Tuesday, April 10, 2012

Shadowing Day 1

Can I see myself doing what this doctor does on a daily basis?
Yes!! maybe with more female patients/old people/kids
Can I see myself as a colleague of this doctor?
yes i can ...he's a great and sociable guy
What are the joys and frustrations of this career?
none...
What are the pros and cons of this particular type of medical practice?
Consider: size of practice (solo or group), types of patients (age, sex, problems/diagnoses, insurance), size of community, salaried or self employed, paper charts or electronic medical records, hours and call schedule, family life, community service and/or influence, ability to practice in rural area or overseas
Am I drawn to diagnostic problem solving?
hmm need to explore this
Am I drawn to procedures?
maybe need to find out
Is the doctor involved in clinical research?
not much
Is the doctor involved in "bench" (lab) research?
nope
How does the doctor learn more about his/her patient's personal lives? How is it factored into the patient's care?
a lot of open ended questions ....
How does the doctor relate to his/her patients?
Consider: formal or friendly approach, standing up or sitting down, rushed or not rushed, listening or interrupting, speaking with words that the patient can understand or speaking medical jargon or speaking in patient's primary language if it isn't English
he had relaxed body language/like he was chatting with a friend but serious about his medical care
What factors seem to play into how the patients respond to the doctor?
demeanor/presentation
How do I feel when there is no "cure" or treatment options?
okay for now unless its life/death i might be sad
How do I feel about chronic problems compared with acute problems?
indifferent at this point
How do I feel when I see patients who don't listen to advice or who don't take good care of their health?
the physician is frustrated and upset
Did all patients with the same diagnosis seem the same? If not, how and why might they have been different from one another?
Need more data to do this ....
Do I like situations in which a decision has to be made quickly?
he didn't make any situations quickly
Do I like the pace of this type of practice?
yes i did ...slow get to speak with patients
What did the doctor do when s/he didn't know the answer to something?
he said he didn't

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