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re: Medical residency spinoff. Rank the specialties

Posted on 1/26/17 at 5:52 pm to
Posted by SmackoverHawg
Member since Oct 2011
27386 posts
Posted on 1/26/17 at 5:52 pm to
quote:

I infer that primary care gets a lot of docs who don't qualify for anything else


quote:

I infer you are incorrect



No, that's pretty dead on unfortunately.
Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 1/26/17 at 5:57 pm to
quote:

.they deal with a-hole surgeons.


I've never caught a pathologist in the hospital before 8 AM. Yeah, we're assholes because there's never anyone to pick up our frozen specimens tilll about 8:30 or so.

Everybody in medicine has to deal with other a-hole physicians.
And everybody practicing medicine has to deal with the stress of liability.
Posted by BrockLanders
By Appointment Only
Member since Sep 2008
6507 posts
Posted on 1/26/17 at 5:59 pm to
quote:

There are entire careers in pathology that rarely or never use a microscope. Pathologists manage laboratories and blood banking as well.


The only one I ever knew did manage a blood bank, and she was a very busy human being. She would also have to be on call to answer questions about gunshot victims in the middle of the night. But I certainly don't think she felt like was in any position to complain about her life.
Posted by Yellerhammer5
Member since Oct 2012
10854 posts
Posted on 1/26/17 at 6:08 pm to
quote:

I've never caught a pathologist in the hospital before 8 AM. Yeah, we're assholes because there's never anyone to pick up our frozen specimens tilll about 8:30 or so.



Your hospital sucks then. A good one has pathologists on call 24/7 and are ready on site when the OR starts.

quote:

Everybody in medicine has to deal with other a-hole physicians.
And everybody practicing medicine has to deal with the stress of liability.


No shite. You probably aren't going through several thousand cases a year, though.
Posted by suman
Member since Jun 2009
68 posts
Posted on 1/26/17 at 6:19 pm to
You have no idea what you're talking about.
Posted by Yellerhammer5
Member since Oct 2012
10854 posts
Posted on 1/26/17 at 6:20 pm to
quote:

You have no idea what you're talking about


In which area?
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
16279 posts
Posted on 1/26/17 at 6:27 pm to
quote:


Yeah, well medical reimbursements are not based on willingness to pay. In our country, the most needed specialists typically get paid the least because their labor is covered by Medicare/Medicaid, and the doctors can't negotiate their salaries. The docs who make the most pop pimples and put in fake tits. It's bass ackwards.

The worst internist and best internist have to charge the same for the same procedure.


I agree but sometimes you have to create your niche. I have a upfront cash sub specialty practice that works very well for me and my patients.
Posted by Yellerhammer5
Member since Oct 2012
10854 posts
Posted on 1/26/17 at 6:37 pm to
quote:

You have no idea what you're talking about.


That's what I thought, bitch.

This post was edited on 1/26/17 at 6:38 pm
Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 1/26/17 at 6:43 pm to
quote:

Your hospital sucks then. A good one has pathologists on call 24/7 and are ready on site when the OR starts.



Ok guy.

Teaching institutions sometimes have their path residents available before 8:00.

Private practice and otherwise...pffft good luck.

When I rotated at MDAnderson, even they had trouble with early/late path specimens.

Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 1/26/17 at 6:44 pm to
Also, surgery starts at 7:00 AM sharp at any hospital worth a shite.
Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 1/26/17 at 6:46 pm to
Bottom line, path is a practice is a cakewalk compared to almost every other specialty
Posted by AUCE05
Member since Dec 2009
42582 posts
Posted on 1/26/17 at 6:49 pm to
Not a Dr, but the guy that did my root canal has it right. People who see him are in pain, and he won't perform the service until he gets paid.
Posted by Mulat
Avalon Bch, FL
Member since Sep 2010
17517 posts
Posted on 1/26/17 at 6:49 pm to
quote:

No, students decide which specialty they desire based on what fits their personality, interests, and career goals. If I'm spending 200k on my education you better bet I'm not letting "community needs" choose for me. Nothing sad about this.




Totally Agree, Social Work is not for everyone and nothing wrong about that
Posted by Yellerhammer5
Member since Oct 2012
10854 posts
Posted on 1/26/17 at 6:50 pm to
quote:

Ok guy.

Teaching institutions sometimes have their path residents available before 8:00.

Private practice and otherwise...pffft good luck.

When I rotated at MDAnderson, even they had trouble with early/late path specimens.



Hey guy,

Path residents are worthless for frozens because almost no program lets a resident call back frozen results without an attending to view it. It's one of the most difficult areas in pathology.

The private hospitals I've worked at have the same service, although calling at 6:00 PM just because you want to tell the patient's family what cancer they have is frowned upon.

If you don't have these services available, it's because the type of surgery performed at your hospital doesn't require them.

quote:

When I rotated at MDAnderson, even they had trouble with early/late path specimens.


Pathologists aren't going to be sleeping in the call rooms, so yes, it will take longer if it's not during regular hours.
Posted by Yellerhammer5
Member since Oct 2012
10854 posts
Posted on 1/26/17 at 6:52 pm to
quote:

Bottom line, path is a practice is a cakewalk compared to almost every other specialty


Compared to neurosurgery, sure. Compared to radiology, probably equal. Compared to psych, not at all.

Posted by LongueCarabine
Pointe Aux Pins, LA
Member since Jan 2011
8205 posts
Posted on 1/26/17 at 7:00 pm to
quote:

Ask any hospitalist or ER doc what they dislike most about their job and almost universally it is administration.



Why? Because they actually require you to be on time and adhere to hospital policy? I've worked in the healthcare field for over 20 years and my impression of most of the ER docs is that they have all the social skills of an Aspberger's patient and the administrative ability of the average monkey.

Really, is it that difficult to do your charts timely?
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/26/17 at 7:11 pm to
quote:

Radiology - technology has changed it. Digital transfer of images allows competition ACROSS continents. Lowers demand and pay.




So my chest X-ray is getting read in Bangladesh?
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/26/17 at 7:14 pm to
quote:

When I rotated at MDAnderson, even they had trouble with early/late path specimens.


Buddy of mine is a path there. From what I see, the paths are VERY specialized. I think he handles small cell melanomas of the third toenail, and has recently limited himself to left feet only.
Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 1/26/17 at 7:14 pm to
quote:

Compared to neurosurgery, sure. Compared to radiology, probably equal.


That's fair.

quote:

Compared to psych, not at all.


Depends
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
16279 posts
Posted on 1/26/17 at 7:18 pm to
quote:

Totally Agree, Social Work is not for everyone and nothing wrong about that


I agree with both of you. I worded it poorly. Look at my reply in this thread.
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