My Journey as a Specialist Physician: From Childhood Dreams to Adult Medicine

Introduction to a Lifelong Passion

From a young age, the dream of becoming a pediatrician consumed me. By the time I was eight, I had already envisioned my future career path. This passion guided my educational choices, leading me to major in chemistry and pursue a medical degree with a focus on pediatrics. However, as time progressed, my understanding of the field expanded, and I encountered various challenges that ultimately shaped my professional journey.

Early Career Challenges and Determination

After completing medical school, I secured an internship at one of the most competitive Children's Hospitals. Unfortunately, during my initial months, I contracted every known infectious disease, making my first rotation in Pediatric Oncology and the ER particularly challenging. Despite my exceptional performance, I faced a significant obstacle when my potential for a second year was questioned due to my anxiety in life-and-death situations. This was a defining moment that momentarily soured my enthusiasm for the field but, fortunately, it did not deter me. A month later, I was accepted for a second year, and I was even assigned to work 108 hours straight across three hospitals over Christmas, albeit with the unfortunate motto, "Cat nap."

Shifting Professional Focus and Self-Discovery

While affection for fixing and healing persists in me, it was during my medical training that I realized my true passion for treating adults. My early interest in pediatrics waned when I faced the realities of chronic pain, the trial and error of invasive procedures, and the inherent risks of emergency care. This led me to reevaluate my career path and consider not only general internal medicine but also a broader role in primary care.

I had the opportunity to work with a family practice private practice doctor away from UCSF for several rotations. This experience solidified my appreciation for the role of a general internal medicine doctor, who focuses on adults and manages a wide range of non-surgical health issues. I admired the continuity of care provided and the thorough approach to managing various adult health concerns, from chronic conditions to daily wellness.

Defining Roles in Medicine

The roles of a primary care physician, a general internist, and a family practice doctor are often intertwined, yet distinctly different in their approach and responsibilities. A general internist typically focuses on diagnosing, treating, and managing adult health problems, while also providing preventive healthcare and caring for patients with multiple health issues. Family practice encompasses a broader scope, including adult medicine without surgical interventions, but not including obstetric care for childbirth.

The decision to settle down in primary care internal medicine was influenced by various factors, including the desire for a balance between patient care and the ability to contribute to the community without the surgical or childbirth responsibilities associated with other specialties. This path aligns closely with the principles of primary care, which emphasize preventive care, patient education, and continuity of care.

Conclusion

My journey as a physician has been a blend of passion, resilience, and a deep understanding of the complexities of adult medicine. The decision to specialize in general internal medicine and primary care was an outcome of personal growth, professional challenges, and a commitment to the well-being of adults. Through both the highs and the lows, my core passion for healing and improving lives remains unwavering.