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Should I go into medicine if I hated working in a nursing home ?

I couldn't stand it. I hated the thought of having to do this every Saturday morning for 3 months and I couldn't imagine doing it every day for the rest of my life..

How similar is working in a nursing home to working as a GP / surgeon ? I understand obviously you wont have to do some of the more gruelling tasks that carers have to do like cleaning up faeces etc.

But I have this image in my mind of a patient thanking me for saving their life etc, and just having that connection with patients is what pulls me back to medicine.

I just don't know if I am compatible to medicine or not.

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Reply 1
Do you think a week with a cardiologist surgeon would give me a representative idea of what medicine is like ? Or is that just the creme de la creme of medicine, when I'm 55 and nearly retired ?
Reply 2
What, really ? I have most band 9s are in their 50s.

Also, isn't med school only 5 years for basic training, i.e to the standard a GP is at ? Not 10 ?
Original post by lhh2003
I couldn't stand it. I hated the thought of having to do this every Saturday morning for 3 months and I couldn't imagine doing it every day for the rest of my life..

How similar is working in a nursing home to working as a GP / surgeon ? I understand obviously you wont have to do some of the more gruelling tasks that carers have to do like cleaning up faeces etc.


They are not similar. I also didn't like any of the time I spent in nursing homes - they are pretty depressing places. It can still be a useful experience however - nursing home patients frequently attend A&E and acute medical units so you will get a lot of experience in treating them as a doctor. Seeing them in the NH setting can hopefully start jolting some of the more impressionable applicants into understanding what real life medicine is often (though not exclusively) like i.e. it's not like House or Grey's Anatomy. It's also a good introduction to professionalism in healthcare and beginning to understand the overlap between medicine and social care.

But I have this image in my mind of a patient thanking me for saving their life etc, and just having that connection with patients is what pulls me back to medicine.

I just don't know if I am compatible to medicine or not.


We've gone over this a good few times in your previous threads. What do you think would make you more certain about this? What are you looking for?

Original post by lhh2003
What, really ? I have most band 9s are in their 50s.

Also, isn't med school only 5 years for basic training, i.e to the standard a GP is at ? Not 10 ?


GP is a specialty m8 - in most other places in the world it's called family medicine. You are not at GP standard simply because you've graduated from medical school.
Original post by Quick-use
I have no background in Medicine whatsoever


Your post should have ended here :wink: :tongue:
I don't think working in a nursing home is especially similar to working as a doctor.
Original post by Democracy
Your post should have ended here :wink: :tongue:

Ah, sorry about that. I ended up waffling and giving my (false) impression of something I clearly don't know. :redface: I just can't thank my GP enough to be honest.

Do you think it'd be best if I just deleted my initial comment? :fluffy:
Reply 7
Original post by lhh2003
Also, isn't med school only 5 years for basic training, i.e to the standard a GP is at ? Not 10 ?

A GP is not at the standard of a newly qualified med student/Dr.
I would get on far better in a hospital specialty than most hospital specialists would in GP, as I can do most of their work to a reasonable level (around SHO, seeing as I have been one in many specialties). My gastro husband would struggle with Paeds, or Women's health or urology or ortho or ENT or eyes. My Ortho friend would struggle with all of it except bones. My renal friend has no idea about anything non-medicine. None of them run a small business and employ staff at the same time!
GPs do a minimum of 5 years training post med school and there is talk of that going up a year. Then they spend the rest of their careers learning and honing their skills, just like all other doctors.
(edited 3 years ago)
Original post by Quick-use
Ah, sorry about that. I ended up waffling and giving my (false) impression of something I clearly don't know. :redface: I just can't thank my GP enough to be honest.

Do you think it'd be best if I just deleted my initial comment? :fluffy:


I mean, that's up to you :tongue:

I would suggest that it's not accurate to say GP is a monotonous job; it is by definition the most varied of specialties along with A&E. I think all specialties eventually boil down to their core group of presentations - this is not monotony so much as just bread and butter because patients tend to experience the same common illnesses i.e. surgeons see cholecystitis frequently, respiratory physicians see a lot of COPD, etc.

STDs are generally seen by GUM, though of course it's something doctors from many different specialties keep an eye out for. Depending on what your definition of exciting is, acutely unwell patients are seen in GP surgeries quite frequently.
Reply 9
When you study for your consultancy, do you go to uni for this or do existing consultants teach you at the hospital during allotted times ?
Reply 10
Original post by Quick-use
I have no background in Medicine whatsoever, but I can't imagine many patients in my area thanking my GP... I also imagine the workload of a GP being potentially monotonous but very fast-paced (10 minutes per patient, quickly reading about their medical history, diagnosing, prescribing meds, writing up notes and then calling in the next patient). What's more, you probably won't get 'exciting' cases too often; maybe an STI or two if you're (un)lucky... :lol:

But, yeah - if that all floats your boat, work your heart out and go for becoming a GP. You may not realise it and you certainly won't be thanked enough, but you'll be making a (subtle) difference to your community, like how my awesome locum GP has done so. :fluffy:

SOOOOOO many patients thank their GP. We are literally there for the most important moments in their lives and are a constant during difficult times - births, illness, deaths, supporting them and family and friends. My Xmas goodies stash is 10 times the size of a hospital doctors (and I work in a very deprived area).
It also make me laugh that people think we don't get to see "exciting" cases. All those "exciting" and "interesting" cases have a GP and have seen us before, usually during and after any illnesses. I refer most of the exciting stuff hospital doctors get to see! And try again when they mess it up first time......

I have been thanked many times for saving peoples' lives, but more than that I have been thanked for supporting people to leave abusive partners, for helping them when suicidal, for being there through a psychotic breakdown, for helping them to learn and come to terms with a chronic disease or devastating diagnosis, for helping a family member have a "good" death. These mean far more to me than the heroics of CPR or emergency medicine (though we do that in the community, too!)
Reply 11
Original post by Democracy
STDs are generally seen by GUM, though of course it's something doctors from many different specialties keep an eye out for.

These days, STI screening and chlamydia testing/treatment is GP territory. We do refer the less common stuff to GUM (including the cerebral syphilis I had present during a routine consultation for a rash!!). Locally we have an enhanced service that pay us £14 a time to see, counsel, test, treat or refer and contact trace - pretty good value for money, I'd have thought?! We do it as part of women's health, men's health and contracpetive work. But we are very proud of the contraceptive service we have set up for teens, which means we have gone from around 5 teenage pregnancies a year to 1 in the last 5 years, and educate re safe sex as part of that, leading to a significant drop in the incidence of chlamydia locally. There is praise not stigma for turning up for your 15th STI screen of the year with us (although we do then feel the education is not working that well.....)!!
Reply 12
Original post by Democracy

We've gone over this a good few times in your previous threads. What do you think would make you more certain about this? What are you looking for?



GP is a specialty m8 - in most other places in the world it's called family medicine. You are not at GP standard simply because you've graduated from medical school.

I know I have been, I apologise for this but I still really don't know. I guess I am looking for the right key to fit my lock. I think ultimately I need to do work experience. It's hard for me to accept that I will be losing my pluripotency that comes with being young and able to go in any career.
Original post by lhh2003
I know I have been, I apologise for this but I still really don't know. I guess I am looking for the right key to fit my lock. I think ultimately I need to do work experience. It's hard for me to accept that I will be losing my pluripotency that comes with being young and able to go in any career.

Yes work experience should hopefully help.

Even if you do medicine, complete the degree, work a few years in the job and only then realise you no longer want to do it you'll still be young and able to think about an alternative career - life is more flexible than you think when you have qualifications and earning potential :smile:
Reply 14
Original post by Democracy
Yes work experience should hopefully help.

Even if you do medicine, complete the degree, work a few years in the job and only then realise you no longer want to do it you'll still be young and able to think about an alternative career - life is more flexible than you think when you have qualifications and earning potential :smile:

Apparently though I have read that it's hard to go into a different career outside of medicine in the same way you could breach into other sectors with a maths degree.

And what if I am half way through my medical degree and decide I don't like medicine ?
Original post by lhh2003
Apparently though I have read that it's hard to go into a different career outside of medicine in the same way you could breach into other sectors with a maths degree.


It's possible to get into other professions with a medical degree including law, consultancy, banking, teaching, and so on. You would need to put in the work with finding out about these careers, networking, gaining work experience etc but it's doable. You could also talk to a medical careers counsellor if you were still very confused and they would be able to offer further guidance.

And what if I am half way through my medical degree and decide I don't like medicine ?


I think if you were halfway through your degree you'd either leave with a BMedSci or have the option to transfer to a related degree e.g. biomedical sciences and gain a BSc, but this is probably quite university specific.
Reply 16
Original post by Democracy
It's possible to get into other professions with a medical degree including law, consultancy, banking, teaching, and so on. You would need to put in the work with finding out about these careers, networking, gaining work experience etc but it's doable. You could also talk to a medical careers counsellor if you were still very confused and they would be able to offer further guidance.



I think if you were halfway through your degree you'd either leave with a BMedSci or have the option to transfer to a related degree e.g. biomedical sciences and gain a BSc, but this is probably quite university specific.

I think I will speak to one of them careers advisors as I am at this cross roads, and as you say, I keep going over the same sh** over and over again.. unable to decide.
Original post by lhh2003
I couldn't stand it. I hated the thought of having to do this every Saturday morning for 3 months and I couldn't imagine doing it every day for the rest of my life..

How similar is working in a nursing home to working as a GP / surgeon ? I understand obviously you wont have to do some of the more gruelling tasks that carers have to do like cleaning up faeces etc.

But I have this image in my mind of a patient thanking me for saving their life etc, and just having that connection with patients is what pulls me back to medicine.

I just don't know if I am compatible to medicine or not.

I don't think its at all similar.

I think this fantasy that you will be "saving lives" is not a realistic one though. You're mostly prolonging the lives of the elderly or chronically sick, and its very very much a team effort, especially if you're actually saving the life of a young person. People do say thank you - although I suspect moreso to the nurses/midwives etc who actually spend lots of time with them - but 'oh you personally saved my life you're so amazing' - erm, no.

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