No, I ’m not settling for family medicine

During a recent internal medicine rotation, a senior resident expressed disappointment that I’ve chosen a career in family medicine. He was concerned that my talents would be wasted, because — in his words — I wouldn’t get to care for the “more complex patients” he sees in internal medicine. Although I appreciated his confidence in my abilities, I felt my heart sink, as it does each time I am faced with misinformed perceptions about family medicine. I thought back to my last family medicine rotation, and the following patients came to mind: A young woman with a previous diagnosis of idiopathic anaphylaxis was experiencing syncopal episodes of unclear etiology. A man with an extensive history of IV drug use, hepatitis C and multiple other chronic conditions was admitted to our service with a dental abscess, lumbar osteomyelitis and discitis. A woman with end-stage renal disease secondary to lupus nephritis was also struggling with severe depression, multiple chronic conditions (including chronic pain) and debilitating opioid dependence. These were just a few of the patients I encountered during a two-week family medicine elective, and the complexity of their conditions was comparable to — if not more complex than — that of many patients I have seen on other rotations. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Primary care Source Type: blogs