PICKING A DOCTOR

Question:

I originally posted this back on February 5th, 2003. —

: should your primary care doctor be : : FAMILY PRACTICE OR INTERNAL MEDICINE. : : : : I DID A SEARCH ON GOOGLE : : i am sure another test will say the opposite but this is what i found so far : if i find one : : that does not agree il post it. : : : : Context  Although both internal medicine (IM) and family practice (FP) : physicians frequently provide care for the same common adult conditions, IM : and FP residency programs differ in their training emphases. : : Objective  To assess differences in IM and FP residents’ self-perceived : preparedness to diagnose and treat common adult medical conditions. : : Design, Setting, and Participants  Cross-sectional analysis of a national : survey administered in the spring of 1998 to residents in their final year : of residency at US academic health centers. A total of 279 IM residents in : 25 programs and 326 FP residents in 75 programs responded to the survey. : : Main Outcome Measures  Residents’ self-rated preparedness to diagnose and : treat 4 inpatient conditions (acute myocardial infarction, diabetic : ketoacidosis, acute asthma, and acute renal failure) and 8 outpatient : conditions (diabetes, hypertension, low back pain, vaginitis, headache, : depression, upper respiratory tract infection, and hyperlipidemia), : controlling for resident sex, race/ethnicity, US medical school graduate : status, intent to subspecialize, and estimates of exposure to patients in : inpatient and outpatient settings. : : Results  Internal medicine residents were more likely to report being very : prepared for all 4 inpatient conditions (P.001), while FP residents were : more likely to report being very prepared for 5 of 8 outpatient conditions : (P.05). Differences between IM and FP residents persisted in multivariate : analyses for all inpatient conditions and some outpatient conditions. : Exposure to patients in inpatient and outpatient settings varied by : specialty and was significantly associated with resident self-report of : preparedness for a majority of conditions investigated. : : Conclusions  Internal medicine and FP residents report differences in : preparedness to manage common adult conditions. These differences were : consistent with the emphasis on an inpatient setting for IM residents and on : office-based care for FP residents. : : JAMA. 2002;288:2609-2614 : : View Full Text : : : Author/Article Information : : : : Author Affiliations: Robert Wood Johnson Clinical Scholars Program, : Department of Veterans Affairs Puget Sound Healthcare System, and Department : of Medicine, University of Washington, Seattle (Dr Wiest); Institute for : Health Policy, Division of General Medicine, Massachusetts General Hospital, : Partners Healthcare, and Harvard Medical School, Boston (Drs Ferris, : Campbell, Weissman, and Blumenthal and Ms Gokhale). : : Corresponding Author and Reprints: Timothy G. Ferris, MD, MPH, Institute for : Health Policy, Division of General Medicine, Massachusetts General Hospital, : Author Contributions: Study concept and design: Ferris, Blumenthal, : Weissman. : : Acquisition of data: Blumenthal, Campbell, Weissman. : : Analysis and interpretation of data: Wiest, Ferris, Gokhale, Campbell. : : Drafting of the manuscript: Wiest, Ferris, Gokhale. : : Critical revision of the manuscript for important intellectual content: : Wiest, Ferris, Weissman, Campbell, Gokhale, Blumenthal. : : Statistical expertise: Ferris, Gokhale, Campbell. : : Obtained funding: Blumenthal, Weissman. : : Administrative, technical, or material support: Wiest, Ferris, Gokhale. : : Study supervision: Blumenthal, Ferris. : : Funding/Support: Funding was provided by the Commonwealth Fund Task Force on : Academic Health Centers. Dr Wiest was supported by the Robert Wood Johnson : Clinical Scholars Program and Dr Ferris was supported by the Pediatric : Scientist Development Program (AAP/NICHD 00850). : : : : On Call Section Editors: Joseph K. Lim, MD, and Stephen J. Lurie, MD, PhD; : Associate Editors: Ethan M. Basch, MD, R. Sonia Batra, MD, MPH, Natalie : Holt, MD, Alison J. Huang, MPhil, MD, Nina Kim, MD, Vincent Lo Re, MD, Dena : E. Rifkin, MD, and Mrugeshkumar K. Shah, MD, MPH. : : : : — : Outgoing mail is certified Virus Free. : Checked by AVG anti-virus system (http://www.grisoft.com). : : :

Response:

Sushi-boy.  read your earlier post about the trouble your having finding a competent physician. Makes me feel really blessed to have a doctor I’ve been seeing since he was an intern, (scary thought is that was 1978), and who developed his T-2, three years before I did.  Having diabetes definitely makes them pay more attention to the disease. Maybe you could just get out the phone book, and start calling doctors offices, and asking if they or any of their immediate family are diabetics.  Also, the provider list for my insurance plan, has a listing for doctors who emphasize diabetes care. – Hide quoted text — Show quoted text – > I originally posted this back on February 5th, 2003. > — > : should your primary care doctor be > : > : FAMILY PRACTICE OR INTERNAL MEDICINE. > : > : > : > : I DID A SEARCH ON GOOGLE > : > : i am sure another test will say the opposite but this is what i found so far > : if i find one > : > : that does not agree il post it. > : > : > : > : Context  Although both internal medicine (IM) and family practice (FP) > : physicians frequently provide care for the same common adult conditions, IM > : and FP residency programs differ in their training emphases. > : > : Objective  To assess differences in IM and FP residents’ self-perceived > : preparedness to diagnose and treat common adult medical conditions. > : > : Design, Setting, and Participants  Cross-sectional analysis of a national > : survey administered in the spring of 1998 to residents in their final year > : of residency at US academic health centers. A total of 279 IM residents in > : 25 programs and 326 FP residents in 75 programs responded to the survey. > : > : Main Outcome Measures  Residents’ self-rated preparedness to diagnose and > : treat 4 inpatient conditions (acute myocardial infarction, diabetic > : ketoacidosis, acute asthma, and acute renal failure) and 8 outpatient > : conditions (diabetes, hypertension, low back pain, vaginitis, headache, > : depression, upper respiratory tract infection, and hyperlipidemia), > : controlling for resident sex, race/ethnicity, US medical school graduate > : status, intent to subspecialize, and estimates of exposure to patients in > : inpatient and outpatient settings. > : > : Results  Internal medicine residents were more likely to report being very > : prepared for all 4 inpatient conditions (P.001), while FP residents were > : more likely to report being very prepared for 5 of 8 outpatient conditions > : (P.05). Differences between IM and FP residents persisted in multivariate > : analyses for all inpatient conditions and some outpatient conditions. > : Exposure to patients in inpatient and outpatient settings varied by > : specialty and was significantly associated with resident self-report of > : preparedness for a majority of conditions investigated. > : > : Conclusions  Internal medicine and FP residents report differences in > : preparedness to manage common adult conditions. These differences were > : consistent with the emphasis on an inpatient setting for IM residents and on > : office-based care for FP residents. > : > : JAMA. 2002;288:2609-2614 > : > : View Full Text > : > : > : Author/Article Information > : > : > : > : Author Affiliations: Robert Wood Johnson Clinical Scholars Program, > : Department of Veterans Affairs Puget Sound Healthcare System, and Department > : of Medicine, University of Washington, Seattle (Dr Wiest); Institute for > : Health Policy, Division of General Medicine, Massachusetts General Hospital, > : Partners Healthcare, and Harvard Medical School, Boston (Drs Ferris, > : Campbell, Weissman, and Blumenthal and Ms Gokhale). > : > : Corresponding Author and Reprints: Timothy G. Ferris, MD, MPH, Institute for > : Health Policy, Division of General Medicine, Massachusetts General Hospital, > : Author Contributions: Study concept and design: Ferris, Blumenthal, > : Weissman. > : > : Acquisition of data: Blumenthal, Campbell, Weissman. > : > : Analysis and interpretation of data: Wiest, Ferris, Gokhale, Campbell. > : > : Drafting of the manuscript: Wiest, Ferris, Gokhale. > : > : Critical revision of the manuscript for important intellectual content: > : Wiest, Ferris, Weissman, Campbell, Gokhale, Blumenthal. > : > : Statistical expertise: Ferris, Gokhale, Campbell. > : > : Obtained funding: Blumenthal, Weissman. > : > : Administrative, technical, or material support: Wiest, Ferris, Gokhale. > : > : Study supervision: Blumenthal, Ferris. > : > : Funding/Support: Funding was provided by the Commonwealth Fund Task Force on > : Academic Health Centers. Dr Wiest was supported by the Robert Wood Johnson > : Clinical Scholars Program and Dr Ferris was supported by the Pediatric > : Scientist Development Program (AAP/NICHD 00850). > : > : > : > : On Call Section Editors: Joseph K. Lim, MD, and Stephen J. Lurie, MD, PhD; > : Associate Editors: Ethan M. Basch, MD, R. Sonia Batra, MD, MPH, Natalie > : Holt, MD, Alison J. Huang, MPhil, MD, Nina Kim, MD, Vincent Lo Re, MD, Dena > : E. Rifkin, MD, and Mrugeshkumar K. Shah, MD, MPH. > : > : > : > : — > : Outgoing mail is certified Virus Free. > : Checked by AVG anti-virus system (http://www.grisoft.com). > : > : > :

Response:

Hey Randall always nice to see one of your posts. my health care provider is oxford i can go online and get a list of all those who take oxford. and it lists everything about were the doctor studied what hospitals they are affiliated with and if they are certified in those areas. yo but great point about asking if they have family members who are diabetic. that stinky doctor im going to change was a Endowhatchyamacallit but he stunk. thank you for the good advice. i always look forward to your posts lol for some reason as easy as it is i always forget your name when i don’t see you post for a while lol sorry. — http://www.diabetes.org Sushi-Boy Diabetics Do It With Out The Sweets

: Sushi-boy.  read your earlier post about the trouble your having finding a competent physician. : Makes me feel really blessed to have a doctor I’ve been seeing since he was an intern, (scary : thought is that was 1978), and who developed his T-2, three years before I did.  Having diabetes : definitely makes them pay more attention to the disease. i wish i could find one with diabets lol sounds funny to say but i think that would be great. : : Maybe you could just get out the phone book, and start calling doctors offices, and asking if they : or any of their immediate family are diabetics.  Also, the provider list for my insurance plan, has : a listing for doctors who emphasize diabetes care. :

: : > I originally posted this back on February 5th, 2003. : > : > — : > : should your primary care doctor be : > : : > : FAMILY PRACTICE OR INTERNAL MEDICINE. : > : : > : : > : : > : I DID A SEARCH ON GOOGLE : > : : > : i am sure another test will say the opposite but this is what i found so far : > : if i find one : > : : > : that does not agree il post it. : > : : > : : > : : > : Context  Although both internal medicine (IM) and family practice (FP) : > : physicians frequently provide care for the same common adult conditions, IM : > : and FP residency programs differ in their training emphases. : > : : > : Objective  To assess differences in IM and FP residents’ self-perceived : > : preparedness to diagnose and treat common adult medical conditions. : > : : > : Design, Setting, and Participants  Cross-sectional analysis of a national : > : survey administered in the spring of 1998 to residents in their final year : > : of residency at US academic health centers. A total of 279 IM residents in : > : 25 programs and 326 FP residents in 75 programs responded to the survey. : > : : > : Main Outcome Measures  Residents’ self-rated preparedness to diagnose and : > : treat 4 inpatient conditions (acute myocardial infarction, diabetic : > : ketoacidosis, acute asthma, and acute renal failure) and 8 outpatient : > : conditions (diabetes, hypertension, low back pain, vaginitis, headache, : > : depression, upper respiratory tract infection, and hyperlipidemia), : > : controlling for resident sex, race/ethnicity, US medical school graduate : > : status, intent to subspecialize, and estimates of exposure to patients in : > : inpatient and outpatient settings. : > : : > : Results  Internal medicine residents were more likely to report being very : > : prepared for all 4 inpatient conditions (P.001), while FP residents were : > : more likely to report being very prepared for 5 of 8 outpatient conditions : > : (P.05). Differences between IM and FP residents persisted in multivariate : > : analyses for all inpatient conditions and some outpatient conditions. : > : Exposure to patients in inpatient and outpatient settings varied by : > : specialty and was significantly associated with resident self-report of : > : preparedness for a majority of conditions investigated. : > : : > : Conclusions  Internal medicine and FP residents report differences in : > : preparedness to manage common adult conditions. These differences were : > : consistent with the emphasis on an inpatient setting for IM residents and on : > : office-based care for FP residents. : > : : > : JAMA. 2002;288:2609-2614 : > : : > : View Full Text : > : : > : : > : Author/Article Information : > : : > : : > : : > : Author Affiliations: Robert Wood Johnson Clinical Scholars Program, : > : Department of Veterans Affairs Puget Sound Healthcare System, and Department : > : of Medicine, University of Washington, Seattle (Dr Wiest); Institute for : > : Health Policy, Division of General Medicine, Massachusetts General Hospital, : > : Partners Healthcare, and Harvard Medical School, Boston (Drs Ferris, : > : Campbell, Weissman, and Blumenthal and Ms Gokhale). : > : : > : Corresponding Author and Reprints: Timothy G. Ferris, MD, MPH, Institute for : > : Health Policy, Division of General Medicine, Massachusetts General Hospital, : > : Author Contributions: Study concept and design: Ferris, Blumenthal, : > : Weissman. : > : : > : Acquisition of data: Blumenthal, Campbell, Weissman. : > : : > : Analysis and interpretation of data: Wiest, Ferris, Gokhale, Campbell. : > : : > : Drafting of the manuscript: Wiest, Ferris, Gokhale. : > : : > : Critical revision of the manuscript for important intellectual content: : > : Wiest, Ferris, Weissman, Campbell, Gokhale, Blumenthal. : > : : > : Statistical expertise: Ferris, Gokhale, Campbell. : > : : > : Obtained funding: Blumenthal, Weissman. : > : : > : Administrative, technical, or material support: Wiest, Ferris, Gokhale. : > : : > : Study supervision: Blumenthal, Ferris. : > : : > : Funding/Support: Funding was provided by the Commonwealth Fund Task Force on : > : Academic Health Centers. Dr Wiest was supported by the Robert Wood Johnson : > : Clinical Scholars Program and Dr Ferris was supported by the Pediatric : > : Scientist Development Program (AAP/NICHD 00850). : > : : > : : > : : > : On Call Section Editors: Joseph K. Lim, MD, and Stephen J. Lurie, MD, PhD; : > : Associate Editors: Ethan M. Basch, MD, R. Sonia Batra, MD, MPH, Natalie : > : Holt, MD, Alison J. Huang, MPhil, MD, Nina Kim, MD, Vincent Lo Re, MD, Dena : > : E. Rifkin, MD, and Mrugeshkumar K. Shah, MD, MPH. : > : : > : : > : : > : — : > : Outgoing mail is certified Virus Free. : > : Checked by AVG anti-virus system (http://www.grisoft.com). : > : : > : : > : : : :

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