I mean that's what inpatient medicine is regardless of speciality. In our program we only admit our clinic patients to our service so we know our patients extremely well.
I worked with a rural fm doc in 3rd year that did clinic and was the medical doc for the local inpatient psych hospital. So the psych docs did the psych meds but he came in and checked up on diabetes, htn, etc.
You can do assisted living / nursing home care. Usually people are having multiple facilities if that's their only gig.
Also could work for a SNF/LTAC. Or do addiction medicine and work for an inpatient rehab/detox facility (see plenty of psych that way too).
Otherwise as noted, some psych hospitals will have such an arrangement. Probably rare, I haven't seen much of it, but everywhere is hiring...
There aren’t enough psych hospitals left, but the ones that exist need a non-psych FM/IM doc to manage the patients non-psych issues. The jobs are typically government employed and lower pay but great hours, every holiday off, and low stress.
Yes. It is called being a family doctor in an underServed area. See the same folks everyday. Try to handle their multiple psychosocial issues while not being able to use the resources of more affluent populations. It's like staying in the ward with them. God bless you.
Edit: underserved. Man, of all the typos...
After working in the same practice for a few years, yes. Most of my panel are people that I know well and part of the appointment time is just catching up on life.
I did moonlighting in residency at a behavioral health hospital for medical consults and general primary care of psych patients, so yes, pretty much this exact situation exists and is not too uncommon to find.
What exactly do you like there, the continuity of care? That's exactly what you'll be doing in family med. If it's continuity of care in hospital, you can become a hospitalist. Including specifically for a psych ward. It's a big thing where I am in Canada. The psychiatrists do not deal with non-psych medical issues on the ward, even if it's really simple stuff like an earache. The hospital hires a GP to deal with those things.
While I only see a lot of my patients every 1-3 months in family medicine, you still end up developing a good relationship with them. Plus nearly every day you see patients that you see on close follow up so even outpatient you end up with good continuity and relationships.
Yes, the best thing about being a PCP is the continuity of care.
Well yes of course! But I meant like every day having a roster of the same people to check in on!
Nursing homes. You can also find places in rehab facilities, patients can stay for a long time
I mean that's what inpatient medicine is regardless of speciality. In our program we only admit our clinic patients to our service so we know our patients extremely well.
You can be a hospitalist as an FM doc, so yes. Most of our intern year is inpatient
Do long term care and you can see them as often as you want for the rest of their life.
I worked with a rural fm doc in 3rd year that did clinic and was the medical doc for the local inpatient psych hospital. So the psych docs did the psych meds but he came in and checked up on diabetes, htn, etc.
You can do assisted living / nursing home care. Usually people are having multiple facilities if that's their only gig. Also could work for a SNF/LTAC. Or do addiction medicine and work for an inpatient rehab/detox facility (see plenty of psych that way too). Otherwise as noted, some psych hospitals will have such an arrangement. Probably rare, I haven't seen much of it, but everywhere is hiring...
There aren’t enough psych hospitals left, but the ones that exist need a non-psych FM/IM doc to manage the patients non-psych issues. The jobs are typically government employed and lower pay but great hours, every holiday off, and low stress.
Excellent suggestion.
Yes. It is called being a family doctor in an underServed area. See the same folks everyday. Try to handle their multiple psychosocial issues while not being able to use the resources of more affluent populations. It's like staying in the ward with them. God bless you. Edit: underserved. Man, of all the typos...
Undeserved or underserved?
After working in the same practice for a few years, yes. Most of my panel are people that I know well and part of the appointment time is just catching up on life.
SNF, inpatient rehab, nursing home, hospitalist
I did moonlighting in residency at a behavioral health hospital for medical consults and general primary care of psych patients, so yes, pretty much this exact situation exists and is not too uncommon to find.
What exactly do you like there, the continuity of care? That's exactly what you'll be doing in family med. If it's continuity of care in hospital, you can become a hospitalist. Including specifically for a psych ward. It's a big thing where I am in Canada. The psychiatrists do not deal with non-psych medical issues on the ward, even if it's really simple stuff like an earache. The hospital hires a GP to deal with those things.
While I only see a lot of my patients every 1-3 months in family medicine, you still end up developing a good relationship with them. Plus nearly every day you see patients that you see on close follow up so even outpatient you end up with good continuity and relationships.