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Reflections on My First Five Years in Family Practice

Welcome to the Inaugural ACFP First Five Year Blog Post!

Our first post will be look back at my first year of practice after graduating residency. The first posting is Part 1 of three where I will focus on things I learned about myself and adapting to a new life of being the staff physician.

PART 1: Reflections on Being a Fresh Grad

There is a learning curve

I remember my first day in clinic after graduating like it was yesterday—I had a full schedule of patients and this was it—I’m a big boy now. Thinking about it now, there were many things I didn’t know that I had to quickly learn on the fly. I was always told there was a learning curve coming out of residency but I didn’t understand it until I experienced it for myself.

There is more than one way to practice medicine
As a learner, there was always only one way to practice that I knew of – the way of my preceptor. Now that I’m on my own, I see how people approach problems differently and this is ok. Medicine is an art and a science.

Textbook cases are not the norm.
As a resident, one of my preceptors had a favourite saying – after discussing cases she’d often sit back in her chair and say “Ah, the uncertainty of family medicine”. I don’t think I genuinely appreciated what that meant until after graduating. Now, I truly appreciate that most cases are a shade of gray.

Don’t be afraid to teach.
Teaching a student, or heaven forbid, a resident can be a bit daunting when you yourself are fresh out of residency. Don’t worry – despite your own fears you do have something to offer as you have more experience and time in the game. It’ll also keep your knowledge sharp and provide you with some outside perspective on your medical practice.

Medicine is always changing and the practitioner is always evolving; I suppose this is why it’s called the practice of medicine! What four things did you learn about yourself in your first year of practice? Please feel free to leave comments below!

Don’t forget to check back here next month for Part 2: Reflections on Practice Management.

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My name is Smitha Yaltho and I feel privileged to work as a family physician. Why? I believe that being a family physician has been the best job any physician can hope to have. I have personally grown in my own abilities and skill-sets with diverse opportunities in ambulatory practice, acute care and work in Facility Living.  Working in primary care has been exciting and has also afforded me tremendous opportunities for growth while still remaining stimulating in its complexity.  I believe that Family physicians are trusted partners in patient care –  every step of the way. 

Why are you volunteering to serve on this committee?
I currently have an interest in Physician Leadership and  trauma informed care.  I have served as a director with the Board of Directors with the Edmonton North PCN, Edmonton’s largest PCN. Thereafter, I have worked as the Director of Medical Services with CapitalCare (also based in Edmonton) for almost 6 years. It is my express wish that my contribution on the ACFP board of directors will highlight the excellence of family medicine that exists right here and now within the Alberta health care system. 

What about the ACFP’s work do you find most valuable?
Ability to highlight and further support the excellence of primary care right here in Alberta.