Friday, February 29, 2008

Family Medicine <--> Internal Medicine

Dr. RR didn't come to work today (had a meeting at school), so after a 45 min orientation on hospice care I went to shadow Dr. S, the other doctor at the clinic. Dr. S was an internist, so I was curious to see how internists differ from family doctors in the primary care setting. The first thing she did was write down all the patient's health problems (HTN, diabetes, GERD, etc) from previous visits so that she could address them all in the present visit, leaving no stone overturned. Definitely different from FPs I've seen who just address whatever the patient comes in for. She also spends more time with each patient and does a lot of preventative medicine and counseling, which I thought was a good thing. I think I got a good feel for internal medicine on this rotation, and look forward to doing my medicine rotations in April-June to see if internal medicine is "the one."

Luckily for me Dr. S said I could take the afternoon off so I went to school and looked up residency programs and electives for a while. I'd like to do away rotations, but I'd have to find a place that offers housing. Colorado would be an option if they didn't require a $2000 application fee. >_< Anyone have any advice on what elective I should take in November? Interviews will be starting around then so I don't want a hard elective, but I want a somewhat easy spring semester, too.

I also recently got addicted to an online game called "Amateur Surgeon" which is a lot like Trauma Center, where you use your mouse or touchpad to perform "surgery" on others. I've had to kill several patients before learning how to save them =P

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