What motivated you to pursue an Internal Medicine training program?
Your decision to pursue an Internal Medicine Residency training program hopefully means that you have a career path planned out. Your interviewers want to hear your ultimate career goals following your Internal Medicine training or any additional fellowship that you want to pursue.
"I enjoy being a leader as well as working within teams, and I'm ideally looking to practice in Hospital Medicine after residency training. As a Hospitalist, unlike most other specialties, you are responsible for managing every aspect of patient care, including rehabilitation with physical and occupational therapists, diet and type of food consistency with dieticians and speech pathologists, and discharge planning with social workers. I enjoy being able to work with multiple teams to provide efficient, effective, and holistic care for my patients."
Come to your interview prepared to talk about your ultimate career goals as a physician and why this program is the best option for your pursuit of those goals. Your interviewers have worked with Internal Medicine residents in the past who have pursued every possible pathway to career success, so don't try to impress your interviewers with your plans. Instead, speak with passion about where you see your career taking you.
"I have always seen Internal Medicine physicians as the detectives of medicine, piecing together clues to solve the mystery. I really enjoy critically thinking to diagnose and treat patients."
Community answers are written by other candidates practicing this set. Reading how others frame the same question is one of the fastest ways to sharpen your own.
Anonymous Answer
During my clinical years, I had broad exposure to different specialties, but I was settled on Internal Medicine. The beauty of internal medicine almost lies in the fact that a well-trained internal medicine doctor just needs a stethoscope and clinical skills to make a difference. Doing an internal medicine rotation in a hospital in a 3rd world tropical country was a very challenging experience but, at the same time, one of the best experiences of my professional life at the time. Especially when working in hospitals where there was very limited equipment; diagnostic tools like CT scans, chest x-rays, etc., everyone depended on the excellent skills of the internal medicine doctors to make diagnoses and develop treatment plans for patients. This is what I observed while rotating with my attendings during my medical school years. We took care of a range of pathology, from basic noncommunicable diseases like Diabetes and Hypertension to communicable diseases, and even more interesting, infectious diseases. A regular day could start in the HIV/AIDS ward, taking care of patients with barely detectable CD4 counts, and opportunistic infections (some of which are not even seen in more developed countries these days), then on to the regular medicine ward, where again a majority of the patients were admitted with malaria, acute sickle cell crisis. I learned a lot during this time and so I decided to stay in internal medicine.
Marcie's Feedback
Wow! Any interviewer will be highly impressed with your reasons for choosing the pursue internal medicine. Your example of working in a third-world country in internal medicine is powerful. It clearly explains why this form of medicine is so impactful when a hospital isn't well-equipped and why this is the specialty of your choice. Excellent response!
Anonymous Answer
My interest in internal medicine stems back to my initial interest in the heart. I developed that interest during graduate school by learning about and doing basic sciences research on cardiovascular and metabolic issues- one of the biggest burdens of disease in healthcare.
I especially loved my IM rotations where many cases I saw were cardiology-related- MI, CHF, and arrhythmias. I was involved in and presented a case of aortic dissection (I diagnosed it!). It was very gratifying to have played a part in saving that patient's life! I was also exposed to electrophysiology at this time, and I worked as an EP consultant for a medical device company after graduation.
In internal medicine, for many conditions, we can often provide comfort and solutions reasonably quickly- within a matter of hours to days, and I particularly enjoyed that aspect. For example, we can relieve a distressed patient with chest pain and save their life. Pneumonia- antibiotics and they get better.
Finally, following my experience with illness and recovery (substance issues), I now have a keen interest in helping patients at the primary care level. I feel that as internists, we would be the first to catch any brain pathology- things like anxiety, depression, substance use- very preventable and treatable conditions. Our patients see us first before they would ever go to a psychiatrist. We would be well placed to be the first line of defense for our patients. We can diagnose and refer appropriately- These Issues that would have a direct influence on our patient’s medical issues- compliance, etc. due to “psych” issues. I believe IM is well placed to help patients achieve an excellent and productive life in every aspect.
Marcie's Feedback
Perfect! Your answer will resonate with any interviewer because of how detailed and personal it is. Your path, though curvy, has clearly led you straight to internal medicine. Great job!
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