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I'm dumb to bump this thread. But did IWillOneDay go away forever?
Challenges of working with underserved/rural populations
- Thread starter casexyouxloose
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Just click on their profile and it will show their most recent posts
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There are many things we can glean from this thread, most strikingly being about 20 posts from iWillOneDay showing us why exactly he is not holding an acceptance anywhere right now... Because I'm guessing he is just as rude, condescending and arrogant come interview time. But hey, good luck becoming the next "Dr. House"! Be sure to let us all know how that shakes out for you come next fall.
As for @cabinbuilder - I truly appreciate you taking time to answer questions on SDN. I've learned a lot from just reading through some of the threads you've posted in. I do have some other questions about locums work and rural FP as I'm very interested in the specialty/locums lifestyle. Can I shoot you a PM?
As for @cabinbuilder - I truly appreciate you taking time to answer questions on SDN. I've learned a lot from just reading through some of the threads you've posted in. I do have some other questions about locums work and rural FP as I'm very interested in the specialty/locums lifestyle. Can I shoot you a PM?
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@osteohack10. You are welcome to PM me any time. Please read through my locums guide in the FP forum before sending me questions I have already addressed there.
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I'm not necessarily defending his posts, but I would like to say that I have met iWillOneDay in person. Though it was a short, I didn't find him in the least bit objectionable. I think it's important to remember that online personas are our own creations. Some of us are just better at it than others.
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I know this thread is super-old, and I am only a premed...but I am curious about working with rural populations one day as well.
I was born into an inner city and lived half my life in another inner city. I have a hypersensitive type of disposition and city life, crowds, and intensity - while I thrive on it at times - is also too LOUD AND INTENSE AND BUSY for me.
I found out I love stillness. I love nature. I love quiet. I love animals. I love solace. And I do not like traffic, lol. I had the great fortune to visit West Virginia once a year for family summer vacations as a young child and the beauty and simplicity of that time cannot be overstated.
Also more recently, I lived on a rural farm several miles from the nearest small town in Southern Indiana for several months in a relationship that I was very fortunate to escape from.
I absolutely love nature and the pace of life rural living offers. Despite some of my posts, I'm very peace-loving bohemian nature hippie and I think if I could get to know the people who choose or were born into rural towns, I would like the small-town friendly atmosphere. It's one of my dreams to be surrounded by people like that. At one point I considered Teach For America to serve in a rural population (messed up the final interview, grrr)
My biggest worry is that the people who live in rural areas wouldn't be as receptive to me as their Primary Care Physician.
Thoughts? How insular is this population?
I was born into an inner city and lived half my life in another inner city. I have a hypersensitive type of disposition and city life, crowds, and intensity - while I thrive on it at times - is also too LOUD AND INTENSE AND BUSY for me.
I found out I love stillness. I love nature. I love quiet. I love animals. I love solace. And I do not like traffic, lol. I had the great fortune to visit West Virginia once a year for family summer vacations as a young child and the beauty and simplicity of that time cannot be overstated.
Also more recently, I lived on a rural farm several miles from the nearest small town in Southern Indiana for several months in a relationship that I was very fortunate to escape from.
I absolutely love nature and the pace of life rural living offers. Despite some of my posts, I'm very peace-loving bohemian nature hippie and I think if I could get to know the people who choose or were born into rural towns, I would like the small-town friendly atmosphere. It's one of my dreams to be surrounded by people like that. At one point I considered Teach For America to serve in a rural population (messed up the final interview, grrr)
My biggest worry is that the people who live in rural areas wouldn't be as receptive to me as their Primary Care Physician.
Thoughts? How insular is this population?
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It depends on the town. My dad was foreign born and was a rural doc for decades. The people in my hometown loved him. As long as you show you are a caring person and good at what you do, they will come in droves.
Hello @cabinbuilder , I am interested in rural medicine, and I would like to learn more about the differences between regular medicine vs. Rural medicine. Can I just assume rural medicine is a description of rural FM practice? Is rural medicine more procedural? And also how physicians get adequent reimbursements as many rural patients don't have insurances? Thank you in advance.
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Rural just means locations that are rural. Of course there are frontier locations too like central Nevada, Alaska, Eastern Montana. Notoriously short on doctors especially specialists. The general practitioners see everything. From what I have seen, most patients don't trust their small ER and come to urgent care for everything. Where I am now, endocrinologist is 30 miles away and new appts are a year out. Forget trying to get someone into derm so you better be able to diagnose the rash and cut off lesions. The nearest university teaching hospital is 4.5 hours away. People don't go to the doctor until the really have to. I guess you could say it's more procedural since many times there is no one else but you to do it (within reason). Most patients are on medicaid. They have to have some type of insurance to get in the door OR pay $100 down payment. Of course the ER takes everyone. I don't get paid by insurance so I can't comment on reimbursements.
@cabinbuilder : what do you call the business/niche of healthcare you are in?? Im referring to the rent-a-doctor thing you do where you travel around and such, is there a name for that kind of doctor?
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The definition of "rural" can be subjective, there are many rural places near major cities, as far as people being not receptive to you because they are from small towns well people in big cities can also be the same as well. When I started at DO school, I moved to Arizona which is one of the more conservative states in the country and I came from liberal Boston, surprisingly I found people here very receptive and pleasant, a big plus is that you do not have harsh winter weather here nor the issues of urban over-development that a state next door to AZ is suffering.
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