I’m an IM chief resident in NYC and just wanted to share some info that might help when you’re thinking about how to rank IM programs. I know it can be tough to navigate this process, especially since reliable resources are few and far between. A lot of applicants end up leaning on online rankings like Doximity, so I thought I’d pass along some advice from the Alliance for Academic Internal Medicine (AAIM), which is basically the main group for IM PDs.

Here’s what they had to say: “AAIM discourages participation in the Doximity survey for the Residency Navigator tool because of the survey's flawed methodology and unscientific approach. The data it provides is often misleading and doesn’t accurately reflect the factors that matter for 'fit' into a program."

In short, AAIM is saying not to rely on sources like Doximity because they can be misleading. These surveys can end up distorting the truth, and a lot of PDs, including mine, take AAIM’s recommendations seriously. They actually discourage residents from filling out the Doximity surveys, because the responses just throw the rankings further off. In fact, the info on Doximity for my program is outdated.

My advice? Check out the program website, talk to current/former residents, etc.

Hope this helps!

Taking AOBIM early on March 6. I’ve done 1 pass of MKSAP throughout the residency and currently doing the second pass. Also doing UWorld but it appears to be too hard, stems too long and too tricky for DO board exam which I highly doubt the actual AOBIM is gonna be like. What other Qbank is good? Truelearn and Rosh Review?(both only have ABIM questions tho). Any other Qbank that has AOBIM practice questions? Thank you!

This is an intense musculoskeletal ultrasound conference/workshop. The scope of the course spans from beginners to advanced. All are welcome!

Please contact Scott Weiss, MD.. 917-656-6386 for more information

current M4, thinking of going the IM route. I was wondering as soon as one finishes residency is it reasonable/realistic to find an outpatient job and work only 4 days a week and weekends off ? I know hospitalist is an option but was wondering what other variety of jobs can one find after finishing IM residency ? I really value lifestyle and wanna be able to travel and have time for family. Would love some insight since nobody teaches you stuff like this in med school . Thank you

Hi everyone,

I’m a second-year med student at a DO school, and I’m trying to get a better understanding of what it takes to match into a strong IM residency program, ideally one with in-house fellowship opportunities. I’m open to community programs but aiming for something more competitive, especially since I’m leaning toward pursuing a cardiology fellowship (though I’m keeping my mind open).

To clarify, I’m not aiming for a top 10 or even top 20 program, but there are a few that interest me where I’ve seen DOs match in the past, albeit in smaller numbers. Based on my school’s match history, about less than half of our IM matches are to university-based programs, but I don’t have much information about how many go on to secure fellowships.

Here’s what I’m hoping to understand better: 1. How hard is it to match into a decently competitive IM residency as a DO student? 2. What are the most important factors or strategies I should focus on now to increase my chances? 3. What are the odds of securing a fellowship from different types of residency programs (community, university, etc.)?

I’ve been researching this a lot and know the basics like taking both MD and DO boards, getting strong letters of recommendation, publications, scoring well on Step 2 and Level 2, and building a good CV etc. But I’d love to hear from people with firsthand experience or knowledge in this area. Any advice would mean a lot, thanks!

Hey everyone,

Hope you’re all surviving the grind of clinic and hospital life. I’ve been exploring AI scribes lately, and with so many options out there, it’s both exciting and a bit overwhelming. As internists, we deal with complex patient histories, detailed assessments, and comprehensive plans, so finding the right tool to streamline documentation is crucial. I’ve been testing a few solutions and wanted to share my thoughts—and hopefully get your input too.

For context, I’m looking for something that can handle the depth and breadth of internal medicine documentation—think detailed H&Ps, progress notes, and discharge summaries. My main criteria are accuracy, ease of use, and affordability. Here’s where I’m at with the tools I’ve tested:

Wavo Health

• Pros
  • Strikes a great balance between functionality and ease of use.
  • Works seamlessly across devices, which is a huge plus for rounding and clinic days.
  • Clean, intuitive UI that feels designed for private practice or smaller groups.
  • Reasonable pricing and responsive support team.
  • Consistently solid note quality, even for complex cases.
  • Customizable templates reduce editing time by tailoring notes to your preferences.
  • Multi-document creation (H&Ps, progress notes, discharge summaries) with easy EMR copy/paste.ovides a summary of each encounter, making follow-up appointments more efficient.
  • Wavo AI lets you ask questions about encounters or patients, like "ask Heidi" but more expandable.
  • Assigns notes to patients, creating a sleek dashboard with vitals (e.g., BP, glucose, BMI) and summaries—super unique and helpful for follow-ups IMO.
• Cons:
  • None major so far, but I’d love to hear from anyone who’s used it long-term in an internal medicine setting.
  • The note processing takes maybe max to up to a minute, but I guess sometimes depending on the note length it could be faster or longer. But I guess that's standard among all the other applications.

Right now, Wavo Health is my top choice. It ticks most of my boxes, and I’ve been really impressed with its performance, especially for detailed notes.

Freed AI

• Pros:
  • Simple and intuitive UI.
  • Mobile app is a nice bonus for quick documentation on the go.
  • Claims to learn your style over time—I saw minor improvements during my trial.
• Cons:
  • Higher price point (more than double some others).
  • Notes can take a while to process during peak times—once took over 5 minutes, which isn’t ideal during busy clinic hours.
  • Only offers SOAP format, which feels limiting for more nuanced internal medicine documentation.

Freed AI is a close second, but the higher cost and slower processing times are holding me back.

Heidi Health

• Pros:
  • Ability to create custom note templates (a bit challenging at first but useful once set up).
  • “Ask Heidi” feature is cool for coding help, which can be handy for billing and documentation.
  • Strong focus on security and privacy.
• Cons:
  • Interface feels cluttered and not as intuitive as others.
  • Not very mobile-friendly, which is a drawback for rounding.
  • Had a couple of instances where it hallucinated info in the assessment and plan sections, which is a red flag for complex IM cases.

Heidi Health has some great features, but the occasional hallucinations and clunky interface make me hesitant.

Twofold Health

• Pros:
  • Easy to use and set up—intuitive UI made the rollout smooth.
  • Very accurate notes with the ability to create customized templates, which is great for IM-specific documentation.
  • Quick note processing times (average of about 20 seconds).
  • Responsive customer support and good price point.
• Cons:
  • Once added something clinically relevant but not discussed in the assessment section.
  • Doesn’t offer an option to email patient letters directly, which could be a drawback for discharge summaries or patient communication.
  • Seems like a younger company, so long-term reliability is a bit of a question mark.

I’ve heard great things about Twofold Health, especially their accuracy and support. If anyone’s using it in an internal medicine setting, I’d love to hear your experience.

Nabla

• Pros:
  • Focuses on simplicity and ease of use.
  • Good for quick notes and straightforward documentation.
• Cons:
  • Lacks some of the advanced features and customization options needed for complex IM cases.
  • Not as robust for detailed assessments or specialty-specific documentation.

Nabla seems like a solid option for simpler workflows, but it might not be enough for the depth of internal medicine documentation.

Tali

• Pros:
  • Canadian-based, which might be a plus for some.
• Cons:
  • Uses a Chrome extension, which isn’t my favorite setup. I prefer a dedicated app for ease of use and data storage, especially for detailed IM notes.

Mutuo Health

• Pros:
  • Also Canadian-based...
• Cons:
  • UI felt clunky and unintuitive.
  • Pretty basic compared to the others—not worth pursuing further for IM needs.

Abridge, DeepScribe, and Suki

These feel more enterprise-level, with a heavy focus on EMR integration. They’re powerful but might be overkill for private practice or smaller internal medicine groups.

- My Shortlist -

Right now, I’m leaning toward Wavo Health—it ticks most of my boxes in terms of quality, functionality, and price. Freed AI is a close second, but the higher cost and slower processing times are holding me back. Heidi Health has some cool features, but the occasional hallucinations and clunky interface make me hesitant.

Has anyone been using Wavo Health, Freed AI, Twofold Health, or Nabla long-term in an internal medicine setting? How’s your experience been? Any hidden gems I’m missing? Or any red flags I should watch out for?

Also, if you’ve tried other solutions like Suki, DAX, or DeepScribe, I’d love to hear your thoughts. I’m especially curious about Twofold Health—I’ve heard good things about their accuracy and customer support.

Thanks in advance for your insights! I’ll keep testing the free versions and report back, but your feedback would be incredibly helpful.

P.S. If you’ve tried any of these or have other recommendations, feel free to drop a comment or DM me. Always happy to chat more about this stuff!

What are good resources to study during IM residency?

Has anyone used TrueLearn?

So, Ive been in the medicine business for over 20 years as an consultant anesthesiologist. Something that pops up now and then is a case of hyperkalemia and another doctor trying to calm everybody down by stating:” Yeah, well, he’s had hyperkalemia for a long time, he’s used to that so dont worry about arrythmias at this point.”

Fine, I like to be calmed and comforted. And apart from that I dont scare easily. But, how? Getting used to an electrolyte? What happens inside the body. Thing is, I put this question forward to every collegue stating the above… no answer.

Possible solutions: 1: something really happens in the cell (or outside of them) that might classify as Getting Used To…. Then what… 2: nothing happens, we just overestimate the risk of arrythmia in hyperkalemic patients and everytime we see one with an elevated potassium but not an elevated risk we get it right when we say:” Yeah, well, he’s used to that.”

Any nephrologists in the room?

Hey guys. I'm working on developing a curriculum for our chiefs- essentially the idea is small group sessions 1-2 times a month covering leadership and personal development topics.

Wondering if any of you had something similar at your programs and how it was structured?

Currently applying to IM residency and I've read that Canadian IM can only apply to specialties 1 time, otherwise they have to continue pgy4 and become internists. Would a Canadian pgy3, 4, and/or pgy5 still apply to usa IM specialties? Thanks

This is outpatient primary care for internal medicine:

Initial base salary for the first 2 years is 260k, 1hr away from metro area in SE.

Thereafter, it’s all production based. 5938 wRVU is the target before being able to qualify for bonus.

RVU rate is 48$/wRVU

50k sign on bonus

Caveat is that the clinic will new, so there are no existing physicians for me to be able to ask what their avg RVU production is.

There is a non compete clause which I m not happy about

Tail coverage is provided

My ITE scores have been horrible. Got 60% this year and the percentile was still very low. I also have a poor test taking history.

Wanted to know if anyone in the same boat took the early exam and passed?

(I know everyone says to take ABIM, but I don’t want to study for another year if I fail (going to take both). I also know a good number of people who failed ABIM which gives me anxiety about the whole thing.

Anyone interested in having some comraderie as they buckle down for gruesome studying for the boards?

I had a study partner for MCAT and Step 1 (did pretty well on both). Score dropped Step 2 and barely passed Step 3 (i know, everyone and their moms tend to have the opposite trend). I wouldnt attribute it to not having a study buddy… i was super burnt out on top of a bunch of personal things going on.

My partners were in person and we actually did things at our own pace. It was more the morale boost and accountability of not putting it off that was helpful, like having a good gym partner.

Pretty flexible about the finer details. I’ll be studying on my own 3 to 4 days a week in small chunks. This is hardly going to make or break me… just wanted to rally on a study method that was helpful to me eons past.

Hey guys. Please let me know if my list is solid for IM. Based off of Location 2) Fellowship opportunity (GI/Cards) 3) Clinical training 4) Pay

1. Northwell Long Island Jewish Forest Hills
2. Rutgers Newark Beth Israel
3. Morehouse School of Medicine
4. Ocean University
5. August University/University of Georgia Medical Partnership
6. Inspira Mullica Hill
7. Broward Health North program
8. Morehouse/Bakersfield (NEW)
9. Sutter Health/Memorial Medical Center (NEW)

Thanks!

Considering how to rank them for internal medicine but there is very little information to base it off of. Any thoughts on the training, quality of life, resident benefits, etc. would be appreciated as I can not see any information regarding their benefits online.

Hi guys! Has anyone tried intensive review of internal medicine by cleave land clinic? Would love to have some review

Hey, I am a medical doctor(GP) with an interest to persue my career as a diagnostician. I think it is a subspecialization program as I understood from my previous search. What are the residency programs you need to attend before that? Whats are the odds regarding job security? Thank you.

All my fellow female residents in Internal medicine, what’s a super good speciality with a good work life balance.

A 29 year old woman in medicine thinking of starting a family in a year!

Good Evening po Doctors, especially IM Diplomates or baka po may officer from PCP po dito. Pwede po bang magtanong kung may right po ba magsabi ang training hospital po na hindi po ipatake ang graduates nila more than 4years ago na po. Nabagsak po ako sa PSBIM ng dalawang beses, last year hindi po nila ako pinatake kasi po according sa standards na ginawa nilang bago ay di daw umabot ang average ko kasi pinapaexam kami. Tapos ngayon naman pong year, akala ko bibigyan na ako ng chance na makatake po pero to my dismay, hindi pa din po ako pinatake kasi di pa din daw mataas scores ko sa exams na binibigay ng training hospital namin kasama daw po ang RITE. Is this a valid reason po to hold my right to take the diplomate exam? My pwede po bang legal case na pwede po ko maireklamo ang training hospital ko? Salamat po sa makakasagot.

Anyone knows anything about UCSF Fresno. I have heard the residents are overworked and the work culture is toxic. Please provide insights and help someone who’s going to leave family thousands of miles behind. Thank you!

US IMG GRAD

Realistically what are chances of matching Cards,GI,Pulm,Onc fellowships?

What states are more IMG Fellowship friendly?

Hey all! I’m about six months from starting my cardiology fellowship and trying to get a very birds-eye understanding of the guidelines and how the famous trials fit into them.

I’ve found a couple good sources and tried to compile them into an Anki deck for similar-minded residents and fellows.

If you’re interested in beta testing it, I’ll send you a link to download. Ideally I’m looking for people with some cardiology and some Anki experience!

How is the allergy job market in terms of being able to choose your location? Are new grads able to find jobs in the city of choice, especially coastal cities? Or is it difficult to choose location similar to specialties like ENT and rad onc? Is there also significant salary variance across geographies? Does training prestige matter for private jobs?

Hello Everyone,

I'm currently deciding between two DO schools: Touro CA and Western CA (I'm from the bay area and went to undergrad at UCLA). This is very early, but I am potentially interested in pursuing an Academic IM Residency and wanted to ask you guys a question regarding my selection process.

As far as I understand people say that Western's rotations tend to be better than Touro's rotations. However, my feeling is that because I want to pursue an Academic IM position, the school's 3rd year rotations don't matter as much as the away IM rotations I will have to do in my 4th year right? Neither school will offer rotations likely at an academic institution I believe, so I'll want to rotate at the institutions I hope to match at and get letters there.

I'm leaning towards attending Touro CA since its in my home town and I believe "prestige" wise they're both similar aren't they? So is the rotations factor something I should consider in regards to my future prospects and my ultimate decision ?

Thank you so much for helping me make this call guys 🙂 Happy New Year!!

Hello everyone , fellow PGY-1 here. Residency has been difficult thus far. I do love it a lot more than medical school. My interests definitely tend to lie towards the outpatient side of medicine. Do any of our fellow outpatient IM Docs have any input you could provide regarding how the attending side of things are?

I’m currently a Hospitalist at a VA but will be moving to Colorado for my husband’s job. Unfortunately, there are no VA hospitals in the area we are moving to but there is a PCP opening at the local VA clinic. I’m wondering if anyone here is a VA PCP and can chime in on the experience? I absolutely love my job as a VA hospitalist and am nervous about the transition to PCP (specifically the schedule). The schedule for the job is the traditional 8am-4:30pm M-F. It’s a max of 12 patients per day (1 hour for new patients and 30 min for follow ups). There are no “dedicated” admin half-days, but instead the last hour of clinic is blocked for you to complete notes/tasks. Is there room to negotiate an actual half-day for non clinical work? The salary is decent, $250k and obviously has all the other benefits of working at the VA. If anyone is a VA PCP I’d love to chat with you some more about the job and what you like/dislike. Thanks!

Why do IM residencies make you work, 6-8 days in a row?

Considering IM, but that schedule just seems crazy? Can anyone shed some light, how do y'all handle it?

Hi everyone! I am a 3rd year med student and am seeking any advice/input! I am a little over halfway through my 3rd year, and need to start applying to audition rotations for 4th year soon. I fell in love with IM when I did my rotation, even when I would be staying out late. I realized how much I love in-patient more than out-patient. I loved the "team" aspect with the other residents and attending. Everyone seemed to work well with each other. I also love how many different diagnoses you can cover, and left IM wanting to be a hospitalist. I am now in my psychiatry rotation, and have been talking with the residents on psych. They all only have great things to say about psychiatry, and say they have a great lifestyle (getting out at 2 pm most days, don't work weekends, etc). When I was on IM, some of the residents seemed burned out and stressed.

For context, lifestyle is something that really matters to me. I want a life outside of medicine. I also have a dog who has helped me stay sane during med school, and I would love to try and have him during residency (if possible - aka during the long hours I'd have my dog stay with my family instead).

After being on psychiatry, I do find it interesting and like it/could potentially see myself doing this (inpatient - not outpatient). However, I do not enjoy it as much as I had enjoyed IM. I am torn between which to do.

I'm wondering if I could have any input on what to do! I am so stressed out about which field I should go into, especially since I have to apply to auditions soon. I am a 27 year old female, and would like to one day have a family as well so also have to factor that in.

*ps don't mind the name I made that when I was sad while studying for boards*

THANK YOU!!!