Family Medicine ED – Day 8

I was in clinic this morning. Putting primary care clinic right next to emergency medicine, I can see why people like EM. There more variety, not so much routine health maintenance, less chart review, less time writing notes, etc. That said I think my experience is slightly skewed because every time I’m going into these clinics I’m talking to these patients for the first time and don’t have a prior relationship with them. That doesn’t matter so much in EM. I do enjoy talking to patients, my concern is that I do too much conversation/ go overboard with details in both. I also feel like as a medical student I’ve felt more judged in some of my interactions with family medicine preceptors than by ED ones, in general. Of course there have been exception, and not that it’s necessarily a bad thing, just an observation. Today I had a patient with a genital rash and another who I had to do a digital rectal exam on. Tomorrow is my last day in the ED, sure going to miss it.