In my past I never considered FP, lately I have been considering it, don't know, i do like surgery and doing procedures, but one advantage of FP is that you get to do and see a little bit of everything! And so far, I like everything, can't really choose, so FP might be a good pick for a person like myself.
Now, let me tell you a little bit about why FP's are looked down upon sometimes.
First off, in major hospitals, they have to compete with other residents. You might think going to a big fancy schmancy hospital for FP residency is great but guess what, when one of your patients comes to the ER with DKA, you're gonna turn it over to internal medicine. etc. etc. etc. you do nothing thanks to the fact that other residency programs are in the hospital. My advice, do FP at a hospital that has an unopposed program. You will get to do and see lots
Second, FP's in the city are almost useless, especially now that PPO's are becoming a big thing. Why in the world would you ever visit your FP if you have say irritable bowel if you do not need their referral to see a GI specialist? Turns out int he big cities, FP's are going to see medicare and medicaid patients. Try to have a thriving practice doing this? I don't think so? But these FP practices are clinics that are run bya residency program, they get funding for each resident, so they can survive. My advice, do FP ina rural or small suburban area. If you are one of the only docs around for miles, your general public is going to rely on you to do everything that you feel comfortable handling before you pass them onto a specialist.
Now, unfortunately, yes, it is true, many people that have little options go into FP. I hate to say it but it is true. If I had a nickel for every time I heard, "why do I need to know this, I am only want to be an FP?" "who cares if I fail my boards, I just want to be an FP!" "My grades suck, so waht, I just want to be an FP", I'd be rich! But these are the same people that are lazy in residency. My wife is an FP resident and I can tell you in her program, people will do whatever it takes to get out of doing a delivery, doing a c-section, scrubbing in on a surgical case, they just don't care. Now for somebody like her who wants to do a little of everything, many of her preceptors have already told her, "nobody else in your FP program takes the time to do these things, so why should you?" It is frustrating for her.
So to sum it up, if you like a little bit of everything, and truely want to do a little bit of everything when you go out and proactice medicine, then FP is a choice for you, maybe IM if you don't want to to any OB, but FP is not a bad choice! Yes, they may be some lazy and stupid people that are FP's but for every lazy and stupid FP I can find a lazy and stupid surgeon.
So go do FP if you want! Don't be ashamed if its what you want to do! Remember. its your patients that matter. IF they think you're a great doc, then that is all that counts.