There is a fracture, I need to fix it
I've got a bone to pick with anyone who thinks they can jump straight from orthopedics to family medicine.
So you want to do family/internal medicine, eh? You want to know about the learning curve? Well, for starters, you can't just get away with fixing fractures anymore! Did you know that there's a bunch of other organ systems in the body, and that you'll have to know a bit about all of them? Did you know that there's more antibiotics out there besides Ancef? (Sorry, orthopods, we couldn't resist.) Also, what in tarnation is "family internal medicine"? Does this person know that Family Medicine and Internal Medicine are two distinct medical specialties? Does this person realize that Family Medicine includes the pediatric population, too? Apparently not, and that doesn't bode well for this dude/dudette's learning curve. I don't think some books and guides are going to cut it. Maybe this fellow would be interested instead in spending four years in medical school followed by a three-year residency in Family Medicine and/or Internal Medicine. How's that for a learning curve?