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

Dear future practicing physician, choose primary care

Chris Lillis, MD
Physician
October 21, 2011
Share
Tweet
Share

Dear future practicing physician,

Choose primary care.  I know all around you there are pressures to choose to become a specialist.  I remember those pressures well.  In medical school, one of my favorite mentors was predicting that after I got a taste of primary care, I would “come crawling back” to him.  I still chuckle about that conversation to this day.  In residency, I remember several seminars for us built around choosing a fellowship and tips on how to prepare to apply, but barely any seminars on choosing to become a primary care doctor.

There is little mystery as to why I did not find more guidance.  Specialists have much higher reimbursements for their clinical services leading to higher wages.  I also recall there being a significant difference in the perception of the prestige of practicing primary care.  Turns out, that prestige gap has been shown in research to influence career choice.

Well, after practicing primary care for seven years now, I am here to tell you differently.  With current measures built into health reform, my partners and I started receiving bonuses this year just because we practice primary care.  I see this as a substantial development.  For decades, payment schemes have been heavily slanted in favor of procedural specialties, leaving primary care physicians to make far less than their specialist colleagues.  Now, there is recognition that primary care physicians can help better control health care spending, and if you haven’t noticed, everyone in Washington, DC wants to reduce health care spending.  This bonus, baked into the Affordable Care Act, is an acknowledgement of a problem and a sign of changes to come.

But you didn’t go into medicine just for the money.  I know you didn’t.  You chose to become a physician in order to be a healer, for the challenge of learning the science of being a doctor, and for the opportunity to make a difference.  I can’t imagine a better description of my day job.

After seven years of practicing primary care, I can’t imagine going back and choosing to become a specialist.  My days consist of solving medical mysteries, guiding my patients through managing chronic conditions, and sometimes just doing my best to provide some comfort from physical or emotional pain.  I know at the end of each day that I have touched the lives of my patients, and this had led to immense career and life satisfaction.

Chris Lillis is an internal medicine physician who blogs at Progress Notes.

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

Prev

The problem with round the clock hospitalist coverage

October 21, 2011 Kevin 7
…
Next

The safety of approved drugs needs to be closely watched

October 21, 2011 Kevin 3
…

Tagged as: Primary Care, Residency

Post navigation

< Previous Post
The problem with round the clock hospitalist coverage
Next Post >
The safety of approved drugs needs to be closely watched

ADVERTISEMENT

More by Chris Lillis, MD

  • a desk with keyboard and ipad with the kevinmd logo

    To the legislators blocking Medicaid expansion

    Chris Lillis, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The tragic irony of pharmaceutical coupons

    Chris Lillis, MD

More in Physician

  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [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 17 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

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [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

Dear future practicing physician, choose primary care
17 comments

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

Loading Comments...