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    Why I Love General Internal Medicine ?

    MIRAGE
    MIRAGE
    Admin
    Admin


    Masculin Messages : 2277
    Date d'inscription : 16/08/2009
    Age : 37
    Localisation : Maghreb united
    Emploi : Medical student

    Why I Love General Internal Medicine ? Empty Why I Love General Internal Medicine ?

    Message par MIRAGE Mer 19 Oct 2011, 10:38

    When it comes to choosing a specialty, most medical students fall
    into 1 of 3 categories: 1) those who know exactly what they want to do;
    2) those who have a sense of what they want to do but aren't sure; and
    3) those who have no clue what they want to do, either because they
    haven't yet found something they like or because they like multiple
    specialties.

    As a medical student, I fell into the latter camp, for the latter
    reason. A few years later, I'm an outpatient general internist, which
    means that I'm a primary care physician for adults, and I couldn't be
    happier. Here are some reasons why.



    Variety Is the Spice of Life


    Show me a career where the same thing happens
    day-in and day-out and I'll show you a bored human being. As a
    physician, I want to see a variety of patients -- men and women, young
    and old, rich and poor, and so on -- and I want to treat a mix of
    medical conditions.

    As an outpatient general internist, I see all kinds of people for
    acute and chronic problems involving anything from their head to their
    toes. Each day is an adventure. Any medical concern that doesn't make
    the person first go to the emergency department is fair game.

    Now, I'm not saying that every patient I see is different from the
    last, with a new and fascinating illness. I see plenty of people with
    colds, painful backs, and other run-of-the-mill concerns.

    And, sometimes being able to see "everything" can feel overwhelming.
    Frankly, I don't always know what to do for every patient who walks
    through my door, although I usually know where to start, or whom to ask
    for help.

    Still, I find the patient mix intriguing. On any given day, I may
    treat someone with a sinus infection in 1 room, and diagnose someone
    else with a rectal mass in the next. Not every kind of physician gets to
    do that.



    Continuity and Coordination of Care Are Key


    While I enjoy working with a variety of
    patients, I also enjoy getting to know my patients over time. I wouldn't
    be satisfied practicing in a specialty where I see a particular patient
    only once or twice, until the problem resolves, and never again.

    One of the things I love about being an outpatient general internist
    is the continuity. As a primary care physician, I'm expected to be the
    expert on my patients -- both their medical problems and who they are as
    people -- and I generally know them better than any other physician
    involved in their care.

    It's a huge responsibility, and it comes with a price. Getting to
    know a patient and coordinating care takes time, from requesting outside
    records to reviewing them and communicating with consultants. Time is
    the one thing that most doctors will tell you they lack.

    That said, during my career as a general internist I'll get to work
    with some patients for 20, 30, or even 40 years or more. Furthermore, I
    learn from my communications with consultants, which helps me stay on
    top of the latest developments in multiple specialties. And that, my
    friend, is priceless.



    Practicing Prevention


    Finally, as an outpatient general internist I
    get to see patients every day in their own clothes, going about their
    lives, feeling well.

    Certainly, a large part of primary care is helping sick people feel
    better. But an equally significant part is focused on preventing
    disasters by diagnosing and treating conditions -- or simply by
    counseling patients -- before their conditions mushroom into something
    major.

    Unfortunately, when it comes to reimbursement, our healthcare system
    hasn't yet fully realized the value of preventive care. For example, the
    cardiologist who stents a clogged artery is paid far more than the
    general internist who prevents an artery from becoming clogged in the
    first place, by addressing the patient's hyperlipidemia, hypertension,
    and diabetes.

    I'd like to think that 1 day preventive care will be reimbursed as
    much as procedures. In the meantime, I derive great satisfaction from
    knowing that I not only put out fires, but that I also prevent them from
    starting. As a primary care physician, I stand by my patients in both
    sickness and in health.

    In conclusion, choosing which field of medicine to pursue can be
    daunting, especially if -- like I did as a medical student -- you find
    yourself drawn to several different specialties. My parting advice: Ask
    yourself what you want out of a career in medicine. Talk to
    practitioners you admire and respect. And, for the variety, for the
    continuity and coordination of care, as well as for the preventive care,
    I hope you'll consider a career in outpatient general internal
    medicine.
    Adam B. Possner, MD

    Medscape Med Students © 2011 WebMD, LLC

      La date/heure actuelle est Jeu 28 Mar 2024, 14:43