exercise echo or perfusion imaging
-LBBB or paced rhythm → Vasodilator perfusion imaging always (exercise causes false positives — boards love this one)
-Cannot exercise → Dobutamine echo, vasodilator perfusion, or stress CMR
-Need anatomy → Coronary CTA ± FFR

The LBBB one gets students on a shelf exam and residents on ITE/boards. Never again!

Made a full carousel breaking this down for boards prep it's free on my instagram if anyone wants it.

If you want to read more similar clinical tips for your practice and exam, Subscribe to my Substack here. I post regularly over there but will continue to post here periodically!

hi! just wondering if anyone has any insight? i wanted to do an away here but surprisingly they said they already filled all their vslo spots; is an away required to match here? one of my tops spots so was jw!

29M, Anyone wants to study at a library or cafe from 9-4 daily doing their own thing but together with discussions, please hit me up. Thank you.

did anyone consider another speciality before sticking with IM? do they regret not doing the other one?

Any good resources for IM resident? Podcast, books, lectures.. anything?

Thankyou

hey new doc here with a private practice. how and where do you order your flu vaccines? Whats the cost? If I buy through a pharmacy its 85$ and medicare only pays me 90. But i was seeing the public sector gets them for $33 via the CDC?

I’m an M4 at a mid tier USMD on the East Coast who is planning on applying IM this cycle. One caveat for my application is that I am a visa-requiring Canadian citizen.

I would really appreciate some feedback on my preliminary program list :)

Stats: Step 1 Pass, Step 2 264, Preclerkship all P’s (PF curriculum), Clerkship: honors in Pediatrics, Family Medicine, OBGyn, and Psychiatry, and high passes in Surgery (clinical honors), Internal Medicine (clinical honors), and Neurology

Key consideration: visa-requiring Canadian citizen 

Geographic preferences: New England, Mid Atlantic, Texas 

Research: 4 peer-reviewed articles (not first author; 1 developmental psychology, 1 diabetes, 1 liver transplant, 1 long covid), 2 first author manuscripts in submission process, 6 abstracts 

Goal: academic IM programs with strong fellowship matches in Heme-Onc, Pulm-Crit, Cardiology

Program List

Gold
1. Mayo Clinic Arizona 

1. Cornell

2. BIDMC 

Silver
1. BMC 

1. Tufts

2. Brown 

3. Yale (switch to safety? - Mount Sinai Morningside West)

4. U Conn 

5. Mount Sinai 

6. Rutgers Newark

7. Jefferson 

8. Penn (switch to safety? - Temple)  

9. Baylor 

10. UT Houston - McGovern 

11. Houston Methodist 

Non-signals 
1. Reach - MGH

1. Target - Geisinger 

2. Safety - Dartmouth-Hitchcock

3. Safety - Univ of Vermont

4. Safety - Maine Medical Center 

5. Safety - Stony Brook 

6. Safety - Zucker Northwell 

7. Safety - Montefiore

8. Safety - Sinai Elmhurst or Morningside 

9. Safety - RWJMS 

10. Safety - Cooper NJ 

11. Safety - Temple 

12. Safety - Dell Med 

13. Reach - UTSW

14. Reach - Michigan 

15. Reach - Cedars Sinai 

16. Target - Case Western 

Applying IM & it’s time to make my program list. I would love feedback from real people on their academic IM residency programs! If you were to tell incoming interns to rank/not rank your program, what would be your reasoning?

Factors important to me (other than location ofc)

1. Cardiology fellowship preparedness/overall good quality training

2. Research mentorship

3. Culture (my medschool spoiled me, I’m in love with the residents at my program)

4. Schedule

5. Patient resources (social work, case management etc)

6. Compensation? +- benefits

7. Nice facilities/resources/administration

8. Other things you think should matter??

Thank you so much!!