The Family Medicine posting is great fun but can be hard work as well. Why do I say so?
1. There is variety. I get exposure to many different practices - 1 gp, 1 polyclinic, 1 palliative care hospital, 2 home visits and 1 community hospital.
2. If you get an enthusiastic polyclinic (like Outram Polyclinic), you get rotations within a rotation - visits to the
a. family practice clinic and family practice nurse (senior family medicine doctors see chronic disease like diabetes and high blood pressure),
b. general clinic (cough, colds, flu, plus random things like abdominal pain, from babies to elderly), c. nurse counsellor (nurse counselling on asthma control, diabetes monitoring and control etc),
d. dressing room (where we do dressings for wounds, not where we dress up),
e. women's health 'clinic' (a little-publicised area where a nurse advises on matters of contraception, pap smears and mammograms. Pap smears are available at $15)
f. the laboratory! (where blood tests and even ecg is done)
g. the pharmacy (where the medications are kept and prepared for use)
....
3. You have lots of time for lunch. More than you've ever had even if you combine Medicine and Surgery. You might get a chance to eat at nice places like Tiong Bahru Market (TBM) and Maxwell Food Centre and try the delicious but not-so-healthy food like fried Hokkien Prawn Mee, fried kway teow, chee kueh and peanut soup. You might even get to try a strange offering called sharks meat lor mee which is essentially deep fried "query" sharks meat in lor mee.
4. You get interesting teaching sessions on conditions that you might actually be asked on by your relatives.
5. If you're lucky, you even get to do a self quiz to assess your learning style :)
6. But when you get home, you might feel stressed out by the amount of reading you need to do coz you still haven't got your basics right. Like how to diagnose diabetes. (oops)
7. The looming prospect of a pharmacology continuous assessment is forever at the back of your head, and there are tons of notes to read up on.
8. The looming datelines of 2 case write-ups and a community medicine patient study er, looms in the not-so-distant horizon.
Maybe not so good a time to go blogging. -.-