Pros & Cons of Family Medicine | VLOGmas 2021 ep. 3

[@kelly1827]

A great Family Medicine doc is worth their weight in gold! I love mine, and each specialist who he has referred me to always remarked about how focused but thorough his initial workup was. He's really kind, and embraces a collaborative approach. One of the other docs in the practice is much more paternalistic, which is surprising since they're the same age. I saw the other one once for a sick visit and 5 minutes into the visit I wanted to walk out. If I didn't have my positive, respectfulexperiences with my doctor I probably would leave that practice. I told my doctor he needs to train and hire a few who have his approach because when he retires I'll cry trying to find one like him!

[@drjennale]

I’ve had several new patients cry during their office visit with me because their original pcp retired. Do you have specifics - like things that your doctor does that makes you feel comfortable, heard, valued, etc.

[@richurichu8781]

Coming back to those two bundle of happiness probably melt away all your exhaustion from work i guess!!!

[@edkensalexandre7043]

These boys are soooooo precious!!! Omg. The icecream part “melted” my heart

[@drjennale]

Melted! 🤣 that’s so cute

[@SuperPonySparkles]

I'm about to go to school to become a Family Medicine Physician and this helped out SO MUCHHHHHH omg this vid was perfect.You sound like such a sweet person omgggg!!!! Now I have a better understanding of what I wanna do lol.

[@Sorawld]

London looks exactly like how Wyatt did at that age! Adorable boys 🥰

[@drjennale]

My phone pop up a memory of when I was in residency and I had to do a double take! I couldn’t tell which kid it was 😅 until I looked at the date. It also doesn’t help that London wears all of Wyatt’s hand-me-downs.

[@Sorawld]

@@drjennale hahaha that’s so funny that you couldn’t tell between the two either!

[@indygeo4267]

Family Medicine is the specialty I'd choose. That or Internal Medicine.

[@chiravuris]

I don't think PCPs will ever be looked down upon. People need referrals to go to specialists that PCPs give. Also, people can't take care of the "medical" stuff that PCPs do. Specially Healthcare maintenance.

[@drjennale]

I consider myself the quarterback. Gotta know who to pass it to 😄

[@abdulraufgarangan7437]

I’m seriously considering family medicine also. Here in the Philippines, Family Medicine is almost rising, but, there could still be discriminations as to some other people with how they perceive family medicine. But thanks to this video, i think im still gonna wanna include family medicine in my choices ❤

[@kesiasantana9761]

I love these videos about family medicine ❤️. Please share some tips on how to be prepared before enter in family medicine residency. Greetings from Brazil :)

[@drjennale]

Yassss! I will keep that in mind

[@sofiasotres801]

Wise words Jenny prevention is the key, however healthy people are cheap vs sick people who are a big pharma money maker. Thank you for being an ethical doctor

[@Adoctorfrombrazil]

My favorite specialty!

[@rcevallos1a]

I love the medicine related content!

[@olalekanolorunyomi2018]

You’re Fire ! Inspirational ! Any advice for an upcoming Family Physician ? I am currently in eras season 2024

[@mampetema27]

your cons list is the same here in South Africa, WELL specialists here get paid the same generally but family medicine is generally looked down upon, i get asked so many times why family medicine. family medicine is fulfilling and its very important, its sad that primary health care(preventative) is not taken as seriously as other specialists

[@tinasmith-desrosiers708]

I LOVED THIS VIDEO! THANKS!

[@drjennale]

Yay!! 🥰🥰🥰 so glad

[@DaRyteJuan]

The (female) doctor (Board certified in family medicine) who molested me was a DO. I would probably never trust a DO ever again. I just got assigned to her by default as my PCP. My new PCP is an MD and she’s a thousand times better. So respectful. I don’t like getting pushed around, manipulated and sexually abused. So REVOLTING what this doctor did to me. 🤢

[@epistleofdude]

Pros and cons of primary care (mainly referring to family medicine or internal medicine as a PCP or perhaps general pediatrics): Pros -Variety of patients -Variety of pathology -Outpatient procedures (if you like procedures but PCPs don’t need to do procedures if they don’t want to) -Ability to tailor your practice however you like in terms of work hours, patients you see, procedures, etc. (e.g. it’s not like anesthesia where you are in a symbiotic relationship with surgeons so you can’t always necessarily leave when you want to or take on the cases you want to or work without supervising CRNAs if your group requires it, etc.) -Continuity of care (though for some this could be a con if you prefer limited interactions with patients like say in emergency medicine) -True backbone of any health care system -True generalist (con if you like focusing deeply on one organ or system) -Respect (could be a pro or con depending on how you look at it, some specialists tend to denigrate PCPs especially those in academia, and academic physicians are what tends to influences most med students, hence no or little love from med students for primary care, at least until they get out into the real world and see how well respected a good PCP is among other specialists and especially among their own patients) -Jobs available virtually anywhere and ever in the US and in fact globally because many if not most other nations would accept a U.S. trained family physician aka GP in British parlance, you can work literally anywhere in the world, far more so than many other specialties -Tremendous flexibility, outpatient, inpatient (hospitalist at least a little bit outside major cities where they tend to prefer IM as hospitalists), telehealth, urgent care, sports medicine, rural medicine, emergency medicine (though only outside of major metros where they only hire EM), nursing homes/LTAC, etc. Cons -Poorly compensated in comparison to most other specialties (though in general a full time PCP - which is usually considered 4.5 days, Mon-Fri, no nights, no weekends, no holidays, limited calls and almost always calls on phone from home don’t have to go in - will make $200k-$300k per year (depending on a number of factors of course like location, payor mix of your patients e.g. Medicare to private insurance ratios, etc.) -Paperwork (e.g prior authorizations)

[@cassidylee397]

Miriam laugesen has a great body of work on why specialists get paid so much more than primary care, it's pretty fascinating and by that I mean infuriating

[@change840]

After family medicine can you do palliative care and work part time? Is palliative care very intense in terms of schedule/on calls.. thanks

[@drjennale]

Yes! The palliative medicine physicians I worked with were in the hospital and need they also only worked part time. Time was split between the hospital and clinic. It was more shift work when in the hospital. No call.

[@ImranAli-hj6nd]

your kids are cute

[@AnkaraStylesandFashionWorld]

Did you do fellowship in preventive medicine?

[@naailtariq5930]

Hey Jenny, can you make a video about how you came to learn all those fantastic skills? I hope to be like the PCP you described yourself to be - doing lots of procedures! Making other specialist's lives easier too, not just the patients :) Or maybe just reply in the comments; is it about 'putting yourself out there'? Like asking to do a lot of stuff on rotations, etc...

[@drjennale]

I learned majority of these skills in residency! We made it really clear the things we were interested in and luckily, our program was very receptive to accommodating our request. Talking to preceptors in the beginning and clearly stating that you’re interested in procedures will help you get more of them. And asking for frequent feed back.

[@epistleofdude]

In addition, see Pfenninger and Fowler's Procedures for Primary Care

[@chochee07]

Where did you go for residency?

[@DrStoooopid]

Mommy stole the best part

[@DreaBe]

I’m literally so confused on how to job shadow. I understand physicians are busy but why do they just blow me off?

[@ciararobb8049]

Great vids! ❤️ Thank you

[@drjennale]

How’s med school coming along!

[@isabelleornes8695]

Do you think Family medicine is harder than specializing in a certain field because you have to know more of everything?

[@drjennale]

I think every specialty has their own difficulty. But yes, Family medicine is just a different type of hard.

[@maidinh8280]

Do you get compensated more than the base salary when you do procedures?

[@drjennale]

Only if you’re on production. Doctors are usually on salary the first two years out of residency.

[@anthonynguyen6636]

For residency of Family Medicine, how difficult is it? How many hours per week does a typical FM resident work? Also, do FM residents have to be on call? I'm a premed, and I'm just wondering. Thank you!

[@drjennale]

All residency training is difficult. Inpatient rotations is 80 hrs/week. Inpatient is 40-60 hrs a week. The split is dependent on residency. Yes we were on call.

[@valm.5243]

How do you get all that procedural training? How do you find a job that is mainly for procedures?

[@drjennale]

Seek it out during residency! I chose specific elective rotations in sports medicine. You can also request the attendings to page you when they’re doing procedures to come assist.

[@marys6217]

working day time hours for 2.5 days and earning 120k is quite good! def only physicians can achieve this. and probably only FM to achieve this flexibility in hours.

[@drjennale]

Energy medicine full time is 13 shifts a month. Part time is less than that. Derm with the option to go into esthetics. Literally all other clinical speciality like rheumatology, outpatient internal medicine, endocrinology, etc all can work part time and will get paid more than FM.

[@user-rz8vp1bd2y]

120K for 2.5days a week. I feel like that is really good!

[@drjennale]

It is! If my school loans didn’t take away half my paycheck I’d feel even better! 😅

[@AdamsDiomande]

How long will it take you to pay off your loans?

[@patriotcine7521]

The biggest threat for family medicine is from mid levels encroachment

[@Samandcolbyfan_101]

Hey my name is Dorothy and it's been about 3 years since I've wanted to practice family medicine sense I was 9 I'm 12 now I'm going into 8th grade this August and after 10 grade my 2nd year of high school I wanna leave and head off to collage ill be 16 by then and be a family medicine phasiction

[@Samandcolbyfan_101]

Want to be * I won't be one yet

[@Badyal816]

Mam after MBBS is there is MS as option for becoming Family Medicine Doctor or there is only MD as option for becoming Family Medicine Doctor ? Please reply me

[@tenacioustracy6796]

So, from the research I've done, the equivalent of the MS is doing residency to specialize in whatever field you desire. So, the MD is equivalent to your MBBS and then the residency is equivalent to the MS for specializing.

[@florenceedee]

So cute ❤️❤️

[@DaRyteJuan]

6:53 WHAT?! You’re setting an OPEN bottle of MARCAINE right next to your coffee cup with your BARE hands?! Wow. 😮

[@nesli6604]

I don't know if anyone has told you this before, but you like like Meghan Markle!

[@drjennale]

I think one other person has said that before

[@ReclusiveMountainMan]

3:11 YES! LMFAO