It’s the start of the Family Medicine posting i.e. what I’ll most probably end up doing as a profession, unless I find a specialty I love so much that I don’t mind doing ward rounds and night calls for it.
Monday was a series of boring lectures and tutorials carried out by the COFM people. Even the hefty lecture notes are stapled at the sides with coloured cover pages, and full of prose with no grammatical errors. It’s a bit too much COFM for me, really; since January we’ve had COFM posting, COFM exams and now Family Medicine.
Tuesday was supposed to be an attachment at the GP clinic, but my GP tutor arranged for a tutorial in the morning as he wouldn’t be going to the clinic that day. (We later found out that he was post-call from the Emergency Department at TTSH! Oh dear.) So we just went through the various aims of the posting, listened to a monologue on bad government policies and so-called subsidies, and tried a few scenarios. “READ UP,” he commanded. We watched V for Vendetta in the afternoon.
Wednesday, i.e. today, was finally spent down at the GP clinic. The locum there was a youngish woman doctor whom I really liked. She made us clerk every case that came in – thankfully the clinic wasn’t crowded, and she took really thorough histories. I realised that I lost whatever clerking and physical examination skills I had because my last real clerking experience was in early December. Missed out so many things to ask in history; and I really wasn’t used to asking the extra stuff that GPs ask. And gosh… she asked me to take blood for this guy, who had von Willebrand factor deficiency to boot. I flubbed it up, got more air in the syringe than blood, bleh. I never thought it would be hard to emphathise with patients, especially since I’m female, but when I was frantically thinking of what questions to ask next and what questions I’d missed out, I actually found that I wasn’t devoting brainpower to picking up and processing body language cues.
There was time between patients, so we chatted a lot with the GP. Female GPs are in demand now, goody; maybe not so in my time since they’ve increased the intake of female students over the years. So far, I like the primary contact that GPs have with patients. They see people who happen to be sick, rather than bednumbers patients. No ward rounds, no night calls. The cases are simpler, but we didn’t see much today, though we got a good spectrum.
The GP’s husband (working in a nearby hospital) picked us up during the lunch break. They treated us to lunch at Book Cafe (their favourite cafe) at Robertson Quay. It was really nice of them. So I took photos of our food, as usual:

My lunch: mushroom and cheese focaccia. I like focaccias and I like mushrooms.

Penance’s meal at Book Cafe: Turkey with egg white and avocado on wholemeal bread.
If you order their sandwiches, you get a choice of salad or wedges as a side.