Family medicine vs internal medicine II


Category : Medical Rants


Thanks for all the thoughtful comments.  A couple of themes predominant.

Does family medicine training close doors?

Some argue pro and some con.  When examined objectively, family medicine opens many doors but does close some doors.  Choosing family medicine clearly leads to primary care or a closely related field.  Internal medicine still often leads to subspecialty training.  Many more internists become hospitalists than do family physicians.  I suspect that occurs due to a combination of ones preferences in selecting a specialty and the impact of the training.

Do family medicine programs vary more in rigot?

I have no data on this subject, only personal observation.  I see too many family medicine programs that underemphasize inpatient medicine.  While family medicine physicians practice predominantly in the outpatient setting, I believe that you must have adequate inpatient experience to compliment outpatient training.

Of course as an internist I am biased about the value of inpatient adult medicine education.  I believe my bias is correct, but…

I have seen family medicine programs in which the residents care for too few inpatients.  Family medicine residency has requirements for oupatients, but do they require the same rigor for inpatient training?

Once again, both choices are legitimate and desirable.  You should choose the one which fits your personality and your career goals.


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Comments (1)

I’d love to see a part 3 to this as a 3rd year medical student in this exact predicament. Has anything changed in the last 1.5 years?

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