Psiborg Posted March 11, 2013 Report Share Posted March 11, 2013 Hey, I am currently considering FM in addition to varous IM subspecialties. One thing often cited as the advantage of FM over other specialties in terms of flexibility. Reading at most of the posts on the forum put most family docs as grinding away at relatively routine compliants (cough, rash, chronic disease mgmnt etc.). Although i suppose there are routine complaints everywhere. So how do you/family docs youve met actually made their professional life intersting? There are lots a fam doc CAN do but what is the practial result? Docs I have met do things like: Sug assist. Fam/ER mix I personally would be interested in doing some of the more complex office procedures (cyst removal, tonail wedge rescetion, suturing etc) but no primary care physician I have met does them as I have been told they are faily poorly renumerated. What have FM docs you have been with done to keep practice diverse? Thanks! Psiborg Edit: So here is the list we have so far Edit2: This is great guys! Thanks Sug assist. Fam/ER mix Lumps and bumps clinic Palliative care Inpatient hospitalist GP-A in nearby communities Specialized clinics ie. hip and knee assessments for ortho Colonoscopies (in rural Alberta) sports medicine Primary care obstetrics with heavy emphasis on pediatrics Mental health focus (transgendered population) Geriatrics ICU clinical associates marginal community practise/Inner city Hospital admin/teaching etc Travel clinic trips to the developing world Diabetic foot clinic, where the doc inspects/treats diabetic feet all day. Circumcision and vasectomy clinic. Cruise ship doctor Smoking cessation Breastfeeding clinic Maternity care Derm stuffs Link to comment Share on other sites More sharing options...
cardiomegaly Posted March 11, 2013 Report Share Posted March 11, 2013 It's called lumps and bumps clinic, and I've met several family docs who do it. Other interesting things I have come across: Palliative care Inpatient hospitalist GP-A in nearby communities Specialized clinics ie. hip and knee assessments for ortho Colonoscopies (in rural Alberta) sports medicine Primary care obstetrics with heavy emphasis on pediatrics Mental health focus (transgendered population) Geriatrics ICU clinical associates Link to comment Share on other sites More sharing options...
Psiborg Posted March 11, 2013 Author Report Share Posted March 11, 2013 Cool! Are most of these docs urban or rural? Link to comment Share on other sites More sharing options...
rmorelan Posted March 11, 2013 Report Share Posted March 11, 2013 It's called lumps and bumps clinic, and I've met several family docs who do it. Other interesting things I have come across: Palliative care Inpatient hospitalist GP-A in nearby communities Specialized clinics ie. hip and knee assessments for ortho Colonoscopies (in rural Alberta) sports medicine Primary care obstetrics with heavy emphasis on pediatrics Mental health focus (transgendered population) Geriatrics ICU clinical associates good list We can all add any few remaining ones etc we think of marginal community practise anaesthesia Hospital admin/teaching etc Travel clinic trips to the developing world Link to comment Share on other sites More sharing options...
ChemPetE Posted March 11, 2013 Report Share Posted March 11, 2013 I've also seen them working in an Oncology clinic assisting an Oncologist with followups, as well. Link to comment Share on other sites More sharing options...
tooty Posted March 12, 2013 Report Share Posted March 12, 2013 Cool idea. GP-A and anesthesia on the list are the same thing. I've heard of: Diabetic foot clinic, where the doc inspects/treats diabetic feet all day. Circumcision and vasectomy clinic. Cruise ship doctor Link to comment Share on other sites More sharing options...
rmorelan Posted March 12, 2013 Report Share Posted March 12, 2013 Cool idea. GP-A and anesthesia on the list are the same thing. I've heard of: Diabetic foot clinic, where the doc inspects/treats diabetic feet all day. Circumcision and vasectomy clinic. Cruise ship doctor ha - missed that Thought that A was for surg assist. There is a whole bunch of basically derm you can do as well. Some docs do home visits, do a day in a nursing home....etc Link to comment Share on other sites More sharing options...
Larrivee Posted March 12, 2013 Report Share Posted March 12, 2013 We have a focused family component of our curriculum and some of the choices we could rank that have not already been mentioned are: -Smoking cessation -Breastfeeding clinic -Maternity care -Hospitalist -Addiction/Inner city Link to comment Share on other sites More sharing options...
Jochi1543 Posted March 12, 2013 Report Share Posted March 12, 2013 Don't knock the colds, rashes, and refills, either, they allow you to keep on track of your appointments and devote more time to the more interesting things that might not be as well remunerated. Link to comment Share on other sites More sharing options...
futureGP Posted March 13, 2013 Report Share Posted March 13, 2013 the rural doc who runs the whole hospital (ER + anesthesia + surgical assist + oncology + palliative care + dialysis + obstetrics + in-patient) master's in health ethics chronic pain management HIV/AIDS oh also clinical trials Link to comment Share on other sites More sharing options...
jawad12ca Posted March 15, 2013 Report Share Posted March 15, 2013 in terms of surgical assist, how exactly do you get paid for that? Link to comment Share on other sites More sharing options...
Dr.Henderson Posted March 15, 2013 Report Share Posted March 15, 2013 in terms of surgical assist, how exactly do you get paid for that? They can usually bill for it as they would any other procedure as far as I understand. For example in Ontario: https://www.oma.org/Resources/Documents/0803EPC_Bulletin.pdf Link to comment Share on other sites More sharing options...
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