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Dr. Pan: medicine--life, practice and being a good resident
作者:USMedEdu
发表时间:2008-03-07
更新时间:2008-03-07
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An introduction of medicine-life, practice and being a good resident

Calvin Pan, MD, FACG, FACP
Assistant Professor
Mount Sinai School of
Medicine, New York
*****
Director - Clinical
Research / Hepatology
Elmhurst Hospital Center

*****************************************************************************

Outlines:

Pros and Cons of getting into Internal Medicine

Getting into a good program

How to become a good resident

What to pick after surviving the residency : Fellowship training Vs. Practice


Why Internal Medicine? Pros and Cons:


Advantages:

1. Building up a solid foundation for clinical science

2. Flexibility to pursue further training in other fields

3. More positions available than the other specialties

4. Step stone to variety subspecialty training within the specialty

5. Non pyramid structure in training program, most trainees will graduate

6. Above the average income and cover largest patient sector


Number of Internal Medicine Programs and Residents in Last 10 Years – ABIM Data
Figure 1. and 2. seen here:

http://www.mitbbs.com/pc/pccon.php?id=2289&nid=32887

http://www.mitbbs.com/pc/pccon.php?id=2289&tid=440&nid=32888&s=all



Disadvantages:

1. Large work load from training to practice, it is going to get worse.

2. Good training programs are very competitive

3. Subspecialty training decision has to be made as early as PGY 1

4. Future income will be heavily affected by Medicare Fund Pool

5. Positions available in the job market are lest in major cities

6. Private practice value has been downplayed by HMO



Losing Ground: Physician Income
Figure 3. seen here:
http://www.mitbbs.com/pc/pccon.php?id=2289&tid=382&nid=32889&s=all



Third-Year Internal Medicine Residents by Type of Medical School Attended
Figure 4. seen here:
http://www.mitbbs.com/pc/pccon.php?id=2289&tid=380&nid=32890&s=all



Bottomlines:

You have to do what you like in your life, NOT JUST For Money or Because It Is Easy!


Ideal candidate for a prestige IM program:

1. Academic Credentials

A: From a prestige medical school ( unfamiliar with FMG schools)
B: Great Med School performance ( Transcript )
C: High percentile on USMLE
D: Dean’s recommendation ( top students preferred, with honor)
E: Research experience and publications

2. Motivation and ability to provide excellent care for patients

A: Passion on IM ( Covering letter, academic/ non-academic activities)
B: Recommendations from reliable source (local letters preferred for FMG)
C: Personality and professional attitude ( Interview assessment )
D: Patient care experience (FMG with observer/ externship in US preferred)


Be a BEST Resident? Have to do what a leader needs to do, NOT just your best !!!

Hard Working, No Kidding!

Be focus ( time, energy and money)
Read for the cases every day
On top of your patient data
Always prepare to lead
Lead the care of your patients
Lead the case discussion in any occasion
Strike to the top of in-service exam
Lead the care for patients under the others


Suggestions for CMGs:

1. Work on language skill !!! ( Effective Communication)
- Especially, case presentation skill.

2. Familiar with the medical system in the US (Medical terminology, data capturing and organizing, chart writing and record keeping, EMR…)

3. Master patient Interview technique
(Collect Data with efficiency, emotional support, establish patient’s confidence on you)
4. Access Cultural Barrier and Master Cross Cultural Skills

5. Choose university base program if plan for fellowship



Seeking Fellowship Training:
Figure 5. seen here:
http://www.mitbbs.com/pc/pccon.php?id=2289&tid=381&nid=32891&s=all


Majority of the fellow position taken by USMG:
Figure 6. seen here:
http://www.mitbbs.com/pc/pccon.php?id=2289&tid=381&nid=32893&s=all


Internal Medicine Fellows by Year of Training Most fellows complete their tainting (ABIM Data):
Figure 7. seen here:
http://www.mitbbs.com/pc/pccon.php?id=2289&tid=381&nid=32894&s=al


Number of First -Year Internal Medicine Fellows by Subspecialty:
Figure 8. seen here:
http://www.mitbbs.com/pc/pccon.php?id=2289&tid=381&nid=32895&s=all


What if I go for community practice?

1. Choose the training programs located in the desire practice location

2. Make your decision early: Solo or Group

3. Start to plan at PGY II, proceed at PGY III

- Solo : Capital, Location, Application for Hospital privilege.
(HMO provider privilege needs above)

- Group: Income expectation, work load, partnership potential,
quality of life.

More important!!! to find the people you can work with,
it is your life.


Thank You & Good Luck!


About Dr. Pan:

Calvin Pan, MD, is Director of the Clinical Research/Hepatology at Mount Sinai Services at Elmhurst Hospital and Assistant Professor of Clinical Medicine at Mount Sinai School of Medicine in New York City. Dr. Pan is also an Attending Physician at Elmhurst Hospital and Flushing Hospital Medical Center.

Dr. Pan received his BS from Guangzhou Medical College in China and his MD conferral from the University of the State of New York at Albany. After his internship and residency of internal medicine at Long Island Jewish Medical Center, the Long Island Campus for the Albert Einstein College of Medicine in New York, he completed a fellowship in gastroenterology and hepatology at the State University of New York at Stony Brook in Long Island. Dr. Pan is board certified in internal medicine and gastroenterology.

In addition to maintaining a large practice with a focus on patients with hepatitis B in China town in Queens, Dr. Pan has been a principal investigator in many multi-center trials on antiviral therapy for viral hepatitis and served as a member of the steeling committee for Hepatitis B trials. His publications have appeared in American Journal of Physiology, Nephron, American Journal of Gastroenterology, International Journal of Medical Science, Research Communication of Substance Abuse, and Publication of the Society for Experimental Biology and Medicine. In a recent application to the National Institution of Health NIDDK UO1 Hepatitis B Network Research Grant, he and Dr. Douglas Dieterich serve as the Principle Investigator for a Mini network of Mount Sinai School of Medicine. In addition to his research activities, he also chairs the HBV advisory board of Asian Expert Consortium in the East Coast and serves as a board member for the Asian Health Foundation (AHF).

Recognized by his colleagues for his personal integrity, superior competence in internal medicine, and professional accomplishment with outstanding scholarly activities, Dr. Pan is honored with the title of Fellow of the American College of Physicians (FACP) and Fellow of the American College of Gastroenterology (FACG). He was elected by the Consumers’ Research Council of America. As “America\'s Top Physicians” and his biography was featured by The Guide To America\'s Physicians. He organizes many CME courses to educate physicians on viral hepatitis. He was recently elected as a chairman of Conference Committee in The Association of Chinese American Physicians (ACAP). He speaks frequently around the country on viral hepatitis and its treatment options. He gives approximately thirty to forty lectures annually at regional, national and international physician educational events.

Dr. Pan partnered with Tzu Chi Foundation, USA and organized the largest hepatitis C screening program in the Chinese community in New York and is a major organizer in many screening and outreach programs for hepatitis B and hepatitis C in the community. With all his other activities, he derives unending fulfillment from providing care for patients with liver diseases, who can be treated with increasing effectiveness in light of the exciting advances in medical and surgical treatment in recent years.

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