A Glimpse Into Family Medicine



what I love about family medicine probably mostly the relationships you build with your patients that you don't especially in a small town you get to know your patients they're almost a lot of our patients are my friends what I love about family medicine is really being able to see all spectrum of patients the old the very young pregnant women in the families I really enjoy working with and among families most of the time I'll see one of the family members then they'll send their significant other or they'll bring their children to me and it's just really neat to get to see the family interaction frequently you have a better understanding about that patient because you know grandma you know mom you take care of the uncle you take care of the cousins so you can't have a big snapshot of the whole family it really does make it easier when you get to know an entire family you have a unique opportunity to make a big change because you get to affect all the unit's it's not just the child that you're treating you get to treat the child and the parent I love the diversity even when I was doing urgent care for a very brief point I was never bored because there's always excitement in every case family medicine is is for somebody who loved all the rotations the student who finds themselves on cardiology wondering about the patient's diabetes or about some other aspect of their care and finding themselves able to go back and forth I love that sort of everyday you're seeing something different you get to do everything if you liked psychiatry great you're going to get plenty of psychiatry if you like taking care of kids we see kids if you like GYN if you like obstetrics the you can still experience all those same things on a daily basis I mean you can't be family medicine for a small town I mean because again you're you're very well-trained diversely to manage what comes in your office but you also I think with other specialties you see not get that training and community education I know part of my residency program was community education a lot of people think that you're only involved in serving a community if you're in a rural area where it's a small town but I've practiced my entire career in a suburb of Columbus Ohio so even in the big city I found those small little community settings to be very important and have been very involved in my community an adaptable generalist can more carefully fit their practice to the community's need so for example when I went to Bell fountain for practice initially there was no psychiatrist available and so I had a special interest in that and I became the psychiatrist in those early years for our group practice for procedures and family medicine you can just about do anything you want short of taking out somebody's gallbladder and I've even seen some family physicians who do that actually depending on where they are practicing normal lump bump dermatologic kind of procedures are very common for most of us I also do vasectomies and that's something that seemed to be a natural progression with doing obstetric so as a couple was completing their childbearing years I was able to offer that as a as a service and continue to do that Alaska pees and leaps and then a mutual biopsies no breast biopsies doing any kind of gynecological procedures such as placing an IUD doing the next one on for contraception procedure skills and obstetrics I do upper lower endoscopy colonoscopies eg B's I don't do c-sections but as a family practice doctor you can go on to do c-sections if you want to if you ask what one thing I love about family medicine it's the fact that you can do lots of different things and that can change over a lifecycle or over your career though I've been in solo practice I've been in a group practice I'm now teaching a residency program I've done political advocacy and work with policy making I've got you know a colleague is in family medicine that are doing all kinds of things urgent care behavioral health one of my mentors is now the medical director of a lipid clinic I have another colleague who works closely with cardiologists doing stress tests and preventive cardiology I have a several my colleagues and I tell me and I work for you know cruise line in a cruise physician oh I can do that I'd love to do that like and the only hire you know family physicians or trauma physicians or re are doctors so again being a family physician gives you lots of opportunities medicine will change with you you are not going to be the same doctor when you get closer to the end of your career than you were at the beginning of it so there will be change and that is the one constant in medicine like it isn't a lot of things things are always changing one of the things I think is interesting about most of the fellowships in family medicine is that they're really based on sort of populations of patients it's not like a disease specific like like you know going into neurology or GI you're really focused on a body part but I think in family medicine it's often like you know I do addiction medicine so I guess is a disease but Zasa oh like a population of patients or geriatrics or you're doing women's health so I think it's sort of different in the way that we kind of just go into a specialty in general so when I first started medical school I was absolutely sure I was going to be an OBGYN because I thought delivering babies was the best thing ever but then I had the opportunity to work with a family physician in a rural community who did everything except obstetrics he took care of families over generations and I really loved what he did and and the connection he had with all of his patients I then had the opportunity to meet a family physician who did OB and when she told us about what her experience was like that's really me that's that's what I want to do if someone's looking for a career in primary care or being at the forefront of somebody's care you have to be able to be comfortable with a pregnant mom you just don't know what's going to walk through your door you're a primary care physician you need to be able to be ready for that part of the whole family medicine philosophy is to provide obstetric care for our patients because we're providing all the other care for our patients we're trying to serve our community and if our community needs people with obstetric 'el skills we're right there to provide that I care for pregnant women substance use disorders primarily opiate dependence so that's a big problem here in Ohio and across the country I take care of them during their pregnancy and then I our team will deliver them and then I take care of them and their babies for up to a year after they deliver so I do think family medicine puts me in a great place to kind of do all those things I think people tend to look at these women from lots of different perspectives so like the OB perspective or the infant in particular and as a family doc I can kind of see all of those things over the years now I've had the opportunity to deliver babies and take care of them throughout their entire life watch them grow up and have babies of their own kind of a grand doctor delivering babies and babies I delivered my own daughter went to an emergency room in Chicago and ended up with a $10,000 bill because she fainted at work if she had gone to a family physician who knew her and who took a more generalist approach to making a diagnosis and living with a little uncertainty knowing that you were going to continue to see that person you didn't have to have all the answers right that minute she might have gotten out of there with a hundred dollar bill that's how we're going to make a difference well I think you know that the big thing right now is going from the sort of fee-for-service to payment for care and quality and kind of keeping people healthy and that's like our realm that's where we live as family doctors is that keeping people healthy so I think as the healthcare changes out of necessity because of how much it costs our country I think there's going to be an emphasis on primary care where we're going to need more primary care Doc's to give that care anywhere you go you need family doctors they've just not enough family doctors out there so anybody going into your very own medicine will have opportunity to pretty much work wherever they want as well as getting opportunities for loan repayment there is always going to be a need for a primary cater we are not going to be replaced by computers or by nurse practitioners we will learn how to adapt and utilize those and integrate that into our practice but if your heart lies in family medicine don't let all those economic factors and other people telling you that you should or shouldn't do this make your decision for you follow your passion and do what you love then you'll love going to work every day consider it don't immediately dismiss it many students start medical school thinking they want to be a primary care physician that they want to be a family physician even and what happens through the course of medical school is that those fall off and so I'd like to see it actually grow so that someone who started out medical school thinking they wanted to be a specialist suddenly becomes intrigued with generalism and decides that you know what I'd really rather be a comprehensive primary care physician I still after all these years I still come to work I'm happy to come to work every day I'm excited I'm excited about the projects that I get to do and I'm excited to to care for patients every single day that part never went away you

27 comments

  1. I didn't even know Family Physician could perform endoscopy. I thought they were performed solely by Gastroenterologists..

  2. The father who paid ten thousand dollars for his daughter who fainted: I felt the frustration in him. Not fair at all.

  3. I really thankful to this video. Thats why I and my colleagues here enforce ourselves to develop family medicine curriculum training for our future family doctors.

  4. Was thinking due to the recent nonsense of sexual complaints in the public sphere, it would be advisable that any doctor that must perform a gentalia examine and or other regions, have a mock, and dummy setup and explain what they are about to do to them, and reasons why. The reaons why people come go to a doctor is for help, but there seems ot be a strange world developing, this also doesn't include theorhetical teqniques. So, imo, ot best protect oneself, have a dummy soft core body, and or a gentalia make up. What in teh world is happening. WHo knows.. Having a dummy andquickly stating the reaons for the procedure or evaluation of response is probably a good thing.

  5. Thank for this; as I am in undergrad, I was thinking about family medicine to pursue. This is another piece that is helping me in my journey!

  6. I am a type of person who doesn't like needles or too much blood or any of the surgery and gory side of the medical field, but I am still interested in becoming a doctor. Does Family Medicine have a lot of blood and surgical procedures as far as the profession and med school goes?

  7. Like the poster I did my externship at a Family Medicine clinic and learned a lot during the 6 weeks I was there.

  8. I'm about to do my externship for my MA degree…couldn't figure out what I wanted to specialize in. Then it dawned on me… Family practice would be the perfect learning experience. After all, it has everything.

  9. Awesome video, dude. You should crank up the music! Sounds like it must be the amazing tunes of http://robotfarmmusic.com/

  10. I'm a Program Coordinator in the Department of Family and Preventive Medicine and this video is an excellent source to show my third year medical students. I want to recruit more of them into FM and this will definitely be a great tool. Great job!!

  11. What a concise overview of what family medicine has to offer. I especially liked the "Grand-doctor" and the cool background music.

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