Residency trains you for the critical or severe cases, leaving the seemingly simplest cases to be the most challenging. Shadowfax reflects on an example where a 1-week old infant presented vomiting blood.
Similarly, when I first started primary care I was comfortable running codes and knowing what to do in an acute MI. It was the rashes that I saw in the office that I found more challenging.
Residency prepares you well for hospital medicine – which is one reason why many new graduates prefer hospitalist positions. It’s in their comfort zone.
If we want more Internal Medicine primary care doctors, residencies need to do a better job teaching office-based medicine.
Or else it is no wonder that only 2 percent of Internal Medicine graduates enter primary care.
Related posts:
- A surgeon dumps post-op patients to hospitalists
- Should general internal medicine merge with family practice?
- Primary care shortage and physician recruiters
- "10 Things Your Primary-Care Physician Won’t Tell You"
- New hospitalist advice
- Should hospitalists or intensivists manage ICU patients?
- Foreign medical graduates and mid-levels will provide the majority of tomorrow’s primary care
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