delilah
DIS Veteran
- Joined
- Sep 11, 2004
- Messages
- 2,423
I am a family physician in a small, midwest community. It is an almost ideal setting for family medicine, because the town is small enough that I know most of the people on sight, and many of the people have lived here for generations. I have cared for 4 generations of one family, and every day I learn more about the families that I care for. Yesterday, I took care of the 6mo child of the SIL of the person who does my hair, whose children are my patients. Her aunt is my patient, and another aunt (who is deceased) was the wife of the current mayor of the small town I live in.
The hospital is family medicine predominant, and therefore, most of the specialists don't have full time practices in the community. They are here for a few days a week, and in some cases, not at all on the weekends, which can make weekend call very stressful for the family doctor. The worst part of my practice now is "No Doc" call. When a patient comes to our ER and doesn't see a doctor routinely who is on staff at our hospital, it is assigned to the doctor on "No Doc" call. Quite frankly, alot of these patients are non-compliant and have neglected their health needs. I was on call this past weekend and also New Years Day. I had "No Doc" call Friday and yesterday (usually each doctor on the "No Doc" list gets "No Doc" call about once a month, so twice in one week is unusual).
Another bad thing is that alot of people really don't know what training a family physician has. We aren't general practitioners, which is a person who has graduated from medical school and completed a one year internship in order to get a medical license. They are not residency trained. I am residency trained and board certified, just like a general internist or pediatrician would be. I take care of all kinds of problems, but, there are some things that I am not trained to do (like brain surgery or psychotherapy), so, I need to refer to a specialist.
The hospital is family medicine predominant, and therefore, most of the specialists don't have full time practices in the community. They are here for a few days a week, and in some cases, not at all on the weekends, which can make weekend call very stressful for the family doctor. The worst part of my practice now is "No Doc" call. When a patient comes to our ER and doesn't see a doctor routinely who is on staff at our hospital, it is assigned to the doctor on "No Doc" call. Quite frankly, alot of these patients are non-compliant and have neglected their health needs. I was on call this past weekend and also New Years Day. I had "No Doc" call Friday and yesterday (usually each doctor on the "No Doc" list gets "No Doc" call about once a month, so twice in one week is unusual).
Another bad thing is that alot of people really don't know what training a family physician has. We aren't general practitioners, which is a person who has graduated from medical school and completed a one year internship in order to get a medical license. They are not residency trained. I am residency trained and board certified, just like a general internist or pediatrician would be. I take care of all kinds of problems, but, there are some things that I am not trained to do (like brain surgery or psychotherapy), so, I need to refer to a specialist.