Having a hard time choosing Family Medicine?

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oregonbigc

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Having a difficult time deciding whether family medicine is right for you? I had an extremely difficult time with this decision as well. So did a number of students I spoke with at the national convention a week ago.

The issues I delt with were:
1) EGO, choosing a less competitive specialty
2) Liking some other fields
3) Salary, much less than some specialties


It turns into an easier decision when you take away the academic mindset of medical school. At least where I went to medical school, which is one of the top university programs in the country in family medicine, there was still a "why would you want to do that attitude in other rotations." Thats all BS. The truth of the matter is that when you are practicing in the community there is not that feeling. Most patients are greatful and almost all specialists are greatful to you for referrals. It is a different happy world on the other side.

The issue of liking a couple other specialties a lot, intrigued me for a while, but I know myself enough to know that repetitive tasks will bore me within 5 years for sure. Family is the most diverse and eclectic form that medicine has to offer. You may be suprised by the variety of careers FPs pursue. At my residency program many residents go on to ER, urgent care, hospitalist, private practice, OB fellowship, SM fellowship, academic positions. The options are vast for FP trained physicians.

Salary is a highly considered these days with medical students when choosing a specialty. The bottom line is that medicine will afford you a good living, but no one will become extremely rich unless the practice good business skills. The good news also is that medicare isn't as quick to drop reimbursement for primary care as it is for specialties.

Ask yourself this question, "If money was not a consideration and all medical specialties paid the same which field would you go into?" It can help to point you in the right direction.

Good luck and dont forget Family medicine is now the #2 most recruited specialty

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:thumbup:

I think everyone should have to do a rotation in the community, away from the Ivory Tower, to see this sentiment that you are referring to. It really is a different mindset in regards to primary care.

Well said.
 
Wisconsin has pretty good salaries. $150K for FP doing no deliveries, and $200K base for those doing deliveries. Many places have a sign on bonus of $20-50K just to sign the contract. I am not sure what the bonus schedule is, but if it has a generous bonus schedule a few years in Wisconsin could really help a new FP's bottom line, without the headache of starting a practice.
 
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Good luck and dont forget Family medicine is now the #2 most recruited specialty[/quote]

Where did you get that stat?
 
Good luck and dont forget Family medicine is now the #2 most recruited specialty

What does that mean exactly? Recruiting from medical school for residency? Recruited after residency?
 
:thumbup:

I think everyone should have to do a rotation in the community, away from the Ivory Tower, to see this sentiment that you are referring to. It really is a different mindset in regards to primary care.

Well said.

I could not agree with this more. I think students' perceptions of family medicine change drastically after they have done the FM clerkship. And the best way to experience this, IMO, is to go rural. My rural/community experiences, limited as they might be, have been so much more enriching than I thought possible.
 
I rarely meet med students with their heart set exclusively on one specialty.

I have no idea why family medicine is so deglamorized. The ability to diagnose and communicate treatment and prevention plans effectively at the very roots is unparalleled in importance within the entire healthcare sphere. If there were more FM practices available and the ones existent did their jobs better, it would go a looooong way to declogging ERs all over the world.
 
la Petite Mort, I dont think the problem so much lies with FPs not doing their job so well, it is more of a problem of uninsured and underinsured patients going to the ER because they know they will be seen whether or not they can afford it.
 
I really started liking the concept of family medicine. The one thing I found hardest when making the choice was people's attitudes and the strange looks I got when I mentioned interest in family medicine.
But now I couldn't care less!










Having a difficult time deciding whether family medicine is right for you? I had an extremely difficult time with this decision as well. So did a number of students I spoke with at the national convention a week ago.

The issues I delt with were:
1) EGO, choosing a less competitive specialty
2) Liking some other fields
3) Salary, much less than some specialties


It turns into an easier decision when you take away the academic mindset of medical school. At least where I went to medical school, which is one of the top university programs in the country in family medicine, there was still a "why would you want to do that attitude in other rotations." Thats all BS. The truth of the matter is that when you are practicing in the community there is not that feeling. Most patients are greatful and almost all specialists are greatful to you for referrals. It is a different happy world on the other side.

The issue of liking a couple other specialties a lot, intrigued me for a while, but I know myself enough to know that repetitive tasks will bore me within 5 years for sure. Family is the most diverse and eclectic form that medicine has to offer. You may be suprised by the variety of careers FPs pursue. At my residency program many residents go on to ER, urgent care, hospitalist, private practice, OB fellowship, SM fellowship, academic positions. The options are vast for FP trained physicians.

Salary is a highly considered these days with medical students when choosing a specialty. The bottom line is that medicine will afford you a good living, but no one will become extremely rich unless the practice good business skills. The good news also is that medicare isn't as quick to drop reimbursement for primary care as it is for specialties.

Ask yourself this question, "If money was not a consideration and all medical specialties paid the same which field would you go into?" It can help to point you in the right direction.

Good luck and dont forget Family medicine is now the #2 most recruited specialty
 
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