I'm back home with my family for the month. I'm doing an away rotation in a dermatology clinic. We don't get much exposure to derm so I thought this would be a good chance to learn some new things that may help me in the future.
Well, I HATE dermatology. I think it's boring. They only care about the skin! The doctor I worked with today saw 50 patients between 7 and 12 pm. 50 PATIENTS!!!!!!!!!!!!!!!!!!!!!!! in a HALF DAY!!!!!! I'm used to seeing 35 or so patients between 8 and 5pm in internal/fam med/pedi clincs.
Also, I only work 3 half days a week. Nice, but I still don't like it. I found that I kept asking patients about their other medications, diabetes, hypertension, arthritis, and everything else besides their skin. Instead of walking around with a stethoscope, you walk around with a can of liquid nitrogen. When patients had other things going on, the staff was totally clueless. They didn't remember that klonopin was a benzodiazepine, and they didn't remember that metformin could be used for PCOS. This lets me know for sure that family medicine is the place for me. I love family medicine because it's a little bit of everything. I have no problem incorporating derm procedures into my practice, but I'd be unhappy if derm was my only focus. In fact, there were quite a few cases that I felt could have been managed by the primary care physician, but whatever. Yea, they make more money, but money isn't everything. What matters is that I've picked a career path that makes me happy.