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I am considering GI...at my institution the GI docs consult patients with the approach of a good internist, with a full H&P and a try to see the "whole" patient and disease, not just look through a scope. I admire this wholistic approach to medicine...something I had thought was shared by all subspecialties of IM. However, many people have told me that their only relationship with their gastroenterologist was through a scope, and they have never been examined or developed a relationship with them. Is this type of "procedure only" relationship really the majority of the way GI docs practice? Does the desire to be a more complete and throrough physician cost these docs lost revenue, causing their "scope only" approach to medicine? It's hard for me to believe this because at my institution they are complete docs and the kind I want to be, but is that type of approach to medicine limited to academics?
I would appreciate any discussion or experience you all have on this matter? It would be interesting if other procedural oriented IM specialities have similar dilemmas...i.e. do interventional cardiologist or EP's develop relationship and complete care for their patients, or are they in Cath lab only?
I would appreciate any discussion or experience you all have on this matter? It would be interesting if other procedural oriented IM specialities have similar dilemmas...i.e. do interventional cardiologist or EP's develop relationship and complete care for their patients, or are they in Cath lab only?