
Not Otherwise Specified Doctor with a Capital D
Nov 26, 2025
In this engaging discussion, Ed Bujo, a seasoned community family physician, shares his journey from anesthesia to family medicine, emphasizing the profound impact of long-term patient relationships. Benjamin Popok, a medical student passionate about rural family medicine, reflects on his transformative clinical rotation and advocates for early exposure to community practices. They delve into challenges in primary care, the joy of comprehensive care, and the need for reforms in medical training to prioritize primary care roles, highlighting the importance of financial support and cultural respect.
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Academic Blind Spot On Community Care
- Academic centers produce transformative science but can be blind to community practice realities.
- That divide obscures primary care's most gratifying aspects and weakens medical education.
Code That Changed A Career
- Ed left anesthesia residency after running a code for a terminally ill 98-year-old and feeling he had no voice in that decision.
- He returned to family medicine to reclaim responsibility for end-of-life choices.
Thirty Years Of Clinical Memory Matters
- Ed described treating a long-term patient whose red, painful foot turned out to need urgent inpatient care.
- His 30-year relationship and knowledge of the patient's history changed the management from outpatient antibiotics to MRI, IV antibiotics, and revascularization planning.
