r/InternalMedicine Sep 11 '25

Interview Season Megathread

7 Upvotes

Greetings all

Historically posts related to interviews/applications have tended to drown out all other discussions this time of year so this year I am requesting all related questions to be posted in this thread. This includes questions about specific programs and "What are my chances" type posts. While I understand that these threads arent followed as closely as separate posts on the sub, the medical school sub has extensive resources available and I would like this subreddit to be a forum for clinical medicine focused discussions as much as possible.

Please also feel free to share any feedback or other things you would like to see here.


r/InternalMedicine 5h ago

Job hunting

3 Upvotes

Hi! I’m a PGY-3 Internal Medicine resident in California.

I’m starting to look into job opportunities and was wondering what platforms you guys recommend for job searching.
Some people have recommended DocCafe. Is Indeed helpful for physician jobs as well? What websites or resources do you guys typically use to look for jobs in a specific area you’re targeting?

TY in advance!


r/InternalMedicine 22h ago

I made a salary website for physicians!

10 Upvotes

website: https://www.informed.fyi/salaries/physician

A few years ago, I did a survey across various forums and reddit asking whether people would be interested in a healthcare-focused salary website. The overwhelming response was yes.

After two years of working on it alongside a full-time job (and getting married somewhere in the middle!), I'm excited to finally share it. The project started as a way to improve salary transparency for my wife, who's a pharmacist. As I worked on it, I realized that the lack of salary transparency extends far beyond pharmacy and affects many healthcare professions.

It's definitely still a work in progress, and I'd genuinely appreciate any feedback or suggestions for improvement. If you'd like to contribute, salary submissions are completely anonymous, your personally identifying information such as your name and email are never displayed.

Also, as a side note, the median salary may seem low for specialties such as internal medicine since the data is coming from BLS which may not include compensations such as bonuses and productivity pay. As more submissions come in, we will be using the submitted values as the source of truth.


r/InternalMedicine 21h ago

GAVE ITE TODAY

0 Upvotes

PGY-1 HERE, how was it for you guys?


r/InternalMedicine 1d ago

PCP Dallas Job Market Questions

0 Upvotes

Hello. I wanted to ask about finding a PCP job in Dallas or in general while navigating 2 young children. I literally don't know anyone in Dallas to ask specifically about this.

I graduated from residency a year ago, had my second baby shortly after, and spent time at home with the baby. I was planning on going to work when the baby turned 6 months old while I was living in another mid-sized city, but my husband got a job in Dallas. He works in medicine as a MD, but in a more demanding field. Before we moved to Dallas, I passively applied to jobs, but got nothing. I figured maybe it would be better once I got to Dallas. My friend works 4.5 days per week as a PCP with basically non-existent call, but lives in a Dallas neighboring city (Wichita Falls). Therefore, I thought maybe I could find something similar. I applied to many jobs on the big jobs boards, applied directly to the websites, tried emailing the recruiters listed on the job postings, and tried messaging recruiters on linked in. I got very few responses from recruiters, then they would ghost me. I did manage to get in touch with the VA with an offer, but it seems like it won't work for my family. After having children, my focus changed to me wanting to be more present for them. I want to drop them off and pick them up. I would go part-time, but I have 400K+ in loans from undergrad and medical school, so I need to work full-time for PSLF program. The exact issue with the VA is that they have rigid 8 hour per day schedule, usually from 8AM to 4:30PM hours with a 30 minute lunch. Also, it is a 40 minute commute each way. So basically I feel like that's not ideal for my family and feels basically like I should be a hospitalist working at a hospital that is much closer (10 to 15 minute commute) if the hours are going to be like that. My expectations are not really matching up to what I thought future attending life would be like. I was expecting maybe having a 35 hr week schedule (8:30am to 4pm M-F) that was flexible with the rest of the time for non-patient facing duties. I do not mind doing things after kids are asleep. Should I be adjusting my expectations? How should I be going about finding a job?


r/InternalMedicine 2d ago

What happened to UNM’s ABIM pass rate?

6 Upvotes

Currently an MS4 applying to west coast and mountain region IM programs.

Uni of New Mexico appears to be a solid program but can’t figure out why their pass rate fell form 84 to 76.

Was also considering UNLV IM if anyone has info on that as well.


r/InternalMedicine 3d ago

Matching Internal Medicine

7 Upvotes

I just wanted to get some opinions on how realistic it is to match at a solid mid-tier program (40ish–80ish) as a DO who only took COMLEX. I lowkey kind of wish I had taken Step 2 solely for the purpose of opening up more doors, but it is what it is. I’m just psyching myself out that it will be the reason I don’t match into a program that I otherwise would have had a chance at.

Other than choosing not to take Step 2, I guess the most concerning part of my application is that I only have one publication, even though I am the first author, and only two poster presentations. I didn’t go to a well-known school either. I’m comfortable with my academic stats, though, and I don’t think I am lacking much in other areas. Maybe I am wrong.

My Level 2 score was a 697. I honored all of my rotations outside of psych/peds, which were both high passes. My COMAT scores were all higher than 118, outside of OBGYN. I’m a member of SSP and finished in the top 10% of my class.

I only did one away rotation, which was at a large academic center, but it isn't my number one.

I would really love the opportunity to train at a good program because I’d like to pursue a fellowship in heme/onc or cardio, so I would really appreciate any advice.


r/InternalMedicine 2d ago

Terrible step 2 with well rounded app for IM, where should I apply?

0 Upvotes

US MD at a T15 medical school, Good name
Step 1: Pass, first attempt
Step 2: 243
Honors in all core clerkships (Honors is common at my school)
Honored 3 IM sub-i’s with good MSPE comments, and one in the ICU
GHHS
Recipient of a \~$60k medical school scholarship for research, additional $8000 for research funding, and $5000 for student org
Strong LORs: One from APD, ICU attending, senior academic IM faculty member/fellowship director, + chair letter
Posters/abstract/podium: 12+ many at nationally recognized conferences 
Pubs 3 first author manuscripts submitted 
Leadership: director of disparities and volunteer club (long standing and manage 8+ named volunteer sites), started a student org that is being adapted into the curriculum and residency programs 
Volunteer: tons of volunteer through the disparities org, student run free clinic, and GI dept (volunteer events with hs students and local families effected with GI conditions)
Home towns: Chicago, NYC
My main concern is obviously the 243. My practice scores were substantially higher, so it was disappointing, but I'm trying to build a realistic list around the score I have


r/InternalMedicine 5d ago

15+ and counting mistakes, s/p ABIM 8/25

5 Upvotes

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


r/InternalMedicine 6d ago

Anki deck for IM intern

10 Upvotes

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


r/InternalMedicine 6d ago

How Much Do Gold/Silver Signals Matter for IM Interviews

6 Upvotes

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!


r/InternalMedicine 7d ago

ABIM Exam Day Logistics

1 Upvotes

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!


r/InternalMedicine 8d ago

Community vs Academic IM Programs

15 Upvotes

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.


r/InternalMedicine 8d ago

Starting ICU

13 Upvotes

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?


r/InternalMedicine 8d ago

Vascular Surgery vs. Interventional Cardiology

2 Upvotes

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.


r/InternalMedicine 9d ago

Letters of Recommendations

7 Upvotes

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!


r/InternalMedicine 10d ago

Where to find clinical cases

Post image
14 Upvotes

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 ) 😀


r/InternalMedicine 10d ago

Looking for Job opportunity

1 Upvotes

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


r/InternalMedicine 13d ago

IM to endocrine fellowship

5 Upvotes

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


r/InternalMedicine 14d ago

Best Books to Brush Up on Primary Care

8 Upvotes

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.


r/InternalMedicine 14d ago

IM to oncology career outlook

3 Upvotes

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!! :)


r/InternalMedicine 14d ago

(USA) Non-clinician building a referral triage tool — is the 'this doesn't need a specialist' problem as bad as I think?

0 Upvotes

***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.


r/InternalMedicine 14d ago

How to read cardiology in general medicine for MBBS final year

0 Upvotes

r/InternalMedicine 14d ago

Query about usmle residency stream Internal medicine + sleep med fellowship

0 Upvotes

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?


r/InternalMedicine 15d ago

USDO IM Idea of Programs to Apply To

1 Upvotes

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!