- Joined
- Feb 26, 2010
- Messages
- 12,023
- Reaction score
- 13,983
I don't get the "ivory tower of internship" thing. At most internships you feel like cheap ER labor (even if in the end, you did learn a ton). You know what happens in the ER? 90% of what you recommend gets declined and you have to come up with alternate plans or send a patient home to die if the owner doesn't believe in euthanasia etc.
To me, it's being able to offer the higher tech toys, having multiple specialists available, having consistent help and often times having people that understand they're going to be paying more for what you're offering. I understand if it's a private practice/private ER internship you're going to get much of the same thing I see in the GP trenches, but for all of the academic and/or specialty-based internships, you're already selecting for clients who are often more willing to go with your recs. Sure, sometimes I send someone to a specialist and they opt to literally do nothing, but more commonly people follow their recs/pursue further diagnostics or treatment or even just agree to things I had previously offered and they declined.
Edited just for clarity: I'm not trying to knock the academic training, and I don't mean to come across as disdainful.