RE: for the docs: internal medicine vs.family practice

[Guest guest]

what is the difference between these two & nbsp; types of docs? i am thinking

about changing my pcp and am considering an internal medicine doc instead of the

family practice doc i see now. my only medical problem is relapsing-remitting MS

which has been in remission for 7 years. i'm on meds for it.

jim d.

paramedic

From: Bledsoe, DO & lt;bbledsoe@... & gt;

Subject: RE: Re: Private ER's

To: texasems-l

Date: Wednesday, June 4, 2008, 7:31 AM

Chuck:

I agree with you. When I ran the two Ellis County EDs, I had better wait

times and lower admission rates (and fewer complaints) with FPs with EM

experience than board-certified EM docs. I have not had much experience with

BCEM docs-just ABEM and AOBEM. As long as there is a shortage of EM docs,

most EDs in this country will be staffed by FPs and IM.

BEB

From: texasems-l@yahoogro ups.com [mailto:texasems-l@yahoogro ups.com] On

Behalf Of krin135 (AT) aol (DOT) com

Sent: Wednesday, June 04, 2008 5:18 AM

To: texasems-l@yahoogro ups.com

Subject: Re: Re: Private ER's

In a message dated 06/03/2008 18:26:18 Central Daylight Time,

CodyRice1 (AT) aol (DOT) com & lt;mailto:CodyRice1% 40aol.com & gt; writes:

If you did not know some emergency room's employ doctors who are not

actually licensed as Emergency Physician's they are only certified in Family

or

Internal Medicine.

While I have the greatest respect for Dr. Bledsoe, and have worked with him

for some years, I'd like to point out that a certification in Emergency

Medicine is probably not an official (read State) requirement for working in

these

types of facilities, but more on the order of a requirement of the

owners....who are most likely protecting their (highly paid) BCEM turf. I've

also

noticed that there is a paucity of BCEM docs willing to work the smaller,

more

isolated EDs where the pay is less than at the big city medical centers.

working in an ER requires a broad based medical education (like that found

in both EM and FM residencies) , an open mind (remembering that the nurses

and

medics have observations and opinions that need to be respected and

integrated

into the plan), some capability of multitasking and both the ability to

both form action plans on the basis of limited information AND be able to

change

those plans on the fly when new information is received.

I've worked in many EDs over the last 20 years, and have found that I can go

head to head with BCEM docs and score as high or higher on accuracy of

diagnosis and patient flow, and frequently higher on patient satisfaction.

ck

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[Guest guest]

In a message dated 06/05/2008 01:48:32 Central Daylight Time,

james_dav_bmcg@... writes:

what is the difference between these two & nbsp; types of docs? i am thinking

about changing my pcp and am considering an internal medicine doc instead of

the family practice doc i see now. my only medical problem is

relapsing-remitting MS which has been in remission for 7 years. i'm on meds for

it.

then an IM doc will probably do fine for you. Where the FP docs do better is

by handling whole families...'baby in the womb to grandma ready for the

tomb.'

Some FP docs also hold Certificates of Added Qualification in Gerontology

(co sponsored by the American College of Physicians), or CAQs in Sports

Medicine, Palliative Medicine etc...

While we are not yet welcome in the Society of Critical Care Medicine

(neither are the EM docs), both FM and EM docs do quite a bit of Critical Care

medicine.

with your diagnosis of MS, you need a primary doc who has an interest in

such things AND a good relationship with your neurologist...so you might ask

your neuro if s/he knows of such.

ck

S. Krin, DO FAAFP

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