Category Archives: Family Medicine Stories

Advice for Thriving During Remediation

Jhonatan Munoz  Espinoza, MD

Jhonatan Munoz
Espinoza, MD

During remediation it’s easy to think what you are doing is insignificant and that your efforts are not taking you anywhere—you are not part of a residency track, not part of the interviews tours, and not able to moonlight—but you’re wrong.

If your program put you in remediation it doesn’t mean that they are discounting you. Your program is recognizing that you need time to address whatever is going on in your life that put you in remediation—relationship stresses, mental health issues, or poor academic performance—to be the best person you can be.

Remember: you are valuable, your work still matters, and most importantly, your patients are waiting for you to be the best version of yourself!

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A Family Medicine Provider’s Reflections on World AIDS Day

Jarrett Sell, MD

Jarrett Sell, MD

I consider my path to caring for persons affected by human immunodeficiency virus (HIV) to be atypical, but maybe that is true of many family medicine providers involved in HIV care—only a minority of family medicine providers in the United States offer HIV care.

I, like many family medicine residents recently graduating from residency, assumed that HIV care was too complex and rapidly changing for me to become involved and that it would be unlikely to impact my future practice, particularly since I was planning to practice in a rural area.  I thought that this was a condition that is best left to the care of specialists or those that planned to practice in the inner cities of San Francisco or New York. What I did not realize at the time was that HIV is everywhere and cannot be ignored by family medicine providers.

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The First Job

Virginia Van  Duyne, MD

Virginia Van
Duyne, MD

I have always been sure of my desire to become a family doctor but within my first year out of residency, the assuredness in my course was turned on its head. Maybe some of you have been in the same position. Maybe, like me, your early assurance carried you through many long hours in the library and wards of medical school and the early mornings and late nights of residency. Then before you knew it, you were in the last year of residency about to launch into your first real job as a doctor. For me, the importance of this decision was weighty; it was the pinnacle of all those years of training, finally my chance to go out and do what I had set out to do.

Graduation came and went and soon my husband, our two young children, and I were packing up our home to trek across country where we would set up a new life and establish a career in a rural, underserved community. I jumped headfirst into the practice and community.  At first, my pediatric patients would hide behind their mom’s legs and eye my blonde hair and tallness suspiciously. Many times I laughed with my patients as I made yet another mistake in Spanish, but they delighted in helping me to perfect my Mexican accent. They brought me cantaloupes and I delivered their babies. The staff embraced me as their own families’ doctor and I learned the ecstasy of fresh, hand-made tortillas.

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