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re: Medical residency spinoff. Rank the specialties

Posted on 1/26/17 at 7:22 pm to
Posted by Yellerhammer5
Member since Oct 2012
10854 posts
Posted on 1/26/17 at 7:22 pm to
quote:

Depends


There's a ton of variability in every field.



Taking out an appendix isn't the same as removing a brain tumor.

I know pathologists who work part time and pathologists who are on call 24/7 and are paged in the middle of the night frequently.

Psych can range from seeing depressed patients a few days a week to being punched in the face weekly on inpatient psych.

Posted by EA6B
TX
Member since Dec 2012
14754 posts
Posted on 1/26/17 at 7:35 pm to
quote:

So my chest X-ray is getting read in Bangladesh?


Or maybe Australia, that is where all the after hours stuff went a few years ago.
Posted by saderade
America's City
Member since Jul 2005
25757 posts
Posted on 1/26/17 at 7:42 pm to
Had I gone to medical school, anesthesia or radiology would have been my top choices.
Posted by G Vice
Lafayette, LA
Member since Dec 2006
12931 posts
Posted on 1/26/17 at 7:46 pm to
quote:

Australia

That would be Nighthawk. I have a family member in rad who used to read for them from home.
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6123 posts
Posted on 1/26/17 at 7:46 pm to
quote:


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.


Yeah. Once in a blue moon I have to call pathology in to due a frozen in the middle of the night (ruling out invasive fungal). It's always a resident...and a fellow (who counts as an attending) who need to review the biopsy.
Posted by Hopeful Doc
Member since Sep 2010
15053 posts
Posted on 1/26/17 at 7:49 pm to
quote:

Taking out an appendix isn't the same as removing a brain tumor. 


And, oddly enough, neither of them are usually any good at managing diabetes or hypertension.
Posted by MrSpock
Member since Sep 2015
4377 posts
Posted on 1/26/17 at 7:51 pm to
quote:

And, oddly enough, neither of them are usually any good at managing diabetes or hypertension.



Yep. That's why we have nurse practitioners.










Just kidding.
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6123 posts
Posted on 1/26/17 at 7:52 pm to
quote:


That or ENT with a big time goal of a neurotology fellowship I think.


My neurotologist attending is married to a dermatologist.

as he says, "only thing better than being a dermatologist is being married to one"

He has a good lifestyle though. Nearly all outpt surgeries. Very competitive field though. And most people I know that want to do neuroto want to do so because of cochlear implants. Many get turned off to ENT as a residency in general when they find that the residency is full of head and neck cases and free flap recons.
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6123 posts
Posted on 1/26/17 at 7:55 pm to
quote:

managing diabetes or hypertension.


Nothing a ISS or PRN hydralazine/labetalol can't handle for the night. until the docs who know what they are doing show up
Posted by MrSpock
Member since Sep 2015
4377 posts
Posted on 1/26/17 at 7:56 pm to
quote:

So my chest X-ray is getting read in Bangladesh?



No. And while it may be getting read in Australia or Hawaii or any other random US city during the night it is still a Radiologist that is credentialed to practice in the continental US. It is illegal otherwise.

And while NightHawk services were a boom from 2000-2015 a lot of hospital systems are shifting to 24/7 coverage with in-house Radiologist.

Seems clinicians want a name and a face to talk to about shite. Go figure.
Posted by TypoKnig
Member since Aug 2011
8928 posts
Posted on 1/26/17 at 8:12 pm to
quote:

He has a good lifestyle though. Nearly all outpt surgeries. Very competitive field though. And most people I know that want to do neuroto want to do so because of cochlear implants. Many get turned off to ENT as a residency in general when they find that the residency is full of head and neck cases and free flap recons.


I was all in ENT until I realized I couldn't do those 12 hour cancer cases with bilateral neck dissections during residency. I would have been happy on the back end doing the outpatient stuff and same day surgeries but couldn't have made it through the residency.
Posted by GambitAUfan
Member since Nov 2010
2851 posts
Posted on 1/26/17 at 8:17 pm to
Primary care sports medicine is an excellent option for family centered life style. Our primary care sports medicine doc works 8:30 to 4:30 monday thru friday. He doesn't take call just covers the local college women's soccer game or basketball game couple nights a week. If he gets anything surgical or difficult patient in the office, he just sends them over to one of the surgeons.

quote:

If I'm not mistaken Orthopedic surgeons make the most followed by neuro.


Depends on how hard you want to work/take call. Its very stressful profession but can be very financially lucrative. I think most orthopaedist would tell you they enjoy the career except for one aspect - taking ER call.
This post was edited on 1/26/17 at 8:24 pm
Posted by MDTiger 13
Fairhope, AL
Member since Nov 2010
1002 posts
Posted on 1/26/17 at 8:32 pm to
quote:

Really, is it that difficult to do your charts timely?


When you all of your rooms are full, 2-3 patients are dying at the same time, and the waiting room is 20 deep with administration breathing down your neck to clear it? Yes...yes it is.

quote:

administrative ability of the average monkey.



Funny that you should say that. With more off time during the month and the "jack of all trades" mentality, more and more ER docs that work for hospitals are taking on administrative roles. And doing quite well at it. Have fun working with us
Posted by GEAUXT
Member since Nov 2007
29306 posts
Posted on 1/26/17 at 8:35 pm to
Orthopods make a ton of money, but they definitely bust their arse doing so.

I have to laugh a radiologists...it's amazing how crappy some can be and stay employed.

There is one who works at my hospital who is notorious for shitty reads. I'm reading report today on a pt I suspect osteo, and in the report he's going on about wounds, previous amputations, marrow edema in the phalanx and metatarsal, etc.

"Impression: unremarkable exam"

About a year ago there was another report that read:

"Impression: Can't exclude possibilities"

Posted by dkreller
Laffy
Member since Jan 2009
30448 posts
Posted on 1/26/17 at 8:38 pm to
quote:

Have you considered Optometry as a surgical specialty?

Posted by dkreller
Laffy
Member since Jan 2009
30448 posts
Posted on 1/26/17 at 8:42 pm to
quote:

OMS (oral surgery)

Now there are VERY few oral surgery programs in the country that only require a DDS to qualify.

It has shifted to a DDS/MD specialty.

frick 10 years of postgraduate schooling before actually practicing out on your own.
This post was edited on 1/26/17 at 8:42 pm
Posted by OKtiger
Tulsa, OK
Member since Nov 2014
8595 posts
Posted on 1/26/17 at 8:44 pm to
Internal Medicne gives you a lot of options even after you've done your residency

You can work in the hospital, you can do locum tenens, you can take on a handful of fellowships.

Plus, there's a huge need in rural areas around the US. You can make bank on moonlighting.

It works cause I like seeing patients though.
Posted by OKtiger
Tulsa, OK
Member since Nov 2014
8595 posts
Posted on 1/26/17 at 8:47 pm to
quote:

It has shifted to a DDS/MD specialty.


I would want highest paid salary of any specialty guaranteed, along with my student loans to be paid off for both degrees.

I don't think you could get many MD's to go through dental school in addition to their training.
Posted by dkreller
Laffy
Member since Jan 2009
30448 posts
Posted on 1/26/17 at 8:49 pm to
They make bank no doubt because they do a lot of plastic surgery but 10 years?

That takes serious dedication and you better have a good business plan when you're done to pay off that mountain of debt.
Posted by SaltyMcKracker
Member since Sep 2011
2784 posts
Posted on 1/26/17 at 8:53 pm to
4 years of dental school, smiling at graduation with your family, then be back next week to matriculate into the M3 class. I would kill myself
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