Family Doctor Relationship

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Doctors’ visit: family medicine and doctor-patient relationship
Some has described building a therapeutic doctors-patient relationship as art of medicine . A harmonious doctor-patient relationship is especially indispensable for primary care practitioners as these relationships will usually be maintained for years. Therefore, family doctor visit is a precious experience to learn about the role of primary care and get an insight of real practice in family medicine.

Expectations of the attachments before the visit
Never have I been to doctor attachment in family medicine. All my expectations of visit comes from my daily experiences of seeing doctor, as a patient. I thought most of the patients in this attachment were only suffered from common
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Po is that he was much younger than I expected. He is only in his mid-thirties. He is now a family doctor, running his own clinic in a public estate in Ma On Shan. He is also a graduate of CUHK at the year 2006. After his graduation, he worked in private sectors for a few years instead of studying a specialty in hospital. In these years, he saved some money and found a partner to open a clinic with him.

One of the attractions for him to be a family doctor is shorter working hours. Although career is put in priority for most of the young man, Dr. Po believes that family is more important and working in a clinic allows him spare more time for his family. Another reason is the simpler interpersonal relationships between colleagues in clinic. In hospitals, doctors have to deal with some infighting for promotion inevitably. This working environment is of great pressure and it is not the best care for patients. Therefore, Dr. Po opened a private family clinic to be a primary care practitioner in the hope of providing holistic care to
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There is a traditional saying of “one patient, one disease” in clinical diagnosis shared by Dr. Po. It refers to all the symptoms of a patient can be explained by one disease. However, it is not always applicable especially in primary care. It is common that patients are having symptoms of more than one diseases when they decided to visit the family doctor, for example, there is a middle-aged male patient visiting the doctor with the symptoms of runny nose, cough and micturition difficulty. It is clear that this patient is suffered from two diseases. Family doctors have to be experienced to distinguish different diseases. In this case, the doctor at last prescribed him drugs for influenza and suggest further checking for the micturition problems. However, there is only five to ten minutes for each consultation for most of the primary care clinics, doctor are not able to approach all of the problems. This manifests the responsibility of primary care. Whether approaching all the problems of patient in once or approaching the most urgent symptoms of patient first is all based on the decision of primary care practitioners. It is also important for primary care practitioner to decide the referral of patients. One of the irreplaceable roles of family doctors is gate-keeping, only around 10% of patients need to be referred to specialists or public hospitals. With “gate-keeping” role
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