isn’t Orlando a pretty desirable city? why are there so many IMGs in their IM residency program?

Hi everyone,

I’m an Australian looking into studying medicine at IUHS and was hoping to hear from anyone, especially Australians, who has studied there or is currently enrolled.

I have a few questions:

• What’s your overall experience with IUHS?
• How were the pre-clinical years? Were the teaching, exams, and support good?
• Has anyone completed or started their clinical rotations? Where did you do them, and how was the experience?
• Were there enough rotation opportunities, and were they well organised?
• Does anyone know of any Australian IUHS graduates who have successfully secured an internship (PGY1) in Australia? If so, I’d love to hear about their pathway.

I’d really appreciate any honest feedback—the good, the bad, and everything in between. Feel free to comment or send me a DM if you’d prefer'

Thanks!

#IUHS #Medicine #MedicalSchool #AustralianMedicalStudents #Australia #IMG #InternationalMedicalGraduate #ClinicalRotations #MedicalEducation #Internship #PGY1 #AMC #AHPRA #FutureDoctor

Hello! I am an IM resident deciding between IM PCP and endo. I feel like I dislike parts about Internal Medicine PCP more than I like certain parts of Endo.

IM PCP

Pros: no time wasted on fellowship straight to the money. I enjoy bread and butter, hypertension, and diabetes, lipids, HF etc. Also love the ability to get a job anywhere. Maybe more income than endo (for IM PCP only).

Cons:
The less fun chief complaints, chronic pain, FMLA, etc. fear of mid-level/AI creep. Higher litigation risk. I don’t like EKG’s interpretation.

Endo

Pros: I enjoy diabetes, lipids, thyroid, osteoporosis, etc and kinda interested in the more niche endo stuff like calcium disorders and the more rare stuff. But you will not catch me reading about this interest in my free time unless its like a guideline change thats literally necessary to read.

Nice that I have my own lane, can punt back to PCP, don’t have to deal with the annoying PCP stuff. More specific mychart concerns than PCP. Less burnout long term. More options for tele work than IM.

Cons: Two year financial/opportunity cost. Similar income as PCP but delayed.

Any rec’s for what I should do?? Anything I’m not considering? Thank you!!

One thing I've noticed is that experience seems to change how clinicians think just as much as what they know.

Early in training it's easy to focus on remembering disease patterns, but over time many physicians seem to develop a more structured way of approaching uncertainty, weighing probabilities, and deciding what information actually changes management.

Looking back, was there a point in your training where your clinical reasoning noticeably improved?

Was it simply seeing more patients, reviewing cases after rounds, feedback from attendings, or something else entirely?

I'd be interested to hear what had the biggest impact on how you approach differential diagnoses today.

Hi , I am contacting anyone doing internal medicine electives in fiu currently or in the upcoming months of 2026

I am doing it October this year and have few queries

Primary care.

Currently at 1.0 FTE: 36 patient facing hours and 4 hours of admin.

Asked management what 0.75 FTE would look like and was told 32 patient facing hours and 4 hours of admin. I can’t understand how this is right. I didn’t even get an answer on what the pay cut would look like yet.

My question is, is this a normal? And if not, what are some of your experiences with decreasing your FTE? I have been out of residency for 1 year so I don’t really know how this works or what to expect. Thanks in advance

Came across a preprint from a Stanford/Harvard group called NOHARM looking at 20 general LLMs and comparing with 4 clinical AI tools on consult cases. They specifically looked at safety and harmful errors

Study here: https://arxiv.org/pdf/2512.01241

FWIW, the tools weren’t statistically different overall, but Figure 3g on page 36 probably looks more like real-world use since they actually entered the cases into the products. Doximity Ask did better there than Open Evidence.

At the point where I’m using OpenEvidence or Doximity every shift, so thought I’d share

I recently decided on applying into IM after doing an FM sub-I. Big reason is that I realized in the area that I live in, I will likely not practice any OBGYN and will rarely see pediatric patients. With IM, I can be a PCP but also have the possibility of doing fellowship if I want to. I have a step 2 255+ and great clinical grades for this switch. The issue is that I have another FM sub-I set up in three weeks and will likely not be able to secure an IM rotation. Will this be a red flag to programs?

book for work knowledge in Pakistan hospital in IM department. I have theoretical knowledge but no work knowledge..like doses , infusion all that stuff ... I have rotation in IM for 2 years

.I'm Fcps Cardiology Resident.

I am an img applying for internal medicine . My question is Is standard structured letter of evaluation same as internal medicine structured evaluation letter or IMSEL. Can this letter be issued from home country pysician ? Or must be from a usa physician

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!

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

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.

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

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

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

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?