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IM or Family Medicine?

Hello!

I am just confused. If I will take Internal Medicine, I cannot cure children. If I will take pediatrics, I cannot cure old people. If I will take Family Medicine, I can cure people of all ages, perform some small surgeries(out patient surgeries,e.g. circumcision, perform "busbos") and deliver babies, but I cannot go around in hospitals(visiting patients in wards), and when I found a complex disease, I will just refer them to another doctor.

Not like in Inter Med and pediatrics, I can go around in hospitals, see people in my clinic, but I think they are not allowed to do some small surgeries.

I want a medical specialty that will allow me to see people in my clinic, go around in hospitals, and perform some small surgeries.

(definitely I don't want to be a surgeon. I only want to do some small surgeries)

Please help me choosing the medical specialty that best suits me!

Comments

  • voltaire_madvoltaire_mad Demented PExer
    If you are a family medicine practitioner, you can do the things that you've mentioned. You can be affiliated in any big hospital you want and can admit patients under your service and you will manage that patient. You can do minor surgeries as well.

    Like any other specialty, if you are faced with a complex case, you can ask another colleague for evaluation, or co-management, or if you feel that the case is out of your league, then refer/transfer the patient service to another specialist.

    If you are an internist, you can still treat pediatric patients. But since you will devote your 3 years to Internal Medicine residency training plus take the oral and written diplomate exams, your knowledge of pediatrics and other general medicine subjects will get rusty. I know of other doctors who are internists but still do minor surgeries and treat pediatric patients. But those doctors usually have their own private practice and clinics.
  • eugeneleugenel Member PExer
    so family medicine is the best for me?
  • voltaire_madvoltaire_mad Demented PExer
    I would think so. What you should do is ask those in the fields on which specialty to take. They can provide you with personal insight on what each specialty can offer you.
  • bleudsky_mdbleudsky_md MD, DPAFP PExer
    eugenel wrote: »
    Hello!

    I am just confused. If I will take Internal Medicine, I cannot cure children. If I will take pediatrics, I cannot cure old people. If I will take Family Medicine, I can cure people of all ages, perform some small surgeries(out patient surgeries,e.g. circumcision, perform "busbos") and deliver babies, but I cannot go around in hospitals(visiting patients in wards), and when I found a complex disease, I will just refer them to another doctor.

    Not like in Inter Med and pediatrics, I can go around in hospitals, see people in my clinic, but I think they are not allowed to do some small surgeries.

    I want a medical specialty that will allow me to see people in my clinic, go around in hospitals, and perform some small surgeries.

    (definitely I don't want to be a surgeon. I only want to do some small surgeries)

    Please help me choosing the medical specialty that best suits me!

    hello there! i'm a family medicine senior resident.

    if you want to have a practice that is broad, you're able to handle both medical cases and perform minor surgeries, you're not restricted to a particular group of people, and you wanna have connections with specialists, it seems that Family Medicine suits you. your practice will be good especially if you decide to do it in the province. in fact, some specialists (especially the junior consultants) will ask you to refer patients to them if you happen to be in the same area.

    during residency, you'll go into different departments as rotators every month & go on duty with the department residents.

    goodluck to you!
  • eugeneleugenel Member PExer
    Oh.

    I just have 1 question.

    Do you have(or any other family med) the privilege to visit and care for your patients when they are confined in your hospital? Can you order a series of tests for your patients?

    The IM and Pedia can. I just don't know on Family med. So if you could answer this it will be a GREAT help.
  • bleudsky_mdbleudsky_md MD, DPAFP PExer
    ^ yes. :)

    we can write the admitting orders, make hospital rounds daily (at least 2x), modify their medications, request for additional laboratories and ancillary procedures if necessary, even send them home with home medications, follow-up instructions. of course, write entries in their chart.
  • eugeneleugenel Member PExer
    oh thank you!
  • bleudsky_mdbleudsky_md MD, DPAFP PExer
    you're welcome! :)

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