Even the smallest of inquiries returned multiple good job offers for me. The demand for family medicine doctors is extremely high right now, and they are very large income generators for consolidated healthcare systems. We're not going to do a bowel resection, but we can sew up a wound, do a biopsy, set a bone, treat trauma. In retrospect, I have found family medicine to be the embodiment of everything I ever thought life as a physician should be, but not necessarily what I thought it would be. I am paid 315,000 for hospitalist locums with a 12 month contract, 14-15 days a month. We're the ones who have to deal with the well-intentioned but completely unrealistic "quality measures", in a way NO other specialty does. I'm not sure where Rhand is form- but urban FM physicians start in the metro area where I live at roughly $190,000. Read other Fresh Perspectives posts by this blogger. You make a great point, the girl who had the highest step score I personally know (267) went into Family Medicine; she probably could've gotten her pick of the litter in almost any other field, but Family Med is what will make her happy with a nice salary to boot. I am curious, are nurse practitioners and physician assistants viewed as a threat? No one told me this could be my future. Look at job postings, the demand for FM docs is insane. Good question. Really interested in FM, but all this talk about mid-levels, paperwork, and salary keeps me questioning if it's worth it. Averaging 200k a year isn't chump change, and the opportunity to have your med school loan forgiven makes it all the more worth-while! Every week I get offers from all over the country for work (I'm happy where I am, though). This is accurate. And they have basic medical skills too. The demand for family medicine doctors is extremely high right now, and they are very large income generators for consolidated healthcare systems. We have obstetric skills, newborn skills, pediatric skills, teen, adult and geriatric skills. Absolutely- but that's inescapable in every specialty. You can easily build your own practice, employ a few of these mid-levels and make a killing. We know at least SOMETHING about every drug given. We are the consummate physicians, deftly navigating the full breadth of the health care system, incorporating expertise from all the various specialties into our daily clinical repertoire. Of course, it's possible that I watched too many episodes of "Dr. Quinn, Medicine Woman" as a kid. The things that suck are not so much inherent to the specialty, though, as to the insurance and medical climate in the US. We see every age. No call, no weekend. As a member, you'll receive a variety of exclusive products, programs, services, and discounts totaling more than $3,800 in member savings. Also. The only downside I've witnessed is some people's inflated, uneducated ego which looks down at FM/primary care. As family doctors, we provide something intangible and unquantifiable, which subspecialists cannot match, nor can algorithms or protocols replace. I don't mean to put down family medicine at all - I admire and support all FM doctors - I'm just really stuck between the two. People need good doctors to take an interest in their care, and Family Medicine is at the forefront of that. If you are FM+Ob privileges and willing to work 30 minutes outside downtown metro- you'll pull in >$300,000. I've been practicing family medicine for over 20 years. Don't believe me? Maintain inpatient/hospitalist privileges- >$200,000. The ones who know that you are a generalist at heart. That wasn't me. Look at average wages, FM docs make around $200k a year for outpt, and if you work in a rural area or do hospitalist work that's an underestimation, and everyone seems to do loan repayment as an employment benefit. All the money in the world doesn't make up for (for me), feeling like my doctor skills are majority dependent upon a computer screen and an imaging facility, or a surgical theater, or an endoscopy suite. There is SO much about this specialty that sucks. Two pieces of advice to you: (1) Do not look at PAs/NPs/midwives/CRNAs etc as competition because really they are not. Getting the right exposure to a specialty in medical school is critical to making decisions regarding the next step in in our training. Leader Voices Blog - A Forum for AAFP Leaders and Members. We know at least SOMETHING about every drug given. I fear nothing in my career future and the job is incredibly rewarding. What if I had missed that experience? I HATE the paperwork. Copyright © 2020 American Academy of Family Physicians. With FMX On Demand, you can access recorded FMX sessions led by family medicine experts, and earn up to 155 enduring CME credits. What you get with Family Med is an opportunity to do a lot of different jobs. The continuity of care. I did all this while collaborating with four midlevel providers who assist me in providing coverage in the nursing home, urgent care and addiction center. No one has a bigger picture to look at. I believe family medicine is the heart and soul of the medical field. (2) Don't worry about salary. During a different week, I might be traveling to meet with state representatives or to give a talk to a local organization or physician group about treating alcoholism and opioid dependence in primary care. Docs on site are great too. NPs aren't as real a threat as we perceive them to be, greater than 85% do not practice in primary care, http://www.ahrq.gov/research/findings/factsheets/primary/pcwork2/index.html. That kind of relationship with your patients is just incredible. You simply can't prognosticate a field's future based on what we currently know. Conversely, I felt that surgery was so tactile and specialized that I could develop proficiency in a few technical procedures which I could spend the rest of my career perfecting. Everything we know about medicine was built on the shoulders of generalists who paved the way for more highly personalized practice. If you really want to be a doctor, in the most true sense of the word and the most true sense of historically what being a doctor meant, family practice is really the only specialty that will give you that. FMX may have ended, but the learning doesn't stop! Are things looking up or looking like it'll get worse? We have obstetric skills, newborn skills, pediatric skills, teen, adult and geriatric skills. Small town. It's worth noting that not every student is required to do a family medicine clerkship (just "primary care"). Like most weeks practicing in rural southwest Missouri, I performed a small lesion removal, managed multiple diabetics, optimized asthma and COPD therapies for a number of patients, treated many cases of hypertension, ruled out a couple DVTs, treated a few individuals with behavioral and mood disorders, managed complex pain, treated A-fib and CHF, rounded at a nursing home and saw patients at an addiction recovery center. All comments are moderated and will be removed if they violate our Terms of Use. I hate that FPs have become the de-facto psychiatrists, rheumatologists, endocrinologists in a lot of areas because these specialties are dying off in less urban areas, but if someone could instantly give me a radiologist's schedule and a radiologist's income, I think I'd still, probably, turn them down. Aafp 's geriatric medicine and addiction recovery in rural southwest Missouri a kid Residents and medical students take an in! 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