Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

My primary care frustration is outweighed by my relationships with patients

Katherine Miller, MD
Physician
August 8, 2011
Share
Tweet
Share

I love my job as a primary care doctor, and I enjoy sharing the joy with students who visit me at the community health  center where I work. It is terrible to read in the press (and to hear from students) that angst and frustration are the  predominant emotions associated with primary care. While there are sources of frustration in what I do, these are  overwhelmingly outweighed by the satisfaction of building relationships with my patients. Truth be told, these relationships  also improve my life, as I see the difference that a caring, careful physician can make in the lives of patients and impart that  sense of purpose to my students.  Last summer, I had one of my most rewarding teaching experiences.

I learned of the Stoeckle Primary Care Scholars program through a network of dedicated primary care doctors who work  at Harvard Medical School. I was invited to submit a project proposal involving primary care in the community and was  matched with an amazing first year student (JK) who had an interest in maternal-child health. This first year student, who had come to the United States from Africa in search of educational opportunities, took up my project to design a group prenatal visit series for the local Central American immigrant population. She was hesitant initially to work with patients who spoke an unfamiliar language from a culture that she had not yet experienced, and to dive into such a rich (she saw “complicated”) area of patient care. However, we worked together to create an approach to the patients and to our task which took into account their daily lives, cultural backgrounds, and personal and educational needs.

Once JK started talking with the women in my practice, she learned that their needs, their lives, were not so very different from her own experience.  Certainly the details were very different: she was still a Harvard Medical student, and the patients were immigrants trying to make it day to day. However, their need to feel informed, to find a community, to look after those dear to them (especially their unborn children), and to make it all work within a restricted schedule – were familiar. And so JK’s hesitancy evaporated.

JK undertook a needs assessment for the Central American population of women served by our health center, studying Spanish to help her communicate with the patients. Based on her results, she built a list of educational resources and found speakers to address our groups on topics that the women found to be important.

JK spent the rest of her time shadowing me in patient care sessions. We met with multigenerational families, prenatal patients, and children. We placed intra-uterine devices, biopsied skin lesions, removed toenails, and performed colposcopies—exciting hands-on opportunities for a pre-clinical student. We counseled depressed patients, offered advice for parents, and managed chronic diseases. She joined me in procedure clinics, administered vaccines to infants, worked with our family planner, and worked with patients in English, Spanish, and Portuguese. She also enjoyed a special connection with my Muslim patients—a faith with which she is particularly familiar. Through these sessions, JK came to understand the role of family life in health and the amazing nuances that are discovered by a physician who cares for multiple people in the same household.

At the end of the summer, we launched the prenatal group visits. In the first session, JK presented a talk on culturally appropriate prenatal nutrition (rather than talking to them about having whole wheat bread with their turkey cold cuts, she suggested adding vegetables to their rice and beans).  Seven months later, the group continues to meet. The patients in the group are able to get information that is important to them, build a social network with their peers, and share their pregnancy experiences with other women. They bring their children to the visits and even meet outside of the group as friends.

JK learned a lot about primary care medicine, community centered care, and the importance of cultural sensitivity.  She was also able to experience the wide range of clinical experiences in family medicine—and it was fantastic. She loved the variety of her experience, the relationship building with patients. She told me that THIS felt like the sort of medicine she dreams of practicing.

Now—how can such a model be expanded so that the majority rather than the minority of students are able to have this experience?

Katherine Miller is a family physician who blogs at Primary Care Progress Notes, where this piece originally appeared.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Why a neurologist turned down an interesting hospital case

August 8, 2011 Kevin 5
…
Next

The achievement culture problem in our country

August 8, 2011 Kevin 1
…

Tagged as: Patients, Primary Care

Post navigation

< Previous Post
Why a neurologist turned down an interesting hospital case
Next Post >
The achievement culture problem in our country

ADVERTISEMENT

More in Physician

  • How tragedy shaped a medical career

    Ronald L. Lindsay, MD
  • A doctor’s guide to preparing for your death

    Joseph Pepe, MD
  • How policy and stigma block addiction treatment

    Mariana Ndrio, MD
  • Why don’t women in medicine support each other?

    Jessie Mahoney, MD
  • IMGs are the future of U.S. primary care

    Adam Brandon Bondoc, MD
  • The high cost of gender inequity in medicine

    Kolleen Dougherty, MD
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 3 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

My primary care frustration is outweighed by my relationships with patients
3 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...