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Top 10 Reasons to be an Internist

Date September 26, 2007

I have blogged in the past for and against taking care of children.  I take care of both adults and kids, so now I’ll give the same treatment for those "longer in tooth."

  1. LOL - Little Old Ladies - I never knew my grandmothers, but I have about 200 of them in my practice.  I am doted on by them - one brought me a cake this morning.
  2. Challenges - I think I would go crazy taking care of just kids as the vast majority of the care is acute or well-child.  I like the mental challenge of tough cases.
  3. "Thank You."  - My elderly patients are almost always very gracious and grateful for the care I give.  They don’t take it for granted.
  4. Making "Good Catches" - I love picking up the atypical presentation for heart disease or picking up cancer early.  It is very gratifying to really save someone’s life.
  5. Subspecialists - Although I have talked negatively in the past, I actually have a very good relationship with my subspecialist colleagues.  In pediatrics you are more isolated as a physician.  I am regularly on the phone with colleagues discussing cases.
  6. They don’t look at you and scream - at least it hasn’t happened yet.
  7. Chatting - I like to know patients over the years and build friendships.  I am genuinely happy to see a large number of my patients (except when they are sick).
  8. Being "The Man" - there are bad times when people are very sick and die.  It is a privilege to be the one who helps people through those situations.  It is hard, but it leaves you with immense satisfaction and purpose.
  9. Turfing pap smears to anyone else who will take them - Being an internist lets you send it to the GYN or the FP partner.  Yeah!!!!
  10. Respect - I think overall the general internist gets respect from colleagues.  People look at them and think, I wouldn’t want to be one, but I sure am glad someone likes that stuff.  Now, if only that respect would translate into income….
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7 Responses to “Top 10 Reasons to be an Internist”

  1. How to Cope with Pain said:

    Nice list. I’m a psychiatrist - how do you feel about psych issues? Turf or treat?

  2. jmb said:

    Oh dear, am I supposed to take cakes? asks the LOL.
    Dr Dork is back!

  3. Dr. Smak said:

    Great list. Your #2 is why I chose family medicine. I loved peds, but after a 4 week rotation I thought I would rather count grains of sand than see another snotty nose or sports physical.

    If I never did another pelvic I wouldn’t miss it.

  4. Wolley said:

    As a lay person, seems to me that a competent internist somewhat reduces the need for specialists.

    The people who I think are working on thin ice are speech therapists. I don’t believe any of them understand “stuttering”, when the cause is right there staring them in the face.

  5. Shinga said:

    Like the website - like the spam protection (letters are maddening), like your top 10 - keep flourishing.

  6. Sid Schwab said:

    Your list (believe it if you choose) could be mine, with the word “internist” swapped out for “surgeon”. Leave the word “general” in.

  7. Moof said:

    Dr. Rob, this LOL would be bringing pies, instead! ;o)

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Welcome

Welcome to my blog. I am a practicing primary care physician in the Southeastern US, caring for patients of all ages (Board Certified in both Internal Medicine and Pediatrics). This blog covers a wide variety of issues, including the following: What it is like to be a physician, dogs driving cars, what troubles are in our system, toddlers with flame-throwers, what would it take to fix that system, llamas, death and dying issues, mutants, and accordions. Maybe I need to write about mutant dying accordions with flame-throwers. Hmmm....I feel a post coming. Anyhow, I like variety. Life is always lived with both laughter and tears. If you are a regular reader of this blog, it is also filled with nausea and nightmares. Thanks for stopping by. -Dr. Rob