Yesterday we had a presentation from our Associate Dean regarding the changing face of GP medicine in Ireland over the past 40 years.
In 1969 when he started as a GP the world of medicine was a very different place (in some regards).
The competition was fierce for patients, there were almost no group practices or associates in practice, your wife was the secretary, you saw patients out of your home (or in their home), and you were always on call...as in, every day and night.
He told us about how there was an acupuncturist a few doors down from him who had a hopping business and people would often ring his door asking for the doctor--when he'd reply "Um, I'm a doctor" they'd say, "no no, the guy with the needles!" and he'd have to point them down the street.
In the early years of his practice he said some days he'd only see two patients.
And this is where I suppose some things are the same: he said once the drug reps heard he was in business...
"I'd go out into my waiting room and there would be 2 patients and 6 drug reps waiting to see me!"
The more things change, the more they stay the same.