Intellectual Subspecialist Technophilic     

Generalist   Service-minded  Broad prep

Admissions Emphasis

Admissions Package

Emphasis on intellectual intelligence, standardized tests, grades, research experience, understanding of professional culture,

research issues specialized and more isolated - disease and procedures and technology

Emphasis on emotional intelligence, adaptation, service orientation, volunteer, leader, broader issues, need to understand people and communities, public health,

research is integrative - issues access and equity and education

Environment of med ed, hidden culture tends to be…

Emphasis on details of voyage, books, procedures, disease, technology, limited educational venues, curriculum too packed to allow individuation or volunteerism, often trainees forget why they chose medicine bogged down in all of the details they have to do, passive learning, learners not treated well as low rank

Emphasis on voyage itself, Vast and Endless Sea  Personal experiences key, relationships, hands on learning by decision making, unlimited educational environments, broad-based learning encouraged, generalists see needs of patients as whole persons and cannot ignore as easily, learners treated as colleagues

Faculty situation, values, attitude

More likely to have others adapt to them, rarely asked to change their attitudes, duties, etc.

Have to adapt to needs of patients, colleagues, environment, community, family, versatility a key characteristic to have or learn

Internally focused academics and research, Accountable to few

Externally focused service and community, Accountable to community, employers, patients

Challenge of material wealth, distraction

Less challenges, although significant all docs

Patients temporary and fewer in number

More continuity and higher volume, more uncertainty

Graduates major activities

Clinical Specialty, research, increase cost of care through procedures and technology, usually follow a defined pathway

Broader aspects of relationships, counseling, personal management important, access issues key, decrease cost of health overall by improving access, prevention, discover and pursue a niche or special situation with patients, colleagues

Student and Residents see

Small carefully crafted part of the life of the faculty member

See the whole aspect of FP life, practice, personal, family, community, management, hassle factors, not much held back

Patients are

Less well known, less likely to allow care

Mistakes seen by other specialists or coroner

FPs know their patients and know that students and residents must learn decision making, procedures

Mistakes seen by specialists, anecdotal stories unfair

Clinical problems faced

Usually known entity with one or a few options, closed approach soon needed

Often unknown or uncertain, comparison with common and uncommon, comparison among different organ systems with similar, comparison with psychosocial dimensions, comparison with experiential knowledge about patient and family, open approach needed, sometimes re-discovery in longer or future visits with additional info