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USCE & Clinical Rotations IMG discussions of United States Clinical Experience (USCE), clinical rotations, clerkships, externships, observerships, electives, and internships.


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Old 12-06-2016
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Smile Hospital Internal Medicine or Subspecialty or Sub-I??

Hi
I'm an IMG applying to Mayo Clinic.
A bit at a lost as to which elective I should put down in the application.
Right now I can't seem to tell which is better:

1. Subspecialty (ex: Cardiology)
2. Hospital Internal Medicine-Inpatient (Is this general Internal Medicine?)
3. Consultant Outpatient Internal Medicine
4. Internal Medicine Subinternship

A senior advised me to not choose subspecialty electives, as they only involve consultation and I have to run around the hospital, which makes it hard for the supervising attending to evaluate me. And it seems that people switch from attending to attending in subspecialty elective (?) He suggested that I pick an elective in which I only need to stay in one ward.

Another senior told me since we're not from the U.S., we might not be used to how the healthcare system works in the States. We not perform as well in Hospital Internal Medicine, and the choice might be risky.

Some people strongly advised me to choose sub-internship....
They say it's a great opportunity for one to shine and for one to be seen. And it shows people you have the ambition and a clear goal. But I haven't done an internship at my home school. I'm worried if I do a sub-I I would be putting all my flaws under a magnifier for everyone to see.

What do you guys suggest?
I really need some advice.
Thanks!
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  #2  
Old 12-06-2016
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Quote:
Originally Posted by imfan View Post
Hi
I'm an IMG applying to Mayo Clinic.
A bit at a lost as to which elective I should put down in the application.
Right now I can't seem to tell which is better:

1. Subspecialty (ex: Cardiology)
2. Hospital Internal Medicine-Inpatient (Is this general Internal Medicine?)
3. Consultant Outpatient Internal Medicine
4. Internal Medicine Subinternship

A senior advised me to not choose subspecialty electives, as they only involve consultation and I have to run around the hospital, which makes it hard for the supervising attending to evaluate me. And it seems that people switch from attending to attending in subspecialty elective (?) He suggested that I pick an elective in which I only need to stay in one ward.

Another senior told me since we're not from the U.S., we might not be used to how the healthcare system works in the States. We not perform as well in Hospital Internal Medicine, and the choice might be risky.

Some people strongly advised me to choose sub-internship....
They say it's a great opportunity for one to shine and for one to be seen. And it shows people you have the ambition and a clear goal. But I haven't done an internship at my home school. I'm worried if I do a sub-I I would be putting all my flaws under a magnifier for everyone to see.

What do you guys suggest?
I really need some advice.
Thanks!
Hey
I think choosing IM would be better than choosing a subspecialty. I haven't done the elective yet but when I applied I thought it would expose you to a better variety of cases and you can get in touch with the IM staff directly.
Sub-I is definitely much more demanding than an elective and plus I think it needs ACLS certification. One of my seniors told me that if you get a Sub-I you'll really need to perform well to get a good LoR from the attending because learning their system, EMR and stuff takes some time. Nevertheless, I'd put the Sub-I as my first choice but I didn't get it, I got my second choice.
About hospital medicine, it's not exactly like general medicine. It revolves more around critical care, long term treatment and research based treatment as far as I know. But it's quite similar as you'll be with a wide range of patients. This was my second choice. You can find out more on the mayo website for hospital medicine fellowship.
I put the out patient consultation in the end because I wanted inpatient exposure and I guess that's better in some cases.
Among the 4 choices you listed, I would go for Sub-I (even though it's harder it's the best so why not) then hospital medicine and then subspecialty.
I hope this helps a little
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imfan (12-07-2016)
  #3  
Old 12-07-2016
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Quote:
Originally Posted by arpitajoshi View Post
Hey
I think choosing IM would be better than choosing a subspecialty. I haven't done the elective yet but when I applied I thought it would expose you to a better variety of cases and you can get in touch with the IM staff directly.
Sub-I is definitely much more demanding than an elective and plus I think it needs ACLS certification. One of my seniors told me that if you get a Sub-I you'll really need to perform well to get a good LoR from the attending because learning their system, EMR and stuff takes some time. Nevertheless, I'd put the Sub-I as my first choice but I didn't get it, I got my second choice.
About hospital medicine, it's not exactly like general medicine. It revolves more around critical care, long term treatment and research based treatment as far as I know. But it's quite similar as you'll be with a wide range of patients. This was my second choice. You can find out more on the mayo website for hospital medicine fellowship.
I put the out patient consultation in the end because I wanted inpatient exposure and I guess that's better in some cases.
Among the 4 choices you listed, I would go for Sub-I (even though it's harder it's the best so why not) then hospital medicine and then subspecialty.
I hope this helps a little
Thank you very much, arpitajoshi!
I will give it one last thought before submitting my application.
There's another elective called "general consultation service". I guess this is more related to general IM than Hospital Medicine?
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