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Top 10 Reasons to be an Internist

by Rob on September 26, 2007 · View Comments

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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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  • Dr. Rob, this LOL would be bringing pies, instead! ;o)
  • Your list (believe it if you choose) could be mine, with the word "internist" swapped out for "surgeon". Leave the word "general" in.
  • Like the website - like the spam protection (letters are maddening), like your top 10 - keep flourishing.
  • Wolley
    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.
  • 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.
  • jmb
    Oh dear, am I supposed to take cakes? asks the LOL.
    Dr Dork is back!
  • Nice list. I'm a psychiatrist - how do you feel about psych issues? Turf or treat?
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