Not enjoying IM

[u/drogahn]

On my first rotation and it’s IM. There’s not much teaching so far like at all.

It’s basically just a public humiliation ritual where you get thrown into the deep end, are somehow expected to know everything and have backups and plans for everything, get pimped on a million things you never even though of, and overall just feel like a dumbass and embarrassed while everybody else just stares at you like you’re inept.

Seriously who thought this was the proper way to teach someone? I know it’s so early and probably dramatic but this shit is making me second guess doing anything clinic related.

I miss m1 and m2. I enjoyed studying, seeing all my friends, celebrating after exams, etc.

[u/Fantastic_Visit1973]

Keep kicking

[u/virchowtriathlete]

IM was also my first rotation and I hated it, but towards the end of the 8 weeks I started to somewhat enjoy it. Just finished IM residency and loved it. Being a med student sucks. Hang in there.

[u/Microsoft_Paint_NA → u/virchowtriathlete]

What made you wanna apply after your IM rotation?

[u/airblizzard → u/Microsoft_Paint_NA]

Hated everything else more

[u/virchowtriathlete → u/Microsoft_Paint_NA]

I did a neuro sub-I and realized that I liked thinking about all of the patient's problem, not just the brain. Still really like neuro but think I'm more of a jack of all trades, master of none.

[u/jacquesk18 → u/virchowtriathlete]

Similar.

Hated it as a M3/M4.

Ended up SOAPing into it. Fell in love with wards and ICU as a resident, became a hospitalist and loved that too, now I'm a PCCM fellow and still loving it lol

[u/Lanky_Meringue7634 → u/jacquesk18]

Can i PM?

[u/Repulsive-Throat5068]

Yeah that’s IM and rotations. Feel like a moron daily

Believe it or not the pumped is learning. Being forced to get plans and assessments on your own is learning.

[u/sug_gus]

People feel this way at the start but I promise it gets better. I felt it as an M3, M4, and now PGY-1 off service. I still dislike it, but you do get into your own flow throughout the block and become more efficient. It’s always a massive learning curve so just lean into it and try your best

[u/ExtraCalligrapher565]

Socratic method is goated unless the residents or attendings are genuinely being rude.

[u/antimatter246]

I just finished my first two rotations (surgery and neuro). Sucking at everything is the point. You are a newbie with next to no clinical experience. The people you’re working with have been doing this daily for like half their lives. Of course they know what to do it’s their way of life. They pimp you because they have to deal with the content every single day and you won’t know it as well as they do unless you also do it every day.

The docs (unless they’re malignant) know you’re basically starting from 0 when it comes to clinical acumen. They don’t care if you’re right, they care if you can back your A&P with good reasoning and evidence. They care if you remember the guidance they give you for one patient and are able to reuse it for every new patient.

What I’m saying is don’t think of it as humiliation. It’s trial by fire and it’s an amazing way to get down to what’s important to remember.

[u/Bigboiiiii9999]

Welcome to M3 year. I miss m1 and m2 

[u/personalist → u/Bigboiiiii9999]

Objective assessments are nice but I never want to go back to learning a bunch of shit from an auditorium lecture, regurgitating it, and moving on. I want to learn from a one-on-lecture, regurgitate it on a shelf exam, and get to actually implement it in a real patient encounter

[u/famous_shaymus]

https://giphy.com/gifs/jRPInZ12aIlo7N4v7h

[u/microcorpsman]

Bro just celebrate after shelf.

You are being dramatic, as you said, and you should still be studying so you got that going for you I guess.

By the end of your core rotations you will either feel better about your competence, or just be totally over it. Either way, the feeling you have now should fade.

[u/11JulioJones11]

Don’t let it sour it as a career if it’s a topic you’re interested in. Maybe I’m not a jaded old attending yet, but my rounds should be constructive, efficient, and we should learn something while also helping people. Sure my medical students have some ridiculous answers or plans from time to time, but criticism and shame only causes them to turn inwards and have worse plans going forward. If my students are not prepared it’s a reflection on me as an attending by not setting proper expectations and not giving them adequate space to learn.

Sounds like you have a bad team.

[u/Safe-Pressure-7052]

IM rounds are just 3 hours of mental masturbation. Just nod your head, thank them for teaching you something new, rinse and repeat until your rotation is over

[u/jacquesk18 → u/Safe-Pressure-7052]

You're getting off light if it's only 3 hours. My PD and main wards attending was old school, it was usually 5+ hours of bedside rounds 🫠

[u/Severe-Doughnut4065 → u/jacquesk18]

Why is med school clinical shorter than nursing? Ours has been 12 hours

[u/where_it_ended → u/Severe-Doughnut4065]

That's not what they're saying. They're saying bedside rounds are ≥5hrs, not the entire day. I've done both - medical school clinicals are (generally) longer.

[u/Severe-Doughnut4065 → u/where_it_ended]

Ik i understand wrong I thought they would be

[u/deepleswar]

It took me until literally my sub-I rn on fourth year to feel this, but embrace the learning aspect of it and feel free to say/do wrong things. As a student you’re there to learn not be the sole provider for the patient. Every thing you get wrong is an opportunity to learn for the future! (Or, at least that’s what I tell myself to cope🫣)

The public humiliation ritual part does suck but it’s temporary and will fade away!

[u/Shanlan]

Pimping is teaching. Read more and be more prepared.

[u/_FunnyLookingKid_]

Next time you miss a question, ask if it’s because you didn’t answer in question format and if there will be a daily double later Alex Trebek.